Ascension Via Christi Hospital Manhattan
Ascension Via Christi Hospital Manhattan in Manhattan, KS publishes cash prices for 329 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Kansas median for 263 of 325 procedures and above it for 57. By typical cash price it ranks #7 of 85 Kansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
1823 College Ave Manhattan KS 66502 Collected Sep 23, 2026 Source price file Check a bill from this hospital (785) 776-3322
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 170142 · CMS hospital register NPI 1760482517
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Ascension Via Christi Hospital Manhattan 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.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ADBOMEN W/WO CONTRAST 74170 | $206.00 | $515.00 | $54.39–$360.67 | 85% below | 60% |
| Abdominal CT scan without and with contrast CPT 74170 CT ADBOMEN W/WO CONTRAST 74170 | $206.00 | $515.00 | $54.39–$360.67 | 85% below | 60% |
| Abdominal CT scan without and with contrast CPT 74170 UROGRAM 74170 | $256.80 | $642.00 | $54.39–$547.67 | 81% below | 60% |
| Abdominal CT scan without and with contrast CPT 74170 UROGRAM 74170 | $256.80 | $642.00 | $54.39–$547.67 | 81% below | 60% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,490.80 | $3,727.00 | $54.39–$547.67 | 12% above | 60% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,490.80 | $3,727.00 | $54.39–$547.67 | 12% above | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ADBOMEN W/WO CONTRAST 74170 | $206.00 | $515.00 | $54.39–$360.67 | — | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ADBOMEN W/WO CONTRAST 74170 | $206.00 | $515.00 | $54.39–$360.67 | — | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 UROGRAM 74170 | $256.80 | $642.00 | $54.39–$547.67 | — | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,490.80 | $3,727.00 | $54.39–$547.67 | — | 60% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST | $1,490.80 | $3,727.00 | $54.39–$547.67 | — | 60% |
| Abdominal X-ray, 2 views CPT 74019 ABD AP & ADDL CONE VW 74019 | $66.00 | $165.00 | $9.58–$114.40 | 74% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $66.00 | $165.00 | $9.58–$114.40 | 74% below | 60% |
| Abdominal X-ray, 2 views CPT 74019 ABDOMEN ANTEROPOSTERIOR | $213.20 | $533.00 | $9.58–$114.40 | 15% below | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS | $66.00 | $165.00 | $9.58–$114.40 | — | 60% |
| Abdominal X-ray, 2 views inpatient CPT 74019 ABD AP & ADDL CONE VW 74019 | $66.00 | $165.00 | $9.58–$114.40 | — | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT COMPLETE 3V* 73610RT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT COMPLETE 3V* 73610LT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE LT COMPLETE 3V* 73610LT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE RT COMPLETE 3V* 73610RT | $61.20 | $153.00 | $6.87–$150.95 | 73% below | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE LT COMPