Hospital Austin-Round Rock-San Marcos, TX

Baylor Scott & White Medical Center - Pflugerville

Baylor Scott & White Medical Center - Pflugerville in Pflugerville, TX publishes cash prices for 477 common procedures listed here, from its own machine-readable price file updated Jun 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Texas median for 239 of 471 procedures and below it for 149. By typical cash price it ranks #178 of 297 Texas hospitals and #15 of 29 hospitals in the Austin, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

2600 E. Pflugerville Parkway, Suite 100, Pflugerville, TX 78660 Collected Sep 23, 2026 Source price file Check a bill from this hospital (512) 654-6100

Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 670128 · CMS hospital register NPI 1346729159

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Baylor Scott & White Medical Center - Pflugerville is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 1 action for a hospital named Baylor Scott & White Medical Center - Pflugerville in Pflugerville, TX:

Jul 8, 2025 Met requirements

Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC ABDOMEN CT W&W/O CONTRAST	$2,721.60	$4,536.00	$167.39–$4,082.40	6% below	40%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC ABDOMEN CT W&W/O CONTRAST	$2,721.60	$4,536.00	$2,494.80–$4,082.40	—	40%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$316.47	$527.45	$36.75–$474.70	16% below	40%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$316.47	$527.45	$290.10–$474.70	—	40%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE X-RAY,COMPLETE,MINIMUM 3	$356.32	$593.86	$36.75–$534.47	at median	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC DX ANKLE MIN 3V LT	$356.32	$593.86	$36.75–$534.47	at median	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC DX ANKLE MIN 3V RT PORT	$356.32	$593.86	$36.75–$534.47	at median	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC DX ANKLE MIN 3V LT PORT	$356.32	$593.86	$36.75–$534.47	at median	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 HC DX ANKLE MIN 3V RT	$356.32	$593.86	$36.75–$534.47	at median	40%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE X-RAY,COMPLETE,MINIMUM 3	$356.32	$593.86	$326.62–$534.47	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC DX ANKLE MIN 3V RT PORT	$356.32	$593.86	$326.62–$534.47	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC DX ANKLE MIN 3V RT	$356.32	$593.86	$326.62–$534.47	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC DX ANKLE MIN 3V LT	$356.32	$593.86	$326.62–$534.47	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC DX ANKLE MIN 3V LT PORT	$356.32	$593.86	$326.62–$534.47	—	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NONINVAS PHYSIOL STUDY,ARTERY,SNGL LEV,BIL	$547.85	$913.08	$100.44–$1,117.00	10% below	40%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NONINVAS PHYSIOL STUDY,ARTERY,SNGL LEV,BIL	$547.85	$913.08	$502.19–$821.77	—	40%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC UPPER EXTREMITY CT, W/O CONTRA	$1,951.64	$3,252.74	$99.77–$2,927.47	18% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPR EXT WO CM RT	$1,951.64	$3,252.74	$104.75–$2,927.47	18% above	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT UPR EXT WO CM LT	$1,951.64	$3,252.74	$104.75–$2,927.47	18% above	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC UPPER EXTREMITY CT, W/O CONTRA	$1,951.64	$3,252.74	$1,789.01–$2,927.47	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPR EXT WO CM LT	$1,951.64	$3,252.74	$1,789.01–$2,927.47	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT UPR EXT WO CM RT	$1,951.64	$3,252.74	$1,789.01–$2,927.47	—	40%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS	$501.34	$835.57	$97.56–$752.01	at median	40%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS	$501.34	$835.57	$459.56–$752.01	—	40%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE/JNT IMAGE WHOLE BODY	$1,823.30	$3,038.83	$264.64–$2,734.95	16% above	40%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE/JNT IMAGE WHOLE BODY	$1,823.30	$3,038.83	$1,671.36–$2,734.95	—	40%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST, COMPLETE	$386.64	$644.40	$99.77–$579.96	13% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BRST 4 QUADS LT	$386.64	$644.40	$102.91–$579.96	13% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC MG US BRST COMP LT	$386.64	$644.40	$102.91–$579.96	13% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BRST 4 QUADS RT	$386.64	$644.40	$102.91–$579.96	13% below	40%
Breast ultrasound, complete, one breast one side CPT 76641 HC MG US BRST COMP RT	$386.64	$644.40	$102.91–$579.96	13% below	40%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST, COMPLETE	$386.64	$644.40	$354.42–$579.96	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC MG US BRST COMP RT	$386.64	$644.40	$354.42–$579.96	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC MG US BRST COMP LT	$386.64	$644.40	$354.42–$579.96	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BRST 4 QUADS RT	$386.64	$644.40	$354.42–$579.96	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BRST 4 QUADS LT	$386.64	$644.40	$354.42–$579.96	—	40%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST, LIMITED	$346.09	$576.82	$83.05–$519.14	at median	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BRST LESS 4 QUADS LT	$346.09	$576.82	$85.20–$519.14	at median	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BRST LESS 4 QUADS RT	$346.09	$576.82	$85.20–$519.14	at median	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC MG US BRST LIMIT LT	$346.09	$576.82	$85.20–$519.14	at median	40%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC MG US BRST LIMIT RT	$346.09	$576.82	$85.20–$519.14	at median	40%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST, LIMITED	$346.09	$576.82	$317.25–$519.14	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BRST LESS 4 QUADS RT	$346.09	$576.82	$317.25–$519.14	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC MG US BRST LIMIT LT	$346.09	$576.82	$317.25–$519.14	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC MG US BRST LIMIT RT	$346.09	$576.82	$317.25–$519.14	—	40%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BRST LESS 4 QUADS LT	$346.09	$576.82	$317.25–$519.14	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTANGIOGRAPHY ABD & PELVIS	$5,068.40	$8,447.34	$332.94–$7,602.61	26% above	40%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTANGIOGRAPHY ABD & PELVIS	$5,068.40	$8,447.34	$4,646.04–$7,602.61	—	40%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD,W/CONTRAST	$2,381.40	$3,969.00	$167.39–$3,572.10	at median	40%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD,W/CONTRAST	$2,381.40	$3,969.00	$2,182.95–$3,572.10	—	40%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK,W/WO CONTRAST MA	$2,381.40	$3,969.00	$167.39–$3,572.10	at median	40%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK,W/WO CONTRAST MA	$2,381.40	$3,969.00	$2,182.95–$3,572.10	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY,CHEST	$2,579.30	$4,298.84	$167.39–$3,868.96	at median	40%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY,CHEST	$2,579.30	$4,298.84	$2,364.36–$3,868.96	—	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA,HEART,ARTERIES/BYPS GRAFT	$2,118.60	$3,531.00	$175.06–$3,177.90	27% above	40%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA,HEART,ARTERIES/BYPS GRAFT	$2,118.60	$3,531.00	$1,942.05–$3,177.90	—	40%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT,HEART W/O CONTRAST W/QUANT	$218.90	$364.83	$83.05–$1,997.00	16% above	40%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT,HEART W/O CONTRAST W/QUANT	$218.90	$364.83	$200.66–$328.35	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD&PELVIS W/O CONTRAS	$3,629.39	$6,048.98	$188.11–$5,444.08	28% above	40%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD&PELVIS W/O CONTRAS	$3,629.39	$6,048.98	$3,326.94–$5,444.08	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST	$3,842.06	$6,403.43	$312.08–$5,763.09	1% above	40%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W/CONTRAST	$3,842.06	$6,403.43	$3,521.89–$5,763.09	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABD & PELVIS W & WO CONT	$4,135.82	$6,893.04	$332.94–$6,203.74	8% above	40%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABD & PELVIS W & WO CONT	$4,135.82	$6,893.04	$3,791.17–$6,203.74	—	40%
CT scan of the abdomen with contrast CPT 74160 HC ABDOMEN CT SCAN W/CONTRAST	$2,670.05	$4,450.09	$167.39–$4,005.08	3% above	40%
CT scan of the abdomen with contrast inpatient CPT 74160 HC ABDOMEN CT SCAN W/CONTRAST	$2,670.05	$4,450.09	$2,447.55–$4,005.08	—	40%
CT scan of the abdomen without contrast CPT 74150 HC ABDOMEN CT SCAN WITHOUT CONTRA	$2,116.45	$3,527.42	$99.77–$3,174.68	5% above	40%
CT scan of the abdomen without contrast inpatient CPT 74150 HC ABDOMEN CT SCAN WITHOUT CONTRA	$2,116.45	$3,527.42	$1,940.08–$3,174.68	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL AREA SCAN W/O	$2,137.91	$3,563.18	$99.77–$3,206.86	29% above	40%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL AREA SCAN W/O	$2,137.91	$3,563.18	$1,959.75–$3,206.86	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST	$1,974.63	$3,291.05	$99.77–$2,961.95	18% above	40%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN SCAN W/O CONTRAST	$1,974.63	$3,291.05	$1,810.08–$2,961.95	—	40%
CT scan of the head with contrast CPT 70460 HC HEAD/BRAIN CT SCAN W/CONTRAST	$1,762.24	$2,937.06	$152.36–$2,643.35	5% above	40%
CT scan of the head with contrast inpatient CPT 70460 HC HEAD/BRAIN CT SCAN W/CONTRAST	$1,762.24	$2,937.06	$1,615.38–$2,643.35	—	40%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD W/O&W CONTRAST	$2,277.85	$3,796.41	$167.39–$3,416.77	12% above	40%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD W/O&W CONTRAST	$2,277.85	$3,796.41	$2,088.03–$3,416.77	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC LUMBAR SPINE CT SCAN, W/O CONT	$1,655.02	$2,758.37	$99.77–$2,482.53	4% below	40%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC LUMBAR SPINE CT SCAN, W/O CONT	$1,655.02	$2,758.37	$1,517.10–$2,482.53	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$2,109.78	$3,516.30	$99.77–$3,164.67	3% above	40%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$2,109.78	$3,516.30	$1,933.96–$3,164.67	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 HC PELVIS CT SCAN,W/CONTRAST	$2,721.60	$4,536.00	$167.39–$4,082.40	25% above	40%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC PELVIS CT SCAN,W/CONTRAST	$2,721.60	$4,536.00	$2,494.80–$4,082.40	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC CAROTID SCAN, BILATERAL	$1,224.72	$2,041.20	$187.79–$1,837.08	—	40%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC CAROTID SCAN, BILATERAL	$1,224.72	$2,041.20	$1,122.66–$1,837.08	—	40%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX SCAN, W/WO CONTRAST	$2,676.20	$4,460.34	$167.39–$4,014.31	at median	40%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX SCAN, W/WO CONTRAST	$2,676.20	$4,460.34	$2,453.19–$4,014.31	—	40%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$412.77	$687.95	$33.75–$619.15	6% above	40%
Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$412.77	$687.95	$378.37–$619.15	—	40%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$349.81	$583.02	$25.73–$524.72	8% above	40%
Chest X-ray, single view CPT 71045 HC CHEST APICAL LORDOTIC	$349.81	$583.02	$25.73–$524.72	8% above	40%
Chest X-ray, single view one side CPT 71045 HC CHEST DECUB LT	$349.81	$583.02	$25.73–$524.72	8% above	40%
Chest X-ray, single view one side CPT 71045 HC CHEST DECUB RT	$349.81	$583.02	$25.73–$524.72	8% above	40%
Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$349.81	$583.02	$320.66–$524.72	—	40%
Chest X-ray, single view inpatient CPT 71045 HC CHEST APICAL LORDOTIC	$349.81	$583.02	$320.66–$524.72	—	40%
Chest X-ray, single view inpatient one side CPT 71045 HC CHEST DECUB LT	$349.81	$583.02	$320.66–$524.72	—	40%
Chest X-ray, single view inpatient one side CPT 71045 HC CHEST DECUB RT	$349.81	$583.02	$320.66–$524.72	—	40%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE X-RAY,COMPLETE	$300.05	$500.09	$32.75–$450.08	at median	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC DX CLAVICLE COMPL LT	$300.05	$500.09	$32.75–$450.08	at median	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC DX CLAVICLE COMPL RT PORT	$300.05	$500.09	$32.75–$450.08	at median	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC DX CLAVICLE COMPL RT	$300.05	$500.09	$32.75–$450.08	at median	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 HC DX CLAVICLE COMPL LT PORT	$300.05	$500.09	$32.75–$450.08	at median	40%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE X-RAY,COMPLETE	$300.05	$500.09	$275.05–$450.08	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC DX CLAVICLE COMPL RT	$300.05	$500.09	$275.05–$450.08	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC DX CLAVICLE COMPL RT PORT	$300.05	$500.09	$275.05–$450.08	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC DX CLAVICLE COMPL LT PORT	$300.05	$500.09	$275.05–$450.08	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC DX CLAVICLE COMPL LT	$300.05	$500.09	$275.05–$450.08	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US, RETROPERITONEAL COMPL	$673.36	$1,122.26	$99.77–$1,010.03	3% below	40%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US, RETROPERITONEAL COMPL	$673.36	$1,122.26	$617.24–$1,010.03	—	40%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DUAL ENERGY X-RAY-BONE DENSITY	$370.36	$617.26	$39.09–$555.53	7% below	40%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DUAL ENERGY X-RAY-BONE DENSITY	$370.36	$617.26	$339.49–$555.53	—	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR DXA PERIPHERAL APPENDICULAR SKELETON	$235.55	$392.58	$31.74–$353.32	7% above	40%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR DXA PERIPHERAL APPENDICULAR SKELETON	$235.55	$392.58	$215.92–$353.32	—	40%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US W/DETAIL FETAL EXAM, TRANSABD - FIRST FETUS	$631.20	$1,052.00	$177.76–$946.80	9% below	40%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US W/DETAIL FETAL EXAM, TRANSABD - FIRST FETUS	$631.20	$1,052.00	$578.60–$946.80	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC THORAX CT SCAN WITHOUT CONTRAS	$1,166.90	$1,944.83	$99.77–$1,997.00	23% below	40%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC THORAX CT SCAN WITHOUT CONTRAS	$1,166.90	$1,944.83	$1,069.66–$1,750.35	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX SCAN W/CONTRAST	$2,659.49	$4,432.48	$167.39–$3,989.23	33% above	40%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX SCAN W/CONTRAST	$2,659.49	$4,432.48	$2,437.86–$3,989.23	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$340.20	$567.00	$62.37–$510.30	—	40%
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL	$340.20	$567.00	$62.37–$510.30	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$340.20	$567.00	$311.85–$510.30	—	40%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMO W/CAD, BILATERAL	$340.20	$567.00	$311.85–$510.30	—	40%
Diagnostic mammogram, one breast one side CPT 77065 HC MG DIGITAL DX W CAD RT	$272.16	$453.60	$49.90–$408.24	at median	40%
Diagnostic mammogram, one breast one side CPT 77065 HC MG DIGITAL DX W CAD LT	$272.16	$453.60	$49.90–$408.24	at median	40%
Diagnostic mammogram, one breast one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL	$272.16	$453.60	$49.90–$408.24	at median	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DIAGNOSTIC MAMMO W/CAD, UNILATERAL	$272.16	$453.60	$249.48–$408.24	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MG DIGITAL DX W CAD RT	$272.16	$453.60	$249.48–$408.24	—	40%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MG DIGITAL DX W CAD LT	$272.16	$453.60	$249.48–$408.24	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX SCAN,LE ARTERL BYPS GFT - BI/COMPLT	$970.20	$1,617.00	$227.71–$1,455.30	—	40%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX SCAN,LE ARTERL BYPS GFT - BI/COMPLT	$970.20	$1,617.00	$889.35–$1,455.30	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX SCAN OF EXTREMITY VEINS, INCL RESPONSES TO COMPRESSION/COMPLETE BILATERAL STUDY	$1,090.23	$1,817.05	$184.78–$1,635.35	—	40%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX SCAN OF EXTREMITY VEINS, INCL RESPONSES TO COMPRESSION/COMPLETE BILATERAL STUDY	$1,090.23	$1,817.05	$999.38–$1,635.35	—	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/O CONTRAST	$2,589.56	$4,315.93	$409.24–$3,884.34	31% above	40%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/CONTRAST	$2,589.56	$4,315.93	$409.24–$3,884.34	31% above	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/CONTRAST	$2,589.56	$4,315.93	$2,373.76–$3,884.34	—	40%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE COMPLETE W/DOPPLER & COLOR FLOW W/O CONTRAST	$2,589.56	$4,315.93	$2,373.76–$3,884.34	—	40%
Elbow X-ray, 2 views CPT 73070 HC ELBOW - TWO VIEWS	$349.14	$581.90	$29.40–$523.71	11% above	40%
Elbow X-ray, 2 views one side CPT 73070 HC DX ELBOW 2V RT	$349.14	$581.90	$29.40–$523.71	11% above	40%
Elbow X-ray, 2 views one side CPT 73070 HC DX ELBOW 2V RT PORT	$349.14	$581.90	$29.40–$523.71	11% above	40%
Elbow X-ray, 2 views one side CPT 73070 HC DX ELBOW 2V LT PORT	$349.14	$581.90	$29.40–$523.71	11% above	40%
Elbow X-ray, 2 views one side CPT 73070 HC DX ELBOW 2V LT	$349.14	$581.90	$29.40–$523.71	11% above	40%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW - TWO VIEWS	$349.14	$581.90	$320.05–$523.71	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC DX ELBOW 2V RT PORT	$349.14	$581.90	$320.05–$523.71	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC DX ELBOW 2V LT PORT	$349.14	$581.90	$320.05–$523.71	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC DX ELBOW 2V LT	$349.14	$581.90	$320.05–$523.71	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 HC DX ELBOW 2V RT	$349.14	$581.90	$320.05–$523.71	—	40%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW X-RAY,COMPLETE,MINIMUM 3	$440.72	$734.53	$33.08–$661.08	15% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC DX ELBOW MIN 3V LT	$440.72	$734.53	$33.08–$661.08	15% above	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 HC DX ELBOW MIN 3V RT	$440.72	$734.53	$33.08–$661.08	15% above	40%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW X-RAY,COMPLETE,MINIMUM 3	$440.72	$734.53	$403.99–$661.08	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC DX ELBOW MIN 3V RT	$440.72	$734.53	$403.99–$661.08	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC DX ELBOW MIN 3V LT	$440.72	$734.53	$403.99–$661.08	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBITS W/O CONTRAST	$1,845.88	$3,076.46	$99.77–$2,768.81	23% above	40%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBITS W/O CONTRAST	$1,845.88	$3,076.46	$1,692.05–$2,768.81	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONES, COMPLETE SERIES	$409.45	$682.41	$47.45–$614.17	4% above	40%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONES, COMPLETE SERIES	$409.45	$682.41	$375.33–$614.17	—	40%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM X-RAY - TWO VIEWS	$372.73	$621.22	$29.40–$559.10	at median	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC DX FOREARM 2V RT	$372.73	$621.22	$29.40–$559.10	at median	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC DX FOREARM 2V RT PORT	$372.73	$621.22	$29.40–$559.10	at median	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC DX FOREARM 2V LT PORT	$372.73	$621.22	$29.40–$559.10	at median	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC DX FOREARM 2V LT	$372.73	$621.22	$29.40–$559.10	at median	40%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM X-RAY - TWO VIEWS	$372.73	$621.22	$341.67–$559.10	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC DX FOREARM 2V LT PORT	$372.73	$621.22	$341.67–$559.10	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC DX FOREARM 2V LT	$372.73	$621.22	$341.67–$559.10	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC DX FOREARM 2V RT	$372.73	$621.22	$341.67–$559.10	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC DX FOREARM 2V RT PORT	$372.73	$621.22	$341.67–$559.10	—	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYS IMAG	$1,754.98	$2,924.97	$290.70–$2,632.47	9% above	40%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYS IMAG	$1,754.98	$2,924.97	$1,608.73–$2,632.47	—	40%
Hand X-ray, 2 views CPT 73120 HC HAND X-RAY,2 VIEWS	$342.93	$571.55	$31.74–$514.39	8% above	40%
Hand X-ray, 2 views one side CPT 73120 HC DX HAND 2V RT	$342.93	$571.55	$31.74–$514.39	8% above	40%
Hand X-ray, 2 views one side CPT 73120 HC DX HAND 2V RT PORT	$342.93	$571.55	$31.74–$514.39	8% above	40%
Hand X-ray, 2 views one side CPT 73120 HC DX HAND 2V LT PORT	$342.93	$571.55	$31.74–$514.39	8% above	40%
Hand X-ray, 2 views one side CPT 73120 HC DX HAND 2V LT	$342.93	$571.55	$31.74–$514.39	8% above	40%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND X-RAY,2 VIEWS	$342.93	$571.55	$314.35–$514.39	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HC DX HAND 2V RT	$342.93	$571.55	$314.35–$514.39	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HC DX HAND 2V LT	$342.93	$571.55	$314.35–$514.39	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HC DX HAND 2V LT PORT	$342.93	$571.55	$314.35–$514.39	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 HC DX HAND 2V RT PORT	$342.93	$571.55	$314.35–$514.39	—	40%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC CALCANEUS XRAY,MINIMUM 2 VIEWS	$287.12	$478.53	$28.74–$430.68	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC DX CALCANEUS MIN 2V RT PORT	$287.12	$478.53	$28.74–$430.68	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC DX CALCANEUS MIN 2V RT	$287.12	$478.53	$28.74–$430.68	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC DX CALCANEUS MIN 2V LT	$287.12	$478.53	$28.74–$430.68	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC DX CALCANEUS MIN 2V LT PORT	$287.12	$478.53	$28.74–$430.68	at median	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC CALCANEUS XRAY,MINIMUM 2 VIEWS	$287.12	$478.53	$263.19–$430.68	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC DX CALCANEUS MIN 2V LT PORT	$287.12	$478.53	$263.19–$430.68	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC DX CALCANEUS MIN 2V RT PORT	$287.12	$478.53	$263.19–$430.68	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC DX CALCANEUS MIN 2V LT	$287.12	$478.53	$263.19–$430.68	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC DX CALCANEUS MIN 2V RT	$287.12	$478.53	$263.19–$430.68	—	40%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY,UNATTENDED	$757.21	$1,262.02	$138.82–$2,062.00	11% above	40%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY,UNATTENDED	$757.21	$1,262.02	$694.11–$1,135.82	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNGRPHY W/CPAP MOD	$4,654.35	$7,757.25	$819.52–$6,981.52	9% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$4,654.35	$7,757.25	$819.52–$6,981.52	9% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, W/POSITIVE AIRWAY PRESSURE THERAPY	$4,654.35	$7,757.25	$819.52–$6,981.52	9% above	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNGRPHY W/CPAP MOD	$4,654.35	$7,757.25	$4,266.49–$6,981.52	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, W/POSITIVE AIRWAY PRESSURE THERAPY	$4,654.35	$7,757.25	$4,266.49–$6,981.52	—	40%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOMNOGRAPHY W/CPAP	$4,654.35	$7,757.25	$4,266.49–$6,981.52	—	40%
Knee X-ray, 3 views CPT 73562 HC KNEE XRAY THREE VIEWS	$417.08	$695.13	$41.10–$625.62	11% above	40%
Knee X-ray, 3 views one side CPT 73562 HC DX KNEE 3V LT PORT	$417.08	$695.13	$41.10–$625.62	11% above	40%
Knee X-ray, 3 views one side CPT 73562 HC DX KNEE 3V RT PORT	$417.08	$695.13	$41.10–$625.62	11% above	40%
Knee X-ray, 3 views one side CPT 73562 HC DX KNEE 3V LT	$417.08	$695.13	$41.10–$625.62	11% above	40%
Knee X-ray, 3 views one side CPT 73562 HC DX KNEE 3V RT	$417.08	$695.13	$41.10–$625.62	11% above	40%
Knee X-ray, 3 views inpatient CPT 73562 HC KNEE XRAY THREE VIEWS	$417.08	$695.13	$382.32–$625.62	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 HC DX KNEE 3V RT	$417.08	$695.13	$382.32–$625.62	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 HC DX KNEE 3V LT PORT	$417.08	$695.13	$382.32–$625.62	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 HC DX KNEE 3V RT PORT	$417.08	$695.13	$382.32–$625.62	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 HC DX KNEE 3V LT	$417.08	$695.13	$382.32–$625.62	—	40%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE,XRAY,COMPLETE,FOUR OR MOR	$518.08	$863.47	$47.45–$777.12	22% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC DX KNEE MIN 4V RT	$518.08	$863.47	$47.45–$777.12	22% above	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 HC DX KNEE MIN 4V LT	$518.08	$863.47	$47.45–$777.12	22% above	40%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE,XRAY,COMPLETE,FOUR OR MOR	$518.08	$863.47	$474.91–$777.12	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC DX KNEE MIN 4V RT	$518.08	$863.47	$474.91–$777.12	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC DX KNEE MIN 4V LT	$518.08	$863.47	$474.91–$777.12	—	40%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC LOWER EXTREMITY CT,W/O CONTRAS	$1,890.36	$3,150.60	$99.77–$2,835.54	12% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LWR EXT WO CM LT	$1,890.36	$3,150.60	$104.75–$2,835.54	12% above	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT LWR EXT WO CM RT	$1,890.36	$3,150.60	$104.75–$2,835.54	12% above	40%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC LOWER EXTREMITY CT,W/O CONTRAS	$1,890.36	$3,150.60	$1,732.83–$2,835.54	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LWR EXT WO CM RT	$1,890.36	$3,150.60	$1,732.83–$2,835.54	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT LWR EXT WO CM LT	$1,890.36	$3,150.60	$1,732.83–$2,835.54	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN, FOLLOW UP	$604.43	$1,007.39	$87.21–$906.65	at median	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN, FOLLOW UP	$604.43	$1,007.39	$554.06–$906.65	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NONVASCULAR	$435.94	$726.57	$30.35–$653.91	7% above	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US EXT NONVASCULAR LTD RT	$435.94	$726.57	$30.35–$653.91	7% above	40%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US EXT NONVASCULAR LTD LT	$435.94	$726.57	$30.35–$653.91	7% above	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NONVASCULAR	$435.94	$726.57	$399.61–$653.91	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US EXT NONVASCULAR LTD LT	$435.94	$726.57	$399.61–$653.91	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US EXT NONVASCULAR LTD RT	$435.94	$726.57	$399.61–$653.91	—	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT LUNG SCREEN LOW DOSE	$240.33	$400.55	$99.77–$1,997.00	at median	40%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT LUNG SCREEN LOW DOSE	$240.33	$400.55	$220.30–$360.50	—	40%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA & FIBULA X-RAY - 2 VIEWS	$342.47	$570.78	$31.74–$513.70	1% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC DX TIBIA FIBULA 2V RT PORT	$342.47	$570.78	$31.74–$513.70	1% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC DX TIBIA FIBULA 2V LT	$342.47	$570.78	$31.74–$513.70	1% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC DX TIBIA FIBULA 2V RT	$342.47	$570.78	$31.74–$513.70	1% below	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC DX TIBIA FIBULA 2V LT PORT	$342.47	$570.78	$31.74–$513.70	1% below	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA & FIBULA X-RAY - 2 VIEWS	$342.47	$570.78	$313.93–$513.70	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC DX TIBIA FIBULA 2V RT PORT	$342.47	$570.78	$313.93–$513.70	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC DX TIBIA FIBULA 2V LT	$342.47	$570.78	$313.93–$513.70	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC DX TIBIA FIBULA 2V RT	$342.47	$570.78	$313.93–$513.70	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC DX TIBIA FIBULA 2V LT PORT	$342.47	$570.78	$313.93–$513.70	—	40%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$2,485.31	$4,142.19	$222.20–$3,727.97	37% above	40%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$2,485.31	$4,142.19	$2,278.20–$3,727.97	—	40%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST C-+ W/CAD BI	$1,875.95	$3,126.58	$343.92–$2,813.92	—	40%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST C-+ W/CAD BI	$1,875.95	$3,126.58	$1,719.62–$2,813.92	—	40%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI EXT LOWER JNT W/O CON	$2,257.48	$3,762.47	$208.84–$3,386.22	2% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LWR EXT JT WO CM LT	$2,257.48	$3,762.47	$208.84–$3,386.22	2% above	40%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MR LWR EXT JT WO CM RT	$2,257.48	$3,762.47	$208.84–$3,386.22	2% above	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI EXT LOWER JNT W/O CON	$2,257.48	$3,762.47	$2,069.36–$3,386.22	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LWR EXT JT WO CM RT	$2,257.48	$3,762.47	$2,069.36–$3,386.22	—	40%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MR LWR EXT JT WO CM LT	$2,257.48	$3,762.47	$2,069.36–$3,386.22	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI EXT LOWER JNT W/O&W C	$3,008.26	$5,013.76	$332.94–$4,512.38	at median	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LWR EXT JT WWO CM LT	$3,008.26	$5,013.76	$366.42–$4,512.38	at median	40%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MR LWR EXT JT WWO CM RT	$3,008.26	$5,013.76	$366.42–$4,512.38	at median	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI EXT LOWER JNT W/O&W C	$3,008.26	$5,013.76	$2,757.57–$4,512.38	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LWR EXT JT WWO CM LT	$3,008.26	$5,013.76	$2,757.57–$4,512.38	—	40%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MR LWR EXT JT WWO CM RT	$3,008.26	$5,013.76	$2,757.57–$4,512.38	—	40%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,742.65	$4,571.09	$201.81–$4,113.98	25% above	40%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$2,742.65	$4,571.09	$2,514.10–$4,113.98	—	40%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W/O&W CONTRAS	$3,387.55	$5,645.91	$332.94–$5,081.32	11% above	40%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W/O&W CONTRAS	$3,387.55	$5,645.91	$3,105.25–$5,081.32	—	40%
MRI of the brain, no contrast dye CPT 70551 HC BRAIN W/O DYE, MRI	$2,556.77	$4,261.28	$202.15–$3,835.15	35% above	40%
MRI of the brain, no contrast dye inpatient CPT 70551 HC BRAIN W/O DYE, MRI	$2,556.77	$4,261.28	$2,343.70–$3,835.15	—	40%
MRI of the brain, with and without contrast dye CPT 70553 HC BRAIN W/O&W DYE, MRI	$3,969.34	$6,615.56	$328.11–$5,954.00	40% above	40%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC BRAIN W/O&W DYE, MRI	$3,969.34	$6,615.56	$3,638.56–$5,954.00	—	40%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA	$2,065.69	$3,442.81	$197.14–$3,098.53	6% below	40%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONTRA	$2,065.69	$3,442.81	$1,893.55–$3,098.53	—	40%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI SPINE LUMB W/O&W CONT	$3,167.94	$5,279.90	$329.13–$4,751.91	1% below	40%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI SPINE LUMB W/O&W CONT	$3,167.94	$5,279.90	$2,903.95–$4,751.91	—	40%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRA	$2,192.54	$3,654.23	$196.14–$3,288.81	8% above	40%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRA	$2,192.54	$3,654.23	$2,009.83–$3,288.81	—	40%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI SPINE CERV W/O&W CONT	$3,663.10	$6,105.16	$329.79–$5,494.64	12% above	40%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI SPINE CERV W/O&W CONT	$3,663.10	$6,105.16	$3,357.84–$5,494.64	—	40%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAST	$2,539.19	$4,231.98	$196.48–$3,808.78	12% above	40%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERVICAL W/O CONTRAST	$2,539.19	$4,231.98	$2,327.59–$3,808.78	—	40%
MRI of the pelvis without and with contrast CPT 72197 HC MRI,PELVIS - W/WO CONTRAST MATER	$3,382.76	$5,637.93	$332.94–$5,074.14	7% above	40%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI,PELVIS - W/WO CONTRAST MATER	$3,382.76	$5,637.93	$3,100.86–$5,074.14	—	40%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI,PELVIS - WITHOUT CONTRAST MA	$2,456.13	$4,093.55	$227.71–$3,684.20	4% above	40%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI,PELVIS - WITHOUT CONTRAST MA	$2,456.13	$4,093.55	$2,251.45–$3,684.20	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI EXT UPPER JNT W/O CON	$2,311.68	$3,852.80	$209.16–$3,467.52	29% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MR EXT UPPER JNT WO CM	$2,311.68	$3,852.80	$209.16–$3,467.52	29% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR UPR EXT JT WO CM RT	$2,311.68	$3,852.80	$209.16–$3,467.52	29% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MR UPR EXT JT WO CM LT	$2,311.68	$3,852.80	$209.16–$3,467.52	29% above	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI EXT UPPER JNT W/O CON	$2,311.68	$3,852.80	$2,119.04–$3,467.52	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MR EXT UPPER JNT WO CM	$2,311.68	$3,852.80	$2,119.04–$3,467.52	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR UPR EXT JT WO CM RT	$2,311.68	$3,852.80	$2,119.04–$3,467.52	—	40%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MR UPR EXT JT WO CM LT	$2,311.68	$3,852.80	$2,119.04–$3,467.52	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE/CERVICAL XRAY,MIN 4 VIEW	$606.65	$1,011.09	$53.80–$909.98	11% above	40%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE/CERVICAL XRAY,MIN 4 VIEW	$606.65	$1,011.09	$556.10–$909.98	—	40%
Neck soft tissue CT scan with contrast CPT 70491 HC SOFT TISSUE NECK CT SCAN W/CON	$2,598.34	$4,330.56	$167.39–$3,897.50	31% above	40%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC SOFT TISSUE NECK CT SCAN W/CON	$2,598.34	$4,330.56	$2,381.81–$3,897.50	—	40%
Neck soft tissue CT scan without contrast CPT 70490 HC SOFT TISSUE NECK CT SCAN W/O C	$1,744.52	$2,907.54	$99.77–$2,616.79	13% above	40%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC SOFT TISSUE NECK CT SCAN W/O C	$1,744.52	$2,907.54	$1,599.15–$2,616.79	—	40%
Neck soft tissue X-ray CPT 70360 HC NECK SOFT TISSUE X-RAY	$237.76	$396.27	$31.41–$356.64	at median	40%
Neck soft tissue X-ray inpatient CPT 70360 HC NECK SOFT TISSUE X-RAY	$237.76	$396.27	$217.95–$356.64	—	40%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARD IMAGE SPECT - MLTPL STDY	$4,337.71	$7,229.51	$422.34–$6,506.56	5% above	40%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARD IMAGE SPECT - MLTPL STDY	$4,337.71	$7,229.51	$3,976.23–$6,506.56	—	40%
OCT scan of the retina (optical coherence tomography) CPT 92134 HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - RETINA	$162.51	$270.85	$29.79–$243.76	2% below	40%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HC SCAN COMP/OPHTH/DIAG IMG POST SEGM - RETINA	$162.51	$270.85	$148.97–$243.76	—	40%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET TUMOR IMAGING/CTSKULL-THIG	$5,602.44	$9,337.40	$1,364.64–$8,403.66	30% above	40%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET TUMOR IMAGING/CTSKULL-THIG	$5,602.44	$9,337.40	$5,135.57–$8,403.66	—	40%
Pelvic CT scan without contrast CPT 72192 HC PELVIS CT SCAN,W/O CONTRAST	$1,890.36	$3,150.60	$99.77–$2,835.54	16% above	40%
Pelvic CT scan without contrast inpatient CPT 72192 HC PELVIS CT SCAN,W/O CONTRAST	$1,890.36	$3,150.60	$1,732.83–$2,835.54	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC ED ONLY - US PELVIC LIMITED	$483.26	$805.43	$50.79–$724.89	at median	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC LIMITED	$483.26	$805.43	$50.79–$724.89	at median	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC ED ONLY - US PELVIC LIMITED	$483.26	$805.43	$442.99–$724.89	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC LIMITED	$483.26	$805.43	$442.99–$724.89	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC PELVIC NON-OB COMPLETE	$520.36	$867.27	$96.28–$780.54	32% below	40%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC PELVIC NON-OB COMPLETE	$520.36	$867.27	$477.00–$780.54	—	40%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS	$607.12	$1,011.87	$99.77–$910.68	at median	40%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US > 14 WKS - TRANSABDOMINAL - FIRST FETUS	$607.12	$1,011.87	$556.53–$910.68	—	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US < 14 WKS - TRANSABDOMINAL - FIRST FETUS	$580.03	$966.71	$99.77–$870.04	1% below	40%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US < 14 WKS - TRANSABDOMINAL - FIRST FETUS	$580.03	$966.71	$531.69–$870.04	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC ULTRASOUND,PREGNANT UTERUS,LIMITED	$459.00	$765.00	$81.20–$688.50	at median	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC ED ONLY - ULTRASOUND,PREGNANT UTERUS,LIM	$459.00	$765.00	$81.20–$688.50	at median	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC ED ONLY - ULTRASOUND,PREGNANT UTERUS,LIM	$459.00	$765.00	$420.75–$688.50	—	40%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC ULTRASOUND,PREGNANT UTERUS,LIMITED	$459.00	$765.00	$420.75–$688.50	—	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC RIBS X-RAY,UNILATERAL,2 VIEWS	$385.50	$642.50	$36.75–$578.25	29% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2V LT	$385.50	$642.50	$36.75–$578.25	29% above	40%
Rib X-ray, one side, 2 views one side CPT 71100 HC DX RIBS 2V RT	$385.50	$642.50	$36.75–$578.25	29% above	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC RIBS X-RAY,UNILATERAL,2 VIEWS	$385.50	$642.50	$353.38–$578.25	—	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DX RIBS 2V LT	$385.50	$642.50	$353.38–$578.25	—	40%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC DX RIBS 2V RT	$385.50	$642.50	$353.38–$578.25	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC RIBS-3 VIEWS, UNILATERAL X-RAY	$370.58	$617.64	$42.44–$555.88	6% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC DX RIBS MIN 3V W PA CHEST RT	$370.58	$617.64	$42.44–$555.88	6% below	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC DX RIBS MIN 3V W PA CHEST LT	$370.58	$617.64	$42.44–$555.88	6% below	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC DX RIBS MIN 3V W PA CHEST LT	$370.58	$617.64	$339.70–$555.88	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC RIBS-3 VIEWS, UNILATERAL X-RAY	$370.58	$617.64	$339.70–$555.88	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC DX RIBS MIN 3V W PA CHEST RT	$370.58	$617.64	$339.70–$555.88	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL	$238.14	$396.90	$43.66–$406.83	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT	$238.14	$396.90	$43.66–$406.83	—	40%
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT	$238.14	$396.90	$43.66–$406.83	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - RT	$238.14	$396.90	$218.29–$357.21	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W/CAD, BILATERAL	$238.14	$396.90	$218.29–$357.21	—	40%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMO W W/O CAD BILATERAL - LT	$238.14	$396.90	$218.29–$357.21	—	40%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC SHOULDER -2 OR MORE VIEWS	$399.22	$665.36	$35.09–$598.82	23% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC DX SHOULDER MIN 2V LT	$399.22	$665.36	$35.09–$598.82	23% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC DX SHOULDER MIN 2V RT	$399.22	$665.36	$35.09–$598.82	23% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC DX SHOULDER MIN 2V RT PORT	$399.22	$665.36	$35.09–$598.82	23% above	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC DX SHOULDER MIN 2V LT PORT	$399.22	$665.36	$35.09–$598.82	23% above	40%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC SHOULDER -2 OR MORE VIEWS	$399.22	$665.36	$365.95–$598.82	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC DX SHOULDER MIN 2V RT PORT	$399.22	$665.36	$365.95–$598.82	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC DX SHOULDER MIN 2V LT	$399.22	$665.36	$365.95–$598.82	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC DX SHOULDER MIN 2V RT	$399.22	$665.36	$365.95–$598.82	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC DX SHOULDER MIN 2V LT PORT	$399.22	$665.36	$365.95–$598.82	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES-PARANASAL COMPLET	$419.51	$699.19	$37.76–$629.27	2% above	40%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES-PARANASAL COMPLET	$419.51	$699.19	$384.55–$629.27	—	40%
Skull X-ray, fewer than 4 views CPT 70250 HC SKULL 1 VEIW	$312.96	$521.60	$36.09–$469.44	2% below	40%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC SKULL 1 VEIW	$312.96	$521.60	$286.88–$469.44	—	40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH	$4,141.16	$6,901.94	$759.21–$6,211.75	at median	40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD	$4,141.16	$6,901.94	$759.21–$6,211.75	at median	40%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE	$4,141.16	$6,901.94	$759.21–$6,211.75	at median	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNGRPHY 4 OR MORE MOD	$4,141.16	$6,901.94	$3,796.07–$6,211.75	—	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY 4OR MORE	$4,141.16	$6,901.94	$3,796.07–$6,211.75	—	40%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY, 4 AND UP PARAMETERS, ATTENDED BY TECH	$4,141.16	$6,901.94	$3,796.07–$6,211.75	—	40%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC TTE REST/STRESS - ELECARD MNT W/O CONTR	$2,666.40	$4,444.00	$451.67–$3,999.60	1% below	40%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC TTE REST/STRESS - ELECARD MNT W/O CONTR	$2,666.40	$4,444.00	$2,444.20–$3,999.60	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC BARIUM SWALLOW W CIN/VID	$633.71	$1,056.18	$124.96–$950.56	5% above	40%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC BARIUM SWALLOW W CIN/VID	$633.71	$1,056.18	$580.90–$950.56	—	40%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAM FEMUR, 2+ VIEWS	$287.82	$479.70	$35.75–$431.73	12% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC DX FEMUR MIN 2V RT PORT	$287.82	$479.70	$35.75–$431.73	12% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC DX FEMUR MIN 2V LT	$287.82	$479.70	$35.75–$431.73	12% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC DX FEMUR MIN 2V LT PORT	$287.82	$479.70	$35.75–$431.73	12% below	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC DX FEMUR MIN 2V RT	$287.82	$479.70	$35.75–$431.73	12% below	40%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAM FEMUR, 2+ VIEWS	$287.82	$479.70	$263.83–$431.73	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC DX FEMUR MIN 2V LT PORT	$287.82	$479.70	$263.83–$431.73	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC DX FEMUR MIN 2V RT PORT	$287.82	$479.70	$263.83–$431.73	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC DX FEMUR MIN 2V RT	$287.82	$479.70	$263.83–$431.73	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC DX FEMUR MIN 2V LT	$287.82	$479.70	$263.83–$431.73	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONT	$1,980.37	$3,300.62	$99.77–$2,970.56	5% above	40%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONT	$1,980.37	$3,300.62	$1,815.34–$2,970.56	—	40%
Toe X-ray, 2 or more views CPT 73660 HC TOE(S) X-RAY,MINIMUM 2 VIEWS	$333.33	$555.55	$29.40–$500.00	23% above	40%
Toe X-ray, 2 or more views one side CPT 73660 HC DX TOES MIN 2V RT PORT	$333.33	$555.55	$29.40–$500.00	23% above	40%
Toe X-ray, 2 or more views one side CPT 73660 HC DX TOES MIN 2V RT	$333.33	$555.55	$29.40–$500.00	23% above	40%
Toe X-ray, 2 or more views one side CPT 73660 HC DX TOES MIN 2V LT	$333.33	$555.55	$29.40–$500.00	23% above	40%
Toe X-ray, 2 or more views one side CPT 73660 HC DX TOES MIN 2V LT PORT	$333.33	$555.55	$29.40–$500.00	23% above	40%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE(S) X-RAY,MINIMUM 2 VIEWS	$333.33	$555.55	$305.55–$500.00	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC DX TOES MIN 2V LT	$333.33	$555.55	$305.55–$500.00	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC DX TOES MIN 2V RT	$333.33	$555.55	$305.55–$500.00	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC DX TOES MIN 2V LT PORT	$333.33	$555.55	$305.55–$500.00	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 HC DX TOES MIN 2V RT PORT	$333.33	$555.55	$305.55–$500.00	—	40%
Transvaginal pelvic ultrasound CPT 76830 HC ULTRASOUND, TRANSVAGINAL	$543.02	$905.03	$99.77–$814.53	10% below	40%
Transvaginal pelvic ultrasound CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL	$543.02	$905.03	$99.77–$814.53	10% below	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ULTRASOUND, TRANSVAGINAL	$543.02	$905.03	$497.77–$814.53	—	40%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ED ONLY - ULTRASOUND, TRANSVAGINAL	$543.02	$905.03	$497.77–$814.53	—	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC ULTRASOUND,PREGNANT UTERUS - TRAVAGINAL	$509.00	$848.33	$92.89–$763.50	at median	40%
Transvaginal ultrasound during pregnancy CPT 76817 HC ED ONLY - ULTRASOUND,PREGNANT UTERUS - TRA	$509.00	$848.33	$92.89–$763.50	at median	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC ED ONLY - ULTRASOUND,PREGNANT UTERUS - TRA	$509.00	$848.33	$466.58–$763.50	—	40%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC ULTRASOUND,PREGNANT UTERUS - TRAVAGINAL	$509.00	$848.33	$466.58–$763.50	—	40%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$537.43	$895.71	$99.77–$806.14	32% below	40%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$537.43	$895.71	$492.64–$806.14	—	40%
Ultrasound of the scrotum and testicles CPT 76870 HC TESTICULAR ULTRASOUND	$767.02	$1,278.36	$99.77–$1,150.52	25% above	40%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC TESTICULAR ULTRASOUND	$767.02	$1,278.36	$703.10–$1,150.52	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD OR NECK	$644.89	$1,074.81	$99.77–$967.33	2% above	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD OR NECK	$644.89	$1,074.81	$591.15–$967.33	—	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC GI TRACT, UPPER W/O KUB	$622.09	$1,036.82	$122.96–$933.14	14% below	40%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC GI TRACT, UPPER W/O KUB	$622.09	$1,036.82	$570.25–$933.14	—	40%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS, MIN TWO VIEWS	$399.22	$665.36	$32.08–$598.82	14% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC DX HUMERUS MIN 2V RT	$399.22	$665.36	$32.08–$598.82	14% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC DX HUMERUS MIN 2V LT	$399.22	$665.36	$32.08–$598.82	14% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC DX HUMERUS MIN 2V LT PORT	$399.22	$665.36	$32.08–$598.82	14% above	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HC DX HUMERUS MIN 2V RT PORT	$399.22	$665.36	$32.08–$598.82	14% above	40%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS, MIN TWO VIEWS	$399.22	$665.36	$365.95–$598.82	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC DX HUMERUS MIN 2V RT PORT	$399.22	$665.36	$365.95–$598.82	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC DX HUMERUS MIN 2V LT PORT	$399.22	$665.36	$365.95–$598.82	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC DX HUMERUS MIN 2V RT	$399.22	$665.36	$365.95–$598.82	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC DX HUMERUS MIN 2V LT	$399.22	$665.36	$365.95–$598.82	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US UPR EXT VEN DPLX RT PORT	$803.29	$1,338.82	$106.34–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US LWR EXT VEN DPLX LT	$803.29	$1,338.82	$106.34–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - LT	$803.29	$1,338.82	$106.34–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC US UPR EXT VEN DPLX RT	$803.29	$1,338.82	$106.34–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - RT	$803.29	$1,338.82	$106.34–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL	$803.29	$1,338.82	$99.77–$1,204.94	2% above	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - LT	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS LIMITED STUDY UNILATERAL - RT	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US UPR EXT VEN DPLX RT PORT	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US LWR EXT VEN DPLX LT	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC US UPR EXT VEN DPLX RT	$803.29	$1,338.82	$736.35–$1,204.94	—	40%
Wrist X-ray, 2 views CPT 73100 HC WRIST X-RAY, 2 VIEWS	$318.11	$530.18	$34.09–$477.16	7% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC DX WRIST 2V RT	$318.11	$530.18	$34.09–$477.16	7% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC DX WRIST 2V LT	$318.11	$530.18	$34.09–$477.16	7% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC DX WRIST 2V LT PORT	$318.11	$530.18	$34.09–$477.16	7% above	40%
Wrist X-ray, 2 views one side CPT 73100 HC DX WRIST 2V RT PORT	$318.11	$530.18	$34.09–$477.16	7% above	40%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST X-RAY, 2 VIEWS	$318.11	$530.18	$291.60–$477.16	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC DX WRIST 2V LT PORT	$318.11	$530.18	$291.60–$477.16	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC DX WRIST 2V LT	$318.11	$530.18	$291.60–$477.16	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC DX WRIST 2V RT PORT	$318.11	$530.18	$291.60–$477.16	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 HC DX WRIST 2V RT	$318.11	$530.18	$291.60–$477.16	—	40%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST X-RAY,COMPLETE,MINIMUM 3	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC DX WRIST MIN 3V LT PORT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC DX WRIST MIN 3V RT PORT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - RT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC DX WRIST MIN 3V LT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC DX WRIST MIN 3V RT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - LT	$415.32	$692.20	$41.44–$622.98	12% above	40%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST X-RAY,COMPLETE,MINIMUM 3	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC DX WRIST MIN 3V RT	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC DX WRIST MIN 3V RT PORT	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - LT	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC X-RAY EXAM COMPLETE WRIST MIN 3 VIEWS - RT	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC DX WRIST MIN 3V LT PORT	$415.32	$692.20	$380.71–$622.98	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC DX WRIST MIN 3V LT	$415.32	$692.20	$380.71–$622.98	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADIOLOGIC EXAM HIP, UNILATERAL, 2-3 VIEWS	$310.59	$517.65	$47.78–$465.88	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP WWO PEL 2-3V RT PORT	$310.59	$517.65	$47.78–$465.88	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP WWO PEL 2-3V LT	$310.59	$517.65	$47.78–$465.88	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP WWO PEL 2-3V LT PORT	$310.59	$517.65	$47.78–$465.88	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC DX HIP WWO PEL 2-3V RT	$310.59	$517.65	$47.78–$465.88	16% below	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP WWO PEL 2-3V RT	$310.59	$517.65	$284.71–$465.88	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADIOLOGIC EXAM HIP, UNILATERAL, 2-3 VIEWS	$310.59	$517.65	$284.71–$465.88	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP WWO PEL 2-3V LT	$310.59	$517.65	$284.71–$465.88	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP WWO PEL 2-3V RT PORT	$310.59	$517.65	$284.71–$465.88	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC DX HIP WWO PEL 2-3V LT PORT	$310.59	$517.65	$284.71–$465.88	—	40%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$367.60	$612.67	$30.40–$551.40	8% above	40%
X-ray of the abdomen, 1 view one side CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW - RT	$367.60	$612.67	$30.40–$551.40	8% above	40%
X-ray of the abdomen, 1 view one side CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW - LT	$367.60	$612.67	$30.40–$551.40	8% above	40%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$367.60	$612.67	$336.97–$551.40	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW - LT	$367.60	$612.67	$336.97–$551.40	—	40%
X-ray of the abdomen, 1 view inpatient one side CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW - RT	$367.60	$612.67	$336.97–$551.40	—	40%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEWS	$302.50	$504.17	$32.41–$453.75	1% above	40%
X-ray of the ankle, 2 views one side CPT 73600 HC DX ANKLE 2V RT PORT	$302.50	$504.17	$32.41–$453.75	1% above	40%
X-ray of the ankle, 2 views one side CPT 73600 HC DX ANKLE 2V LT PORT	$302.50	$504.17	$32.41–$453.75	1% above	40%
X-ray of the ankle, 2 views one side CPT 73600 HC DX ANKLE 2V LT	$302.50	$504.17	$32.41–$453.75	1% above	40%
X-ray of the ankle, 2 views one side CPT 73600 HC DX ANKLE 2V RT	$302.50	$504.17	$32.41–$453.75	1% above	40%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEWS	$302.50	$504.17	$277.29–$453.75	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC DX ANKLE 2V RT PORT	$302.50	$504.17	$277.29–$453.75	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC DX ANKLE 2V RT	$302.50	$504.17	$277.29–$453.75	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC DX ANKLE 2V LT	$302.50	$504.17	$277.29–$453.75	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 HC DX ANKLE 2V LT PORT	$302.50	$504.17	$277.29–$453.75	—	40%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGER(S) ,MIN 2 VIEWS	$297.18	$495.30	$38.43–$445.77	23% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC DX FINGER MIN 2V RT PORT	$297.18	$495.30	$38.43–$445.77	23% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC DX FINGER MIN 2V LT PORT	$297.18	$495.30	$38.43–$445.77	23% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC DX FINGER MIN 2V RT	$297.18	$495.30	$38.43–$445.77	23% above	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 HC DX FINGER MIN 2V LT	$297.18	$495.30	$38.43–$445.77	23% above	40%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGER(S) ,MIN 2 VIEWS	$297.18	$495.30	$272.42–$445.77	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC DX FINGER MIN 2V RT PORT	$297.18	$495.30	$272.42–$445.77	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC DX FINGER MIN 2V LT PORT	$297.18	$495.30	$272.42–$445.77	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC DX FINGER MIN 2V RT	$297.18	$495.30	$272.42–$445.77	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC DX FINGER MIN 2V LT	$297.18	$495.30	$272.42–$445.77	—	40%
X-ray of the foot, 2 views CPT 73620 HC FOOT X-RAY - 2 VIEWS	$338.66	$564.44	$28.74–$508.00	2% above	40%
X-ray of the foot, 2 views one side CPT 73620 HC DX FOOT 2V RT PORT	$338.66	$564.44	$28.74–$508.00	2% above	40%
X-ray of the foot, 2 views one side CPT 73620 HC DX FOOT 2V LT PORT	$338.66	$564.44	$28.74–$508.00	2% above	40%
X-ray of the foot, 2 views one side CPT 73620 HC DX FOOT 2V LT	$338.66	$564.44	$28.74–$508.00	2% above	40%
X-ray of the foot, 2 views one side CPT 73620 HC DX FOOT 2V RT	$338.66	$564.44	$28.74–$508.00	2% above	40%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT X-RAY - 2 VIEWS	$338.66	$564.44	$310.44–$508.00	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC DX FOOT 2V LT	$338.66	$564.44	$310.44–$508.00	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC DX FOOT 2V LT PORT	$338.66	$564.44	$310.44–$508.00	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC DX FOOT 2V RT PORT	$338.66	$564.44	$310.44–$508.00	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 HC DX FOOT 2V RT	$338.66	$564.44	$310.44–$508.00	—	40%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT X-RAY,COMPLETE,MINIMUM 3	$406.02	$676.70	$34.41–$609.03	9% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC DX FOOT MIN 3V RT PORT	$406.02	$676.70	$34.41–$609.03	9% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC DX FOOT MIN 3V RT	$406.02	$676.70	$34.41–$609.03	9% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC DX FOOT MIN 3V LT PORT	$406.02	$676.70	$34.41–$609.03	9% above	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HC DX FOOT MIN 3V LT	$406.02	$676.70	$34.41–$609.03	9% above	40%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT X-RAY,COMPLETE,MINIMUM 3	$406.02	$676.70	$372.19–$609.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC DX FOOT MIN 3V LT	$406.02	$676.70	$372.19–$609.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC DX FOOT MIN 3V LT PORT	$406.02	$676.70	$372.19–$609.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC DX FOOT MIN 3V RT PORT	$406.02	$676.70	$372.19–$609.03	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC DX FOOT MIN 3V RT	$406.02	$676.70	$372.19–$609.03	—	40%
X-ray of the hand, 3 or more views CPT 73130 HC HAND 3 VIEWS	$382.93	$638.22	$37.43–$574.40	at median	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC DX HAND MIN 3V LT	$382.93	$638.22	$37.43–$574.40	at median	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC DX HAND MIN 3V RT PORT	$382.93	$638.22	$37.43–$574.40	at median	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC DX HAND MIN 3V LT PORT	$382.93	$638.22	$37.43–$574.40	at median	40%
X-ray of the hand, 3 or more views one side CPT 73130 HC DX HAND MIN 3V RT	$382.93	$638.22	$37.43–$574.40	at median	40%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC HAND 3 VIEWS	$382.93	$638.22	$351.02–$574.40	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC DX HAND MIN 3V RT	$382.93	$638.22	$351.02–$574.40	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC DX HAND MIN 3V LT	$382.93	$638.22	$351.02–$574.40	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC DX HAND MIN 3V LT PORT	$382.93	$638.22	$351.02–$574.40	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC DX HAND MIN 3V RT PORT	$382.93	$638.22	$351.02–$574.40	—	40%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE XRAY,ONE OR TWO VIEWS	$379.64	$632.73	$34.41–$569.46	29% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC DX KNEE 1 OR 2V RT PORT	$379.64	$632.73	$34.41–$569.46	29% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC DX KNEE 1 OR 2V LT PORT	$379.64	$632.73	$34.41–$569.46	29% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC DX KNEE 1 OR 2V RT	$379.64	$632.73	$34.41–$569.46	29% above	40%
X-ray of the knee, 1 or 2 views one side CPT 73560 HC DX KNEE 1 OR 2V LT	$379.64	$632.73	$34.41–$569.46	29% above	40%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE XRAY,ONE OR TWO VIEWS	$379.64	$632.73	$348.00–$569.46	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC DX KNEE 1 OR 2V RT PORT	$379.64	$632.73	$348.00–$569.46	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC DX KNEE 1 OR 2V LT	$379.64	$632.73	$348.00–$569.46	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC DX KNEE 1 OR 2V RT	$379.64	$632.73	$348.00–$569.46	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC DX KNEE 1 OR 2V LT PORT	$379.64	$632.73	$348.00–$569.46	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC SPINE,LUMBOSACRAL 2-3 VIEWS	$474.69	$791.15	$40.10–$712.03	7% above	40%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC SPINE,LUMBOSACRAL 2-3 VIEWS	$474.69	$791.15	$435.13–$712.03	—	40%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS	$626.63	$1,044.39	$52.13–$939.95	11% above	40%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE,LUMBOSACRAL MIN 4 VIEWS	$626.63	$1,044.39	$574.41–$939.95	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC SPINE X-RAY - THORACIC, 2 VIEWS	$403.23	$672.05	$33.08–$604.85	at median	40%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC SPINE X-RAY - THORACIC, 2 VIEWS	$403.23	$672.05	$369.63–$604.85	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES,X-RAY - COMPLETE	$305.39	$508.98	$37.76–$458.08	11% above	40%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES,X-RAY - COMPLETE	$305.39	$508.98	$279.94–$458.08	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE-CERVICAL 2-3 VIEWS	$418.55	$697.59	$39.76–$627.83	15% above	40%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE-CERVICAL 2-3 VIEWS	$418.55	$697.59	$383.67–$627.83	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC PELVIS X-RAY - 1 OR 2 VIEWS	$440.66	$734.43	$28.06–$660.99	41% above	40%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC PELVIS X-RAY - 1 OR 2 VIEWS	$440.66	$734.43	$403.94–$660.99	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC SACRUM-COCCYX-2 VIEWS	$327.92	$546.53	$32.75–$491.88	7% above	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC SACRUM-COCCYX-2 VIEWS	$327.92	$546.53	$300.59–$491.88	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 HC ACTH (ADRENOCORTIOTROPIC HORMONE)	$246.96	$411.60	$12.00–$370.44	16% above	40%
ACTH blood test inpatient CPT 82024 HC ACTH (ADRENOCORTIOTROPIC HORMONE)	$246.96	$411.60	$226.38–$370.44	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC REF LABCORP COMP 550605, CPT 84460	$37.50	$62.50	$4.45–$56.25	27% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC REF ARUP COMP 2005661, CPT 84460	$45.00	$75.00	$4.45–$67.50	12% below	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC REF LABCORP COMP 550960 CPT 84460	$51.75	$86.25	$4.45–$77.62	1% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC REF ARUP COMP 2012521, CPT 84460	$52.50	$87.50	$4.45–$78.75	2% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC REF LABCORP COMP 550180, CPT 84460	$55.91	$93.19	$4.45–$83.87	9% above	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE - ALANINE AMINO (ALT) (SGPT)	$56.15	$93.58	$4.45–$84.22	10% above	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC REF LABCORP COMP 550605, CPT 84460	$37.50	$62.50	$34.38–$56.25	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC REF ARUP COMP 2005661, CPT 84460	$45.00	$75.00	$41.25–$67.50	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC REF LABCORP COMP 550960 CPT 84460	$51.75	$86.25	$47.44–$77.62	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC REF ARUP COMP 2012521, CPT 84460	$52.50	$87.50	$48.12–$78.75	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC REF LABCORP COMP 550180, CPT 84460	$55.91	$93.19	$51.25–$83.87	—	40%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE - ALANINE AMINO (ALT) (SGPT)	$56.15	$93.58	$51.47–$84.22	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC REF ARUP COMP 2005661, CPT 84450	$45.00	$75.00	$4.35–$67.50	13% below	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC REF LABCORP COMP 550960 CPT 84450	$51.75	$86.25	$4.35–$77.62	at median	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC REF ARUP COMP 2012521, CPT 84450	$52.50	$87.50	$4.35–$78.75	2% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC REF LABCORP COMP 550180, CPT 84450	$55.91	$93.19	$4.35–$83.87	8% above	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE - ASPARTATE AMINO (AST) (SGOT)	$61.55	$102.59	$4.35–$92.33	19% above	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC REF ARUP COMP 2005661, CPT 84450	$45.00	$75.00	$41.25–$67.50	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC REF LABCORP COMP 550960 CPT 84450	$51.75	$86.25	$47.44–$77.62	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC REF ARUP COMP 2012521, CPT 84450	$52.50	$87.50	$48.12–$78.75	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC REF LABCORP COMP 550180, CPT 84450	$55.91	$93.19	$51.25–$83.87	—	40%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE - ASPARTATE AMINO (AST) (SGOT)	$61.55	$102.59	$56.42–$92.33	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC ACUTE, HEPATITIS PANEL	$382.50	$637.50	$12.00–$573.75	at median	40%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC ACUTE, HEPATITIS PANEL	$382.50	$637.50	$350.62–$573.75	—	40%
Albumin blood test CPT 82040 HC REF MAYO COMP FFBTT, CPT 82040	$7.47	$12.45	$4.16–$31.23	80% below	40%
Albumin blood test CPT 82040 HC REF ARUP, COMP 0050676, CPT 82040	$10.13	$16.88	$4.16–$31.23	73% below	40%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN & TOTAL PROTEIN	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - IGG SYNTHESIS RATE	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL & BIOAVAILABLE	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ALBUMIN, CSF/SERUM	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ALBUMIN	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test CPT 82040 HC ALBUMIN SERUM	$56.80	$94.66	$4.16–$85.19	53% above	40%
Albumin blood test inpatient CPT 82040 HC REF MAYO COMP FFBTT, CPT 82040	$7.47	$12.45	$6.85–$11.21	—	40%
Albumin blood test inpatient CPT 82040 HC REF ARUP, COMP 0050676, CPT 82040	$10.13	$16.88	$9.28–$15.19	—	40%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL & BIOAVAILABLE	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ALBUMIN, CSF/SERUM	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ALBUMIN	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - ALBUMIN & TOTAL PROTEIN	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN	$56.80	$94.66	$52.06–$85.19	—	40%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN - IGG SYNTHESIS RATE	$56.80	$94.66	$52.06–$85.19	—	40%
Aldosterone blood test CPT 82088 HC REF ARUP 0070073 COMP CPT 82088	$24.75	$41.25	$12.00–$257.13	81% below	40%
Aldosterone blood test CPT 82088 HC REF ALDOSTERONE LAV SERUM	$43.95	$73.25	$12.00–$257.13	66% below	40%
Aldosterone blood test CPT 82088 HC REF MAYO PALD ALDOSTERONE, P	$61.25	$102.08	$12.00–$257.13	53% below	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE, 24HR URINE	$233.19	$388.65	$12.00–$349.79	78% above	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE/RENIN DIR RATIO - ALDOSTERONE	$233.19	$388.65	$12.00–$349.79	78% above	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE - ADRENAL VEIN PANEL, PERIPH	$233.19	$388.65	$12.00–$349.79	78% above	40%
Aldosterone blood test CPT 82088 HC ALDOSTERONE	$233.19	$388.65	$12.00–$349.79	78% above	40%
Aldosterone blood test inpatient CPT 82088 HC REF ARUP 0070073 COMP CPT 82088	$24.75	$41.25	$22.69–$37.12	—	40%
Aldosterone blood test inpatient CPT 82088 HC REF ALDOSTERONE LAV SERUM	$43.95	$73.25	$40.29–$65.92	—	40%
Aldosterone blood test inpatient CPT 82088 HC REF MAYO PALD ALDOSTERONE, P	$61.25	$102.08	$56.14–$91.87	—	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE - ADRENAL VEIN PANEL, PERIPH	$233.19	$388.65	$213.76–$349.79	—	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE/RENIN DIR RATIO - ALDOSTERONE	$233.19	$388.65	$213.76–$349.79	—	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE, 24HR URINE	$233.19	$388.65	$213.76–$349.79	—	40%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE	$233.19	$388.65	$213.76–$349.79	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC REF MAYO COMP ALKP, CPT 84075	$11.94	$19.90	$4.35–$32.69	76% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC REF ARUP COMP 2005736 CPT 84075	$26.70	$44.50	$4.35–$40.05	45% below	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE - ISOENZYMES	$57.10	$95.17	$4.35–$85.65	17% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY ALKALINE PHOSPHATASE - BONE SPECIFIC	$57.10	$95.17	$4.35–$85.65	17% above	40%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$57.10	$95.17	$4.35–$85.65	17% above	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC REF MAYO COMP ALKP, CPT 84075	$11.94	$19.90	$10.95–$17.91	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC REF ARUP COMP 2005736 CPT 84075	$26.70	$44.50	$24.48–$40.05	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE - ISOENZYMES	$57.10	$95.17	$52.34–$85.65	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY ALKALINE PHOSPHATASE - BONE SPECIFIC	$57.10	$95.17	$52.34–$85.65	—	40%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$57.10	$95.17	$52.34–$85.65	—	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP 0055449 ALLERGEN, TREE, VIRGINIA LIVE OAK	$7.50	$12.50	$4.38–$32.94	69% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP 0050533 ALLERGEN, GRASS, CULTIVATED OAT POLLEN	$7.50	$12.50	$4.38–$32.94	69% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 86003	$7.66	$12.77	$4.38–$32.94	68% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, COMP 8032, CPT 86003	$9.31	$15.51	$4.38–$32.94	61% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, COMP 3001561, CPT 86003	$9.40	$15.67	$4.38–$32.94	61% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO OLIVF OLIVE FOOD IGE	$13.29	$22.15	$4.38–$32.94	45% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR, 73910S, SALTBUSH IGE	$19.58	$32.63	$4.38–$32.94	18% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR 75710 PENICILLIUM NOTATUM IGE	$20.16	$33.60	$4.38–$32.94	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR 72710 HEMP, WESTERN/WATER IGE	$20.16	$33.60	$4.38–$32.94	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR 70610 SAGE, PRARIE/MUGWORT IGE	$20.16	$33.60	$4.38–$32.94	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR 90710 AMERICAN COCKROACH IGE	$20.16	$33.60	$4.38–$32.94	16% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO RAT - RAT EPITHELIUM, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO GELA GELATIN, IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, MACNT MACADAMIA NUT IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, BAYL, BAY LEAF IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, CRANB, CRANBERRY IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, EGGP, EGGPLANT IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, MACK, MACKEREL IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO ANCH - ANCHOVY, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO SCLE - SCALE, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, PIGF PIGEON FEATHER IGE	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO PHMA - PHOMA BETAE, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO GUIN GUINEA PIG EPITHELIUM, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO AMOXY AMOXICILLIN, IGE, SERUM	$20.42	$34.03	$4.38–$32.94	15% below	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO APGAL COMP CPT 86003	$24.59	$40.99	$4.38–$36.89	2% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, 2007773, MAPLE SUGAR IGE	$26.19	$43.65	$4.38–$39.28	9% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, COMP EUROFINS VIRACOR 402810P, CPT 86003	$28.48	$47.47	$4.38–$42.72	19% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, 2001915 OCC GUM CARAGEENAN IGE	$36.05	$60.08	$4.38–$54.07	50% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 36610E, TUMERIC IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 154910S, CANTALOUPE IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 40610S, RADISH IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 41610S, TURNIP IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 54710S, SQUASH IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 45310S, PERCH IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 43310S, BASS IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 43010E, HOPS/FRUIT CONE IGE	$39.15	$65.25	$4.38–$58.73	63% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF VIRACOR 62610 LIVE OAK IGE	$40.32	$67.20	$4.38–$60.48	68% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOLD PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOUSE DUST PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GRASS PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD-VEGETABLE PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD-NUT PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD-NUT PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD-GRAIN PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD-FRUIT PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FEATHER PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EPITHELIA PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ALLERGEN SPEC CRUDE ALLERGEN EXTRACT EACH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE YELLOW JACKET (COMMON WASP) VENOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE YELLOW FACE HORNET VENOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE YEAST, BAKER'S, BREWERS (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WORMWOOD	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WILLOW TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WILD RYE GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHITE-FACED HORNET VENOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHITE POTATO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHITE BEAN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHITE ASH TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHEY, COW (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WHEAT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WESTERN RAGWEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WATERMELON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WASP VENOM (PAPER)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WALNUT TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WALNUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE VANILLA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ULOCLADIUM CHARTARUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TURKEY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TURKEY FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TUNA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TROUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TRICHOSPORON PULLULANS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TRICHOPHYTON RUBRUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TRICHODERMA VIRIDE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COFFEE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COD FISH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TRAGACANTH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TOMATO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPECIFIC IGE - QUANT,EA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - AMOXICILLIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - AMPICILLIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - APRICOT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ASPARAGUS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BARLEY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BETA-LACTOBLOBULIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BLACK PEPPER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BLUE MUSCLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BLUEBERRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BROCCOLI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CABBAGE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CARROT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CELERY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHEESE, CHEDDAR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHEESE, MOLD	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHERRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHESTNUT, SWEET	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHICKPEA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHILI PEPPER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CINNAMON	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CLOVE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - COCONUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - COFFEE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CRAYFISH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CUCUMBER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EGG, WHOLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - FLOUNDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GINGER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GRAPE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GRAPEFRUIT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GREEN BEAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GREEN PEPPER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LAMB	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LEMON	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LENTIL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LETTUCE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LIME	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MANGO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MOSQUITO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, MOUSE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MUSHROOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MUSTARD	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ONION	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ORANGE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PAPAYA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GREEN PEA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PEACH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PEAR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PENICILLIN G	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PENICILLIN V	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PINE NUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PINEAPPLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PLUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SWEET POTATO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WHITE POTATO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, RABBIT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - RASPBERRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SPINACH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SQUASH, PUMPKIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SUNFLOWER SEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TEA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TROUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VANILLA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WATERMELON	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WHEY, COW	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WHITE BEAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - YEAST	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SCALLOP	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - URINE PROTEIN, MOUSE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OVOMUCOID	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SALMON	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OVALBUMIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - KIWI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OAT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - RICE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SESAME SEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CATFISH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OLIVE, BLACK	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GLUTEN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VENOM, EUROPEAN HORNET	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CACAO/COCOA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - HALIBUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, COW	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MELONS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - RYE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TURKEY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - DILL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OREGANO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PAPRIKA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BLACKBERRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BUDGERIGAR FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - DROPPINGS, CHICKEN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MILK, PROCESSED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - KIDNEY BEAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MACKEREL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CARMINE/RED DYE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SQUID, PACIFIC	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TILAPIA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BASIL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BAY LEAF	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CARAWAY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CARDAMOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CORIANDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CURRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MACE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - MARJORAM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - NUTMEG	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - POPPY SEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - THYME	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CAULIFLOWER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - DATE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PARSLEY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WHITE PINE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - INSULIN, HUMAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SQUID	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHEIUM/DANDER, HAMSTER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GELATIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - HAZELNUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - AVOCADO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BANANA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BRAZIL NUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CASEIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHICKEN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - FIRE ANT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - HELMINTHOSPORIUM HALODES	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VENOM, HONEY BEE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, HORSE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OYSTER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VENOM, PAPER WASP	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PISTACHIO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - STRAWBERRY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VENOM, WHITE-FACED HORNET	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - VENOM, YELLOW JACKET	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CEDAR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CODFISH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SHRIMP	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SOYBEAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WHEAT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CLAM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CORN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CRAB	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EGG YOLK	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PORK	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TOMATO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - HOUSE DUST, GREER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - LOBSTER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TUNA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ALPHA LACTALBUMIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CHAETOMIUM GLOBOSUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TARRAGON	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - DERMATOPHAGOIDES FARINAE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ASPERGILLUS NIGER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WILLOW	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPICOCCUM PURPURASCENS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - AUREOBASIDIUM PULLULANS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - FUSARIUM MONILIFORME	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - RHIZOPUS NIGRICAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PEANUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EGG WHITE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - COW MILK	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PECAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ALMOND	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - WALNUT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - CASHEW	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SARDINE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - TRICHOPHYTON RUBRUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - FALSE RAGWEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - STEMPHYLIUM HERBARUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EGGPLANT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - FIREBUSH (KOCHIA)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - PRIVET TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, SHEEP	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - SWORDFISH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, GOAT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GOAT MILK	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - BUCKWHEAT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - HAKE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - OCTOPUS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - ALPHA-GAL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - YELLOW FACED HORNET	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST - GARLIC	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - NTX ALLERGY PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - NUT ALLERGEN PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - OKTX ALLERGY PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - REG 10 OKTX RESP ALLERGY PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ASSAY OF IGE - FOOD ALLERGY PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - TREE PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHICKEN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE STEMPHYLIUM HERBARUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SQUID (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SQUID, PACIFIC, (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SQUASH, PUMPKIN, (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SPRUCE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SPINACH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SOYBEAN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SOLE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SNAIL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SILVER BIRCH TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SHRIMP (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TOBACCO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SHORT RAGWEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SHEEP WOOL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SESAME SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SEAFOOD, HAKE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SCALLOP (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SCALE (LENSCALE)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SARDINE, PILCHARD (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SALT GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EGG YOLK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EGG WHITE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EASTERN SYCAMORE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DUCK FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DOG DANDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DILL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DERMATOPHAGOIDES MICROCERAS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DEER EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DATE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE DANDELION	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CYPRESS, BALD TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CURVULARIA LUNATA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SALMON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SAGE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RYE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RYE GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RUSSIAN THISTLE (SALTWORT)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ROUGH PIGWEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ROUGH MARSH ELDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RICE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RHIZOPUS NIGRICANS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE REDTOP (BENTGRASS)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RED SORREL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RED CURRENT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RAT URINE PROTEINS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RAT SERUM PROTEINS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RAT EPITELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RASPBERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RAPESEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RAGWEED, FALSE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RABBIT URINE PROETIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RABBIT SERUM PROTEIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RABBIT MEAT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE RABBIT EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PUMPKIN SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PRIVET TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PORK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE POPPY SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PLUM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PLAICE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PISTACHIO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PINEAPPLE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PINE, WHITE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PINE NUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PON FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PON DROPPING	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PIG EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PHTHALIC ANHYDRIDE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ISOCYANATE MDI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ISOCYANATE HDI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE INSULIN (HUMAN)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOUSE DUST-GREER LAB	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOUSE DUST/H-S LAB	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES PTERONYSSINUS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES FARINAE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HORSE SERUM PROTEIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HORSE MEAT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HORSE FLY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PHOMA BETAE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PERSIMMON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PENICILLIUM CHRYSOGENUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PENICILLIN V	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CURRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CULTIVATED WHEAT GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PENICILLIN G	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CULTIVATED OAT GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CUCUMBER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CRAYFISH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CRANBERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CRAB (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COW EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COTTONWOOD TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COTTON SEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COTTON FIBER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CORN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CORIANDER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COMMON MILLET (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OCCUPATIONAL PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WEED PANEL #3	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TREE PANEL #4	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TREE PANEL #3	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GRASS PANEL #3	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MEAT PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ANIMAL-SKIN PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FOOD PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GRASS PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SEAFOOD PANEL	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WEED PANEL #4	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WEED PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE WEED PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TREE PANEL #2	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TREE PANEL #1	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MUCOR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOUSE URINE PROTEIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOUSE SERUM PROTEIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ELDER TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EGGPLANT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EGG, WHOLE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOUSE EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOUNTAIN CEDAR (JUNIPER) TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOTH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MOSQUITO SPP.	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILLET, JAPANESE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILLET, FOXTAIL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILK, PROCESSED (BOILED)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILK, MARE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILK, GOAT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MILK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MESQUITE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MELONS (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MEGRIM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MARJORAM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MANGO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MANDARIN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MALT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MALEIC ANHYDRIDE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MAIZE, CORN POLLEN TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MACKEREL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MACKERAL, JACK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MACKERAL, CHUB (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MACE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LOBSTER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LINSEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LIME (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LIMA BEAN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LETTUCE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LENTIL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LEMON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LATEX	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LANGUST, SPINY LOBSTER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LAMB'S QUARTERS (GOOSEFOOT)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE LAMB, MUTTON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE KIWI (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE KIDNEY BEAN, RED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE KENTUCKY BLUE (JUNE) GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE JOHNSON GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE JAPANESE CEDAR TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE JACK FRUIT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ISOCYANATE TDI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TIMOTHY GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TILLETIA TRITICI (USTILAGO)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TILAPIA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE THYME (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TEA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE TARRAGON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SWORDFISH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SWEET VERNAL GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SWEET POTATO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SWEET GUM TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SUNFLOWER SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE SUGAR BEET SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ACARUS SIRO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ALMOND	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ALPHA AMYLASE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ALPHA-LACTALBUMIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ALTERNARIA TENUIS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE AMOXICILLIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE AMPICILLIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ANCHOVY	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ANISE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE APPLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE APRICOT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ASPARAGUS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ASPERGILLUS FUMIGATUS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ASPERGILLUS NR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE AUREOBASIDIUM PULLULANS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE AUSTRALIAN PINE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE AVOCADO	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BAHIA GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BAMBOO SHOOT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BANANA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BARLEY GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BARLEY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BASIL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BAY LEAF (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BEECH TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BEEF (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BEETS, BEETROOT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BERMUDA GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BETA-LACTOGLOBULIN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BLACK PEPPER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BLACKBERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BLOMIA TROPICALIS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BLUE MUSSEL (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BLUEBERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BOTRYTIS CINEREA	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BOVINE SERUM ALBUMIN (BSA)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BOX ELDER/MAPLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BRAZIL NUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BROCCOLI (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BROME GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BRUSSEL SPROUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BUCKWHEAT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BUDGERIGAR DROPPINGS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE BUDGERIGAR FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CABBAGE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CACAO/COCOA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CANARY FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CANDIDA ALBICANS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CARAWAY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CARDAMOM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CARMINE/RED DYE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CAROB (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CARROT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CASEIN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CASHEW NUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CAT EPITHELIUM DANDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CATFISH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CAULIFLOWER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CEDAR TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CELERY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CEPHALOSPORIUM ACREMONIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHAETOMIUM GLOBOSUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHEESE, CHEDDAR (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHEESE, MOLD TYPE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHESTNUT, SWEET (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHICKEN DROPPINGS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHICKEN FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE STRAWBERRY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHICKEN SERUM PROTIEN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHICKPEA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CHILI PEPPER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CINNAMON (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CLADOSPORIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CLAM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE CLOVE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COCKLEBUR	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COCKROACH	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE COCONUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PECAN HICKORY TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PECAN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PEAR (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PEANUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HORSE DANDER	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HORN BEAM TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HOP FRUIT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HONEYBEE VENOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HONEY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HICKORY, WHITE TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HEXAHYDROPHTHALIC ANHYDRI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HERRING (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HELMINTHOSPORIUM HALODES	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HAZELNUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HAMSTER EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE HALIBUT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PEACH (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PASSION FRUIT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PARSLEY (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PAREITARIA JUDAICA (WALL PELLITORY)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PAPRIKA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PAPAYA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE PAPAIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OYSTER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GUM ARABIC (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GUINEA PIG EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GUAVA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GUAR GUM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GREY ALDER TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GREEN PEPPER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GREEN PEA (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GREEN COFFEE BEAN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GREEN BEAN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GRAPEFRUIT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OVOMUCOID (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OVALBUMIN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OREGANO (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ORCHARD (COCKSFOOT) GRASS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ORANGE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ONION (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OLIVE, BLACK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OCTOPUS (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OAT (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE OAK TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE NUTMEG (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE NETTLE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MUSTARD (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MUSHROOM (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GRAPE (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GOOSE FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GOLDENROD	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GOAT EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GLUTEN (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GINGER (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GIANT RAGWEED	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GERBIL EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GELATIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE GARLIC (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FUSARIUM MONILIFORME	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FORMALDEHYDE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FIREBUSH (KOCHIA)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FIRE ANT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FINCH FEATHERS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FERRET EPITHELIUM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FENNEL, FRESH, GREEK (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE FENNEL SEED (FOOD)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EUROPEAN HORNET VENOM	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EUROGLYPHUS MAYNEI	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EUCALYPTUS (GUM TREE)	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ETHYLENE OXIDE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE EPICOCCUM PURPURASCENS	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ENGLISH PLANTAIN	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE ELM TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MULBERRY TREE	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC IGE MUGWORT	$41.20	$68.66	$4.38–$61.79	72% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86003	$42.91	$71.52	$4.38–$64.37	79% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FDP1, FOOD PANEL 2, IGE	$59.19	$98.65	$4.38–$88.78	147% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FOOD6, FOOD PANEL	$59.19	$98.65	$4.38–$88.78	147% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FOOD2, FOOD-FRUIT PANEL	$59.19	$98.65	$4.38–$88.78	147% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FOOD4, FOOD-GRAIN PANEL	$59.19	$98.65	$4.38–$88.78	147% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FBBLE BASS BLACK (SEA BASS) CENTROPRISTIS STRIATA IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FIOCA TAPIOCA IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FPCYE CAYENNE PEPPER IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FZCCE ZUCCHINI IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FHACK ALLERGEN SPECIFIC IGE HACKBERRY	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FHORS HORSERADISH AMORACIA RUSTICANA/A.LAPATHIFOLIA IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FWWE, HEMP WESTERN WATER IGE	$66.54	$110.90	$4.38–$99.81	177% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, MOLD1 MOLD PANEL ALLERGY TEST	$68.90	$114.83	$4.38–$103.35	187% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FGUMX GUM XANTHAN IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FSTAB IGE STACHYBOYTRS	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FEPI EPIDERMOHYTON IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FRDG, RHODOTORULA IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FIGE FIG IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FJPE, JALALPENO/CHIPOTLE IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO FCRDE CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE	$84.09	$140.15	$4.38–$126.14	250% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF MAYO, FQUIN, QUINOA (CHENOPODIUM QUINOA) IGE	$100.50	$167.50	$4.38–$150.75	319% above	40%
Allergy blood test, specific IgE, per allergen CPT 86003 HC REF EUROFINS VIRACOR 402810P COMP CPT 86003	$260.57	$434.28	$4.38–$390.85	986% above	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP 0055449 ALLERGEN, TREE, VIRGINIA LIVE OAK	$7.50	$12.50	$6.88–$11.25	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP 0050533 ALLERGEN, GRASS, CULTIVATED OAT POLLEN	$7.50	$12.50	$6.88–$11.25	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 86003	$7.66	$12.77	$7.02–$11.49	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, COMP 8032, CPT 86003	$9.31	$15.51	$8.53–$13.96	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, COMP 3001561, CPT 86003	$9.40	$15.67	$8.62–$14.10	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO OLIVF OLIVE FOOD IGE	$13.29	$22.15	$12.18–$19.93	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR, 73910S, SALTBUSH IGE	$19.58	$32.63	$17.95–$29.37	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR 70610 SAGE, PRARIE/MUGWORT IGE	$20.16	$33.60	$18.48–$30.24	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR 75710 PENICILLIUM NOTATUM IGE	$20.16	$33.60	$18.48–$30.24	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR 72710 HEMP, WESTERN/WATER IGE	$20.16	$33.60	$18.48–$30.24	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR 90710 AMERICAN COCKROACH IGE	$20.16	$33.60	$18.48–$30.24	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO RAT - RAT EPITHELIUM, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, MACNT MACADAMIA NUT IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, MACK, MACKEREL IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO GELA GELATIN, IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, EGGP, EGGPLANT IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO AMOXY AMOXICILLIN, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO GUIN GUINEA PIG EPITHELIUM, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO PHMA - PHOMA BETAE, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO SCLE - SCALE, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO ANCH - ANCHOVY, IGE, SERUM	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, CRANB, CRANBERRY IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, BAYL, BAY LEAF IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, PIGF PIGEON FEATHER IGE	$20.42	$34.03	$18.72–$30.63	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO APGAL COMP CPT 86003	$24.59	$40.99	$22.54–$36.89	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, 2007773, MAPLE SUGAR IGE	$26.19	$43.65	$24.01–$39.28	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, COMP EUROFINS VIRACOR 402810P, CPT 86003	$28.48	$47.47	$26.11–$42.72	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, 2001915 OCC GUM CARAGEENAN IGE	$36.05	$60.08	$33.04–$54.07	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 40610S, RADISH IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 41610S, TURNIP IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 54710S, SQUASH IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 45310S, PERCH IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 43310S, BASS IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 43010E, HOPS/FRUIT CONE IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 36610E, TUMERIC IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF ARUP, EUROFINS-VIRACOR 154910S, CANTALOUPE IGE	$39.15	$65.25	$35.89–$58.73	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF VIRACOR 62610 LIVE OAK IGE	$40.32	$67.20	$36.96–$60.48	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - DILL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OCCUPATIONAL PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WEED PANEL #3	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TREE PANEL #4	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TREE PANEL #3	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GRASS PANEL #3	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MEAT PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ANIMAL-SKIN PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GRASS PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SEAFOOD PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WEED PANEL #4	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WEED PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WEED PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TREE PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TREE PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOLD PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOUSE DUST PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GRASS PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD-VEGETABLE PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD-NUT PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD-NUT PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD-GRAIN PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FOOD-FRUIT PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FEATHER PANEL #2	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EPITHELIA PANEL #1	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ALLERGEN SPEC CRUDE ALLERGEN EXTRACT EACH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE YELLOW JACKET (COMMON WASP) VENOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE YELLOW FACE HORNET VENOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE YEAST, BAKER'S, BREWERS (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WORMWOOD	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WILLOW TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WILD RYE GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHITE-FACED HORNET VENOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHITE POTATO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHITE BEAN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHITE ASH TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHEY, COW (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WHEAT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WESTERN RAGWEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WATERMELON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WASP VENOM (PAPER)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WALNUT TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE WALNUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE VANILLA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ULOCLADIUM CHARTARUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TURKEY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TURKEY FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TUNA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TROUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TRICHOSPORON PULLULANS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TRICHOPHYTON RUBRUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TRICHODERMA VIRIDE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TRAGACANTH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TOMATO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TOBACCO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TIMOTHY GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TILLETIA TRITICI (USTILAGO)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TILAPIA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE THYME (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TEA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE TARRAGON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SWORDFISH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SWEET VERNAL GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SWEET POTATO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SWEET GUM TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SUNFLOWER SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SUGAR BEET SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE STRAWBERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE STEMPHYLIUM HERBARUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SQUID (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SQUID, PACIFIC, (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SQUASH, PUMPKIN, (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SPRUCE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SPINACH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SOYBEAN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SOLE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SNAIL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SILVER BIRCH TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SHRIMP (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SHORT RAGWEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SHEEP WOOL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SESAME SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SEAFOOD, HAKE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SCALLOP (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SCALE (LENSCALE)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SARDINE, PILCHARD (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SALT GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SALMON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE SAGE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RYE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RYE GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RUSSIAN THISTLE (SALTWORT)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ROUGH PIGWEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ROUGH MARSH ELDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RICE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RHIZOPUS NIGRICANS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE REDTOP (BENTGRASS)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RED SORREL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RED CURRENT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RAT URINE PROTEINS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RAT SERUM PROTEINS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RAT EPITELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RASPBERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RAPESEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RAGWEED, FALSE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RABBIT URINE PROETIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RABBIT SERUM PROTEIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RABBIT MEAT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE RABBIT EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PUMPKIN SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PRIVET TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PORK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE POPPY SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PLUM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PLAICE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PISTACHIO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PINEAPPLE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PINE, WHITE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PINE NUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PON FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PON DROPPING	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PIG EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PHTHALIC ANHYDRIDE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PHOMA BETAE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PERSIMMON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PENICILLIUM CHRYSOGENUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PENICILLIN V	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PENICILLIN G	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PECAN HICKORY TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PECAN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PEAR (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PEANUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PEACH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PASSION FRUIT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PARSLEY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PAREITARIA JUDAICA (WALL PELLITORY)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PAPRIKA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PAPAYA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE PAPAIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OYSTER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OVOMUCOID (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OVALBUMIN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OREGANO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ORCHARD (COCKSFOOT) GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ORANGE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ONION (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OLIVE, BLACK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OCTOPUS (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OAT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE OAK TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE NUTMEG (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE NETTLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MUSTARD (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MUSHROOM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MULBERRY TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MUGWORT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MUCOR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOUSE URINE PROTEIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOUSE SERUM PROTEIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOUSE EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOUNTAIN CEDAR (JUNIPER) TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOTH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MOSQUITO SPP.	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILLET, JAPANESE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILLET, FOXTAIL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILK, PROCESSED (BOILED)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILK, MARE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILK, GOAT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MILK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MESQUITE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MELONS (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MEGRIM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MARJORAM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MANGO (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MANDARIN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MALT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MALEIC ANHYDRIDE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MAIZE, CORN POLLEN TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MACKEREL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MACKERAL, JACK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MACKERAL, CHUB (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE MACE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LOBSTER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LINSEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LIME (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LIMA BEAN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LETTUCE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LENTIL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LEMON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LATEX	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LANGUST, SPINY LOBSTER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LAMB'S QUARTERS (GOOSEFOOT)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE LAMB, MUTTON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE KIWI (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE KIDNEY BEAN, RED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE KENTUCKY BLUE (JUNE) GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE JOHNSON GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE JAPANESE CEDAR TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE JACK FRUIT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ISOCYANATE TDI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ISOCYANATE MDI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ISOCYANATE HDI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE INSULIN (HUMAN)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOUSE DUST-GREER LAB	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOUSE DUST/H-S LAB	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES PTERONYSSINUS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOUSE DUST MITES/DERMATOPHAGOIDES FARINAE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HORSE SERUM PROTEIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HORSE MEAT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HORSE FLY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HORSE DANDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HORN BEAM TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HOP FRUIT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HONEYBEE VENOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HONEY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HICKORY, WHITE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HEXAHYDROPHTHALIC ANHYDRI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HERRING (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HELMINTHOSPORIUM HALODES	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HAZELNUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HAMSTER EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE HALIBUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GUM ARABIC (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GUINEA PIG EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GUAVA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GUAR GUM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GREY ALDER TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GREEN PEPPER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GREEN PEA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GREEN COFFEE BEAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GREEN BEAN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GRAPEFRUIT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GRAPE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GOOSE FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GOLDENROD	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GOAT EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GLUTEN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GINGER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GIANT RAGWEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GERBIL EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GELATIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE GARLIC (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FUSARIUM MONILIFORME	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FORMALDEHYDE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FIREBUSH (KOCHIA)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FIRE ANT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FINCH FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FERRET EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FENNEL, FRESH, GREEK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE FENNEL SEED (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EUROPEAN HORNET VENOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EUROGLYPHUS MAYNEI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EUCALYPTUS (GUM TREE)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ETHYLENE OXIDE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EPICOCCUM PURPURASCENS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ENGLISH PLANTAIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ELM TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ELDER TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EGGPLANT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EGG, WHOLE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EGG YOLK (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EGG WHITE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE EASTERN SYCAMORE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DUCK FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DOG DANDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DILL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DERMATOPHAGOIDES MICROCERAS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DEER EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DATE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE DANDELION	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CYPRESS, BALD TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CURVULARIA LUNATA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CURRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CULTIVATED WHEAT GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CULTIVATED OAT GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CUCUMBER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CRAYFISH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CRANBERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CRAB (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COW EPITHELIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COTTONWOOD TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COTTON SEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COTTON FIBER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CORN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CORIANDER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COMMON MILLET (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COFFEE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COD FISH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COCONUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COCKROACH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE COCKLEBUR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CLOVE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CLAM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CLADOSPORIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CINNAMON (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHILI PEPPER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHICKPEA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHICKEN SERUM PROTIEN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHICKEN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHICKEN FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHICKEN DROPPINGS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHESTNUT, SWEET (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHEESE, MOLD TYPE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHEESE, CHEDDAR (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CHAETOMIUM GLOBOSUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CEPHALOSPORIUM ACREMONIUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CELERY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CEDAR TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CAULIFLOWER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CATFISH (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CAT EPITHELIUM DANDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CASHEW NUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CASEIN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CARROT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CAROB (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CARMINE/RED DYE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CARDAMOM (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CARAWAY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CANDIDA ALBICANS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CANARY FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CACAO/COCOA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE CABBAGE (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BUDGERIGAR FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BUDGERIGAR DROPPINGS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BUCKWHEAT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BRUSSEL SPROUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BROME GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BROCCOLI (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BRAZIL NUT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BOX ELDER/MAPLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BOVINE SERUM ALBUMIN (BSA)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BOTRYTIS CINEREA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BLUEBERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BLUE MUSSEL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BLOMIA TROPICALIS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BLACKBERRY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BLACK PEPPER (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BETA-LACTOGLOBULIN (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BERMUDA GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BEETS, BEETROOT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BEEF (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BEECH TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BAY LEAF (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BASIL (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BARLEY (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BARLEY GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BANANA (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BAMBOO SHOOT (FOOD)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE BAHIA GRASS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE AVOCADO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE AUSTRALIAN PINE TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE AUREOBASIDIUM PULLULANS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ASPERGILLUS NR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ASPERGILLUS FUMIGATUS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ASPARAGUS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE APRICOT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE APPLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ANISE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ANCHOVY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE AMPICILLIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE AMOXICILLIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ALTERNARIA TENUIS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ALPHA-LACTALBUMIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ALPHA AMYLASE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ALMOND	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC IGE ACARUS SIRO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - TREE PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ASSAY OF IGE - FOOD ALLERGY PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - REG 10 OKTX RESP ALLERGY PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - OKTX ALLERGY PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - NUT ALLERGEN PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA - NTX ALLERGY PANEL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GARLIC	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - YELLOW FACED HORNET	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ALPHA-GAL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OCTOPUS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - HAKE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BUCKWHEAT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GOAT MILK	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, GOAT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SWORDFISH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, SHEEP	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PRIVET TREE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - FIREBUSH (KOCHIA)	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EGGPLANT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - STEMPHYLIUM HERBARUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - FALSE RAGWEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TRICHOPHYTON RUBRUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SARDINE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CASHEW	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WALNUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ALMOND	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PECAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - COW MILK	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EGG WHITE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PEANUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - RHIZOPUS NIGRICAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - FUSARIUM MONILIFORME	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - AUREOBASIDIUM PULLULANS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPICOCCUM PURPURASCENS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WILLOW	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ASPERGILLUS NIGER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - DERMATOPHAGOIDES FARINAE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TARRAGON	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHAETOMIUM GLOBOSUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ALPHA LACTALBUMIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TUNA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LOBSTER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - HOUSE DUST, GREER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TOMATO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PORK	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EGG YOLK	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CRAB	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CORN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CLAM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WHEAT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SOYBEAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SHRIMP	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CODFISH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CEDAR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VENOM, YELLOW JACKET	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VENOM, WHITE-FACED HORNET	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - STRAWBERRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PISTACHIO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VENOM, PAPER WASP	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OYSTER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, HORSE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VENOM, HONEY BEE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - HELMINTHOSPORIUM HALODES	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - FIRE ANT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHICKEN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CASEIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BRAZIL NUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BANANA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - AVOCADO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - HAZELNUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GELATIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHEIUM/DANDER, HAMSTER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SQUID	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - INSULIN, HUMAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WHITE PINE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PARSLEY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - DATE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CAULIFLOWER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - THYME	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - POPPY SEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - NUTMEG	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MARJORAM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MACE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CURRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CORIANDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CARDAMOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CARAWAY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BAY LEAF	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BASIL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TILAPIA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SQUID, PACIFIC	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CARMINE/RED DYE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MACKEREL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - KIDNEY BEAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MILK, PROCESSED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - DROPPINGS, CHICKEN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BUDGERIGAR FEATHERS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BLACKBERRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PAPRIKA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OREGANO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TURKEY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - RYE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MELONS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, COW	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - HALIBUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CACAO/COCOA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VENOM, EUROPEAN HORNET	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GLUTEN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OLIVE, BLACK	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CATFISH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SESAME SEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - RICE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OAT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - KIWI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OVALBUMIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SALMON	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - OVOMUCOID	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - URINE PROTEIN, MOUSE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SCALLOP	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - YEAST	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WHITE BEAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WHEY, COW	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WATERMELON	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - VANILLA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TROUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - TEA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SUNFLOWER SEED	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SQUASH, PUMPKIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SPINACH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - RASPBERRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, RABBIT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - WHITE POTATO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - SWEET POTATO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PLUM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PINEAPPLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PINE NUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PENICILLIN V	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PENICILLIN G	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PEAR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PEACH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GREEN PEA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - PAPAYA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ORANGE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ONION	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MUSTARD	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MUSHROOM	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EPITHELIUM/DANDER, MOUSE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MOSQUITO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - MANGO	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LIME	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LETTUCE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LENTIL	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LEMON	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - LAMB	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GREEN PEPPER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GREEN BEAN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GRAPEFRUIT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GRAPE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - GINGER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - FLOUNDER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - EGG, WHOLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CUCUMBER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CRAYFISH	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - COFFEE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - COCONUT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CLOVE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CINNAMON	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHILI PEPPER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHICKPEA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHESTNUT, SWEET	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHERRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHEESE, MOLD	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CHEESE, CHEDDAR	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CELERY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CARROT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - CABBAGE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BROCCOLI	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BLUEBERRY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BLUE MUSCLE	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BLACK PEPPER	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BETA-LACTOBLOBULIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - BARLEY	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - ASPARAGUS	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - APRICOT	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - AMPICILLIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST - AMOXICILLIN	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPECIFIC IGE - QUANT,EA	$41.20	$68.66	$37.76–$61.79	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ARUP ALLERGY PANEL FARMERS LUNG, CPT 86003	$42.91	$71.52	$39.34–$64.37	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FOOD4, FOOD-GRAIN PANEL	$59.19	$98.65	$54.26–$88.78	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FOOD2, FOOD-FRUIT PANEL	$59.19	$98.65	$54.26–$88.78	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FOOD6, FOOD PANEL	$59.19	$98.65	$54.26–$88.78	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FDP1, FOOD PANEL 2, IGE	$59.19	$98.65	$54.26–$88.78	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FWWE, HEMP WESTERN WATER IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FBBLE BASS BLACK (SEA BASS) CENTROPRISTIS STRIATA IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FIOCA TAPIOCA IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FHACK ALLERGEN SPECIFIC IGE HACKBERRY	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FZCCE ZUCCHINI IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FPCYE CAYENNE PEPPER IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FHORS HORSERADISH AMORACIA RUSTICANA/A.LAPATHIFOLIA IGE	$66.54	$110.90	$60.99–$99.81	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, MOLD1 MOLD PANEL ALLERGY TEST	$68.90	$114.83	$63.16–$103.35	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FJPE, JALALPENO/CHIPOTLE IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FSTAB IGE STACHYBOYTRS	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FEPI EPIDERMOHYTON IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FRDG, RHODOTORULA IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FCRDE CARMINE DYE/RED DYE COCHINEAL (DACTYLOPIUS COCCUS) IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FGUMX GUM XANTHAN IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO FIGE FIG IGE	$84.09	$140.15	$77.08–$126.14	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF MAYO, FQUIN, QUINOA (CHENOPODIUM QUINOA) IGE	$100.50	$167.50	$92.12–$150.75	—	40%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC REF EUROFINS VIRACOR 402810P COMP CPT 86003	$260.57	$434.28	$238.85–$390.85	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN, TUMOR MARKER	$133.34	$222.24	$12.00–$200.02	12% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN - SERUM	$133.34	$222.24	$12.00–$200.02	12% above	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC REF MEDFUSION 237 ALPHA-FETOPROTEIN, TUMOR MARKER	$252.87	$421.45	$12.00–$379.31	112% above	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN, TUMOR MARKER	$133.34	$222.24	$122.23–$200.02	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN - SERUM	$133.34	$222.24	$122.23–$200.02	—	40%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC REF MEDFUSION 237 ALPHA-FETOPROTEIN, TUMOR MARKER	$252.87	$421.45	$231.80–$379.31	—	40%
Ammonia blood test CPT 82140 HC AMMONIA	$145.94	$243.23	$12.00–$218.91	3% above	40%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$145.94	$243.23	$133.78–$218.91	—	40%
Amylase blood test CPT 82150 HC REF AMYLASE, BODY FLUID SEND OUT	$12.60	$21.00	$5.44–$40.89	83% below	40%
Amylase blood test CPT 82150 HC REF MEDFUSION AMYLASE, BODY FLUID SEND OUT	$12.83	$21.38	$5.44–$40.89	83% below	40%
Amylase blood test CPT 82150 HC REF ARUP COMP 0020804, CPT 82150	$13.55	$22.58	$5.44–$40.89	82% below	40%
Amylase blood test CPT 82150 HC REF MAYO, AMBF AMYLASE BODY FLUID SEND OUT	$71.96	$119.93	$5.44–$107.94	6% below	40%
Amylase blood test CPT 82150 HC AMYLASE, BODY FLUID	$85.94	$143.23	$5.44–$128.91	13% above	40%
Amylase blood test CPT 82150 HC AMYLASE	$85.94	$143.23	$5.44–$128.91	13% above	40%
Amylase blood test CPT 82150 HC AMYLASE, RANDOM URINE	$85.94	$143.23	$5.44–$128.91	13% above	40%
Amylase blood test CPT 82150 HC REF MAYO, AMLPC - AMYLASE, PANCREATIC CYST FLUID	$355.35	$592.25	$5.44–$533.02	366% above	40%
Amylase blood test inpatient CPT 82150 HC REF AMYLASE, BODY FLUID SEND OUT	$12.60	$21.00	$11.55–$18.90	—	40%
Amylase blood test inpatient CPT 82150 HC REF MEDFUSION AMYLASE, BODY FLUID SEND OUT	$12.83	$21.38	$11.76–$19.24	—	40%
Amylase blood test inpatient CPT 82150 HC REF ARUP COMP 0020804, CPT 82150	$13.55	$22.58	$12.42–$20.32	—	40%
Amylase blood test inpatient CPT 82150 HC REF MAYO, AMBF AMYLASE BODY FLUID SEND OUT	$71.96	$119.93	$65.96–$107.94	—	40%
Amylase blood test inpatient CPT 82150 HC AMYLASE, RANDOM URINE	$85.94	$143.23	$78.78–$128.91	—	40%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$85.94	$143.23	$78.78–$128.91	—	40%
Amylase blood test inpatient CPT 82150 HC AMYLASE, BODY FLUID	$85.94	$143.23	$78.78–$128.91	—	40%
Amylase blood test inpatient CPT 82150 HC REF MAYO, AMLPC - AMYLASE, PANCREATIC CYST FLUID	$355.35	$592.25	$325.74–$533.02	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF ARUP 3016632 - CYCLIC CITRULLINATED PEPTIDE AB, IGG & IGA	$16.50	$27.50	$10.88–$81.71	69% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF MAYO COMP CTDC, CPT 86200	$29.01	$48.35	$10.88–$81.71	45% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC REF LABCORP ANTI CCP IGG AND IGA	$30.00	$50.00	$10.88–$81.71	43% below	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CCP)	$99.85	$166.41	$10.88–$149.77	89% above	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC REF ARUP 3016632 - CYCLIC CITRULLINATED PEPTIDE AB, IGG & IGA	$16.50	$27.50	$15.12–$24.75	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC REF MAYO COMP CTDC, CPT 86200	$29.01	$48.35	$26.59–$43.52	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC REF LABCORP ANTI CCP IGG AND IGA	$30.00	$50.00	$27.50–$45.00	—	40%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY (CCP)	$99.85	$166.41	$91.53–$149.77	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC REF ARUP COMP 0050119, CPT 86038	$14.03	$23.38	$10.16–$76.29	82% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC REF MAYO COMP CTDC, CPT 86038	$27.09	$45.15	$10.16–$76.29	65% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC REF MAYO, COMP FSCPR, CPT 86038	$44.87	$74.78	$10.16–$76.29	42% below	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - PROFILE	$125.35	$208.91	$10.16–$188.02	63% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - COXSACKIE A ANTIBODY PANEL	$125.35	$208.91	$10.16–$188.02	63% above	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA)	$125.35	$208.91	$10.16–$188.02	63% above	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC REF ARUP COMP 0050119, CPT 86038	$14.03	$23.38	$12.86–$21.04	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC REF MAYO COMP CTDC, CPT 86038	$27.09	$45.15	$24.83–$40.63	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC REF MAYO, COMP FSCPR, CPT 86038	$44.87	$74.78	$41.13–$67.30	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES (ANA)	$125.35	$208.91	$114.90–$188.02	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - PROFILE	$125.35	$208.91	$114.90–$188.02	—	40%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - COXSACKIE A ANTIBODY PANEL	$125.35	$208.91	$114.90–$188.02	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE, B-TYPE	$209.51	$349.19	$12.00–$314.27	34% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$209.51	$349.19	$12.00–$314.27	34% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NT-PRO BNP	$209.51	$349.19	$12.00–$314.27	34% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE, PRO B-TYPE	$209.51	$349.19	$12.00–$314.27	34% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE, B-TYPE (POC)	$209.51	$349.19	$12.00–$314.27	34% above	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC REF ARUP, 0050083 PROBRAIN NATRIURETIC PEPTIDE NT	$906.00	$1,510.00	$12.00–$1,359.00	480% above	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE, PRO B-TYPE	$209.51	$349.19	$192.05–$314.27	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE, B-TYPE (POC)	$209.51	$349.19	$192.05–$314.27	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE, B-TYPE	$209.51	$349.19	$192.05–$314.27	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$209.51	$349.19	$192.05–$314.27	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NT-PRO BNP	$209.51	$349.19	$192.05–$314.27	—	40%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC REF ARUP, 0050083 PROBRAIN NATRIURETIC PEPTIDE NT	$906.00	$1,510.00	$830.50–$1,359.00	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC REF ARUP COMP 2006686 CPT 87070	$35.06	$58.44	$7.24–$54.39	48% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC REF SYNOVASURE, COMP PJII, CPT 87070	$43.16	$71.94	$7.24–$64.75	36% below	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - EAR	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - CULTURE, MEDICAL DEVICE	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - SINUS	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - MODIFIED ACID FAST STAIN	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - EYE	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - NASOPHARYNGEAL	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - THROAT CULTURE	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACTERIAL, ANY OTHER - THROAT	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE, BACTERIAL - ANY OTHER	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - SURGICAL WOUND	$165.55	$275.91	$7.24–$248.32	147% above	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC REF ARUP COMP 2006686 CPT 87070	$35.06	$58.44	$32.14–$52.60	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC REF SYNOVASURE, COMP PJII, CPT 87070	$43.16	$71.94	$39.57–$64.75	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACTERIAL, ANY OTHER - THROAT	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - MODIFIED ACID FAST STAIN	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - SINUS	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - CULTURE, MEDICAL DEVICE	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - EYE	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - EAR	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - SURGICAL WOUND	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - NASOPHARYNGEAL	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE, BACTERIAL - ANY OTHER	$165.55	$275.91	$151.75–$248.32	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC - THROAT CULTURE	$165.55	$275.91	$151.75–$248.32	—	40%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM	$156.44	$260.74	$7.11–$234.67	25% below	40%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL TOTAL CALCIUM	$156.44	$260.74	$143.41–$234.67	—	40%
Bilirubin blood test, total CPT 82247 HC REF BILIRUBIN, TOTAL, BODY FLUID SEND OUT	$9.90	$16.50	$4.22–$31.68	83% below	40%
Bilirubin blood test, total CPT 82247 HC REF LABCORP COMP 550605, CPT 82247	$37.50	$62.50	$4.22–$56.25	34% below	40%
Bilirubin blood test, total CPT 82247 HC REF LABCORP COMP 550960 CPT 82247	$51.75	$86.25	$4.22–$77.62	9% below	40%
Bilirubin blood test, total CPT 82247 HC REF LABCORP COMP 550180, CPT 82247	$55.91	$93.19	$4.22–$83.87	2% below	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$57.79	$96.31	$4.22–$86.68	1% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN FRACTIONATED	$57.79	$96.31	$4.22–$86.68	1% above	40%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL, BODY FLUID	$57.79	$96.31	$4.22–$86.68	1% above	40%
Bilirubin blood test, total inpatient CPT 82247 HC REF BILIRUBIN, TOTAL, BODY FLUID SEND OUT	$9.90	$16.50	$9.07–$14.85	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC REF LABCORP COMP 550605, CPT 82247	$37.50	$62.50	$34.38–$56.25	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC REF LABCORP COMP 550960 CPT 82247	$51.75	$86.25	$47.44–$77.62	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC REF LABCORP COMP 550180, CPT 82247	$55.91	$93.19	$51.25–$83.87	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$57.79	$96.31	$52.97–$86.68	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN FRACTIONATED	$57.79	$96.31	$52.97–$86.68	—	40%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL, BODY FLUID	$57.79	$96.31	$52.97–$86.68	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATH, LEVEL IV, GROSS	$217.89	$363.15	$36.00–$326.83	27% below	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC REF MAYO, PNBX, PERIPHERAL NERVE PATHOLOGY CONSULTATION	$474.00	$790.00	$36.00–$711.00	60% above	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC REF MAYO, MBX MUSCLE PATHOLOGY CONSULT	$474.00	$790.00	$36.00–$711.00	60% above	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATH, LEVEL IV, GROSS	$217.89	$363.15	$199.73–$326.83	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC REF MAYO, MBX MUSCLE PATHOLOGY CONSULT	$474.00	$790.00	$434.50–$711.00	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC REF MAYO, PNBX, PERIPHERAL NERVE PATHOLOGY CONSULTATION	$474.00	$790.00	$434.50–$711.00	—	40%
Blood culture for bacteria CPT 87040 HC CULT,BACT - BLOOD,AEROBIC W/ISO	$205.15	$341.92	$8.67–$307.73	at median	40%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA - QUANTITATIVE	$205.15	$341.92	$8.67–$307.73	at median	40%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA - BLOOD TXFUSION REACTION	$205.15	$341.92	$8.67–$307.73	at median	40%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA - BLOOD TXFUSION REACTION	$205.15	$341.92	$188.06–$307.73	—	40%
Blood culture for bacteria inpatient CPT 87040 HC CULT,BACT - BLOOD,AEROBIC W/ISO	$205.15	$341.92	$188.06–$307.73	—	40%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA - QUANTITATIVE	$205.15	$341.92	$188.06–$307.73	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC SA-VENIPUNCTURE, COLLECTION OF BLOOD	$30.25	$50.41	$5.55–$45.37	67% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE,COLLECTION OF BLOOD	$32.66	$54.44	$5.99–$49.00	81% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD	$32.66	$54.44	$5.99–$49.00	81% above	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ALCOHOL BLOOD DRAW	$32.66	$54.44	$5.99–$49.00	81% above	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC SA-VENIPUNCTURE, COLLECTION OF BLOOD	$30.25	$50.41	$27.73–$45.37	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ALCOHOL BLOOD DRAW	$32.66	$54.44	$29.94–$49.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC (LABCORP/QUEST/CPL) VENIPUNCTURE,COLLECTION OF BLOOD	$32.66	$54.44	$29.94–$49.00	—	40%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE,COLLECTION OF BLOOD	$32.66	$54.44	$29.94–$49.00	—	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE FASTING LEVEL	$49.24	$82.06	$3.30–$73.85	18% above	40%
Blood glucose (sugar) test CPT 82947 HC REF LABCORP COMP 550960 CPT 82947	$51.75	$86.25	$3.30–$77.62	24% above	40%
Blood glucose (sugar) test CPT 82947 HC REF ARUP COMP 2012521, CPT 82947	$52.50	$87.50	$3.30–$78.75	26% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE - QUANTITATIVE, BLOOD	$53.17	$88.62	$3.30–$79.76	28% above	40%
Blood glucose (sugar) test CPT 82947 HC ASSAY GLUCOSE BLOOD QUANT - 2HR GTT	$53.17	$88.62	$3.30–$79.76	28% above	40%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE, SERUM, RANDOM	$53.17	$88.62	$3.30–$79.76	28% above	40%
Blood glucose (sugar) test CPT 82947 HC REF LABCORP COMP 550180, CPT 82947	$55.91	$93.19	$3.30–$83.87	34% above	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE FASTING LEVEL	$49.24	$82.06	$45.13–$73.85	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC REF LABCORP COMP 550960 CPT 82947	$51.75	$86.25	$47.44–$77.62	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC REF ARUP COMP 2012521, CPT 82947	$52.50	$87.50	$48.12–$78.75	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE - QUANTITATIVE, BLOOD	$53.17	$88.62	$48.74–$79.76	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY GLUCOSE BLOOD QUANT - 2HR GTT	$53.17	$88.62	$48.74–$79.76	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE, SERUM, RANDOM	$53.17	$88.62	$48.74–$79.76	—	40%
Blood glucose (sugar) test inpatient CPT 82947 HC REF LABCORP COMP 550180, CPT 82947	$55.91	$93.19	$51.25–$83.87	—	40%
Blood lead test CPT 83655 HC REF ARUP COMP 0025055, CPT 83655	$18.48	$30.80	$10.17–$76.41	60% below	40%
Blood lead test CPT 83655 HC LEAD	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC ASSAY OF LEAD - HEAVY METALS SCREEN	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC ASSAY OF LEAD - CAPILLARY	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC HEAVY METAL SCREEN - LEAD	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC LEAD, RANDOM URINE	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC LEAD, 24HR URINE	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test CPT 83655 HC LEAD, TDH	$75.11	$125.18	$10.17–$112.66	61% above	40%
Blood lead test inpatient CPT 83655 HC REF ARUP COMP 0025055, CPT 83655	$18.48	$30.80	$16.94–$27.72	—	40%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - CAPILLARY	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC LEAD	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC LEAD, TDH	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC LEAD, 24HR URINE	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD - HEAVY METALS SCREEN	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC LEAD, RANDOM URINE	$75.11	$125.18	$68.85–$112.66	—	40%
Blood lead test inpatient CPT 83655 HC HEAVY METAL SCREEN - LEAD	$75.11	$125.18	$68.85–$112.66	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$137.07	$228.45	$6.32–$205.60	at median	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN, CHORIONIC (HCG), QUALITATIVE	$137.07	$228.45	$125.65–$205.60	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC REF VERSITI COMP 3111, CPT 86900	$71.74	$119.56	$2.51–$687.98	19% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING - ABO	$87.26	$145.44	$2.51–$687.98	1% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPE	$87.26	$145.44	$2.51–$687.98	1% below	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC REF ARUP, COMP VERSITI 3111, CPT 86900	$146.25	$243.75	$2.51–$687.98	66% above	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC REF ARUP, VERSITI 3110 DRUG DEPENDENT RBC AB	$4,755.00	$7,925.00	$2.51–$7,132.50	5282% above	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC REF VERSITI COMP 3111, CPT 86900	$71.74	$119.56	$65.76–$107.60	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPE	$87.26	$145.44	$79.99–$130.90	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING - ABO	$87.26	$145.44	$79.99–$130.90	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC REF ARUP, COMP VERSITI 3111, CPT 86900	$146.25	$243.75	$134.06–$219.38	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC REF ARUP, VERSITI 3110 DRUG DEPENDENT RBC AB	$4,755.00	$7,925.00	$4,358.75–$7,132.50	—	40%
Blood urea nitrogen (BUN) test CPT 84520 HC REF ARUP COMP 2005661, CPT 84520	$45.00	$75.00	$3.32–$67.50	17% below	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN), POST DIALYSIS	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN - QUANTITATIVE	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN), PRE DIALYSIS	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN) - OVERNIGHT EXCHANGE DIALYSATE	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN, BLOOD (BUN),	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN), POC	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN (BUN)	$63.50	$105.84	$3.32–$95.26	17% above	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC REF ARUP COMP 2005661, CPT 84520	$45.00	$75.00	$41.25–$67.50	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN), POST DIALYSIS	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN)	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN) - OVERNIGHT EXCHANGE DIALYSATE	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN), PRE DIALYSIS	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN - QUANTITATIVE	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN (BUN), POC	$63.50	$105.84	$58.21–$95.26	—	40%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN, BLOOD (BUN),	$63.50	$105.84	$58.21–$95.26	—	40%
C-peptide blood test CPT 84681 HC REF ARUP, 0070103 C PEPTIDE SERUM	$16.50	$27.50	$12.00–$131.31	77% below	40%
C-peptide blood test CPT 84681 HC REF MEDFUSION COMP 36509 CPT 84681	$102.96	$171.60	$12.00–$154.44	41% above	40%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$130.36	$217.27	$12.00–$195.54	79% above	40%
C-peptide blood test inpatient CPT 84681 HC REF ARUP, 0070103 C PEPTIDE SERUM	$16.50	$27.50	$15.12–$24.75	—	40%
C-peptide blood test inpatient CPT 84681 HC REF MEDFUSION COMP 36509 CPT 84681	$102.96	$171.60	$94.38–$154.44	—	40%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$130.36	$217.27	$119.50–$195.54	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC REF SYNOVASURE, COMP PJII, CPT 86140	$43.16	$71.94	$4.35–$64.75	15% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 86140	$48.71	$81.18	$4.35–$73.06	4% below	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$58.01	$96.69	$4.35–$87.02	14% above	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC REF SYNOVASURE, COMP PJII, CPT 86140	$43.16	$71.94	$39.57–$64.75	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC REF PROMETHEUS, COMP IBD SGI DIAGNOSTIC CPT 86140	$48.71	$81.18	$44.65–$73.06	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$58.01	$96.69	$53.18–$87.02	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 HC INF AGENT DETCT,DNA/RNA - CLOSTR	$209.30	$348.83	$12.00–$313.95	19% above	40%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC INF AGENT DETCT,DNA/RNA - CLOSTR	$209.30	$348.83	$191.86–$313.95	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$166.57	$277.62	$12.00–$249.86	25% above	40%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IMMUNOASSAY TUMOR ANTIGEN CA 19-9	$166.57	$277.62	$152.69–$249.86	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC REF LABCORP 144733 CA 125 IN PRESENCE OF HAMA	$75.00	$125.00	$12.00–$131.31	51% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86304	$108.66	$181.10	$12.00–$162.99	29% below	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$169.05	$281.75	$12.00–$253.57	11% above	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC REF LABCORP 144733 CA 125 IN PRESENCE OF HAMA	$75.00	$125.00	$68.75–$112.50	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC REF ARUP COMP, RISK OF MALIGNANCY ALGO 2012618 CPT 86304	$108.66	$181.10	$99.61–$162.99	—	40%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN CA 125	$169.05	$281.75	$154.96–$253.57	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$103.50	$172.50	$12.00–$323.77	16% above	40%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$103.50	$172.50	$94.88–$155.25	—	40%
Calcium blood test, total CPT 82310 HC CALCIUM, TOTAL	$65.13	$108.55	$4.33–$97.69	11% above	40%
Calcium blood test, total CPT 82310 HC CALCIUM	$65.13	$108.55	$4.33–$97.69	11% above	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM, TOTAL	$65.13	$108.55	$59.70–$97.69	—	40%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM	$65.13	$108.55	$59.70–$97.69	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID	$173.91	$289.85	$12.00–$260.87	30% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$173.91	$289.85	$12.00–$260.87	30% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$173.91	$289.85	$12.00–$260.87	30% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, BODY FLUID	$173.91	$289.85	$12.00–$260.87	30% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA), PERITONEAL FLUID	$173.91	$289.85	$12.00–$260.87	30% above	40%
Carcinoembryonic antigen (CEA) test CPT 82378 HC REF MAYO, CEAPC - CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID	$340.80	$568.00	$12.00–$511.20	155% above	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID	$173.91	$289.85	$159.42–$260.87	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN	$173.91	$289.85	$159.42–$260.87	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN, BODY FLUID	$173.91	$289.85	$159.42–$260.87	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA), PERITONEAL FLUID	$173.91	$289.85	$159.42–$260.87	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$173.91	$289.85	$159.42–$260.87	—	40%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC REF MAYO, CEAPC - CARCINOEMBRYONIC ANTIGEN (CEA), PANCREATIC CYST FLUID	$340.80	$568.00	$312.40–$511.20	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC REF ARUP, 0054444 VARICELLA-ZOSTER IGG CSF	$23.34	$38.90	$10.82–$81.27	63% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC REF ARUP, 0054444 VARICELLA IGG QUANT CSF	$23.34	$38.90	$10.82–$81.27	63% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC REF ARUP 0050162 VARICELLA ZOSTER VIRUS ABS, IGG & IGM	$28.50	$47.50	$10.82–$81.27	55% below	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC REF MAYO FVZGC VARICELLA ZOSTER VIRUS IGG CSF	$97.13	$161.88	$10.82–$145.69	55% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY - VARICELLA-ZOSTER	$98.93	$164.89	$10.82–$148.40	58% above	40%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER (C-POX/SHINGLES), IGM	$98.93	$164.89	$10.82–$148.40	58% above	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC REF ARUP, 0054444 VARICELLA-ZOSTER IGG CSF	$23.34	$38.90	$21.39–$35.01	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC REF ARUP, 0054444 VARICELLA IGG QUANT CSF	$23.34	$38.90	$21.39–$35.01	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC REF ARUP 0050162 VARICELLA ZOSTER VIRUS ABS, IGG & IGM	$28.50	$47.50	$26.12–$42.75	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC REF MAYO FVZGC VARICELLA ZOSTER VIRUS IGG CSF	$97.13	$161.88	$89.03–$145.69	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER (C-POX/SHINGLES), IGM	$98.93	$164.89	$90.69–$148.40	—	40%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY - VARICELLA-ZOSTER	$98.93	$164.89	$90.69–$148.40	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC INFECTIVE AGENT DETECTION, DNA/RNA	$125.96	$209.93	$12.00–$221.42	1% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLMYD TRACH DNA AMP PROBE - RNA THROAT NAA	$125.96	$209.93	$12.00–$221.42	1% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS, BODY FLUID PCR	$125.96	$209.93	$12.00–$221.42	1% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS, URINE	$125.96	$209.93	$12.00–$221.42	1% above	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLMYD TRACH DNA AMP PROBE - RNA THROAT NAA	$125.96	$209.93	$115.46–$188.94	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS, BODY FLUID PCR	$125.96	$209.93	$115.46–$188.94	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS, URINE	$125.96	$209.93	$115.46–$188.94	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC INFECTIVE AGENT DETECTION, DNA/RNA	$125.96	$209.93	$115.46–$188.94	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF ARUP COMP 2013716 CPT 80061	$24.00	$40.00	$11.25–$84.49	84% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR	$28.08	$46.80	$11.25–$84.49	81% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061	$106.43	$177.39	$11.25–$159.65	28% below	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$185.75	$309.58	$11.25–$278.62	25% above	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE	$185.75	$309.58	$11.25–$278.62	25% above	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF ARUP COMP 2013716 CPT 80061	$24.00	$40.00	$22.00–$36.00	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF LABCORP, 361946 LIPID CASCADE W LIPO ASSESS BY NMR	$28.08	$46.80	$25.74–$42.12	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC REF MEDFUSION COMP 92145, CPT 80061	$106.43	$177.39	$97.56–$159.65	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$185.75	$309.58	$170.27–$278.62	—	40%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - LIPOPROTEIN METABOLISM PROFILE	$185.75	$309.58	$170.27–$278.62	—	40%
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF	$67.31	$112.18	$6.53–$100.96	26% below	40%
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC W/AUTO WBC DIFF	$67.31	$112.18	$61.70–$100.96	—	40%
Complete blood count (CBC), no differential CPT 85027 HC HEMOGRAM	$93.57	$155.95	$5.43–$140.35	at median	40%
Complete blood count (CBC), no differential CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF	$93.57	$155.95	$5.43–$140.35	at median	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC COMPLETE CBC AUTOMATED W/OUT DIFF	$93.57	$155.95	$85.77–$140.35	—	40%
Complete blood count (CBC), no differential inpatient CPT 85027 HC HEMOGRAM	$93.57	$155.95	$85.77–$140.35	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION	$214.33	$357.21	$8.87–$321.49	15% below	40%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$214.33	$357.21	$8.87–$321.49	15% below	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL	$214.33	$357.21	$196.47–$321.49	—	40%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL - MEDFUSION	$214.33	$357.21	$196.47–$321.49	—	40%
Cortisol blood test, total CPT 82533 HC REF MAYO COMP CORTO CPT 82533	$65.18	$108.63	$12.00–$102.85	22% below	40%
Cortisol blood test, total CPT 82533 HC CORTISOL, DRAW 1	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - INFERIOR VENA CAVA PANEL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - PERIPHERAL VEIN PANEL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC CORTISOL, DST 1 SPECIMEN	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC CORTISOL, DRAW 3	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL, DRAW 3	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC INSULIN TOLERANCE - CORTISOL TOTAL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - SALIVA	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC CORTISOL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total one side CPT 82533 HC TOTAL CORTISOL - LEFT ADRENAL VEIN PANEL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total one side CPT 82533 HC TOTAL CORTISOL - RIGHT ADRENAL VEIN PANEL	$166.87	$278.11	$12.00–$250.30	100% above	40%
Cortisol blood test, total inpatient CPT 82533 HC REF MAYO COMP CORTO CPT 82533	$65.18	$108.63	$59.75–$97.77	—	40%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - SALIVA	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC INSULIN TOLERANCE - CORTISOL TOTAL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL, DRAW 3	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, DRAW 3	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, DST 1 SPECIMEN	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL, DRAW 1	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - PERIPHERAL VEIN PANEL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - INFERIOR VENA CAVA PANEL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient one side CPT 82533 HC TOTAL CORTISOL - RIGHT ADRENAL VEIN PANEL	$166.87	$278.11	$152.96–$250.30	—	40%
Cortisol blood test, total inpatient one side CPT 82533 HC TOTAL CORTISOL - LEFT ADRENAL VEIN PANEL	$166.87	$278.11	$152.96–$250.30	—	40%
Creatine kinase (CK) blood test, total CPT 82550 HC REF ARUP 0020010 CREATINE KINASE, TOTAL, SERUM OR PLASMA	$12.90	$21.50	$5.47–$41.08	80% below	40%
Creatine kinase (CK) blood test, total CPT 82550 HC REF ARUP COMP 0020414, CPT 82550	$14.51	$24.18	$5.47–$41.08	77% below	40%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) - TOTAL	$98.11	$163.52	$5.47–$147.17	53% above	40%
Creatine kinase (CK) blood test, total CPT 82550 HC ASSAY OF CK (CPK) - ISOENZYMES	$98.11	$163.52	$5.47–$147.17	53% above	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC REF ARUP 0020010 CREATINE KINASE, TOTAL, SERUM OR PLASMA	$12.90	$21.50	$11.82–$19.35	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC REF ARUP COMP 0020414, CPT 82550	$14.51	$24.18	$13.30–$21.76	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC ASSAY OF CK (CPK) - ISOENZYMES	$98.11	$163.52	$89.94–$147.17	—	40%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) - TOTAL	$98.11	$163.52	$89.94–$147.17	—	40%
Creatinine blood test CPT 82565 HC REF ARUP 3018316 COMP CPT 82565	$32.63	$54.38	$4.30–$48.94	39% below	40%
Creatinine blood test CPT 82565 HC CREATININE - BLOOD	$66.61	$111.02	$4.30–$99.92	24% above	40%
Creatinine blood test CPT 82565 HC CREATININE	$66.61	$111.02	$4.30–$99.92	24% above	40%
Creatinine blood test CPT 82565 HC CREATININE, POC	$66.61	$111.02	$4.30–$99.92	24% above	40%
Creatinine blood test CPT 82565 HC CREATININE - SERUM	$66.61	$111.02	$4.30–$99.92	24% above	40%
Creatinine blood test inpatient CPT 82565 HC REF ARUP 3018316 COMP CPT 82565	$32.63	$54.38	$29.91–$48.94	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE, POC	$66.61	$111.02	$61.06–$99.92	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE - BLOOD	$66.61	$111.02	$61.06–$99.92	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE	$66.61	$111.02	$61.06–$99.92	—	40%
Creatinine blood test inpatient CPT 82565 HC CREATININE - SERUM	$66.61	$111.02	$61.06–$99.92	—	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86644	$8.91	$14.85	$6.89–$90.80	88% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC REF ARUP COMP 0050772, CPT 86644	$16.26	$27.10	$12.00–$90.80	78% below	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC ANTIBODY - CYTOMEGALOVIRUS (CMV	$115.64	$192.74	$12.00–$173.47	54% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - IGG & IGM	$115.64	$192.74	$12.00–$173.47	54% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - BONE MAR INF DIS PROF	$115.64	$192.74	$12.00–$173.47	54% above	40%
Cytomegalovirus (CMV) antibody test CPT 86644 HC REF ARUP 2011813 - CYTOMEGALOVIRUS IGG AB AVIDITY	$142.50	$237.50	$12.00–$213.75	90% above	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86644	$8.91	$14.85	$8.17–$13.37	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC REF ARUP COMP 0050772, CPT 86644	$16.26	$27.10	$14.90–$24.39	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - IGG & IGM	$115.64	$192.74	$106.01–$173.47	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC ANTIBODY - CYTOMEGALOVIRUS (CMV	$115.64	$192.74	$106.01–$173.47	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - BONE MAR INF DIS PROF	$115.64	$192.74	$106.01–$173.47	—	40%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC REF ARUP 2011813 - CYTOMEGALOVIRUS IGG AB AVIDITY	$142.50	$237.50	$130.62–$213.75	—	40%
D-dimer blood test (blood clot marker) CPT 85379 HC REF MAYO, COMP AATHR, CPT 85379	$68.16	$113.60	$8.55–$102.24	60% below	40%
D-dimer blood test (blood clot marker) CPT 85379 HC REF MAYO COMP APROL CPT 85379	$114.83	$191.38	$8.55–$172.24	32% below	40%
D-dimer blood test (blood clot marker) CPT 85379 HC FDP OR D-DIMER QUANTITATIVE	$123.89	$206.48	$8.55–$185.83	27% below	40%
D-dimer blood test (blood clot marker) CPT 85379 HC FIBRIN DEGRADATION PROD, D-DIM	$123.89	$206.48	$8.55–$185.83	27% below	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC REF MAYO, COMP AATHR, CPT 85379	$68.16	$113.60	$62.48–$102.24	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC REF MAYO COMP APROL CPT 85379	$114.83	$191.38	$105.26–$172.24	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FIBRIN DEGRADATION PROD, D-DIM	$123.89	$206.48	$113.56–$185.83	—	40%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC FDP OR D-DIMER QUANTITATIVE	$123.89	$206.48	$113.56–$185.83	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)	$150.54	$250.90	$12.00–$225.81	at median	40%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE (DHEA-S)	$150.54	$250.90	$138.00–$225.81	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF ARUP 2007081 COTININE SCREEN, URINE	$30.68	$51.13	$12.00–$392.10	51% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF ARUP 2012284, FENTANYL SCREEN	$37.28	$62.14	$12.00–$392.10	40% below	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF MAYO CSMEU COMP CPT 80307	$63.78	$106.30	$12.00–$392.10	3% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF ARUP, COMP NMS LABS 8091U, CPT 80307	$69.50	$115.83	$12.00–$392.10	12% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF MEDFUSION, 94031 ANTIDEPRESSANTS DRUG MONITOR	$74.90	$124.83	$12.00–$392.10	21% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF ARUP 0092420 DRUG PAN 9 SER/PLA SCREEN	$76.50	$127.50	$12.00–$392.10	23% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF MAYO FD10S DRUGS OF ABUSE SCREEN, SERUM	$138.00	$230.00	$12.00–$392.10	122% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF ARUP 3000183 CPT 80307 3000183 FLUNITRAZEPAM AND METABOLITE	$246.00	$410.00	$12.00–$392.10	296% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, CLASS LIST A, (MERCONIUM)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DEFINITIVE TEST, ALCOHOLS	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, CLASS LIST A (MEDICAL)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, CLASS LIST A, (SEND OUT SERUM)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN, CLASS LIST A, (SEND OUT URINE)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (ACETAMINEPHINE)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- BUPRENORPHINE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- OXYCODONE, URINE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC, BLOOD	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - BARBITURATE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - CANNABINOID	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - OPIATE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - PHENCYCLIDINE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN (BASIC MEDICAL)	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING TEMPLATE	$275.42	$459.04	$12.00–$413.14	343% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF LABCORP, 791750 KRATOM SCREENING AND CONFIRMATION	$313.50	$522.50	$12.00–$470.25	405% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF LABCORP 912081 DRUG SCREEN 17 W/REFLEX CONFIRMATION	$381.54	$635.90	$12.00–$572.31	514% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF LABCORP, 700902 DRUG SCREEN 16	$504.00	$840.00	$12.00–$756.00	711% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF MEDFUSION, 31689 DRUG ABUSE PANEL 8	$784.62	$1,307.70	$12.00–$1,176.93	1163% above	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC REF NMS LAB, 6946H, DRUGS OF ABUSE SCREEN (9 PANEL) HAIR	$1,041.00	$1,735.00	$12.00–$1,561.50	1575% above	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF ARUP 2007081 COTININE SCREEN, URINE	$30.68	$51.13	$28.12–$46.02	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF ARUP 2012284, FENTANYL SCREEN	$37.28	$62.14	$34.18–$55.93	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF MAYO CSMEU COMP CPT 80307	$63.78	$106.30	$58.47–$95.67	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF ARUP, COMP NMS LABS 8091U, CPT 80307	$69.50	$115.83	$63.71–$104.25	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF MEDFUSION, 94031 ANTIDEPRESSANTS DRUG MONITOR	$74.90	$124.83	$68.66–$112.35	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF ARUP 0092420 DRUG PAN 9 SER/PLA SCREEN	$76.50	$127.50	$70.12–$114.75	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF MAYO FD10S DRUGS OF ABUSE SCREEN, SERUM	$138.00	$230.00	$126.50–$207.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF ARUP 3000183 CPT 80307 3000183 FLUNITRAZEPAM AND METABOLITE	$246.00	$410.00	$225.50–$369.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, CLASS LIST A (MEDICAL)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN (BASIC MEDICAL)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - PHENCYCLIDINE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - OPIATE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DEFINITIVE TEST, ALCOHOLS	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, CLASS LIST A, (MERCONIUM)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, CLASS LIST A, (SEND OUT SERUM)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN, CLASS LIST A, (SEND OUT URINE)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DEFINITIVE TEST, ANALGESICS NON-OPIOD (ACETAMINEPHINE)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRESUMP NOT OPTICAL (2 OR MORE PER DAY)	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - CANNABINOID	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMTIVE DRUG TEST CHEM ANALYZ - BARBITURATE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC, BLOOD	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- PRESCRIPTION OTC	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- OXYCODONE, URINE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC PRESUMPTIVE DRUG TEST CHEM ANALYZ- BUPRENORPHINE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG MONITORING TEMPLATE	$275.42	$459.04	$252.47–$413.14	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF LABCORP, 791750 KRATOM SCREENING AND CONFIRMATION	$313.50	$522.50	$287.38–$470.25	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF LABCORP 912081 DRUG SCREEN 17 W/REFLEX CONFIRMATION	$381.54	$635.90	$349.75–$572.31	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF LABCORP, 700902 DRUG SCREEN 16	$504.00	$840.00	$462.00–$756.00	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF MEDFUSION, 31689 DRUG ABUSE PANEL 8	$784.62	$1,307.70	$719.24–$1,176.93	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC REF NMS LAB, 6946H, DRUGS OF ABUSE SCREEN (9 PANEL) HAIR	$1,041.00	$1,735.00	$954.25–$1,561.50	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$104.73	$174.55	$5.89–$157.09	34% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL, POC	$104.73	$174.55	$5.89–$157.09	34% below	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$104.73	$174.55	$96.00–$157.09	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL, POC	$104.73	$174.55	$96.00–$157.09	—	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC REF ARUP 0050235 EBV AB TO VIRAL CAPSID AG, IGG	$12.00	$20.00	$9.28–$114.46	86% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC REF ARUP 0050240 EBV AB TO VIRAL CAPSID AG, IGM	$12.00	$20.00	$9.28–$114.46	86% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC REF ARUP COMP 0050602, CPT 86665	$24.00	$40.00	$12.00–$114.46	72% below	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA - SACCHAROMYCES CEREVISIAE AB IGG & IGA	$117.77	$196.28	$12.00–$176.65	36% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR AB VCA, IGM	$117.77	$196.28	$12.00–$176.65	36% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR AB VCA, IGG	$117.77	$196.28	$12.00–$176.65	36% above	40%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR VIRUS,VIRAL CAPSI	$117.77	$196.28	$12.00–$176.65	36% above	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC REF ARUP 0050235 EBV AB TO VIRAL CAPSID AG, IGG	$12.00	$20.00	$11.00–$18.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC REF ARUP 0050240 EBV AB TO VIRAL CAPSID AG, IGM	$12.00	$20.00	$11.00–$18.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC REF ARUP COMP 0050602, CPT 86665	$24.00	$40.00	$22.00–$36.00	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR AB VCA, IGG	$117.77	$196.28	$107.95–$176.65	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR VIRUS,VIRAL CAPSI	$117.77	$196.28	$107.95–$176.65	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA - SACCHAROMYCES CEREVISIAE AB IGG & IGA	$117.77	$196.28	$107.95–$176.65	—	40%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR AB VCA, IGM	$117.77	$196.28	$107.95–$176.65	—	40%
Estradiol blood test CPT 82670 HC REF ARUP 0093247 ESTRADIOL, ADULT M, CHILD, POST MENOP F, ESHT	$36.00	$60.00	$12.00–$176.30	71% below	40%
Estradiol blood test CPT 82670 HC REF MAYO, COMP FFES, CPT 82670	$102.44	$170.73	$12.00–$176.30	17% below	40%
Estradiol blood test CPT 82670 HC REF LABCORP 140224 ESTRADIOL, SENSITIVE	$172.98	$288.30	$12.00–$259.47	40% above	40%
Estradiol blood test CPT 82670 HC REF LABCORP 140244 ESTRADIOL SENSITIVE	$172.98	$288.30	$12.00–$259.47	40% above	40%
Estradiol blood test CPT 82670 HC ESTRADIOL	$183.05	$305.09	$12.00–$274.58	48% above	40%
Estradiol blood test CPT 82670 HC REF LABCORP 500108 ESTRODIOL LC/MS	$205.56	$342.60	$12.00–$308.34	66% above	40%
Estradiol blood test CPT 82670 HC REF QUEST LAB 30289 ESTRADIOL ULTRASENSITIVE	$366.74	$611.23	$12.00–$550.11	196% above	40%
Estradiol blood test inpatient CPT 82670 HC REF ARUP 0093247 ESTRADIOL, ADULT M, CHILD, POST MENOP F, ESHT	$36.00	$60.00	$33.00–$54.00	—	40%
Estradiol blood test inpatient CPT 82670 HC REF MAYO, COMP FFES, CPT 82670	$102.44	$170.73	$93.90–$153.66	—	40%
Estradiol blood test inpatient CPT 82670 HC REF LABCORP 140224 ESTRADIOL, SENSITIVE	$172.98	$288.30	$158.56–$259.47	—	40%
Estradiol blood test inpatient CPT 82670 HC REF LABCORP 140244 ESTRADIOL SENSITIVE	$172.98	$288.30	$158.56–$259.47	—	40%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$183.05	$305.09	$167.80–$274.58	—	40%
Estradiol blood test inpatient CPT 82670 HC REF LABCORP 500108 ESTRODIOL LC/MS	$205.56	$342.60	$188.43–$308.34	—	40%
Estradiol blood test inpatient CPT 82670 HC REF QUEST LAB 30289 ESTRADIOL ULTRASENSITIVE	$366.74	$611.23	$336.18–$550.11	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC REF ARUP COMP 0070193, CPT 83001	$14.52	$24.20	$11.23–$117.24	91% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC ASSAY OF GONADOTROPIN (FSH) - FSH & LH PANEL	$149.06	$248.44	$12.00–$223.60	4% below	40%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH)	$149.06	$248.44	$12.00–$223.60	4% below	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC REF ARUP COMP 0070193, CPT 83001	$14.52	$24.20	$13.31–$21.78	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC ASSAY OF GONADOTROPIN (FSH) - FSH & LH PANEL	$149.06	$248.44	$136.64–$223.60	—	40%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH)	$149.06	$248.44	$136.64–$223.60	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN, FECAL	$220.46	$367.44	$12.00–$330.70	3% above	40%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN, FECAL	$220.46	$367.44	$202.09–$330.70	—	40%
Ferritin blood test (iron stores) CPT 82728 HC REF ARUP COMP 2012521, CPT 82728	$52.50	$87.50	$11.45–$86.01	37% below	40%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$97.90	$163.17	$11.45–$146.85	17% above	40%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN - IRON TIBC & FERRITIN PANEL	$97.90	$163.17	$11.45–$146.85	17% above	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC REF ARUP COMP 2012521, CPT 82728	$52.50	$87.50	$48.12–$78.75	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$97.90	$163.17	$89.74–$146.85	—	40%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN - IRON TIBC & FERRITIN PANEL	$97.90	$163.17	$89.74–$146.85	—	40%
Fibrinogen blood test CPT 85384 HC REF ARUP, COMP 0030137, CPT 85384	$46.30	$77.16	$8.16–$69.44	47% below	40%
Fibrinogen blood test CPT 85384 HC REF MAYO, COMP AATHR, CPT 85384	$65.07	$108.45	$8.16–$97.61	25% below	40%
Fibrinogen blood test CPT 85384 HC REF MAYO COMP APROL CPT 85384	$109.62	$182.70	$8.16–$164.43	27% above	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY, TEG 5 PLATELET MAPPING	$126.22	$210.36	$8.16–$189.32	46% above	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN, ACTIVITY	$126.22	$210.36	$8.16–$189.32	46% above	40%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN ACTIVITY, TEG 5 WHOLE BLOOD	$126.22	$210.36	$8.16–$189.32	46% above	40%
Fibrinogen blood test inpatient CPT 85384 HC REF ARUP, COMP 0030137, CPT 85384	$46.30	$77.16	$42.44–$69.44	—	40%
Fibrinogen blood test inpatient CPT 85384 HC REF MAYO, COMP AATHR, CPT 85384	$65.07	$108.45	$59.65–$97.61	—	40%
Fibrinogen blood test inpatient CPT 85384 HC REF MAYO COMP APROL CPT 85384	$109.62	$182.70	$100.48–$164.43	—	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN, ACTIVITY	$126.22	$210.36	$115.70–$189.32	—	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY, TEG 5 PLATELET MAPPING	$126.22	$210.36	$115.70–$189.32	—	40%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN ACTIVITY, TEG 5 WHOLE BLOOD	$126.22	$210.36	$115.70–$189.32	—	40%
Folate (folic acid) blood test CPT 82746 HC REF ARUP 0070070 FOLATE, SERUM	$19.05	$31.75	$12.00–$92.76	76% below	40%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM - B12 & FOLATE	$135.20	$225.34	$12.00–$202.81	69% above	40%
Folate (folic acid) blood test CPT 82746 HC FOLIC ACID (FOLATE), SERUM	$135.20	$225.34	$12.00–$202.81	69% above	40%
Folate (folic acid) blood test inpatient CPT 82746 HC REF ARUP 0070070 FOLATE, SERUM	$19.05	$31.75	$17.46–$28.57	—	40%
Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM - B12 & FOLATE	$135.20	$225.34	$123.94–$202.81	—	40%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLIC ACID (FOLATE), SERUM	$135.20	$225.34	$123.94–$202.81	—	40%
Free T3 thyroid hormone test CPT 84481 HC TRIIODOTHYRONINE T3 - FREE	$152.02	$253.37	$12.00–$228.03	9% above	40%
Free T3 thyroid hormone test inpatient CPT 84481 HC TRIIODOTHYRONINE T3 - FREE	$152.02	$253.37	$139.35–$228.03	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC REF MAYO FFT4F T4, FREE, DIRECT DIALYSIS	$33.00	$55.00	$7.58–$56.92	56% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC REF ARUP 0093244 FREE T4 BY EQUIL DIALYSIS - TMS	$40.50	$67.50	$7.58–$60.75	46% below	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE - FREE	$144.14	$240.24	$7.58–$216.22	92% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T4), FREE	$144.14	$240.24	$7.58–$216.22	92% above	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC THYROXINE (T4), FREE BY DIALYSIS	$144.14	$240.24	$7.58–$216.22	92% above	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC REF MAYO FFT4F T4, FREE, DIRECT DIALYSIS	$33.00	$55.00	$30.25–$49.50	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC REF ARUP 0093244 FREE T4 BY EQUIL DIALYSIS - TMS	$40.50	$67.50	$37.12–$60.75	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T4), FREE BY DIALYSIS	$144.14	$240.24	$132.13–$216.22	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE (T4), FREE	$144.14	$240.24	$132.13–$216.22	—	40%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC THYROXINE - FREE	$144.14	$240.24	$132.13–$216.22	—	40%
Free testosterone test CPT 84402 HC REF ARUP PANEL COMP 0081056 CPT 84402	$12.00	$20.00	$9.28–$160.72	89% below	40%
Free testosterone test CPT 84402 HC REF MAYO COMP FFTFT, CPT 84402	$23.03	$38.38	$12.00–$160.72	78% below	40%
Free testosterone test CPT 84402 HC TESTOSTERONE - FREE	$148.09	$246.81	$12.00–$222.13	40% above	40%
Free testosterone test CPT 84402 HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE	$148.09	$246.81	$12.00–$222.13	40% above	40%
Free testosterone test CPT 84402 HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE	$148.09	$246.81	$12.00–$222.13	40% above	40%
Free testosterone test CPT 84402 HC TESTOSTERONE, FREE,	$148.09	$246.81	$12.00–$222.13	40% above	40%
Free testosterone test inpatient CPT 84402 HC REF ARUP PANEL COMP 0081056 CPT 84402	$12.00	$20.00	$11.00–$18.00	—	40%
Free testosterone test inpatient CPT 84402 HC REF MAYO COMP FFTFT, CPT 84402	$23.03	$38.38	$21.11–$34.54	—	40%
Free testosterone test inpatient CPT 84402 HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE	$148.09	$246.81	$135.75–$222.13	—	40%
Free testosterone test inpatient CPT 84402 HC ASSAY OF FREE TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE	$148.09	$246.81	$135.75–$222.13	—	40%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE - FREE	$148.09	$246.81	$135.75–$222.13	—	40%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE, FREE,	$148.09	$246.81	$135.75–$222.13	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC REF LABCORP COMP 550605, CPT 82977	$37.50	$62.50	$6.05–$56.25	36% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC REF ARUP COMP 2005661, CPT 82977	$45.00	$75.00	$6.05–$67.50	23% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC REF LABCORP COMP 550960 CPT 83010	$51.75	$86.25	$6.05–$77.62	12% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC REF LABCORP COMP 550960 CPT 82977	$51.75	$86.25	$6.05–$77.62	12% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC REF LABCORP COMP 550180, CPT 82977	$55.91	$93.19	$6.05–$83.87	5% below	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GLUTAMYLTRANSFERASE	$82.61	$137.69	$6.05–$123.92	40% above	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC REF LABCORP COMP 550605, CPT 82977	$37.50	$62.50	$34.38–$56.25	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC REF ARUP COMP 2005661, CPT 82977	$45.00	$75.00	$41.25–$67.50	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC REF LABCORP COMP 550960 CPT 82977	$51.75	$86.25	$47.44–$77.62	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC REF LABCORP COMP 550960 CPT 83010	$51.75	$86.25	$47.44–$77.62	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC REF LABCORP COMP 550180, CPT 82977	$55.91	$93.19	$51.25–$83.87	—	40%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GLUTAMYLTRANSFERASE	$82.61	$137.69	$75.73–$123.92	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, POST GLUCOSE DOSE	$53.00	$88.33	$3.99–$79.50	32% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE 2HR (POST PARTUM)	$53.00	$88.33	$3.99–$79.50	32% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE, 1HR SCREEN (OB)	$53.00	$88.33	$3.99–$79.50	32% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - 2HR GTT	$53.00	$88.33	$3.99–$79.50	32% below	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - 2HR GTT	$53.00	$88.33	$48.58–$79.50	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE, POST GLUCOSE DOSE	$53.00	$88.33	$48.58–$79.50	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE 2HR (POST PARTUM)	$53.00	$88.33	$48.58–$79.50	—	40%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE, 1HR SCREEN (OB)	$53.00	$88.33	$48.58–$79.50	—	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE, TOLERANCE TEST (GTT)	$140.92	$234.87	$10.81–$211.38	7% below	40%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - 3HR GTT	$140.92	$234.87	$10.81–$211.38	7% below	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE, TOLERANCE TEST (GTT)	$140.92	$234.87	$129.18–$211.38	—	40%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) - 3HR GTT	$140.92	$234.87	$129.18–$211.38	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$170.75	$284.58	$12.00–$256.12	31% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE, BODY FLUID PCR	$170.75	$284.58	$12.00–$256.12	31% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE, URINE	$170.75	$284.58	$12.00–$256.12	31% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - RNA THROAT NAA	$170.75	$284.58	$12.00–$256.12	31% above	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE, URINE	$170.75	$284.58	$156.52–$256.12	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB	$170.75	$284.58	$156.52–$256.12	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE, BODY FLUID PCR	$170.75	$284.58	$156.52–$256.12	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE DNA AMP PROB - RNA THROAT NAA	$170.75	$284.58	$156.52–$256.12	—	40%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI	$126.15	$210.25	$12.00–$189.22	at median	40%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI	$126.15	$210.25	$115.64–$189.22	—	40%
H. pylori stool antigen test CPT 87338 HC REF ARUP 0065147 HELICOBACTER PYLORI AG, FECAL BY EIA	$60.00	$100.00	$12.00–$90.74	30% below	40%
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI,STOOL	$128.15	$213.59	$12.00–$192.23	49% above	40%
H. pylori stool antigen test inpatient CPT 87338 HC REF ARUP 0065147 HELICOBACTER PYLORI AG, FECAL BY EIA	$60.00	$100.00	$55.00–$90.00	—	40%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI,STOOL	$128.15	$213.59	$117.47–$192.23	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC INF AGT DETCT,DNA/RNA - HIV-1,QU	$426.38	$710.63	$12.00–$639.57	41% above	40%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC INF AGT DETCT,DNA/RNA - HIV-1,QU	$426.38	$710.63	$390.85–$639.57	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86703	$8.91	$14.85	$6.89–$86.51	89% below	40%
HIV-1 and HIV-2 antibody test CPT 86703 HC ANTIBODY - HIV-1 & HIV-2,SINGLE	$131.76	$219.60	$11.52–$197.64	62% above	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86703	$8.91	$14.85	$8.17–$13.37	—	40%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC ANTIBODY - HIV-1 & HIV-2,SINGLE	$131.76	$219.60	$120.78–$197.64	—	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN	$140.83	$234.71	$12.00–$211.24	4% above	40%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 ANTIGEN W/HIV-1&HIV-2AN	$140.83	$234.71	$129.09–$211.24	—	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH-RISK TYPES - HPV GENOTYPES 16, 18 RECTAL	$83.05	$138.41	$12.00–$221.42	17% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES	$83.05	$138.41	$12.00–$221.42	17% above	40%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC REF NEOGENOMICS, MOLHPVDNA, HPV DNA TISSUE	$615.00	$1,025.00	$12.00–$922.50	767% above	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES	$83.05	$138.41	$76.13–$124.57	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH-RISK TYPES - HPV GENOTYPES 16, 18 RECTAL	$83.05	$138.41	$76.13–$124.57	—	40%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC REF NEOGENOMICS, MOLHPVDNA, HPV DNA TISSUE	$615.00	$1,025.00	$563.75–$922.50	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC REF QUEST 8181 HGBA1C WITH MPG	$92.09	$153.48	$8.16–$138.13	9% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN	$123.97	$206.61	$8.16–$185.95	46% above	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC REF QUEST 8181 HGBA1C WITH MPG	$92.09	$153.48	$84.41–$138.13	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN	$123.97	$206.61	$113.64–$185.95	—	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$46.90	$78.17	$1.99–$70.35	8% above	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$46.90	$78.17	$1.99–$70.35	8% above	40%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN, TDH	$46.90	$78.17	$1.99–$70.35	8% above	40%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$46.90	$78.17	$42.99–$70.35	—	40%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN, TDH	$46.90	$78.17	$42.99–$70.35	—	40%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$46.90	$78.17	$42.99–$70.35	—	40%
Hepatitis B core antibody test (total) CPT 86704 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86704	$8.91	$14.85	$6.89–$76.04	88% below	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL - CORE AB W/REFLEX	$111.49	$185.81	$10.12–$167.23	53% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ANTIBODY TOTAL - HEPATITIS CHRONIC PANEL	$111.49	$185.81	$10.12–$167.23	53% above	40%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY - HBC	$111.49	$185.81	$10.12–$167.23	53% above	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86704	$8.91	$14.85	$8.17–$13.37	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY - HBC	$111.49	$185.81	$102.20–$167.23	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY TOTAL - CORE AB W/REFLEX	$111.49	$185.81	$102.20–$167.23	—	40%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ANTIBODY TOTAL - HEPATITIS CHRONIC PANEL	$111.49	$185.81	$102.20–$167.23	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC REF ARUP, 0020090 HEP B SURFACE AB	$12.57	$20.95	$9.02–$67.77	80% below	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURFACE ANTIBODY - HEPATITIS CHRONIC PANEL	$121.91	$203.18	$9.02–$182.86	91% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY(H	$121.91	$203.18	$9.02–$182.86	91% above	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC REF ARUP, 0020090 HEP B SURFACE AB	$12.57	$20.95	$11.52–$18.86	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY(H	$121.91	$203.18	$111.75–$182.86	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURFACE ANTIBODY - HEPATITIS CHRONIC PANEL	$121.91	$203.18	$111.75–$182.86	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87340	$8.91	$14.85	$6.89–$65.18	87% below	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE AG IA - HEPATITIS CHRONIC PANEL	$113.81	$189.69	$8.68–$170.72	63% above	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN - EN	$113.81	$189.69	$8.68–$170.72	63% above	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 87340	$8.91	$14.85	$8.17–$13.37	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN - EN	$113.81	$189.69	$104.33–$170.72	—	40%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE AG IA - HEPATITIS CHRONIC PANEL	$113.81	$189.69	$104.33–$170.72	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86803	$8.91	$14.85	$6.89–$90.04	90% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC REF ARUP 2010784 HEPATITIS C VIRUS AB BY CIA W/RFLX TO HCV QUANT NAAT	$19.50	$32.50	$11.99–$90.04	77% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC REF MAYO COMP HCVDX, CPT 86803	$46.71	$77.85	$11.99–$90.04	46% below	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$135.98	$226.63	$11.99–$203.97	57% above	40%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS CHRONIC PANEL	$135.98	$226.63	$11.99–$203.97	57% above	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86803	$8.91	$14.85	$8.17–$13.37	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC REF ARUP 2010784 HEPATITIS C VIRUS AB BY CIA W/RFLX TO HCV QUANT NAAT	$19.50	$32.50	$17.88–$29.25	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC REF MAYO COMP HCVDX, CPT 86803	$46.71	$77.85	$42.82–$70.06	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$135.98	$226.63	$124.65–$203.97	—	40%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C AB TEST - HEPATITIS CHRONIC PANEL	$135.98	$226.63	$124.65–$203.97	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC REF ARUP 3000572 HCV BY QUANT NAAT	$120.00	$200.00	$12.00–$270.32	50% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC REF ARUP 3000576 HCV QUANT W/REFLEX TO GENOTYPE	$120.00	$200.00	$12.00–$270.32	50% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC REF MAYO COMP HCVDX, CPT 87522	$219.38	$365.63	$12.00–$329.07	9% below	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C REVRS TRNSCRPJ - HCV RNA QUANT W/REFLEX TO GENOTYPE	$325.45	$542.41	$12.00–$488.17	36% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEP C RNA QUANT REVERSE	$325.45	$542.41	$12.00–$488.17	36% above	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANTITATIVE	$325.45	$542.41	$12.00–$488.17	36% above	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC REF ARUP 3000572 HCV BY QUANT NAAT	$120.00	$200.00	$110.00–$180.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC REF ARUP 3000576 HCV QUANT W/REFLEX TO GENOTYPE	$120.00	$200.00	$110.00–$180.00	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC REF MAYO COMP HCVDX, CPT 87522	$219.38	$365.63	$201.10–$329.07	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEP C RNA QUANT REVERSE	$325.45	$542.41	$298.33–$488.17	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANTITATIVE	$325.45	$542.41	$298.33–$488.17	—	40%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C REVRS TRNSCRPJ - HCV RNA QUANT W/REFLEX TO GENOTYPE	$325.45	$542.41	$298.33–$488.17	—	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC REF ARUP, QUEST COMP 12600, CPT 86695	$72.03	$120.05	$11.08–$108.05	at median	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY - HERPES SIMPLEX,TYPE I	$88.30	$147.17	$11.08–$132.45	23% above	40%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB	$88.30	$147.17	$11.08–$132.45	23% above	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC REF ARUP, QUEST COMP 12600, CPT 86695	$72.03	$120.05	$66.03–$108.05	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY - HERPES SIMPLEX,TYPE I	$88.30	$147.17	$80.94–$132.45	—	40%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB	$88.30	$147.17	$80.94–$132.45	—	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC REF ARUP 0050294 HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA	$20.25	$33.75	$12.00–$122.10	76% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC REF ARUP, QUEST COMP 12600, CPT 86696	$72.03	$120.05	$12.00–$122.10	13% below	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY - HERPES SIMPLEX,TYPE 2	$101.84	$169.74	$12.00–$152.77	23% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB	$101.84	$169.74	$12.00–$152.77	23% above	40%
Herpes blood test, HSV-2 antibody CPT 86696 HC REF ARUP 2012135 HSV-2 IGG INHIBITION BY ELISA	$238.13	$396.88	$12.00–$357.19	187% above	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC REF ARUP 0050294 HERPES SIMPLEX VIRUS TYPE 2 GLYCOPROTEIN G-SPECIFIC ANTIBODY, IGG BY CIA	$20.25	$33.75	$18.56–$30.38	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC REF ARUP, QUEST COMP 12600, CPT 86696	$72.03	$120.05	$66.03–$108.05	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY - HERPES SIMPLEX,TYPE 2	$101.84	$169.74	$93.36–$152.77	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 TEST - HSV 1/2 IGG, TYPE SPECIFIC AB	$101.84	$169.74	$93.36–$152.77	—	40%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC REF ARUP 2012135 HSV-2 IGG INHIBITION BY ELISA	$238.13	$396.88	$218.28–$357.19	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY	$105.69	$176.15	$10.88–$158.53	34% above	40%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN,HIGH SENSITIVITY	$105.69	$176.15	$96.88–$158.53	—	40%
Homocysteine blood test CPT 83090 HC REF GREENWOOD HOMOCYSTEINE ANALYSIS ANALYTE	$150.00	$250.00	$12.00–$225.00	at median	40%
Homocysteine blood test CPT 83090 HC HOMOCYSTINE	$164.18	$273.64	$12.00–$246.28	9% above	40%
Homocysteine blood test inpatient CPT 83090 HC REF GREENWOOD HOMOCYSTEINE ANALYSIS ANALYTE	$150.00	$250.00	$137.50–$225.00	—	40%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTINE	$164.18	$273.64	$150.50–$246.28	—	40%
Insulin blood test CPT 83525 HC REF ARUP COMP 0070155, CPT 83525	$17.03	$28.38	$9.60–$72.12	75% below	40%
Insulin blood test CPT 83525 HC INSULIN TOTAL	$95.22	$158.70	$9.60–$142.83	38% above	40%
Insulin blood test CPT 83525 HC REF MEDFUSION COMP 36509 CPT 83525	$102.96	$171.60	$9.60–$154.44	50% above	40%
Insulin blood test inpatient CPT 83525 HC REF ARUP COMP 0070155, CPT 83525	$17.03	$28.38	$15.61–$25.54	—	40%
Insulin blood test inpatient CPT 83525 HC INSULIN TOTAL	$95.22	$158.70	$87.28–$142.83	—	40%
Insulin blood test inpatient CPT 83525 HC REF MEDFUSION COMP 36509 CPT 83525	$102.96	$171.60	$94.38–$154.44	—	40%
Iron blood test (serum iron) CPT 83540 HC IRON, LIVER TISSUE	$91.76	$152.94	$5.43–$137.65	30% above	40%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON - IRON TIBC & FERRITIN PANEL	$91.76	$152.94	$5.43–$137.65	30% above	40%
Iron blood test (serum iron) CPT 83540 HC IRON	$91.76	$152.94	$5.43–$137.65	30% above	40%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON, LIVER TISSUE	$91.76	$152.94	$84.12–$137.65	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$91.76	$152.94	$84.12–$137.65	—	40%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON - IRON TIBC & FERRITIN PANEL	$91.76	$152.94	$84.12–$137.65	—	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY	$89.65	$149.41	$7.34–$134.47	at median	40%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING TEST - IRON TIBC & FERRITIN PANEL	$89.65	$149.41	$7.34–$134.47	at median	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY	$89.65	$149.41	$82.18–$134.47	—	40%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING TEST - IRON TIBC & FERRITIN PANEL	$89.65	$149.41	$82.18–$134.47	—	40%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$128.89	$214.81	$7.29–$193.33	27% below	40%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$128.89	$214.81	$118.15–$193.33	—	40%
LH (luteinizing hormone) test CPT 83002 HC REF ARUP 0070093 LUTEINIZING HORMONE, SERUM	$14.04	$23.40	$10.86–$116.86	90% below	40%
LH (luteinizing hormone) test CPT 83002 HC REF ARUP COMP 0070193, CPT 83002	$14.52	$24.20	$11.23–$116.86	90% below	40%
LH (luteinizing hormone) test CPT 83002 HC REF MAYO LH LUTEINIZING HORMONE	$31.14	$51.90	$12.00–$116.86	78% below	40%
LH (luteinizing hormone) test CPT 83002 HC ASSAY OF GONADOTROPIN (LH) - FSH AND LH PANEL	$153.88	$256.47	$12.00–$230.82	9% above	40%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$153.88	$256.47	$12.00–$230.82	9% above	40%
LH (luteinizing hormone) test CPT 83002 HC REF MAYO LHPED, LUTEINIZING HORMONE, PEDS, SERUM	$316.50	$527.50	$12.00–$474.75	124% above	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC REF ARUP 0070093 LUTEINIZING HORMONE, SERUM	$14.04	$23.40	$12.87–$21.06	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC REF ARUP COMP 0070193, CPT 83002	$14.52	$24.20	$13.31–$21.78	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC REF MAYO LH LUTEINIZING HORMONE	$31.14	$51.90	$28.55–$46.71	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC ASSAY OF GONADOTROPIN (LH) - FSH AND LH PANEL	$153.88	$256.47	$141.06–$230.82	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH)	$153.88	$256.47	$141.06–$230.82	—	40%
LH (luteinizing hormone) test inpatient CPT 83002 HC REF MAYO LHPED, LUTEINIZING HORMONE, PEDS, SERUM	$316.50	$527.50	$290.12–$474.75	—	40%
Lactate (lactic acid) blood test CPT 83605 HC D-LACTATE LEVEL	$143.48	$239.13	$9.72–$215.22	50% above	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID)	$143.48	$239.13	$9.72–$215.22	50% above	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID), CSF	$143.48	$239.13	$9.72–$215.22	50% above	40%
Lactate (lactic acid) blood test CPT 83605 HC LACTATE (LACTIC ACID) - POC	$143.48	$239.13	$9.72–$215.22	50% above	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID) - POC	$143.48	$239.13	$131.52–$215.22	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID)	$143.48	$239.13	$131.52–$215.22	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTATE (LACTIC ACID), CSF	$143.48	$239.13	$131.52–$215.22	—	40%
Lactate (lactic acid) blood test inpatient CPT 83605 HC D-LACTATE LEVEL	$143.48	$239.13	$131.52–$215.22	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC REF ARUP 0020505 LDH-CSF	$12.53	$20.88	$5.07–$38.11	72% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC REF ARUP, 0020729, ALPHA FETOPROTEIN CSF	$19.10	$31.83	$5.07–$38.11	57% below	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH), BODY FLUID	$82.33	$137.21	$5.07–$123.49	85% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH), CSF	$82.33	$137.21	$5.07–$123.49	85% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB LDH ENZYME	$82.33	$137.21	$5.07–$123.49	85% above	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH)	$82.33	$137.21	$5.07–$123.49	85% above	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC REF ARUP 0020505 LDH-CSF	$12.53	$20.88	$11.48–$18.79	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC REF ARUP, 0020729, ALPHA FETOPROTEIN CSF	$19.10	$31.83	$17.51–$28.65	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB LDH ENZYME	$82.33	$137.21	$75.47–$123.49	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH), BODY FLUID	$82.33	$137.21	$75.47–$123.49	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH)	$82.33	$137.21	$75.47–$123.49	—	40%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH), CSF	$82.33	$137.21	$75.47–$123.49	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC REF LIPASE, BODY FLUID SEND OUT	$11.25	$18.75	$5.79–$43.48	83% below	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE, BODY FLUID	$93.58	$155.96	$5.79–$140.36	40% above	40%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$93.58	$155.96	$5.79–$140.36	40% above	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC REF LIPASE, BODY FLUID SEND OUT	$11.25	$18.75	$10.31–$16.88	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$93.58	$155.96	$85.78–$140.36	—	40%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE, BODY FLUID	$93.58	$155.96	$85.78–$140.36	—	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL	$161.95	$269.91	$6.86–$242.92	16% below	40%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL POC	$161.95	$269.91	$6.86–$242.92	16% below	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL	$161.95	$269.91	$148.45–$242.92	—	40%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL POC	$161.95	$269.91	$148.45–$242.92	—	40%
Lyme disease antibody test CPT 86618 HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF	$82.70	$137.83	$12.00–$124.05	at median	40%
Lyme disease antibody test CPT 86618 HC REF ARUP COMP 3017059, CPT 86618	$82.70	$137.83	$12.00–$124.05	at median	40%
Lyme disease antibody test CPT 86618 HC REF ARUP 3006053 LYME MODIFIED 2-TIER TESTING, 1ST TIER	$82.70	$137.83	$12.00–$124.05	at median	40%
Lyme disease antibody test CPT 86618 HC LYME CNS INFECTION IGG W/AB	$125.20	$208.66	$12.00–$187.79	51% above	40%
Lyme disease antibody test CPT 86618 HC ANTIBODY - BORELLIA BUFGDORFERI	$125.20	$208.66	$12.00–$187.79	51% above	40%
Lyme disease antibody test inpatient CPT 86618 HC REF ARUP 3006053 LYME MODIFIED 2-TIER TESTING, 1ST TIER	$82.70	$137.83	$75.81–$124.05	—	40%
Lyme disease antibody test inpatient CPT 86618 HC REF ARUP 3016760 LYME STANDARD 2-TIER CSF	$82.70	$137.83	$75.81–$124.05	—	40%
Lyme disease antibody test inpatient CPT 86618 HC REF ARUP COMP 3017059, CPT 86618	$82.70	$137.83	$75.81–$124.05	—	40%
Lyme disease antibody test inpatient CPT 86618 HC LYME CNS INFECTION IGG W/AB	$125.20	$208.66	$114.76–$187.79	—	40%
Lyme disease antibody test inpatient CPT 86618 HC ANTIBODY - BORELLIA BUFGDORFERI	$125.20	$208.66	$114.76–$187.79	—	40%
Magnesium blood test CPT 83735 HC REF ARUP, MAGNESIUM URINE 0020477	$15.53	$25.88	$5.63–$42.28	65% below	40%
Magnesium blood test CPT 83735 HC REF MAYO, COMP MAGRU, CPT 83735	$22.62	$37.70	$5.63–$42.28	49% below	40%
Magnesium blood test CPT 83735 HC REF MAYO MAGU MAGNESIUM, 24 HR, U	$40.11	$66.85	$5.63–$60.16	9% below	40%
Magnesium blood test CPT 83735 HC MAGNESIUM - URORISK	$116.29	$193.82	$5.63–$174.44	164% above	40%
Magnesium blood test CPT 83735 HC MAGNESIUM, RBC	$116.29	$193.82	$5.63–$174.44	164% above	40%
Magnesium blood test CPT 83735 HC MAGNESIUM	$116.29	$193.82	$5.63–$174.44	164% above	40%
Magnesium blood test inpatient CPT 83735 HC REF ARUP, MAGNESIUM URINE 0020477	$15.53	$25.88	$14.23–$23.29	—	40%
Magnesium blood test inpatient CPT 83735 HC REF MAYO, COMP MAGRU, CPT 83735	$22.62	$37.70	$20.73–$33.93	—	40%
Magnesium blood test inpatient CPT 83735 HC REF MAYO MAGU MAGNESIUM, 24 HR, U	$40.11	$66.85	$36.77–$60.16	—	40%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$116.29	$193.82	$106.60–$174.44	—	40%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM - URORISK	$116.29	$193.82	$106.60–$174.44	—	40%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, RBC	$116.29	$193.82	$106.60–$174.44	—	40%
Measles (rubeola) antibody test CPT 86765 HC REF ARUP 0050380 MEASLES (RUBEOLA) ANTIBODY, IGG	$13.50	$22.50	$10.44–$81.27	56% below	40%
Measles (rubeola) antibody test CPT 86765 HC REF ARUP 0054440 MEASLES (RUBEOLA) ANTIBODY, IGG, CSF	$25.32	$42.20	$10.82–$81.27	17% below	40%
Measles (rubeola) antibody test CPT 86765 HC REF ARUP 0054441 MEASLES (RUBEOLA) ANTIBODY, IGM, CSF	$31.32	$52.20	$10.82–$81.27	2% above	40%
Measles (rubeola) antibody test CPT 86765 HC ANITBODY - RUBEOLA	$89.70	$149.50	$10.82–$134.55	193% above	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB, IGG	$89.70	$149.50	$10.82–$134.55	193% above	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA AB, IGM	$89.70	$149.50	$10.82–$134.55	193% above	40%
Measles (rubeola) antibody test CPT 86765 HC OCCUP ASSESS - ANTIBODY - RUBEOLA	$89.70	$149.50	$10.82–$134.55	193% above	40%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - MMR	$89.70	$149.50	$10.82–$134.55	193% above	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC REF ARUP 0050380 MEASLES (RUBEOLA) ANTIBODY, IGG	$13.50	$22.50	$12.38–$20.25	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC REF ARUP 0054440 MEASLES (RUBEOLA) ANTIBODY, IGG, CSF	$25.32	$42.20	$23.21–$37.98	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC REF ARUP 0054441 MEASLES (RUBEOLA) ANTIBODY, IGM, CSF	$31.32	$52.20	$28.71–$46.98	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB, IGG	$89.70	$149.50	$82.22–$134.55	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC OCCUP ASSESS - ANTIBODY - RUBEOLA	$89.70	$149.50	$82.22–$134.55	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANITBODY - RUBEOLA	$89.70	$149.50	$82.22–$134.55	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - MMR	$89.70	$149.50	$82.22–$134.55	—	40%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA AB, IGM	$89.70	$149.50	$82.22–$134.55	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANITBODIES - SCREEN	$85.02	$141.70	$4.35–$127.53	at median	40%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANITBODIES - SCREEN	$85.02	$141.70	$77.94–$127.53	—	40%
Mumps immunity blood test CPT 86735 HC REF ARUP, QUEST COMP 12600, CPT 86735	$72.03	$120.05	$10.96–$108.05	20% above	40%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - IGG QUAL	$92.38	$153.97	$10.96–$138.57	54% above	40%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY - MMR	$92.38	$153.97	$10.96–$138.57	54% above	40%
Mumps immunity blood test CPT 86735 HC OCCUP ASSESS - ANTIBODY - MUMPS	$92.38	$153.97	$10.96–$138.57	54% above	40%
Mumps immunity blood test CPT 86735 HC ANTIBODY - MUMPS	$92.38	$153.97	$10.96–$138.57	54% above	40%
Mumps immunity blood test inpatient CPT 86735 HC REF ARUP, QUEST COMP 12600, CPT 86735	$72.03	$120.05	$66.03–$108.05	—	40%
Mumps immunity blood test inpatient CPT 86735 HC OCCUP ASSESS - ANTIBODY - MUMPS	$92.38	$153.97	$84.68–$138.57	—	40%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - IGG QUAL	$92.38	$153.97	$84.68–$138.57	—	40%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY - MMR	$92.38	$153.97	$84.68–$138.57	—	40%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY - MUMPS	$92.38	$153.97	$84.68–$138.57	—	40%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$252.96	$421.60	$12.00–$379.44	at median	40%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$252.96	$421.60	$231.88–$379.44	—	40%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA - FREE	$113.17	$188.62	$12.00–$169.76	at median	40%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA - FREE	$113.17	$188.62	$103.74–$169.76	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S	$37.83	$63.05	$12.00–$116.04	56% below	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE	$150.97	$251.62	$12.00–$226.46	76% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA,TOTAL	$150.97	$251.62	$12.00–$226.46	76% above	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$150.97	$251.62	$12.00–$226.46	76% above	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC REF MAYO PSAU PSA, ULTRASENSITIVE, S	$37.83	$63.05	$34.68–$56.74	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), ULTRASENSITIVE	$150.97	$251.62	$138.39–$226.46	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA,TOTAL	$150.97	$251.62	$138.39–$226.46	—	40%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA), TOTAL	$150.97	$251.62	$138.39–$226.46	—	40%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID	$109.16	$181.93	$22.35–$167.91	49% above	40%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID	$109.16	$181.93	$100.06–$163.74	—	40%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER	$86.56	$144.26	$17.02–$129.83	at median	40%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER	$86.56	$144.26	$79.34–$129.83	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT PANEL	$179.47	$299.11	$12.00–$269.20	13% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE - INTRAOP	$179.47	$299.11	$12.00–$269.20	13% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE	$179.47	$299.11	$12.00–$269.20	13% below	40%
Parathyroid hormone (PTH) blood test CPT 83970 HC ASSAY OF PARATHORMONE (PTH), FNA	$179.47	$299.11	$12.00–$269.20	13% below	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE	$179.47	$299.11	$164.51–$269.20	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE (PTH), FNA	$179.47	$299.11	$164.51–$269.20	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE - INTRAOP	$179.47	$299.11	$164.51–$269.20	—	40%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC ASSAY OF PARATHORMONE - PTH INTACT PANEL	$179.47	$299.11	$164.51–$269.20	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730	$13.94	$23.23	$5.05–$37.92	72% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730	$40.25	$67.08	$5.05–$60.37	20% below	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC REF MAYO COMP APROL CPT 85730	$67.77	$112.95	$5.05–$101.66	36% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT)	$118.76	$197.93	$5.05–$178.14	138% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL	$118.76	$197.93	$5.05–$178.14	138% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D)	$118.76	$197.93	$5.05–$178.14	138% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL	$118.76	$197.93	$5.05–$178.14	138% above	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL	$118.76	$197.93	$5.05–$178.14	138% above	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP, ALUPP, CPT 85730	$13.94	$23.23	$12.78–$20.91	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO, COMP AATHR, CPT 85730	$40.25	$67.08	$36.89–$60.37	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC REF MAYO COMP APROL CPT 85730	$67.77	$112.95	$62.12–$101.66	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME (APTT)	$118.76	$197.93	$108.86–$178.14	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - LUPUS ANTICOAG PANEL	$118.76	$197.93	$108.86–$178.14	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIALTHROMBOPLASTIN TIME D (APTT-D)	$118.76	$197.93	$108.86–$178.14	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PARTIAL THROMBOPLASTIN TIME (APTT), POST HEPARIN REMOVAL	$118.76	$197.93	$108.86–$178.14	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL - VON WILLEBRAND DX PANEL	$118.76	$197.93	$108.86–$178.14	—	40%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS INORGANIC (PHOSPHATE)	$50.56	$84.27	$3.98–$75.84	19% below	40%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS INORGANIC (PHOSPHATE)	$50.56	$84.27	$46.35–$75.84	—	40%
Potassium blood test CPT 84132 HC POTASSIUM	$59.87	$99.79	$4.00–$89.81	at median	40%
Potassium blood test CPT 84132 HC POTASSIUM, POC	$59.87	$99.79	$4.00–$89.81	at median	40%
Potassium blood test CPT 84132 HC POTASSIUM, POST DIALYSIS	$59.87	$99.79	$4.00–$89.81	at median	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$59.87	$99.79	$54.88–$89.81	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM, POC	$59.87	$99.79	$54.88–$89.81	—	40%
Potassium blood test inpatient CPT 84132 HC POTASSIUM, POST DIALYSIS	$59.87	$99.79	$54.88–$89.81	—	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$810.00	$1,350.00	$36.00–$4,789.61	7% below	40%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS	$810.00	$1,350.00	$742.50–$1,215.00	—	40%
Progesterone blood test CPT 84144 HC REF ARUP 2008509 - PROGESTERONE QUANTITATIVE BY HPLC-MS/MS, SERUM OR PLASMA	$36.00	$60.00	$12.00–$131.63	65% below	40%
Progesterone blood test CPT 84144 HC PROGESTERONE	$150.66	$251.10	$12.00–$225.99	46% above	40%
Progesterone blood test inpatient CPT 84144 HC REF ARUP 2008509 - PROGESTERONE QUANTITATIVE BY HPLC-MS/MS, SERUM OR PLASMA	$36.00	$60.00	$33.00–$54.00	—	40%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$150.66	$251.10	$138.10–$225.99	—	40%
Prolactin blood test CPT 84146 HC REF MAYO, COMP MCRPL, CPT 84146	$48.88	$81.46	$12.00–$122.29	56% below	40%
Prolactin blood test CPT 84146 HC REF ARUP COMP 0020765, CPT 84146	$64.13	$106.88	$12.00–$122.29	42% below	40%
Prolactin blood test CPT 84146 HC PROLACTIN	$160.92	$268.20	$12.00–$241.38	46% above	40%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - MACROPROLACTIN	$160.92	$268.20	$12.00–$241.38	46% above	40%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN - DILUTION STUDY	$160.92	$268.20	$12.00–$241.38	46% above	40%
Prolactin blood test inpatient CPT 84146 HC REF MAYO, COMP MCRPL, CPT 84146	$48.88	$81.46	$44.80–$73.31	—	40%
Prolactin blood test inpatient CPT 84146 HC REF ARUP COMP 0020765, CPT 84146	$64.13	$106.88	$58.78–$96.19	—	40%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - DILUTION STUDY	$160.92	$268.20	$147.51–$241.38	—	40%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$160.92	$268.20	$147.51–$241.38	—	40%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN - MACROPROLACTIN	$160.92	$268.20	$147.51–$241.38	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610	$9.93	$16.55	$3.60–$27.07	78% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610	$28.71	$47.85	$3.60–$43.06	38% below	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC REF MAYO COMP APROL CPT 85610	$48.39	$80.65	$3.60–$72.58	5% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PT PROTHROMBIN TIME	$71.17	$118.62	$3.60–$106.76	55% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$71.17	$118.62	$3.60–$106.76	55% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME W/INR	$71.17	$118.62	$3.60–$106.76	55% above	40%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL	$71.17	$118.62	$3.60–$106.76	55% above	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP, ALUPP, CPT 85610	$9.93	$16.55	$9.10–$14.89	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO, COMP AATHR, CPT 85610	$28.71	$47.85	$26.32–$43.06	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC REF MAYO COMP APROL CPT 85610	$48.39	$80.65	$44.36–$72.58	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PT PROTHROMBIN TIME	$71.17	$118.62	$65.24–$106.76	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$71.17	$118.62	$65.24–$106.76	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME W/INR	$71.17	$118.62	$65.24–$106.76	—	40%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME, POST HEPARIN REMOVAL	$71.17	$118.62	$65.24–$106.76	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)	$85.78	$142.97	$10.58–$128.67	19% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRESUMP OPTICAL (2 OR MORE PER DAY)	$85.78	$142.97	$10.58–$128.67	19% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG SCREEN, OTHER THAN CHROM, ANY # CLASSES	$85.78	$142.97	$10.58–$128.67	19% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DEFINITIVE TEST, (MDA, MDEA, MDMA)	$85.78	$142.97	$10.58–$128.67	19% below	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DEFINITIVE TEST, ANTIDEPRESSANT (TRICYCLIC OTHER)	$85.78	$142.97	$78.63–$128.67	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRESUMP OPTICAL (2 OR MORE PER DAY)	$85.78	$142.97	$78.63–$128.67	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DEFINITIVE TEST, (MDA, MDEA, MDMA)	$85.78	$142.97	$78.63–$128.67	—	40%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG SCREEN, OTHER THAN CHROM, ANY # CLASSES	$85.78	$142.97	$78.63–$128.67	—	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFECT AGENT ANTGEN DETECT - INFLUENZA A	$114.50	$190.84	$12.00–$171.76	23% above	40%
Rapid flu test (influenza antigen) CPT 87804 HC INFECT AGENT ANTGEN DETECT - INFLUENZA B	$114.50	$190.84	$12.00–$171.76	23% above	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFECT AGENT ANTGEN DETECT - INFLUENZA A	$114.50	$190.84	$104.96–$171.76	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFECT AGENT ANTGEN DETECT - INFLUENZA B	$114.50	$190.84	$104.96–$171.76	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC INF AGENT DETECT STREP A	$77.77	$129.62	$12.00–$116.66	21% below	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAAD, STREP A EIA	$77.77	$129.62	$12.00–$116.66	21% below	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC INF AGENT DETECT STREP A	$77.77	$129.62	$71.29–$116.66	—	40%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAAD, STREP A EIA	$77.77	$129.62	$71.29–$116.66	—	40%
Renin blood test CPT 84244 HC REF ARUP 0070073 COMP CPT 84244	$24.75	$41.25	$12.00–$138.76	76% below	40%
Renin blood test CPT 84244 HC RENIN	$142.95	$238.25	$12.00–$214.43	39% above	40%
Renin blood test CPT 84244 HC ASSAY OF RENIN - ALDOSTERONE/RENIN DIRECT RATIO	$142.95	$238.25	$12.00–$214.43	39% above	40%
Renin blood test inpatient CPT 84244 HC REF ARUP 0070073 COMP CPT 84244	$24.75	$41.25	$22.69–$37.12	—	40%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN - ALDOSTERONE/RENIN DIRECT RATIO	$142.95	$238.25	$131.04–$214.43	—	40%
Renin blood test inpatient CPT 84244 HC RENIN	$142.95	$238.25	$131.04–$214.43	—	40%
Rh blood typing CPT 86901 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86901	$8.91	$14.85	$2.51–$210.94	86% below	40%
Rh blood typing CPT 86901 HC REF VERSITI COMP 3111, CPT 86901	$71.74	$119.56	$2.51–$210.94	12% above	40%
Rh blood typing CPT 86901 HC BLOOD TYPING - RH	$90.65	$151.08	$2.51–$210.94	41% above	40%
Rh blood typing CPT 86901 HC RH TYPE	$90.65	$151.08	$2.51–$210.94	41% above	40%
Rh blood typing CPT 86901 HC REF ARUP, COMP VERSITI 3111, CPT 86901	$146.25	$243.75	$2.51–$219.38	128% above	40%
Rh blood typing inpatient CPT 86901 HC REF CTS COMP BONE MARROW PROCESSING PROFILE CPT 86901	$8.91	$14.85	$8.17–$13.37	—	40%
Rh blood typing inpatient CPT 86901 HC REF VERSITI COMP 3111, CPT 86901	$71.74	$119.56	$65.76–$107.60	—	40%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$90.65	$151.08	$83.09–$135.97	—	40%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING - RH	$90.65	$151.08	$83.09–$135.97	—	40%
Rh blood typing inpatient CPT 86901 HC REF ARUP, COMP VERSITI 3111, CPT 86901	$146.25	$243.75	$134.06–$219.38	—	40%
Rheumatoid factor (RF) test CPT 86431 HC REF ARUP 0050465 RHEUMATOID FACTOR	$13.50	$22.50	$4.76–$35.78	70% below	40%
Rheumatoid factor (RF) test CPT 86431 HC REF ARUP COMP 0050119, CPT 86431	$14.03	$23.38	$4.76–$35.78	69% below	40%
Rheumatoid factor (RF) test CPT 86431 HC REF ARUP, 2003347 RHEUMATOID FACTOR BF	$15.00	$25.00	$4.76–$35.78	67% below	40%
Rheumatoid factor (RF) test CPT 86431 HC REF MAYO RHUT RHEUMATOID FACTOR, SERUM	$24.11	$40.18	$4.76–$36.16	47% below	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT - IGA/IGM	$72.58	$120.96	$4.76–$108.86	59% above	40%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - QUANTITATIV	$72.58	$120.96	$4.76–$108.86	59% above	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC REF ARUP 0050465 RHEUMATOID FACTOR	$13.50	$22.50	$12.38–$20.25	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC REF ARUP COMP 0050119, CPT 86431	$14.03	$23.38	$12.86–$21.04	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC REF ARUP, 2003347 RHEUMATOID FACTOR BF	$15.00	$25.00	$13.75–$22.50	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC REF MAYO RHUT RHEUMATOID FACTOR, SERUM	$24.11	$40.18	$22.10–$36.16	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT - IGA/IGM	$72.58	$120.96	$66.53–$108.86	—	40%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - QUANTITATIV	$72.58	$120.96	$66.53–$108.86	—	40%
Rubella antibody test (immunity check) CPT 86762 HC REF ARUP COMP 3017749, CPT 86762	$14.51	$24.18	$11.22–$90.80	68% below	40%
Rubella antibody test (immunity check) CPT 86762 HC REF ARUP COMP 0050772, CPT 86762	$16.26	$27.10	$12.00–$90.80	65% below	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY - OCCUPATION AB ASSESSMENT (MMR/VSV)	$88.91	$148.18	$12.00–$133.36	93% above	40%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY - RUBELLA	$88.91	$148.18	$12.00–$133.36	93% above	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB, IGG	$88.91	$148.18	$12.00–$133.36	93% above	40%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB, IGM	$88.91	$148.18	$12.00–$133.36	93% above	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC REF ARUP COMP 3017749, CPT 86762	$14.51	$24.18	$13.30–$21.76	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC REF ARUP COMP 0050772, CPT 86762	$16.26	$27.10	$14.90–$24.39	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB, IGM	$88.91	$148.18	$81.50–$133.36	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY - RUBELLA	$88.91	$148.18	$81.50–$133.36	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY - OCCUPATION AB ASSESSMENT (MMR/VSV)	$88.91	$148.18	$81.50–$133.36	—	40%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB, IGG	$88.91	$148.18	$81.50–$133.36	—	40%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED	$61.15	$101.92	$2.27–$91.73	at median	40%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SEDIMENTATION RATE RBC AUTOMATED	$61.15	$101.92	$56.06–$91.73	—	40%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HC SEMEN ANALYSIS - VOLMNE,CNT,MOTL	$165.89	$276.48	$11.69–$248.83	29% above	40%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HC SEMEN ANALYSIS - VOLMNE,CNT,MOTL	$165.89	$276.48	$152.06–$248.83	—	40%
Sodium blood test CPT 84295 HC SODIUM	$62.87	$104.78	$4.04–$94.30	1% above	40%
Sodium blood test CPT 84295 HC SODIUM, BLOOD	$62.87	$104.78	$4.04–$94.30	1% above	40%
Sodium blood test inpatient CPT 84295 HC SODIUM, BLOOD	$62.87	$104.78	$57.63–$94.30	—	40%
Sodium blood test inpatient CPT 84295 HC SODIUM	$62.87	$104.78	$57.63–$94.30	—	40%
Stool ova and parasites exam CPT 87177 HC OVA/PARASITES, DIRECT SMEAR	$114.48	$190.80	$7.48–$171.72	67% above	40%
Stool ova and parasites exam inpatient CPT 87177 HC OVA/PARASITES, DIRECT SMEAR	$114.48	$190.80	$104.94–$171.72	—	40%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD, BY PEROXIDASE, FECES, COLORECTAL SCREEN	$46.20	$77.00	$3.68–$69.30	21% above	40%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD, BY PEROXIDASE, FECES, COLORECTAL SCREEN	$46.20	$77.00	$42.35–$69.30	—	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD, FECAL HEMOGLOBIN BY IMMUNOASSAY	$73.05	$121.75	$12.00–$109.58	8% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCUTL,FECAL HEMGLBN IMM	$73.05	$121.75	$12.00–$109.58	8% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC DIAGNOSTIC OCCULT BLOOD/FIT	$73.05	$121.75	$12.00–$109.58	8% above	40%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 (FIT, GUAIAC)	$73.05	$121.75	$12.00–$109.58	8% above	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD, FECAL HEMOGLOBIN BY IMMUNOASSAY	$73.05	$121.75	$66.96–$109.58	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCUTL,FECAL HEMGLBN IMM	$73.05	$121.75	$66.96–$109.58	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC DIAGNOSTIC OCCULT BLOOD/FIT	$73.05	$121.75	$66.96–$109.58	—	40%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 (FIT, GUAIAC)	$73.05	$121.75	$66.96–$109.58	—	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC REF ARUP, 0050477 TREPONEMA PALLIDUM AB, SERUM	$15.75	$26.25	$11.12–$83.54	64% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB BY TP-PA	$23.40	$39.00	$11.12–$83.54	47% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB	$23.40	$39.00	$11.12–$83.54	47% below	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM, IGG	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM IGG AND IGM	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC IAAD IA - HISTOPLASMA ANTIGEN	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM, IGG & IGM	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM, CSF	$95.24	$158.73	$11.12–$142.86	115% above	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC REF ARUP, 0050477 TREPONEMA PALLIDUM AB, SERUM	$15.75	$26.25	$14.44–$23.62	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB BY TP-PA	$23.40	$39.00	$21.45–$35.10	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC REF ARUP, 0050777 TREPONEMA PALLIDUM AB	$23.40	$39.00	$21.45–$35.10	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM, CSF	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC IAAD IA - HISTOPLASMA ANTIGEN	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM, IGG & IGM	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM, IGG	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM IGG AND IGM	$95.24	$158.73	$87.30–$142.86	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC REF ARUP, 0050478 RAPID PLASMA REAGIN	$9.00	$15.00	$3.59–$26.94	78% below	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL, CSF BKR	$58.38	$97.30	$3.59–$87.57	43% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC BLOOD SEROLOGY,QUALITATIVE	$58.38	$97.30	$3.59–$87.57	43% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - RPR	$58.38	$97.30	$3.59–$87.57	43% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL	$58.38	$97.30	$3.59–$87.57	43% above	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC REF ARUP, 0050478 RAPID PLASMA REAGIN	$9.00	$15.00	$8.25–$13.50	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL	$58.38	$97.30	$53.52–$87.57	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - VDRL, CSF BKR	$58.38	$97.30	$53.52–$87.57	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS NON-TREPONEMAL AB QUAL - RPR	$58.38	$97.30	$53.52–$87.57	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC BLOOD SEROLOGY,QUALITATIVE	$58.38	$97.30	$53.52–$87.57	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TST,CELL MEDIATED IMMUNTY M	$251.99	$419.99	$12.00–$391.09	28% above	40%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TST,CELL MEDIATED IMMUNTY M	$251.99	$419.99	$230.99–$377.99	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF ARUP PANEL COMP 0081056 CPT 84403	$12.00	$20.00	$9.28–$162.86	88% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF QUEST 15983 TESTOSTERONE, TOTAL	$16.50	$27.50	$12.00–$162.86	83% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF MAYO COMP TTBS, CPT 84403	$17.07	$28.45	$12.00–$162.86	83% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF MAYO COMP FFTFT, CPT 84403	$23.34	$38.90	$12.00–$162.86	76% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF ARUP, 0070102 TESTOSTERONE BIO/SHBG BY IMMUNOASSAY	$24.00	$40.00	$12.00–$162.86	76% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC REF MAYO COMP FFBTT, CPT 84403	$38.94	$64.90	$12.00–$162.86	61% below	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE - TOTAL	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, BLOOD LVL MALES >=20YRS	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE, TOTAL	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE	$213.43	$355.72	$12.00–$320.15	115% above	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF ARUP PANEL COMP 0081056 CPT 84403	$12.00	$20.00	$11.00–$18.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF QUEST 15983 TESTOSTERONE, TOTAL	$16.50	$27.50	$15.12–$24.75	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF MAYO COMP TTBS, CPT 84403	$17.07	$28.45	$15.65–$25.61	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF MAYO COMP FFTFT, CPT 84403	$23.34	$38.90	$21.39–$35.01	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF ARUP, 0070102 TESTOSTERONE BIO/SHBG BY IMMUNOASSAY	$24.00	$40.00	$22.00–$36.00	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC REF MAYO COMP FFBTT, CPT 84403	$38.94	$64.90	$35.70–$58.41	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, BLOOD LVL MALES >=20YRS	$213.43	$355.72	$195.65–$320.15	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL & BIOAVAILABLE	$213.43	$355.72	$195.65–$320.15	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE, TOTAL	$213.43	$355.72	$195.65–$320.15	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE W/SHBG & ALBUMIN	$213.43	$355.72	$195.65–$320.15	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOST TOTAL, BIOAVAILABLE, & FREE	$213.43	$355.72	$195.65–$320.15	—	40%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE - TOTAL	$213.43	$355.72	$195.65–$320.15	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB - KIDNEY MICROSOME 1 IGG	$114.52	$190.87	$12.00–$171.78	37% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES, EACH	$114.52	$190.87	$12.00–$171.78	37% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB - THYROID PEROXIDASE	$114.52	$190.87	$12.00–$171.78	37% above	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY EACH - CHRONIC URTICARIA INDEX	$114.52	$190.87	$12.00–$171.78	37% above	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY EACH - CHRONIC URTICARIA INDEX	$114.52	$190.87	$104.98–$171.78	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES, EACH	$114.52	$190.87	$104.98–$171.78	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB - KIDNEY MICROSOME 1 IGG	$114.52	$190.87	$104.98–$171.78	—	40%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB - THYROID PEROXIDASE	$114.52	$190.87	$104.98–$171.78	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC REF MEDFUSION, COMP 19537, 84443	$36.00	$60.00	$12.00–$106.01	67% below	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX	$177.40	$295.66	$12.00–$266.09	61% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$177.40	$295.66	$12.00–$266.09	61% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH W/FT4 REFLEX	$177.40	$295.66	$12.00–$266.09	61% above	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE	$177.40	$295.66	$12.00–$266.09	61% above	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC REF MEDFUSION, COMP 19537, 84443	$36.00	$60.00	$33.00–$54.00	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$177.40	$295.66	$162.61–$266.09	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - CHRONIC URTICARIA INDEX	$177.40	$295.66	$162.61–$266.09	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY THYROID STIM HORMONE - THYROID PANEL, COMPREHENSIVE	$177.40	$295.66	$162.61–$266.09	—	40%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH W/FT4 REFLEX	$177.40	$295.66	$162.61–$266.09	—	40%
Total IgE blood test CPT 82785 HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 82785	$7.66	$12.77	$5.93–$103.86	91% below	40%
Total IgE blood test CPT 82785 HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82785	$41.78	$69.63	$12.00–$103.86	49% below	40%
Total IgE blood test CPT 82785 HC GAMMAGLOBULIN, IGE	$116.66	$194.43	$12.00–$174.99	43% above	40%
Total IgE blood test CPT 82785 HC ASSAY OF IGE - TREE PANEL	$116.66	$194.43	$12.00–$174.99	43% above	40%
Total IgE blood test CPT 82785 HC ASSAY OF IGE - REG 10 OKTX RESP ALLERGY PANEL	$116.66	$194.43	$12.00–$174.99	43% above	40%
Total IgE blood test CPT 82785 HC ASSAY OF IGE - OKTX ALLERGY PANEL	$116.66	$194.43	$12.00–$174.99	43% above	40%
Total IgE blood test CPT 82785 HC ASSAY OF IGE - NTX ALLERGY PANEL	$116.66	$194.43	$12.00–$174.99	43% above	40%
Total IgE blood test inpatient CPT 82785 HC REF ARUP COMP 3001720 ALLERGEN REG 10 CPT 82785	$7.66	$12.77	$7.02–$11.49	—	40%
Total IgE blood test inpatient CPT 82785 HC REF ARUP, COMP EUROFINS VIVACOR 401844P, CPT 82785	$41.78	$69.63	$38.30–$62.67	—	40%
Total IgE blood test inpatient CPT 82785 HC GAMMAGLOBULIN, IGE	$116.66	$194.43	$106.94–$174.99	—	40%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE - TREE PANEL	$116.66	$194.43	$106.94–$174.99	—	40%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE - REG 10 OKTX RESP ALLERGY PANEL	$116.66	$194.43	$106.94–$174.99	—	40%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE - OKTX ALLERGY PANEL	$116.66	$194.43	$106.94–$174.99	—	40%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF IGE - NTX ALLERGY PANEL	$116.66	$194.43	$106.94–$174.99	—	40%
Total cholesterol blood test CPT 82465 HC REF MAYO COMP LMPP CPT 82465	$10.68	$17.80	$3.65–$27.45	81% below	40%
Total cholesterol blood test CPT 82465 HC REF LABCORP COMP 550960 CPT 82465	$51.75	$86.25	$3.65–$77.62	7% below	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, TOTAL BLOOD	$55.85	$93.09	$3.65–$83.78	at median	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, TOTAL	$55.85	$93.09	$3.65–$83.78	at median	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, BODY FLUID	$55.85	$93.09	$3.65–$83.78	at median	40%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL, SERUM OR WHOLE BL	$55.85	$93.09	$3.65–$83.78	at median	40%
Total cholesterol blood test CPT 82465 HC REF LABCORP COMP 550180, CPT 82465	$55.91	$93.19	$3.65–$83.87	at median	40%
Total cholesterol blood test inpatient CPT 82465 HC REF MAYO COMP LMPP CPT 82465	$10.68	$17.80	$9.79–$16.02	—	40%
Total cholesterol blood test inpatient CPT 82465 HC REF LABCORP COMP 550960 CPT 82465	$51.75	$86.25	$47.44–$77.62	—	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, BODY FLUID	$55.85	$93.09	$51.20–$83.78	—	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, TOTAL BLOOD	$55.85	$93.09	$51.20–$83.78	—	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, SERUM OR WHOLE BL	$55.85	$93.09	$51.20–$83.78	—	40%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL, TOTAL	$55.85	$93.09	$51.20–$83.78	—	40%
Total cholesterol blood test inpatient CPT 82465 HC REF LABCORP COMP 550180, CPT 82465	$55.91	$93.19	$51.25–$83.87	—	40%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE - TOTAL	$102.22	$170.37	$5.77–$153.33	27% above	40%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF TOTAL THYROXINE - THYROID PANEL, COMPREHENSIVE	$102.22	$170.37	$5.77–$153.33	27% above	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE - TOTAL	$102.22	$170.37	$93.70–$153.33	—	40%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF TOTAL THYROXINE - THYROID PANEL, COMPREHENSIVE	$102.22	$170.37	$93.70–$153.33	—	40%
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE T3 - TOTAL (TT3)	$125.51	$209.19	$11.91–$188.27	1% above	40%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE T3 - TOTAL (TT3)	$125.51	$209.19	$115.05–$188.27	—	40%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$119.06	$198.43	$10.72–$178.59	at median	40%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$119.06	$198.43	$109.14–$178.59	—	40%
Trichomonas test (NAAT) CPT 87661 HC HC INF AGENT DETCT DNA/RNA - TRICHMNS VAG AMPFD APPR	$148.24	$247.07	$12.00–$222.36	70% above	40%
Trichomonas test (NAAT) CPT 87661 HC REF TRICHOMANAS VAGINALIS AMP	$154.42	$257.36	$12.00–$231.62	77% above	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC HC INF AGENT DETCT DNA/RNA - TRICHMNS VAG AMPFD APPR	$148.24	$247.07	$135.89–$222.36	—	40%
Trichomonas test (NAAT) inpatient CPT 87661 HC REF TRICHOMANAS VAGINALIS AMP	$154.42	$257.36	$141.55–$231.62	—	40%
Triglycerides blood test CPT 84478 HC REF TRIGLYCERIDES, BODY FLUID SEND OUT	$10.35	$17.25	$4.82–$36.22	85% below	40%
Triglycerides blood test CPT 84478 HC REF ARUP 3005996 TRG BF W/ RFLX TO CHYLO	$13.05	$21.75	$4.82–$36.22	81% below	40%
Triglycerides blood test CPT 84478 HC REF MAYO COMP LMPP CPT 84478	$14.10	$23.50	$4.82–$36.22	80% below	40%
Triglycerides blood test CPT 84478 HC REF LABCORP COMP 550960 CPT 84478	$51.75	$86.25	$4.82–$77.62	25% below	40%
Triglycerides blood test CPT 84478 HC REF LABCORP COMP 550180, CPT 84478	$55.91	$93.19	$4.82–$83.87	19% below	40%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$85.94	$143.23	$4.82–$128.91	24% above	40%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - LIPOPROTEIN SUBSET ANALYSIS	$85.94	$143.23	$4.82–$128.91	24% above	40%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES, BLOOD	$85.94	$143.23	$4.82–$128.91	24% above	40%
Triglycerides blood test CPT 84478 HC REF MAYO, TGLBF TRIGLYCERIDES BODY FLUID SEND OUT	$255.15	$425.25	$4.82–$382.73	269% above	40%
Triglycerides blood test inpatient CPT 84478 HC REF TRIGLYCERIDES, BODY FLUID SEND OUT	$10.35	$17.25	$9.49–$15.53	—	40%
Triglycerides blood test inpatient CPT 84478 HC REF ARUP 3005996 TRG BF W/ RFLX TO CHYLO	$13.05	$21.75	$11.96–$19.57	—	40%
Triglycerides blood test inpatient CPT 84478 HC REF MAYO COMP LMPP CPT 84478	$14.10	$23.50	$12.93–$21.15	—	40%
Triglycerides blood test inpatient CPT 84478 HC REF LABCORP COMP 550960 CPT 84478	$51.75	$86.25	$47.44–$77.62	—	40%
Triglycerides blood test inpatient CPT 84478 HC REF LABCORP COMP 550180, CPT 84478	$55.91	$93.19	$51.25–$83.87	—	40%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BODY FLUID	$85.94	$143.23	$78.78–$128.91	—	40%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES, BLOOD	$85.94	$143.23	$78.78–$128.91	—	40%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - LIPOPROTEIN SUBSET ANALYSIS	$85.94	$143.23	$78.78–$128.91	—	40%
Triglycerides blood test inpatient CPT 84478 HC REF MAYO, TGLBF TRIGLYCERIDES BODY FLUID SEND OUT	$255.15	$425.25	$233.89–$382.73	—	40%
Troponin test, quantitative CPT 84484 HC REF MAYO TRPS TROPONIN T, 5TH GEN, P	$112.50	$187.50	$10.47–$168.75	1% below	40%
Troponin test, quantitative CPT 84484 HC TROPONIN, QUANTITATIVE	$180.73	$301.21	$10.47–$271.09	59% above	40%
Troponin test, quantitative CPT 84484 HC TROPONIN I	$180.73	$301.21	$10.47–$271.09	59% above	40%
Troponin test, quantitative CPT 84484 HC TROPONIN T	$180.73	$301.21	$10.47–$271.09	59% above	40%
Troponin test, quantitative CPT 84484 HC TROPONIN T, HIGH SENSITIVITY	$180.73	$301.21	$10.47–$271.09	59% above	40%
Troponin test, quantitative CPT 84484 HC TROPONIN I, POC	$180.73	$301.21	$10.47–$271.09	59% above	40%
Troponin test, quantitative CPT 84484 HC REF MAYO HSTNI TROPONIN I, HIGH SENSITIVITY, PLASMA	$241.65	$402.75	$10.47–$362.48	112% above	40%
Troponin test, quantitative inpatient CPT 84484 HC REF MAYO TRPS TROPONIN T, 5TH GEN, P	$112.50	$187.50	$103.12–$168.75	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I, POC	$180.73	$301.21	$165.67–$271.09	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T	$180.73	$301.21	$165.67–$271.09	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN, QUANTITATIVE	$180.73	$301.21	$165.67–$271.09	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN I	$180.73	$301.21	$165.67–$271.09	—	40%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T, HIGH SENSITIVITY	$180.73	$301.21	$165.67–$271.09	—	40%
Troponin test, quantitative inpatient CPT 84484 HC REF MAYO HSTNI TROPONIN I, HIGH SENSITIVITY, PLASMA	$241.65	$402.75	$221.51–$362.48	—	40%
Uric acid blood test CPT 84550 HC URIC ACID - BLOOD	$78.37	$130.62	$3.80–$117.56	at median	40%
Uric acid blood test inpatient CPT 84550 HC URIC ACID - BLOOD	$78.37	$130.62	$71.84–$117.56	—	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE	$77.87	$129.78	$2.66–$116.80	17% below	40%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS, AUTO, W/SCOPE	$77.87	$129.78	$2.66–$116.80	17% below	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS, AUTO, W/SCOPE	$77.87	$129.78	$71.38–$116.80	—	40%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/SCOPE - W/RFLX TO CULTURE	$77.87	$129.78	$71.38–$116.80	—	40%
Urinalysis with microscope exam, manual CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE	$33.17	$55.29	$3.38–$49.76	16% below	40%
Urinalysis with microscope exam, manual inpatient CPT 81000 HC URINALYSIS, NONAUTO, W/SCOPE	$33.17	$55.29	$30.41–$49.76	—	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY	$35.98	$59.97	$1.89–$53.97	26% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$35.98	$59.97	$1.89–$53.97	26% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS	$35.98	$59.97	$1.89–$53.97	26% below	40%
Urinalysis without microscope exam, automated CPT 81003 HC REF MAYO SKETC KETONE QL, U	$96.30	$160.50	$1.89–$144.45	99% above	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, WITHOUT MICROSCOPY	$35.98	$59.97	$32.98–$53.97	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$35.98	$59.97	$32.98–$53.97	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY, URINALYSIS	$35.98	$59.97	$32.98–$53.97	—	40%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC REF MAYO SKETC KETONE QL, U	$96.30	$160.50	$88.28–$144.45	—	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS, REAGENT STRIP	$24.61	$41.01	$2.92–$36.91	18% below	40%
Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$24.61	$41.01	$2.92–$36.91	18% below	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS NONAUTO W/O SCOPE	$24.61	$41.01	$22.56–$36.91	—	40%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS, REAGENT STRIP	$24.61	$41.01	$22.56–$36.91	—	40%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE,BACTERIAL,URINE - QUANTI	$121.84	$203.06	$6.78–$182.75	6% below	40%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE,BACTERIAL,URINE - QUANTI	$121.84	$203.06	$111.68–$182.75	—	40%
Urine microalbumin (albumin) test CPT 82043 HC REF ARUP COMP 0050203 CPT 82043	$6.75	$11.25	$4.86–$36.47	87% below	40%
Urine microalbumin (albumin) test CPT 82043 HC REF MAYO COMP ALBR CPT 82043	$17.99	$29.98	$4.86–$36.47	65% below	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, URINE TIMED	$77.51	$129.19	$4.86–$116.27	52% above	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, URINE RANDOM	$77.51	$129.19	$4.86–$116.27	52% above	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, URINE POC	$77.51	$129.19	$4.86–$116.27	52% above	40%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE	$77.51	$129.19	$4.86–$116.27	52% above	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC REF ARUP COMP 0050203 CPT 82043	$6.75	$11.25	$6.19–$10.12	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC REF MAYO COMP ALBR CPT 82043	$17.99	$29.98	$16.49–$26.98	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, URINE POC	$77.51	$129.19	$71.05–$116.27	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE	$77.51	$129.19	$71.05–$116.27	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, URINE TIMED	$77.51	$129.19	$71.05–$116.27	—	40%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, URINE RANDOM	$77.51	$129.19	$71.05–$116.27	—	40%
Urine pregnancy test, read by color change CPT 81025 HC SA-PREGNANCY TEST	$6.46	$10.76	$4.99–$54.33	92% below	40%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREG TEST, BY VISUAL COLOR	$9.07	$15.11	$7.01–$54.33	89% below	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC SA-PREGNANCY TEST	$6.46	$10.76	$5.92–$9.68	—	40%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREG TEST, BY VISUAL COLOR	$9.07	$15.11	$8.31–$13.60	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC REF ARUP 0055662 VIT B12	$13.50	$22.50	$10.44–$95.15	85% below	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC CYANOCOBALAMINE (VITAMIN B12)	$121.23	$202.05	$12.00–$181.84	34% above	40%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B-12 - B12 & FOLATE	$121.23	$202.05	$12.00–$181.84	34% above	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC REF ARUP 0055662 VIT B12	$13.50	$22.50	$12.38–$20.25	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B-12 - B12 & FOLATE	$121.23	$202.05	$111.13–$181.84	—	40%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC CYANOCOBALAMINE (VITAMIN B12)	$121.23	$202.05	$111.13–$181.84	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC REF ARUP 2002348 25-HYDROXYVITAMIN D2 & D3 BY TANDEM MASS SPECTROMETRY, SERUM & PLASMA	$30.00	$50.00	$12.00–$186.78	75% below	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC REF MAYO, COMP 2425D, CPT 82306	$147.03	$245.05	$12.00–$220.54	23% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$210.29	$350.49	$12.00–$315.44	76% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY BY LC/MS	$210.29	$350.49	$12.00–$315.44	76% above	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC REF ARUP 2002348 25-HYDROXYVITAMIN D2 & D3 BY TANDEM MASS SPECTROMETRY, SERUM & PLASMA	$30.00	$50.00	$27.50–$45.00	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC REF MAYO, COMP 2425D, CPT 82306	$147.03	$245.05	$134.78–$220.54	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$210.29	$350.49	$192.77–$315.44	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY BY LC/MS	$210.29	$350.49	$192.77–$315.44	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC REF MAYO, DHVD 1,25-DIHYDROXYVITAMIN D, S	$52.53	$87.55	$12.00–$242.94	66% below	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1, 25 DIHYDROXY	$243.25	$405.41	$12.00–$364.87	58% above	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC REF MAYO, DHVD 1,25-DIHYDROXYVITAMIN D, S	$52.53	$87.55	$48.15–$78.80	—	40%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1, 25 DIHYDROXY	$243.25	$405.41	$222.98–$364.87	—	40%
Zinc blood test CPT 84630 HC REF ARUP COMP 0025055, CPT 84630	$18.48	$30.80	$9.57–$71.87	73% below	40%
Zinc blood test CPT 84630 HC REF ARUP 2009373 ZINC WB	$31.05	$51.75	$9.57–$71.87	54% below	40%
Zinc blood test CPT 84630 HC ZINC	$79.76	$132.94	$9.57–$119.65	17% above	40%
Zinc blood test inpatient CPT 84630 HC REF ARUP COMP 0025055, CPT 84630	$18.48	$30.80	$16.94–$27.72	—	40%
Zinc blood test inpatient CPT 84630 HC REF ARUP 2009373 ZINC WB	$31.05	$51.75	$28.46–$46.58	—	40%
Zinc blood test inpatient CPT 84630 HC ZINC	$79.76	$132.94	$73.12–$119.65	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC REF ARUP 0020730 BETA – HCG QUANT (TUMOR MARKER) CSF	$26.10	$43.50	$12.00–$94.97	77% below	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG) TUMOR MARKER	$181.31	$302.19	$12.00–$271.97	61% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG) QUANT	$181.31	$302.19	$12.00–$271.97	61% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG), QUANTITATIVE	$181.31	$302.19	$12.00–$271.97	61% above	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC REF ARUP 0020730 BETA – HCG QUANT (TUMOR MARKER) CSF	$26.10	$43.50	$23.93–$39.15	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG), QUANTITATIVE	$181.31	$302.19	$166.20–$271.97	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG) QUANT	$181.31	$302.19	$166.20–$271.97	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN, CHORIONIC (HCG) TUMOR MARKER	$181.31	$302.19	$166.20–$271.97	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 HC REMOVAL OF ADENOIDS	$3,749.00	$6,248.34	$71.00–$7,975.81	at median	40%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HC REMOVAL OF ADENOIDS	$3,749.00	$6,248.34	$3,436.59–$5,623.51	—	40%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 HC ARTHRODESIS,ANTERIOR,CERVICAL BELOW C2	$6,989.04	$11,648.40	$71.00–$32,603.53	at median	40%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 HC ARTHRODESIS,ANTERIOR,CERVICAL BELOW C2	$6,989.04	$11,648.40	$6,406.62–$10,483.56	—	40%
Appendectomy, open surgery CPT 44950 HC APPENDECTOMY	$5,681.93	$9,469.88	$71.00–$18,741.87	2% below	40%
Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY	$5,681.93	$9,469.88	$5,208.43–$8,522.89	—	40%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC KNEE ARTHROSCOPY/SUR	$8,358.27	$13,930.45	$71.00–$17,722.46	15% above	40%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC KNEE ARTHROSCOPY/SUR	$8,358.27	$13,930.45	$7,661.75–$12,537.41	—	40%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC ARTHROSCOP ROTATOR	$4,880.57	$8,134.29	$71.00–$17,722.46	1% below	40%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC ARTHROSCOP ROTATOR	$4,880.57	$8,134.29	$4,473.86–$7,320.86	—	40%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC SINUS ENDO W/BALLO	$5,107.38	$8,512.30	$71.00–$16,955.09	at median	40%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC SINUS ENDO W/BALLO	$5,107.38	$8,512.30	$4,681.77–$7,661.07	—	40%
Botox injections for chronic migraine CPT 64615 HC NERVE DESTRUC,CHEMODENERV/MUSCLE(S) FACIAL	$556.86	$928.10	$59.25–$835.29	at median	40%
Botox injections for chronic migraine inpatient CPT 64615 HC NERVE DESTRUC,CHEMODENERV/MUSCLE(S) FACIAL	$556.86	$928.10	$510.45–$835.29	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BRST W/PLCMNT DVC,IMG - FIRST LESION	$3,742.20	$6,237.00	$486.45–$5,613.30	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC MG 3D BX BRST STEREO INI LT	$3,742.20	$6,237.00	$486.45–$5,613.30	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - LT	$3,742.20	$6,237.00	$486.45–$5,613.30	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - RT	$3,742.20	$6,237.00	$486.45–$5,613.30	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC MG 3D BX BRST STEREO INI RT	$3,742.20	$6,237.00	$486.45–$5,613.30	7% above	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BRST W/PLCMNT DVC,IMG - FIRST LESION	$3,742.20	$6,237.00	$3,430.35–$5,613.30	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - RT	$3,742.20	$6,237.00	$3,430.35–$5,613.30	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC MG 3D BX BRST STEREO INI RT	$3,742.20	$6,237.00	$3,430.35–$5,613.30	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC MG 3D BX BRST STEREO INI LT	$3,742.20	$6,237.00	$3,430.35–$5,613.30	—	40%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID - LT	$3,742.20	$6,237.00	$3,430.35–$5,613.30	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TREATMENT DISTAL FIBULAR FRACTURE	$466.22	$777.04	$71.00–$3,500.00	at median	40%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC TREATMENT DISTAL FIBULAR FX	$466.22	$777.04	$85.32–$1,222.00	at median	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC TREATMENT DISTAL FIBULAR FRACTURE	$466.22	$777.04	$427.37–$699.34	—	40%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC TREATMENT DISTAL FIBULAR FX	$466.22	$777.04	$427.37–$699.34	—	40%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC TREATMENT METATARSAL FRACTURE	$339.05	$565.08	$71.00–$856.00	21% above	40%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC TREATMENT METATARSAL FRACTURE	$339.05	$565.08	$310.79–$508.57	—	40%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC CORRECTION OF BUNION	$4,739.75	$7,899.58	$71.00–$8,018.48	13% above	40%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC CORRECTION OF BUNION	$4,739.75	$7,899.58	$4,344.77–$7,109.62	—	40%
Bunion correction with removal of part of the big toe joint CPT 28292 HC CORRECTION OF BUNION	$4,131.07	$6,885.11	$71.00–$8,018.48	at median	40%
Bunion correction with removal of part of the big toe joint inpatient CPT 28292 HC CORRECTION OF BUNION	$4,131.07	$6,885.11	$3,786.81–$6,196.60	—	40%
Cardiac catheterization with coronary angiogram CPT 93458 HC CATH PLACMNT CORONRY ARTERY - LFT HRT	$17,211.76	$28,686.27	$3,093.86–$25,817.64	64% above	40%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CATH PLACMNT CORONRY ARTERY - LFT HRT	$17,211.76	$28,686.27	$15,777.45–$25,817.64	—	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ELECTRICAL CONVERSION OF ARRHY (EP LAB)	$1,975.72	$3,292.86	$362.21–$2,963.57	48% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXTERNAL	$1,975.72	$3,292.86	$362.21–$2,963.57	48% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION EXT	$1,975.72	$3,292.86	$362.21–$2,963.57	48% above	40%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC ELECTRICAL CONVERSION OF ARRHY	$1,975.72	$3,292.86	$362.21–$4,563.00	48% above	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ELECTRICAL CONVERSION OF ARRHY	$1,975.72	$3,292.86	$1,811.07–$2,963.57	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC ELECTRICAL CONVERSION OF ARRHY (EP LAB)	$1,975.72	$3,292.86	$1,811.07–$2,963.57	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXTERNAL	$1,975.72	$3,292.86	$1,811.07–$2,963.57	—	40%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION EXT	$1,975.72	$3,292.86	$1,811.07–$2,963.57	—	40%
Carpal tunnel release, open surgery CPT 64721 HC CARPAL TUNNEL SURG.	$3,899.19	$6,498.65	$659.94–$5,848.78	26% above	40%
Carpal tunnel release, open surgery inpatient CPT 64721 HC CARPAL TUNNEL SURG.	$3,899.19	$6,498.65	$3,574.26–$5,848.78	—	40%
Cataract surgery with lens implant CPT 66984 HC CATARACT SURG W/IOL,	$4,301.64	$7,169.40	$71.00–$9,718.00	7% above	40%
Cataract surgery with lens implant inpatient CPT 66984 HC CATARACT SURG W/IOL,	$4,301.64	$7,169.40	$3,943.17–$6,452.46	—	40%
Catheter ablation for atrial fibrillation CPT 93656 HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB)	$36,478.99	$60,798.32	$6,687.82–$75,406.15	20% above	40%
Catheter ablation for atrial fibrillation CPT 93656 HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB	$36,478.99	$60,798.32	$6,687.82–$75,406.15	20% above	40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB	$36,478.99	$60,798.32	$33,439.08–$54,718.49	—	40%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC COMPREH ELECTROPH EVAL WITH TRT ATRIAL FIB (EP LAB)	$36,478.99	$60,798.32	$33,439.08–$54,718.49	—	40%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX	$1,479.08	$2,465.14	$91.36–$2,218.63	28% above	40%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX	$1,479.08	$2,465.14	$1,355.83–$2,218.63	—	40%
Cesarean delivery, including prenatal and postpartum care CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV	$4,155.91	$6,926.51	$71.00–$7,441.00	at median	40%
Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 HC FULL ROUT OBSTE CARE,CESAREAN DELIV	$4,155.91	$6,926.51	$3,809.58–$6,233.86	—	40%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUM 28 DAYS >	$4,074.80	$6,791.33	$71.00–$6,112.20	9% above	40%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUM 28 DAYS >	$4,074.80	$6,791.33	$3,735.23–$6,112.20	—	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/BLOCK	$2,150.42	$3,584.04	$71.00–$5,045.72	75% above	40%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/BLOCK	$2,150.42	$3,584.04	$1,971.22–$3,225.64	—	40%
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION, NEONAT	$2,622.55	$4,370.91	$71.00–$5,266.00	16% above	40%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION, NEONAT	$2,622.55	$4,370.91	$2,404.00–$3,933.82	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CL TREATMENT DIS RAD FRACTURE W/O MANI	$512.21	$853.68	$85.32–$856.00	13% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC TREATMENT DISTAL RADIAL FRACTURE	$512.21	$853.68	$71.00–$856.00	13% above	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC TREATMENT DISTAL RADIAL FRACTURE	$512.21	$853.68	$469.52–$768.31	—	40%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CL TREATMENT DIS RAD FRACTURE W/O MANI	$512.21	$853.68	$469.52–$768.31	—	40%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC BIOPSY OF CERVIX W/SCOPE	$3,536.19	$5,893.65	$71.00–$7,744.80	at median	40%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC BIOPSY OF CERVIX W/SCOPE	$3,536.19	$5,893.65	$3,241.51–$5,304.28	—	40%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC BIOPSY/CURETT OF CERVIX	$771.19	$1,285.31	$65.06–$3,500.00	164% above	40%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC BIOPSY/CURETT OF CERVIX	$771.19	$1,285.31	$706.92–$1,156.78	—	40%
Complex cataract surgery with lens implant CPT 66982 HC CATARACT SURG COMPLE	$5,252.39	$8,753.98	$71.00–$9,718.00	19% above	40%
Complex cataract surgery with lens implant inpatient CPT 66982 HC CATARACT SURG COMPLE	$5,252.39	$8,753.98	$4,814.69–$7,878.58	—	40%
Coronary stent placement, one artery CPT 92928 HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS	$12,158.72	$20,264.53	$2,229.10–$33,292.49	4% above	40%
Coronary stent placement, one artery inpatient CPT 92928 HC PERQ TCAT PLMT NTRAC ST 1 LES 1+C SEGMENTS	$12,158.72	$20,264.53	$11,145.49–$18,238.08	—	40%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTOSCOPY&TREATMENT - W STENT INSERT	$5,262.80	$8,771.34	$71.00–$8,636.11	21% above	40%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTOSCOPY&TREATMENT - W STENT INSERT	$5,262.80	$8,771.34	$4,824.24–$7,894.21	—	40%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOSCOPY	$2,748.03	$4,580.05	$238.15–$4,122.05	143% above	40%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOSCOPY	$2,748.03	$4,580.05	$2,519.03–$4,122.05	—	40%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC DILATION AND CURETTA	$3,404.02	$5,673.36	$71.00–$7,744.80	16% below	40%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC DILATION AND CURETTA	$3,404.02	$5,673.36	$3,120.35–$5,106.02	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUCTION PREMALIGNANT LESIONS, FIRST LESION	$203.04	$338.40	$37.22–$495.95	2% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC REMOVE PREMALIGNANT LESION	$203.04	$338.40	$37.22–$495.95	2% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTROY BENIGN LESION, FIRST	$203.04	$338.40	$37.22–$495.95	2% above	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC REMOVE PREMALIGNANT LESION	$203.04	$338.40	$186.12–$304.56	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUCTION PREMALIGNANT LESIONS, FIRST LESION	$203.04	$338.40	$186.12–$304.56	—	40%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTROY BENIGN LESION, FIRST	$203.04	$338.40	$186.12–$304.56	—	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC CREATE EARDRUM OPENI (GENERAL ANES)	$3,340.97	$5,568.28	$71.00–$6,022.00	2% below	40%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC CREATE EARDRUM OPENI (GENERAL ANES)	$3,340.97	$5,568.28	$3,062.55–$5,011.45	—	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC CREATE EARDRUM OPENI (LOCAL/TOPICAL ANES)	$1,047.93	$1,746.55	$71.00–$3,500.00	22% above	40%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC CREATE EARDRUM OPENI (LOCAL/TOPICAL ANES)	$1,047.93	$1,746.55	$960.60–$1,571.89	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$123.74	$206.23	$22.69–$7,441.00	11% above	40%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVE IMPACTED EAR WAX UNI	$123.74	$206.23	$113.43–$185.61	—	40%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED CERUMEN	$210.65	$351.09	$38.62–$442.00	70% above	40%
Earwax removal with instruments, one ear CPT 69210 HC REMOVE IMPACTED EAR WAX	$210.65	$351.09	$38.62–$442.00	70% above	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED CERUMEN	$210.65	$351.09	$193.10–$315.98	—	40%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVE IMPACTED EAR WAX	$210.65	$351.09	$193.10–$315.98	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY UTERUS LINING	$468.39	$780.65	$45.96–$702.59	27% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BX UTERUS LINING	$487.91	$813.18	$45.96–$731.86	33% above	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY UTERUS LINING	$468.39	$780.65	$429.36–$702.59	—	40%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BX UTERUS LINING	$487.91	$813.18	$447.25–$731.86	—	40%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC REMOVE ETHMOID SINUS	$5,107.38	$8,512.30	$71.00–$16,955.09	at median	40%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC REMOVE ETHMOID SINUS	$5,107.38	$8,512.30	$4,681.77–$7,661.07	—	40%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 HC SINUS ENDOSCOPY, SUR	$5,107.38	$8,512.30	$71.00–$16,955.09	at median	40%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 HC SINUS ENDOSCOPY, SUR	$5,107.38	$8,512.30	$4,681.77–$7,661.07	—	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC EXPLORATION MAXILLAR	$3,429.67	$5,716.12	$71.00–$9,276.93	at median	40%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC EXPLORATION MAXILLAR	$3,429.67	$5,716.12	$3,143.87–$5,144.51	—	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC ENDOSCOPY, MAXILLARY	$4,885.54	$8,142.57	$71.00–$16,955.09	at median	40%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC ENDOSCOPY, MAXILLARY	$4,885.54	$8,142.57	$4,478.41–$7,328.31	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC, W IM GUID	$1,817.24	$3,028.73	$262.86–$2,970.00	26% above	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SUST EPIDURAL/SUBRACH CER/THORACIC, W IM GUID	$1,817.24	$3,028.73	$1,665.80–$2,725.86	—	40%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HC INJECTION EYE DRUG	$505.70	$842.84	$48.45–$1,047.00	4% below	40%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HC INJECTION EYE DRUG	$505.70	$842.84	$463.56–$758.56	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC PARA NERVE INJ,LUMBAR/SACRAL/SINGLE	$1,690.45	$2,817.41	$340.77–$4,563.00	3% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJECTION PARAVERTEBRAL F JNT L	$1,690.45	$2,817.41	$71.00–$3,500.00	3% below	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 1 LEVEL	$1,690.45	$2,817.41	$71.00–$3,500.00	3% below	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJECTION DX/THER PARAVERT FACET JT LMBR/SAC 1 LEVEL	$1,690.45	$2,817.41	$1,549.58–$2,535.67	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC PARA NERVE INJ,LUMBAR/SACRAL/SINGLE	$1,690.45	$2,817.41	$1,549.58–$2,535.67	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJECTION PARAVERTEBRAL F JNT L	$1,690.45	$2,817.41	$1,549.58–$2,535.67	—	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAP.CHOLECYSTECTOMY	$10,442.08	$17,403.47	$1,888.85–$15,811.00	26% above	40%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAP.CHOLECYSTECTOMY	$10,442.08	$17,403.47	$9,571.91–$15,663.12	—	40%
Hammertoe correction surgery CPT 28285 HC REPAIR OF HAMMERTOE	$3,825.13	$6,375.21	$71.00–$8,018.48	9% above	40%
Hammertoe correction surgery inpatient CPT 28285 HC REPAIR OF HAMMERTOE	$3,825.13	$6,375.21	$3,506.37–$5,737.69	—	40%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC LIGATION HEMORRHOIDS	$1,137.61	$1,896.02	$163.62–$4,563.00	28% above	40%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC LIGATION HEMORRHOIDS	$1,137.61	$1,896.02	$1,042.81–$1,706.42	—	40%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOIDECTOMY	$3,638.59	$6,064.31	$71.00–$6,955.62	at median	40%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOIDECTOMY	$3,638.59	$6,064.31	$3,335.37–$5,457.88	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT FOR HYSTROSONOGRAM	$197.05	$328.41	$36.13–$7,441.00	48% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$197.05	$328.41	$36.13–$7,441.00	48% below	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$197.05	$328.41	$180.63–$295.57	—	40%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT FOR HYSTROSONOGRAM	$197.05	$328.41	$180.63–$295.57	—	40%
Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY, ABLATI	$4,669.48	$7,782.47	$71.00–$15,811.00	21% below	40%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY, ABLATI	$4,669.48	$7,782.47	$4,280.36–$7,004.22	—	40%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY, BIOPSY	$6,678.35	$11,130.59	$71.00–$10,017.53	41% above	40%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY, BIOPSY	$6,678.35	$11,130.59	$6,121.82–$10,017.53	—	40%
IUD insertion (the device itself billed separately) CPT 58300 HC INTRAUTERINE DEVICE (IUD) INSERTION	$667.61	$1,112.68	$71.00–$7,441.00	76% above	40%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INTRAUTERINE DEVICE (IUD) INSERTION	$667.61	$1,112.68	$611.97–$1,001.41	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE	$807.74	$1,346.23	$65.06–$1,211.61	80% above	40%
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAINAGE OF SKIN ABSCESS - SIMPLE	$807.74	$1,346.23	$65.06–$1,211.61	80% above	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAINAGE OF SKIN ABSCESS - SIMPLE	$807.74	$1,346.23	$740.43–$1,211.61	—	40%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE	$807.74	$1,346.23	$740.43–$1,211.61	—	40%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDU	$8,365.41	$13,942.35	$71.00–$12,548.11	35% above	40%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDU	$8,365.41	$13,942.35	$7,668.29–$12,548.11	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH TRIGGER	$508.01	$846.69	$23.54–$762.02	26% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON SHEATH/LI	$508.01	$846.69	$23.54–$3,500.00	26% above	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON SHEATH/LI	$508.01	$846.69	$465.68–$762.02	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH TRIGGER	$508.01	$846.69	$465.68–$762.02	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHR ASP INJ MJ JNT BURS	$1,080.06	$1,800.10	$27.96–$1,620.09	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ASPIR/INJ OF MAJOR JOINT OR BURSA	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECT, JOINT/MAJOR	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC DRAIN/INJECTECT MAJOR JOINT/BURSA	$1,080.06	$1,800.10	$27.96–$1,620.09	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - LT	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - RT	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,080.06	$1,800.10	$27.96–$3,500.00	82% above	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJECT, JOINT/MAJOR	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ASPIR/INJ OF MAJOR JOINT OR BURSA	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHR ASP INJ MJ JNT BURS	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC DRAIN/INJECTECT MAJOR JOINT/BURSA	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - RT	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US - LT	$1,080.06	$1,800.10	$990.05–$1,620.09	—	40%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HC INSERT DRUG IMPLANT	$826.70	$1,377.84	$46.38–$1,240.06	244% above	40%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HC INSERT DRUG IMPLANT	$826.70	$1,377.84	$757.81–$1,240.06	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECT, JOINT/INTERMEDIATE	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHR ASP INJ INT JNT BUR	$907.51	$1,512.52	$23.54–$1,361.27	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC DRAIN/INJECTECT INTMED JOINT/BURS	$907.51	$1,512.52	$23.54–$1,361.27	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ASPIRA/INJ OF JOINT INTERMEDIA	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - LT	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - RT	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$907.51	$1,512.52	$23.54–$3,500.00	54% above	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECTECT INTMED JOINT/BURS	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHR ASP INJ INT JNT BUR	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC DRAIN/INJECT, JOINT/INTERMEDIATE	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ASPIRA/INJ OF JOINT INTERMEDIA	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - LT	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US - RT	$907.51	$1,512.52	$831.89–$1,361.27	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHRO ASPR/INJECT SMJT/BRSA	$599.59	$999.32	$22.70–$899.39	42% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ASPIR OR INJ OF JOINT SMALL	$599.59	$999.32	$22.70–$3,500.00	42% above	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC DRAIN/INJECT, JOINT/SMALL	$599.59	$999.32	$22.70–$3,500.00	42% above	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$599.59	$999.32	$22.70–$3,500.00	42% above	40%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$599.59	$999.32	$22.70–$3,500.00	42% above	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC DRAIN/INJECT, JOINT/SMALL	$599.59	$999.32	$549.63–$899.39	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHRO ASPR/INJECT SMJT/BRSA	$599.59	$999.32	$549.63–$899.39	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ASPIR OR INJ OF JOINT SMALL	$599.59	$999.32	$549.63–$899.39	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$599.59	$999.32	$549.63–$899.39	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$599.59	$999.32	$549.63–$899.39	—	40%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC KNEE ARTHROSCOPY/SUR	$5,741.63	$9,569.39	$71.00–$12,343.00	at median	40%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC KNEE ARTHROSCOPY/SUR	$5,741.63	$9,569.39	$5,263.16–$8,612.45	—	40%
Knee arthroscopy with meniscus trim CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY	$8,186.99	$13,644.99	$71.00–$12,343.00	39% above	40%
Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE ARTHROSCOPY/SUR - W/MENISCECTOMY	$8,186.99	$13,644.99	$7,504.74–$12,280.49	—	40%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC KNEE ARTHROSCOPY/SUR	$6,826.30	$11,377.16	$71.00–$12,343.00	20% above	40%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC KNEE ARTHROSCOPY/SUR	$6,826.30	$11,377.16	$6,257.44–$10,239.44	—	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC KNEE ARTHROSCOPY/SUR - DEBRIDE	$4,304.96	$7,174.93	$71.00–$12,343.00	5% below	40%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC KNEE ARTHROSCOPY/SUR - DEBRIDE	$4,304.96	$7,174.93	$3,946.21–$6,457.44	—	40%
Laparoscopic adjustable gastric band placement (Lap-Band) CPT 43770 HC LAP, PLACE ADJUST GAST RESTRICT DEVICE	$7,314.45	$12,190.75	$1,340.98–$25,500.18	at median	40%
Laparoscopic adjustable gastric band placement (Lap-Band) inpatient CPT 43770 HC LAP, PLACE ADJUST GAST RESTRICT DEVICE	$7,314.45	$12,190.75	$6,704.91–$10,971.67	—	40%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC LAP., FUNDOPLASTY	$11,750.67	$19,584.45	$2,154.29–$25,500.18	5% above	40%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC LAP., FUNDOPLASTY	$11,750.67	$19,584.45	$10,771.45–$17,626.01	—	40%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC TLH,UTERUS 250G OR L	$8,196.46	$13,660.77	$71.00–$25,500.18	at median	40%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 HC TLH,UTERUS 250G OR L	$8,196.46	$13,660.77	$7,513.42–$12,294.69	—	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC TLH W/T/O 250 G OR LE	$10,720.51	$17,867.52	$71.00–$25,500.18	1% below	40%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC TLH W/T/O 250 G OR LE	$10,720.51	$17,867.52	$9,827.14–$16,080.77	—	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAP ING HERNIA REPAIR	$14,745.53	$24,575.89	$71.00–$22,118.30	19% above	40%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAP ING HERNIA REPAIR	$14,745.53	$24,575.89	$13,516.74–$22,118.30	—	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC LAP ING HERNIA REPAIR	$10,653.19	$17,755.31	$71.00–$15,979.78	30% above	40%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC LAP ING HERNIA REPAIR	$10,653.19	$17,755.31	$9,765.42–$15,979.78	—	40%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAP.REMOVE ADNEXA	$9,567.72	$15,946.20	$71.00–$14,351.58	11% above	40%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAP.REMOVE ADNEXA	$9,567.72	$15,946.20	$8,770.41–$14,351.58	—	40%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 HC AFTER CATARACT LASER	$1,637.51	$2,729.18	$71.00–$4,025.00	23% above	40%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 HC AFTER CATARACT LASER	$1,637.51	$2,729.18	$1,501.05–$2,456.26	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTMD WND REPAIR S/TR - 2.5 CM OR LESS	$831.16	$1,385.27	$71.00–$1,246.74	56% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR INTERIOR WOUND < 2.5 CM	$831.16	$1,385.27	$143.08–$1,246.74	56% above	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR INTERIOR WOUND < 2.5 CM	$831.16	$1,385.27	$761.90–$1,246.74	—	40%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INTMD WND REPAIR S/TR - 2.5 CM OR LESS	$831.16	$1,385.27	$761.90–$1,246.74	—	40%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATHETER	$9,848.25	$16,413.75	$1,805.51–$17,181.00	6% above	40%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATHETER	$9,848.25	$16,413.75	$9,027.56–$14,772.38	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID	$1,824.76	$3,041.26	$262.86–$2,970.00	9% above	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W IM GUID	$1,824.76	$3,041.26	$1,672.69–$2,737.13	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE	$1,255.99	$2,093.32	$71.00–$3,500.00	2% above	40%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST EPIDURAL/SUBRACH LUMBR/SACRAL,W/O GUIDANCE	$1,255.99	$2,093.32	$1,151.33–$1,883.99	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION EPI L/S 1 LEVEL	$2,284.54	$3,807.56	$340.77–$3,934.00	55% above	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL	$2,284.54	$3,807.56	$71.00–$3,934.00	55% above	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION EPI L/S 1 LEVEL	$2,284.54	$3,807.56	$2,094.16–$3,426.80	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECTION FORAMEN EPIDURAL - LUMB/SACR SNGL LVL	$2,284.54	$3,807.56	$2,094.16–$3,426.80	—	40%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 HC LOW BACK DISK SURGER	$11,779.73	$19,632.89	$71.00–$17,722.46	34% above	40%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 HC LOW BACK DISK SURGER	$11,779.73	$19,632.89	$10,798.09–$17,669.60	—	40%
Lumbar laminectomy (spinal decompression), one level CPT 63047 HC REMOVE SPINAL LAMINA	$10,901.66	$18,169.44	$71.00–$17,722.46	23% above	40%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 HC REMOVE SPINAL LAMINA	$10,901.66	$18,169.44	$9,993.19–$16,352.50	—	40%
Lumbar spinal fusion (posterior), one level CPT 22612 HC ARTHRODESIS,POSTERIOR - LUMBAR	$10,629.07	$17,715.11	$71.00–$46,166.33	at median	40%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 HC ARTHRODESIS,POSTERIOR - LUMBAR	$10,629.07	$17,715.11	$9,743.31–$15,943.60	—	40%
Lumpectomy (partial mastectomy) CPT 19301 HC PARTICAL MASTECTOMY	$5,127.80	$8,546.34	$71.00–$9,442.65	9% above	40%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTICAL MASTECTOMY	$5,127.80	$8,546.34	$4,700.49–$7,691.71	—	40%
Mastectomy (total removal of the breast) CPT 19303 HC MAST, SIMPLE, COMPLE	$6,052.48	$10,087.47	$71.00–$16,154.42	at median	40%
Mastectomy (total removal of the breast) inpatient CPT 19303 HC MAST, SIMPLE, COMPLE	$6,052.48	$10,087.47	$5,548.11–$9,078.72	—	40%
Miscarriage treatment with D&C, first trimester CPT 59820 HC CARE OF MISCARRIAGE	$3,638.60	$6,064.33	$71.00–$8,466.00	at median	40%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC CARE OF MISCARRIAGE	$3,638.60	$6,064.33	$3,335.38–$5,457.90	—	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 HC MOHS, 1 STAGE, H/N/H	$1,254.01	$2,090.01	$71.00–$3,500.00	at median	40%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 HC MOHS, 1 STAGE, H/N/H	$1,254.01	$2,090.01	$1,149.51–$1,881.01	—	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM OR LESS	$1,196.08	$1,993.47	$71.00–$3,500.00	48% above	40%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC TR-EXT B9+MARG 0.5 CM OR LESS	$1,196.08	$1,993.47	$1,096.41–$1,794.12	—	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC FACE-MM B9+MARG - 0.5CM OR LESS	$1,175.11	$1,958.52	$71.00–$3,500.00	32% above	40%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC FACE-MM B9+MARG - 0.5CM OR LESS	$1,175.11	$1,958.52	$1,077.19–$1,762.67	—	40%
Nail removal (partial or complete), one nail CPT 11730 HC NAIL PLATE AVULSION/SIMPLE/SINGLE	$356.75	$594.58	$65.40–$535.12	26% above	40%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC NAIL PLATE AVULSION/SIMPLE/SINGLE	$356.75	$594.58	$327.02–$535.12	—	40%
Occipital nerve block (injection for headaches) CPT 64405 HC NBLOCK INJECTION, OCCIPITAL	$960.64	$1,601.07	$30.18–$3,500.00	125% above	40%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION OCCIPITAL NERVE	$960.64	$1,601.07	$30.18–$1,440.96	125% above	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION OCCIPITAL NERVE	$960.64	$1,601.07	$880.59–$1,440.96	—	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NBLOCK INJECTION, OCCIPITAL	$960.64	$1,601.07	$880.59–$1,440.96	—	40%
Pacemaker implant (dual chamber) CPT 33208 HC INSERTION HEART PACE - ATRIAL AND VENTRICULAR (EP LAB)	$21,444.40	$35,740.67	$6,450.90–$32,166.60	13% above	40%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERTION HEART PACE - ATRIAL AND VENTRICULAR (EP LAB)	$21,444.40	$35,740.67	$19,657.37–$32,166.60	—	40%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGIN	$1,457.75	$2,429.58	$334.95–$2,472.00	at median	40%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/I	$1,457.75	$2,429.58	$71.00–$3,500.00	at median	40%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS WITH IMAGING	$1,457.75	$2,429.58	$334.95–$2,472.00	at median	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/I	$1,457.75	$2,429.58	$1,336.27–$2,186.62	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGIN	$1,457.75	$2,429.58	$1,336.27–$2,186.62	—	40%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS WITH IMAGING	$1,457.75	$2,429.58	$1,336.27–$2,186.62	—	40%
Partial knee replacement (one compartment) CPT 27446 HC REVISION KNEE JOINT	$12,836.37	$21,393.95	$71.00–$32,603.53	at median	40%
Partial knee replacement (one compartment) inpatient CPT 27446 HC REVISION KNEE JOINT	$12,836.37	$21,393.95	$11,766.67–$19,254.56	—	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$961.75	$1,602.91	$71.00–$3,500.00	88% above	40%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED - COMPLEX	$961.75	$1,602.91	$84.71–$1,442.62	88% above	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$961.75	$1,602.91	$881.60–$1,442.62	—	40%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED - COMPLEX	$961.75	$1,602.91	$881.60–$1,442.62	—	40%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE	$3,139.32	$5,232.20	$71.00–$5,045.72	19% above	40%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE	$3,139.32	$5,232.20	$2,877.71–$4,708.98	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FAC	$2,812.90	$4,688.16	$71.00–$6,641.00	at median	40%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FAC	$2,812.90	$4,688.16	$2,578.49–$4,219.34	—	40%
Removal of a breast lump, open surgery CPT 19120 HC REMOVAL OF BREAST LE	$5,165.63	$8,609.38	$963.66–$9,442.65	5% above	40%
Removal of a breast lump, open surgery inpatient CPT 19120 HC REMOVAL OF BREAST LE	$5,165.63	$8,609.38	$4,735.16–$7,748.44	—	40%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY, SUBCUT TISSUE - SIMPLE	$843.22	$1,405.36	$71.00–$1,264.82	59% above	40%
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$843.22	$1,405.36	$86.38–$1,264.82	59% above	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY, SUBCUT TISSUE - SIMPLE	$843.22	$1,405.36	$772.95–$1,264.82	—	40%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$843.22	$1,405.36	$772.95–$1,264.82	—	40%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC PART REMOVE THYROID	$8,586.34	$14,310.57	$71.00–$15,811.00	8% above	40%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 HC PART REMOVE THYROID	$8,586.34	$14,310.57	$7,870.81–$12,879.51	—	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC COLONOSCOPY SCRN HI RISK	$2,269.03	$3,781.71	$328.50–$5,266.00	95% above	40%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC COLONOSCOPY SCRN HI RISK	$2,269.03	$3,781.71	$2,079.94–$3,403.54	—	40%
Septoplasty to straighten the nasal septum CPT 30520 HC REPAIR NASAL SEPTUM	$3,652.15	$6,086.92	$71.00–$7,975.81	at median	40%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC REPAIR NASAL SEPTUM	$3,652.15	$6,086.92	$3,347.81–$5,478.23	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON)	$3,600.00	$6,000.00	$1,142.90–$15,811.00	48% below	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC FRAGMENT KIDNEY STON	$13,092.17	$21,820.28	$71.00–$19,638.25	89% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE	$13,092.17	$21,820.28	$1,142.90–$19,638.25	89% above	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE (ADD-ON)	$3,600.00	$6,000.00	$3,300.00–$5,400.00	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY EXTRACORPOREAL SHOCK WAVE	$13,092.17	$21,820.28	$12,001.15–$19,638.25	—	40%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC FRAGMENT KIDNEY STON	$13,092.17	$21,820.28	$12,001.15–$19,638.25	—	40%
Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST	$408.97	$681.62	$45.13–$665.29	47% above	40%
Short arm cast (elbow to hand) CPT 29075 HC CAST ARM SHORT APPLY	$408.97	$681.62	$45.13–$665.29	47% above	40%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST	$408.97	$681.62	$374.89–$613.46	—	40%
Short arm cast (elbow to hand) inpatient CPT 29075 HC CAST ARM SHORT APPLY	$408.97	$681.62	$374.89–$613.46	—	40%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT - STATIC (29125)	$454.81	$758.01	$83.38–$682.21	101% above	40%
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT - STATIC	$454.81	$758.01	$83.38–$682.21	101% above	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT - STATIC (29125)	$454.81	$758.01	$416.91–$682.21	—	40%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT - STATIC	$454.81	$758.01	$416.91–$682.21	—	40%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$463.27	$772.11	$39.03–$694.90	37% above	40%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$463.27	$772.11	$424.66–$694.90	—	40%
Short leg splint (calf to foot) CPT 29515 HC APPLY LOW LEG SPLINT	$467.84	$779.74	$34.33–$701.77	71% above	40%
Short leg splint (calf to foot) CPT 29515 HC APPLICATION, LOWER LEG SPLINT	$467.84	$779.74	$34.33–$701.77	71% above	40%
Short leg splint (calf to foot) CPT 29515 HC FOOT SPLINT (29515)	$467.84	$779.74	$34.33–$701.77	71% above	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC FOOT SPLINT (29515)	$467.84	$779.74	$428.86–$701.77	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOW LEG SPLINT	$467.84	$779.74	$428.86–$701.77	—	40%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLICATION, LOWER LEG SPLINT	$467.84	$779.74	$428.86–$701.77	—	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC SHOULDER ARTHROSCOPY	$5,539.70	$9,232.83	$71.00–$12,343.00	31% above	40%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 HC SHOULDER ARTHROSCOPY	$5,539.70	$9,232.83	$5,078.06–$8,309.55	—	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC SHOULDER ARTHROSCOPY	$5,243.73	$8,739.55	$71.00–$12,343.00	at median	40%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC SHOULDER ARTHROSCOPY	$5,243.73	$8,739.55	$4,806.75–$7,865.60	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR SUPERFICL WND - NON-FACE, 2.5 CM OR LESS	$886.50	$1,477.50	$71.00–$1,329.75	145% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM	$886.50	$1,477.50	$162.53–$1,329.75	145% above	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR SUPERFICL WND - NON-FACE, 2.5 CM OR LESS	$886.50	$1,477.50	$812.62–$1,329.75	—	40%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC SMPL RPR WND FACE/NCK/TRUNK < 2.5 CM	$886.50	$1,477.50	$812.62–$1,329.75	—	40%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY OF SKIN	$520.85	$868.09	$79.46–$7,441.00	18% above	40%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$520.85	$868.09	$79.46–$7,441.00	18% above	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY OF SKIN	$520.85	$868.09	$477.45–$781.28	—	40%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$520.85	$868.09	$477.45–$781.28	—	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC EXC TR-EXT MLG+MARG - 0.5CM OR LESS	$1,218.88	$2,031.47	$71.00–$3,500.00	at median	40%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HC EXC TR-EXT MLG+MARG - 0.5CM OR LESS	$1,218.88	$2,031.47	$1,117.31–$1,828.32	—	40%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS - UP TO 15	$420.02	$700.03	$71.00–$630.03	38% above	40%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVE SKIN TAGS - 1-15 LESIONS	$420.02	$700.03	$77.00–$630.03	38% above	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS - UP TO 15	$420.02	$700.03	$385.02–$630.03	—	40%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVE SKIN TAGS - 1-15 LESIONS	$420.02	$700.03	$385.02–$630.03	—	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP - DIAGNOSTIC	$1,326.88	$2,211.47	$262.86–$1,990.32	27% above	40%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL FLUID TAP, DIAGNOSTIC	$1,326.88	$2,211.47	$71.00–$3,500.00	27% above	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP, DIAGNOSTIC	$1,326.88	$2,211.47	$1,216.31–$1,990.32	—	40%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL FLUID TAP - DIAGNOSTIC	$1,326.88	$2,211.47	$1,216.31–$1,990.32	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR SUPERFICL WND - NON-FACE, 2.6 - 7.5 CM	$695.56	$1,159.26	$71.00–$1,043.33	53% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC SIMPLE REPAIR WOUND 2.6-7.5 CM	$695.56	$1,159.26	$127.52–$1,043.33	53% above	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR SUPERFICL WND - NON-FACE, 2.6 - 7.5 CM	$695.56	$1,159.26	$637.59–$1,043.33	—	40%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC SIMPLE REPAIR WOUND 2.6-7.5 CM	$695.56	$1,159.26	$637.59–$1,043.33	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM	$886.50	$1,477.50	$162.53–$1,329.75	127% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR SUPERFICL WND - FACE, 2.5 CM OR LESS	$886.50	$1,477.50	$71.00–$1,329.75	127% above	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR SUPERFICL WND - FACE, 2.5 CM OR LESS	$886.50	$1,477.50	$812.62–$1,329.75	—	40%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC SMPL RPR WND FACE/EARS/EYELIDS/LIPS < 2.5 CM	$886.50	$1,477.50	$812.62–$1,329.75	—	40%
TURP (transurethral resection of the prostate) CPT 52601 HC PROSTATECTOMY (TURP)	$6,999.96	$11,666.60	$71.00–$12,818.21	at median	40%
TURP (transurethral resection of the prostate) inpatient CPT 52601 HC PROSTATECTOMY (TURP)	$6,999.96	$11,666.60	$6,416.63–$10,499.94	—	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$360.34	$600.56	$64.23–$7,441.00	at median	40%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$360.34	$600.56	$64.23–$7,441.00	at median	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$360.34	$600.56	$330.31–$540.50	—	40%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGNTL BX SKIN SINGLE LES	$360.34	$600.56	$330.31–$540.50	—	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,110.97	$1,851.62	$71.00–$3,500.00	21% below	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMG	$1,110.97	$1,851.62	$223.75–$2,630.00	21% below	40%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS W/IMG (BRONCHOSCOPY)	$1,110.97	$1,851.62	$71.00–$3,500.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - RT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC IR THORACENTESIS W IMAGE RT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC US THORACENTESIS W IMAGE RT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - LT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC US THORACENTESIS W IMAGE LT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance one side CPT 32555 HC IR THORACENTESIS W IMAGE LT	$1,110.97	$1,851.62	$223.75–$4,563.00	21% below	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMG	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS W/IMG (BRONCHOSCOPY)	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC US THORACENTESIS W IMAGE LT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC IR THORACENTESIS W IMAGE RT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC IR THORACENTESIS W IMAGE LT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC US THORACENTESIS W IMAGE RT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - RT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Thoracentesis with imaging guidance inpatient one side CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING - LT	$1,110.97	$1,851.62	$1,018.39–$1,666.46	—	40%
Tonsil and adenoid removal, age 12 or older CPT 42821 HC REMOVE TONSILS/ADENO	$3,638.49	$6,064.15	$71.00–$8,466.00	4% below	40%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 HC REMOVE TONSILS/ADENO	$3,638.49	$6,064.15	$3,335.28–$5,457.73	—	40%
Tonsil and adenoid removal, child under 12 CPT 42820 HC REMOVE TONSILS/ADENO	$4,555.73	$7,592.89	$71.00–$14,507.25	5% below	40%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC REMOVE TONSILS/ADENO	$4,555.73	$7,592.89	$4,176.09–$6,833.60	—	40%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC REMOVAL OF TONSILS	$4,424.11	$7,373.52	$71.00–$7,975.81	at median	40%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC REMOVAL OF TONSILS	$4,424.11	$7,373.52	$4,055.44–$6,636.17	—	40%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HC REMOVAL OF TONSILS	$4,555.73	$7,592.89	$71.00–$14,507.25	at median	40%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HC REMOVAL OF TONSILS	$4,555.73	$7,592.89	$4,176.09–$6,833.60	—	40%
Total thyroid removal (thyroidectomy) CPT 60240 HC REMOVAL OF THYROID	$9,490.92	$15,818.20	$71.00–$15,811.00	at median	40%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 HC REMOVAL OF THYROID	$9,490.92	$15,818.20	$8,700.01–$14,236.38	—	40%
Trigger finger release surgery CPT 26055 HC INCISE FINGER TENDON	$3,379.60	$5,632.66	$71.00–$5,266.00	40% above	40%
Trigger finger release surgery inpatient CPT 26055 HC INCISE FINGER TENDON	$3,379.60	$5,632.66	$3,097.96–$5,069.39	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECTION TRIGGER POINT, 1	$624.56	$1,040.94	$23.26–$3,500.00	42% above	40%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER POINT INJECTECTION 1 OR 2	$624.56	$1,040.94	$23.26–$936.85	42% above	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER POINT INJECTECTION 1 OR 2	$624.56	$1,040.94	$572.52–$936.85	—	40%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECTION TRIGGER POINT, 1	$624.56	$1,040.94	$572.52–$936.85	—	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAP.TUBAL CAUTERY	$4,713.11	$7,855.19	$71.00–$14,293.73	5% below	40%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC LAP.TUBAL CAUTERY	$4,713.11	$7,855.19	$4,320.35–$7,069.67	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BRST W/PLCMNT DVC,IMG&US - FIRST LESION	$2,756.77	$4,594.61	$486.45–$4,400.00	at median	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC US BX BRST INI RT	$2,756.77	$4,594.61	$486.45–$5,250.00	at median	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC US BX BRST INI LT	$2,756.77	$4,594.61	$486.45–$5,250.00	at median	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BRST W/PLCMNT DVC,IMG&US - FIRST LESION	$2,756.77	$4,594.61	$2,527.04–$4,135.15	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC US BX BRST INI RT	$2,756.77	$4,594.61	$2,527.04–$4,135.15	—	40%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC US BX BRST INI LT	$2,756.77	$4,594.61	$2,527.04–$4,135.15	—	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC ESOPHAGOGASTRODUODENOSCOPY; WITH PANCREATIC NECROSECTOMY	$786.71	$1,311.19	$517.13–$14,118.49	41% below	40%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC ESOPHAGOGASTRODUODENOSCOPY; WITH PANCREATIC NECROSECTOMY	$786.71	$1,311.19	$721.15–$1,180.07	—	40%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTOURETERO W/LITHO	$7,440.61	$12,401.01	$71.00–$12,818.21	at median	40%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTOURETERO W/LITHO	$7,440.61	$12,401.01	$6,820.56–$11,160.91	—	40%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO W/URETEROSC &/OR PYELESC - INSRT STNT	$10,101.74	$16,836.24	$1,689.43–$15,811.00	89% above	40%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO W/URETEROSC &/OR PYELESC - INSRT STNT	$10,101.74	$16,836.24	$9,259.93–$15,152.62	—	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC	$7,970.66	$13,284.44	$71.00–$11,956.00	at median	40%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 HC ROUT OB CARE,VAG DELIV,PREV C-SEC	$7,970.66	$13,284.44	$7,306.44–$11,956.00	—	40%
Vaginal delivery, including prenatal and postpartum care CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV	$2,756.98	$4,594.97	$71.00–$7,441.00	3% above	40%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 HC FULL ROUT OBSTE CARE,VAGINAL DELIV	$2,756.98	$4,594.97	$2,527.23–$4,135.47	—	40%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HC REMOVAL OF SPERM DUC	$4,572.37	$7,620.62	$71.00–$6,858.56	at median	40%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HC REMOVAL OF SPERM DUC	$4,572.37	$7,620.62	$4,191.34–$6,858.56	—	40%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVENOUS RF, 1ST V	$7,207.63	$12,012.71	$71.00–$15,811.00	73% above	40%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVENOUS RF, 1ST V	$7,207.63	$12,012.71	$6,606.99–$10,811.44	—	40%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT B9 LES,1-14	$261.23	$435.38	$47.89–$495.95	31% above	40%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$261.23	$435.38	$47.89–$495.95	31% above	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT B9 LES,1-14	$261.23	$435.38	$239.46–$391.84	—	40%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCT BENIGN LESION 1-14	$261.23	$435.38	$239.46–$391.84	—	40%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS	$1,231.11	$2,051.85	$171.51–$1,939.00	22% above	40%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS	$1,231.11	$2,051.85	$1,128.52–$1,846.66	—	40%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC TREATMENT FRACTURE RAD EXTRA-ART	$7,218.81	$12,031.35	$71.00–$17,722.46	9% below	40%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC TREATMENT FRACTURE RAD EXTRA-ART	$7,218.81	$12,031.35	$6,617.24–$10,828.22	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,098.56	$1,830.93	$30.73–$1,647.84	44% above	40%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION, BLOOD OR BLOOD COMPONENTS	$1,098.56	$1,830.93	$30.73–$1,647.84	44% above	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$1,098.56	$1,830.93	$1,007.01–$1,647.84	—	40%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION, BLOOD OR BLOOD COMPONENTS	$1,098.56	$1,830.93	$1,007.01–$1,647.84	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT PRES/NON	$325.31	$542.19	$59.64–$678.81	60% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC NONPRESSURIZED INHALATION TRTMNT FOR ACUTE	$325.31	$542.19	$59.64–$678.81	60% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TRTMNT PRES/NONPRES	$325.31	$542.19	$59.64–$678.81	60% above	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TRTMNT PRES/NONPRES	$325.31	$542.19	$298.20–$487.97	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT PRES/NON	$325.31	$542.19	$298.20–$487.97	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC NONPRESSURIZED INHALATION TRTMNT FOR ACUTE	$325.31	$542.19	$298.20–$487.97	—	40%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO ADMIN INFUSION SINGLE/INITIAL UP TO 1 HR	$521.90	$869.84	$95.68–$838.97	3% below	40%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO ADMIN INFUSION SINGLE/INITIAL UP TO 1 HR	$521.90	$869.84	$478.41–$782.86	—	40%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HC EYE EXAM, NEW PATIENT,COMPREHESV	$241.00	$401.67	$44.18–$361.50	at median	40%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HC EYE EXAM, NEW PATIENT,COMPREHESV	$241.00	$401.67	$220.92–$361.50	—	40%
Comprehensive eye exam, returning patient CPT 92014 HC OPHTHAL.SERVICE,COMPREHEN/EST.	$228.00	$380.00	$41.80–$342.00	at median	40%
Comprehensive eye exam, returning patient inpatient CPT 92014 HC OPHTHAL.SERVICE,COMPREHEN/EST.	$228.00	$380.00	$209.00–$342.00	—	40%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC AUDMTRY THRESH.EVALUATE,COMP&SPREC	$299.76	$499.60	$54.96–$510.51	at median	40%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HC AUDMTRY THRESH.EVALUATE,COMP&SPREC	$299.76	$499.60	$274.78–$449.64	—	40%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE	$3,595.72	$5,992.87	$659.22–$10,880.00	42% above	40%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE	$3,595.72	$5,992.87	$3,296.08–$5,393.58	—	40%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY	$977.98	$1,629.96	$179.30–$1,466.96	7% above	40%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY	$977.98	$1,629.96	$896.48–$1,466.96	—	40%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE	$140.07	$233.45	$25.68–$917.00	at median	40%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ELECTROCARDIOGRAM, COMPLETE	$140.07	$233.45	$128.40–$210.10	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG ROUTINE TRACING ONLY	$284.07	$473.45	$52.08–$917.00	4% above	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG ROUTINE TRACING ONLY	$284.07	$473.45	$260.40–$426.11	—	40%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE TREATMENT	$698.32	$1,163.86	$128.02–$1,423.37	34% below	40%
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTRIC SHOCK THERAPY	$698.32	$1,163.86	$128.02–$1,423.37	34% below	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTRIC SHOCK THERAPY	$698.32	$1,163.86	$640.12–$1,587.00	—	40%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE TREATMENT	$698.32	$1,163.86	$640.12–$1,587.00	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC FOLLOW UP RESEARCH STUDY	$333.31	$555.51	$61.11–$859.00	43% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT LEVEL I	$333.31	$555.51	$61.11–$859.00	43% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC OB EMERGENCY CARE LEVEL I	$333.31	$555.51	$61.11–$859.00	43% above	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC FOLLOW UP RESEARCH STUDY	$333.31	$555.51	$305.53–$499.96	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPT LEVEL I	$333.31	$555.51	$305.53–$499.96	—	40%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC OB EMERGENCY CARE LEVEL I	$333.31	$555.51	$305.53–$499.96	—	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC OB EMERGENCY CARE LEVEL II	$561.69	$936.15	$102.98–$1,718.00	30% above	40%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY CARE LEVEL II	$561.69	$936.15	$102.98–$1,718.00	30% above	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC OB EMERGENCY CARE LEVEL II	$561.69	$936.15	$514.88–$842.53	—	40%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY CARE LEVEL II	$561.69	$936.15	$514.88–$842.53	—	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY CARE LEVEL III	$1,006.17	$1,676.95	$184.46–$2,805.00	31% above	40%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC OB EMERGENCY CARE LEVEL III	$1,006.17	$1,676.95	$184.46–$2,805.00	31% above	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY CARE LEVEL III	$1,006.17	$1,676.95	$922.32–$1,509.26	—	40%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC OB EMERGENCY CARE LEVEL III	$1,006.17	$1,676.95	$922.32–$1,509.26	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC OB EMERGENCY CARE LEVEL IV	$1,676.36	$2,793.93	$307.33–$4,020.00	30% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY CARE LEVEL IV	$1,676.36	$2,793.93	$307.33–$4,020.00	30% above	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC OB EMERGENCY CARE LEVEL IV	$1,676.36	$2,793.93	$1,536.66–$2,514.54	—	40%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY CARE LEVEL IV	$1,676.36	$2,793.93	$1,536.66–$2,514.54	—	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC OB EMERGENCY CARE LEVEL V	$2,377.55	$3,962.58	$435.88–$10,880.00	34% above	40%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY CARE LEVEL V	$2,377.55	$3,962.58	$435.88–$10,880.00	34% above	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY CARE LEVEL V	$2,377.55	$3,962.58	$2,179.42–$3,566.32	—	40%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC OB EMERGENCY CARE LEVEL V	$2,377.55	$3,962.58	$2,179.42–$3,566.32	—	40%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIOVASCULAR STRESS TEST	$1,281.95	$2,136.58	$206.06–$1,922.92	2% above	40%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIOVASCULAR STRESS TEST	$1,281.95	$2,136.58	$1,175.12–$1,922.92	—	40%
Eye exam, returning patient, intermediate CPT 92012 HC OPHTHAL.SERVICE,INTERMED/EST.P	$196.23	$327.05	$35.98–$327.47	at median	40%
Eye exam, returning patient, intermediate inpatient CPT 92012 HC OPHTHAL.SERVICE,INTERMED/EST.P	$196.23	$327.05	$179.88–$294.35	—	40%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT	$155.45	$259.08	$28.50–$394.97	45% below	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT	$155.45	$259.08	$142.49–$233.17	—	40%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT	$165.49	$275.81	$30.34–$394.97	36% below	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PT	$165.49	$275.81	$151.70–$248.23	—	40%
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY	$97.39	$162.32	$17.86–$220.82	40% below	40%
Group psychotherapy session CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY	$97.39	$162.32	$17.86–$220.82	40% below	40%
Group psychotherapy session CPT 90853 HC PSYCHIATRIC HALF DAY IOP	$97.39	$162.32	$17.86–$342.00	40% below	40%
Group psychotherapy session inpatient CPT 90853 HC DRUG AND ALCOHOL IOP/HALF DAY	$97.39	$162.32	$89.28–$146.09	—	40%
Group psychotherapy session inpatient CPT 90853 HC PSYCHIATRIC HALF DAY IOP	$97.39	$162.32	$89.28–$146.09	—	40%
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY	$97.39	$162.32	$89.28–$146.09	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION, INITIAL 31MIN - 1HR	$527.15	$878.59	$96.64–$790.73	21% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INFUSION HYDRATION,INITIAL 31MIN - 1HR	$527.15	$878.59	$96.64–$790.73	21% above	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION, INITIAL 31MIN - 1HR	$527.15	$878.59	$483.22–$790.73	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INFUSION HYDRATION,INITIAL 31MIN - 1HR	$527.15	$878.59	$483.22–$790.73	—	40%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR	$590.25	$983.75	$108.21–$885.38	31% above	40%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION THER/DIAG/PROPH INITIAL UP TO 1 HR	$590.25	$983.75	$541.06–$885.38	—	40%
IV push of a medicine, first drug CPT 96374 HC THERAP/PROPH IV INJECT <15MIN	$362.20	$603.66	$66.40–$543.29	58% above	40%
IV push of a medicine, first drug CPT 96374 HC THERAPEUTIC INJECTION OF MEDS-IV	$362.20	$603.66	$66.40–$543.29	58% above	40%
IV push of a medicine, first drug CPT 96374 HC INJECTION, IV PUSH SNG/INIT SUBST	$362.20	$603.66	$66.40–$543.29	58% above	40%
IV push of a medicine, first drug inpatient CPT 96374 HC THERAPEUTIC INJECTION OF MEDS-IV	$362.20	$603.66	$332.01–$543.29	—	40%
IV push of a medicine, first drug inpatient CPT 96374 HC INJECTION, IV PUSH SNG/INIT SUBST	$362.20	$603.66	$332.01–$543.29	—	40%
IV push of a medicine, first drug inpatient CPT 96374 HC THERAP/PROPH IV INJECT <15MIN	$362.20	$603.66	$332.01–$543.29	—	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SUBCUT/IM	$197.78	$329.64	$36.26–$296.68	35% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC (NURSE/TECH ADMIN) THER/PHOPH/DIAG INJECTION SC/IM	$197.78	$329.64	$36.26–$296.68	35% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THERAPEUTIC/DIAGNOSTIC INJ, SUBCUT/IM	$197.78	$329.64	$36.26–$296.68	35% above	40%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM OR SQ INJECTECTION	$197.78	$329.64	$36.26–$296.68	35% above	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC (NURSE/TECH ADMIN) THER/PHOPH/DIAG INJECTION SC/IM	$197.78	$329.64	$181.30–$296.68	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM OR SQ INJECTECTION	$197.78	$329.64	$181.30–$296.68	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SUBCUT/IM	$197.78	$329.64	$181.30–$296.68	—	40%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THERAPEUTIC/DIAGNOSTIC INJ, SUBCUT/IM	$197.78	$329.64	$181.30–$296.68	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC VIDEO VISIT, PSYCHIATRIC DIAGNOSTIC EVALUATION	$342.20	$570.34	$62.74–$513.31	11% below	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$342.20	$570.34	$62.74–$513.31	11% below	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$342.20	$570.34	$313.69–$513.31	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC VIDEO VISIT, PSYCHIATRIC DIAGNOSTIC EVALUATION	$342.20	$570.34	$313.69–$513.31	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION STUDIES - 7-8 STUDIES	$756.32	$1,260.53	$138.66–$1,134.48	4% above	40%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION STUDIES - 7-8 STUDIES	$756.32	$1,260.53	$693.29–$1,134.48	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC THERAPEUTIC PROC-NEURO 15 MIN (97112)	$133.06	$221.76	$24.39–$199.58	18% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, 1+ AREAS, EA 15 MIN	$133.06	$221.76	$24.39–$199.58	18% above	40%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, 15 MIN (97112)	$133.06	$221.76	$24.39–$199.58	18% above	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, 15 MIN (97112)	$133.06	$221.76	$121.97–$199.58	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC THERAPEUTIC PROC-NEURO 15 MIN (97112)	$133.06	$221.76	$121.97–$199.58	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-EDUCATION, 1+ AREAS, EA 15 MIN	$133.06	$221.76	$121.97–$199.58	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MEDICAL NUTRITION THERAPY - INITIAL 15 MIN	$50.27	$83.79	$9.22–$127.67	at median	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MEDICAL NUTRITION THERAPY - INITIAL 15 MIN	$50.27	$83.79	$46.08–$75.41	—	40%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX (97165)	$272.39	$453.98	$49.94–$408.58	12% above	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX (97165)	$272.39	$453.98	$249.69–$408.58	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX (97163)	$395.51	$659.18	$72.51–$593.26	37% above	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX (97163)	$395.51	$659.18	$362.55–$593.26	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX (97161)	$351.47	$585.79	$64.44–$527.21	74% above	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX (97161)	$351.47	$585.79	$322.18–$527.21	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX (97162)	$352.31	$587.18	$64.59–$528.46	45% above	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX (97162)	$352.31	$587.18	$322.95–$528.46	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY, 15 MIN	$140.92	$234.86	$25.83–$211.37	27% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY, 1+REGIONS, EA 15 MIN	$140.92	$234.86	$25.83–$211.37	27% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY, 15 MIN (97140)	$140.92	$234.86	$25.83–$211.37	27% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 15 MIN (97140)	$140.92	$234.86	$25.83–$211.37	27% above	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY, 15 MIN (97140)	$140.92	$234.86	$129.17–$211.37	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY, 15 MIN	$140.92	$234.86	$129.17–$211.37	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 15 MIN (97140)	$140.92	$234.86	$129.17–$211.37	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY, 1+REGIONS, EA 15 MIN	$140.92	$234.86	$129.17–$211.37	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPUETIC EXERCISES	$143.44	$239.06	$26.30–$215.15	28% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110)	$143.44	$239.06	$26.30–$215.15	28% above	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110)	$143.44	$239.06	$26.30–$215.15	28% above	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISE, 15 MIN (97110)	$143.44	$239.06	$131.48–$215.15	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPUETIC EXERCISES	$143.44	$239.06	$131.48–$215.15	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC SM THERA.PROC.-ROM/STREN 15MIN (97110)	$143.44	$239.06	$131.48–$215.15	—	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC EST PT PREV EXAM 40-64 YRS	$212.88	$354.80	$39.03–$364.39	49% above	40%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC EST PT PREV EXAM 40-64 YRS	$212.88	$354.80	$195.14–$319.32	—	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC EST PT PREV EXAM 65 & OVER	$176.03	$293.38	$32.27–$382.99	7% above	40%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC EST PT PREV EXAM 65 & OVER	$176.03	$293.38	$161.36–$264.04	—	40%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERV	$337.14	$561.90	$61.81–$505.71	3% above	40%
Psychiatric evaluation with medical services CPT 90792 HC VIDEO VISIT, PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$337.14	$561.90	$61.81–$505.71	3% above	40%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERV	$337.14	$561.90	$309.05–$505.71	—	40%
Psychiatric evaluation with medical services inpatient CPT 90792 HC VIDEO VISIT, PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$337.14	$561.90	$309.05–$505.71	—	40%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$233.73	$389.55	$42.85–$777.56	24% below	40%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR	$233.73	$389.55	$214.25–$350.60	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS - FIRST 60 MIN	$254.59	$424.32	$46.68–$394.97	22% below	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS - FIRST 60MIN	$254.59	$424.32	$46.68–$394.97	22% below	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY FOR CRISIS - FIRST 60MIN	$254.59	$424.32	$233.38–$381.89	—	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC PSYCHOTHERAPY FOR CRISIS - FIRST 60 MIN	$254.59	$424.32	$233.38–$381.89	—	40%
Psychotherapy session, 30 minutes CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT	$189.14	$315.24	$34.68–$394.97	at median	40%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT	$189.14	$315.24	$34.68–$394.97	at median	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC VIDEO VISIT PSYCHOTHERAPY, 30 MIN WITH PATIENT	$189.14	$315.24	$173.38–$283.72	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY, 30 MIN WITH PATIENT	$189.14	$315.24	$173.38–$283.72	—	40%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT	$216.61	$361.01	$39.71–$394.97	21% below	40%
Psychotherapy session, 45 minutes CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT	$216.61	$361.01	$39.71–$394.97	21% below	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY, 45 MIN WITH PATIENT	$216.61	$361.01	$198.56–$324.91	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC VIDEO VISIT PSYCHOTHERAPY, 45 MIN WITH PATIENT	$216.61	$361.01	$198.56–$324.91	—	40%
Psychotherapy session, 60 minutes CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT	$216.61	$361.01	$39.71–$394.97	21% below	40%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT	$216.61	$361.01	$39.71–$394.97	21% below	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY, 60 MIN WITH PATIENT	$216.61	$361.01	$198.56–$324.91	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC VIDEO VISIT PSYCHOTHERAPY, 60 MIN WITH PATIENT	$216.61	$361.01	$198.56–$324.91	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION >3 UP TO 10 MIN	$48.71	$81.19	$8.93–$73.07	14% above	40%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION >3 UP TO 10 MIN	$48.71	$81.19	$44.65–$73.07	—	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 120 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 30 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 45 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 60 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 75 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 90 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 105 MIN (92523)	$491.24	$818.73	$90.06–$736.86	29% above	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 105 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 15 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 30 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 45 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 60 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 75 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 90 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH SOUND PRODUCTION - W/LANG COM 120 MIN (92523)	$491.24	$818.73	$450.30–$736.86	—	40%
Speech therapy session, individual CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 30 MIN (92507)	$264.98	$441.63	$48.58–$397.47	22% above	40%
Speech therapy session, individual CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 45 MIN (92507)	$264.98	$441.63	$48.58–$397.47	22% above	40%
Speech therapy session, individual CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 60 MIN (92507)	$264.98	$441.63	$48.58–$397.47	22% above	40%
Speech therapy session, individual CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 15 MIN (92507)	$264.98	$441.63	$48.58–$397.47	22% above	40%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 15 MIN (92507)	$264.98	$441.63	$242.90–$397.47	—	40%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 60 MIN (92507)	$264.98	$441.63	$242.90–$397.47	—	40%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 45 MIN (92507)	$264.98	$441.63	$242.90–$397.47	—	40%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/LANGUAGE/HEARING THERAPY 30 MIN (92507)	$264.98	$441.63	$242.90–$397.47	—	40%
Spirometry (breathing test) CPT 94010 HC PULMONARY FUNCTION BASIC	$600.80	$1,001.33	$110.15–$901.20	68% above	40%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$600.80	$1,001.33	$110.15–$901.20	68% above	40%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$600.80	$1,001.33	$550.73–$901.20	—	40%
Spirometry (breathing test) inpatient CPT 94010 HC PULMONARY FUNCTION BASIC	$600.80	$1,001.33	$550.73–$901.20	—	40%
Spirometry before and after a bronchodilator CPT 94060 HC BRONCHOSPASM RESPONSVNSS,SPIROM	$786.77	$1,311.28	$142.57–$1,180.15	32% above	40%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC BRONCHOSPASM RESPONSVNSS,SPIROM	$786.77	$1,311.28	$721.20–$1,180.15	—	40%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 HC TMS, INITIAL, W/MAPPING, THRESHOLD DETERM, DELIV/MGMT	$437.22	$728.70	$80.16–$777.56	10% below	40%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 HC TMS, INITIAL, W/MAPPING, THRESHOLD DETERM, DELIV/MGMT	$437.22	$728.70	$400.79–$655.83	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPUTIC ACTIVITY 15 MIN (97530)	$147.08	$245.14	$26.97–$220.63	31% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY,EA 15 MIN (97530)	$147.08	$245.14	$26.97–$220.63	31% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTIVITY DIRECT PT CONTRACT EACH 15 MIN	$147.08	$245.14	$26.97–$220.63	31% above	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC SPEECH THERAPY FUNCTIONAL ACTIVITY 15 MIN (97530)	$147.08	$245.14	$26.97–$220.63	31% above	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC SPEECH THERAPY FUNCTIONAL ACTIVITY 15 MIN (97530)	$147.08	$245.14	$134.83–$220.63	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY,EA 15 MIN (97530)	$147.08	$245.14	$134.83–$220.63	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPUTIC ACTIVITY 15 MIN (97530)	$147.08	$245.14	$134.83–$220.63	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTIVITY DIRECT PT CONTRACT EACH 15 MIN	$147.08	$245.14	$134.83–$220.63	—	40%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$275.15	$458.59	$50.44–$412.73	23% above	40%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY, THERAPEUTIC	$275.15	$458.59	$252.22–$412.73	—	40%
Visual field test, extended CPT 92083 HC VISUAL FIELD EXAM, EXTENDED	$265.67	$442.78	$48.71–$402.32	8% above	40%
Visual field test, extended inpatient CPT 92083 HC VISUAL FIELD EXAM, EXTENDED	$265.67	$442.78	$243.53–$398.50	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe	$81.00	$135.00	$14.85–$121.50	at median	40%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 flu vacc 2025-26(65yr up)-MF59C(PF) 45 mcg(15 mcgx3)/0.5 mL IM syringe	$81.00	$135.00	$60.75–$121.50	—	40%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp	$495.68	$826.13	$90.87–$743.52	at median	40%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vaccine live (PF) 1,350 unit/0.5 mL subcutaneous susp	$495.68	$826.13	$371.76–$743.52	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp	$90.21	$150.35	$16.54–$135.31	at median	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe	$99.16	$165.27	$18.18–$148.74	10% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diph,pertus(acel),tet pedi (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp	$101.02	$168.37	$18.52–$151.53	12% above	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diph,pertus(acel),tet pedi (PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM susp	$90.21	$150.35	$67.66–$135.31	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diph,pertus(acel),tet ped(PF) 25 Lf unit-58 mcg-10 Lf/0.5mL IM syringe	$99.16	$165.27	$74.37–$148.74	—	40%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diph,pertus(acel),tet pedi (PF) 15 Lf unit-10 mcg-5 Lf/0.5 mL IM susp	$101.02	$168.37	$75.77–$151.53	—	40%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DP(a)T-polio-hib conj-tet (PF) 15 Lf unit-20 mcg-5 Lf /0.5 mL IM kit	$280.15	$466.92	$51.36–$420.23	at median	40%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DP(a)T-polio-hib conj-tet (PF) 15 Lf unit-20 mcg-5 Lf /0.5 mL IM kit	$280.15	$466.92	$210.11–$420.23	—	40%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe	$27.00	$45.00	$4.95–$40.50	28% below	40%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vaccine ts 2025-26(6mos up)(PF) 45 mcg(15mcg x3)/0.5 mL IM syringe	$27.00	$45.00	$20.25–$40.50	—	40%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe	$225.31	$375.52	$41.31–$337.97	21% above	40%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A vaccine (PF) 1,440 ELISA unit/mL intramuscular syringe	$225.31	$375.52	$168.98–$337.97	—	40%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vaccine recomb (PF) 10 mcg/mL intramuscular susp	$179.89	$299.81	$32.98–$269.83	7% above	40%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vaccine recomb (PF) 10 mcg/mL intramuscular susp	$179.89	$299.81	$134.91–$269.83	—	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe	$402.20	$670.34	$73.74–$603.31	at median	40%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 hepatitis B vaccine 20 mcg/0.5 mL-adjuvant CpG 1018 (PF) IM syringe	$402.20	$670.34	$301.65–$603.31	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp	$101.36	$168.94	$18.58–$152.05	20% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe	$103.22	$172.03	$18.92–$154.83	22% above	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vaccine recomb (PF) 5 mcg/0.5 mL intramuscular susp	$101.36	$168.94	$76.02–$152.05	—	40%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vaccine recomb (PF) 10 mcg/0.5 mL IM syringe	$103.22	$172.03	$77.41–$154.83	—	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln	$46.99	$78.32	$8.62–$70.49	at median	40%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus B polysaccharid conj-tetanus tox(PF) 10 mcg/0.5 mL IM soln	$46.99	$78.32	$35.24–$70.49	—	40%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe	$81.00	$135.00	$14.85–$121.50	46% below	40%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 flu vaccine ts2025-26(65yr up)(PF)180 mcg/0.5 mL intramuscular syringe	$81.00	$135.00	$60.75–$121.50	—	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut	$247.26	$412.10	$45.33–$370.89	5% above	40%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut	$254.57	$424.28	$46.67–$381.85	8% above	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles,mumps,rubella vacc live(PF)10exp3.4-4.2-3.3CCID50/0.5mL subcut	$247.26	$412.10	$185.44–$370.89	—	40%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles,mumps,rubella vaccine live(PF)1,000-12,500TCID50/0.5 mL subcut	$254.57	$424.28	$190.93–$381.85	—	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningoco C,Y,W-135 vacc 1 of 2(PF) 5 mcg x3/0.5 mL(final) IM solution	$354.60	$591.00	$65.01–$531.90	at median	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution	$426.42	$710.70	$78.18–$639.63	20% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal A conj vacc 2 of 2(PF) 10 mcg/0.5 mL (final) IM solution	$426.43	$710.71	$78.18–$639.64	20% above	40%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)	$426.43	$710.71	$78.18–$639.64	20% above	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningoco C,Y,W-135 vacc 1 of 2(PF) 5 mcg x3/0.5 mL(final) IM solution	$354.60	$591.00	$265.95–$531.90	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM solution	$426.42	$710.70	$319.81–$639.63	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningoc vac A,C,Y,W-135 dip(PF) 10 mcg-5 mcg/0.5 mL IM kit (2 vials)	$426.43	$710.71	$319.82–$639.64	—	40%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal A conj vacc 2 of 2(PF) 10 mcg/0.5 mL (final) IM solution	$426.43	$710.71	$319.82–$639.64	—	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vac,4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5mL IM syringe	$605.69	$1,009.48	$111.04–$908.53	at median	40%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vac,4-cmp 50 mcg-50 mcg-50 mcg-25 mcg/0.5mL IM syringe	$605.69	$1,009.48	$454.27–$908.53	—	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe	$729.93	$1,216.55	$133.82–$1,094.89	30% above	40%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-valent conj vaccine-dip crm (PF) 0.5 mL IM syringe	$729.93	$1,216.55	$547.45–$1,094.89	—	40%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension	$1,134.58	$1,890.96	$208.01–$1,701.86	241% above	40%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine 40 unit-8 unit-32 unit/0.5 mL injection suspension	$1,134.58	$1,890.96	$850.93–$1,701.86	—	40%
Rabies vaccine, one dose CPT 90675 rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp	$1,027.01	$1,711.68	$188.28–$1,540.51	at median	40%
Rabies vaccine, one dose CPT 90675 rabies vaccine,human diploid (PF) 2.5 unit intramuscular solution	$1,174.89	$1,958.15	$215.40–$1,762.34	14% above	40%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, purified chicken embryo cell (PF) 2.5 unit IM susp	$1,027.01	$1,711.68	$770.26–$1,540.51	—	40%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine,human diploid (PF) 2.5 unit intramuscular solution	$1,174.89	$1,958.15	$881.17–$1,762.34	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp	$131.77	$219.61	$24.16–$197.65	20% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe	$131.77	$219.61	$24.16–$197.65	20% above	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM susp	$131.77	$219.61	$98.82–$197.65	—	40%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphtheria tox (PF) 5 Lf unit-2 Lf unit/0.5 mL IM syringe	$131.77	$219.61	$98.82–$197.65	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe	$166.11	$276.85	$30.45–$249.16	27% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp	$166.11	$276.85	$30.45–$249.16	27% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertus(acel)tetanus(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp	$167.69	$279.48	$30.74–$251.53	28% above	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertussis(acell),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5 mL IM susp	$166.11	$276.85	$124.58–$249.16	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertussis(acel),tetanus 2.5 Lf unit-8 mcg-5 Lf/0.5mL IM syringe	$166.11	$276.85	$124.58–$249.16	—	40%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertus(acel)tetanus(PF)2Lf-(2.5-5-3-5mcg)-5 Lf/0.5 mL IM susp	$167.69	$279.48	$125.77–$251.53	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMINISTRATION	$61.58	$102.64	$11.29–$223.13	17% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMINISTER IMM 1 VACCINE	$66.51	$110.85	$12.19–$223.13	10% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC INFLUENZA VACCINATION	$66.51	$110.85	$12.19–$223.13	10% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC PNEUMOCOCCAL VACCINATION	$66.51	$110.85	$12.19–$223.13	10% below	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMINISTRATION	$61.58	$102.64	$56.45–$92.38	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC PNEUMOCOCCAL VACCINATION	$66.51	$110.85	$60.97–$99.77	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMINISTER IMM 1 VACCINE	$66.51	$110.85	$60.97–$99.77	—	40%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC INFLUENZA VACCINATION	$66.51	$110.85	$60.97–$99.77	—	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMINISTRATION, EACH ADDL	$43.55	$72.59	$7.98–$65.33	7% below	40%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMINISTRATION EACH ADDL	$43.55	$72.59	$7.98–$65.33	7% below	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMINISTRATION EACH ADDL	$43.55	$72.59	$39.92–$65.33	—	40%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMINISTRATION, EACH ADDL	$43.55	$72.59	$39.92–$65.33	—	40%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://wadcdn.azureedge.net/bswhealth/com/siteassets/pricing-transparency/813040663_baylor-scott--white-medical-center--pflugerville_standardcharges.csv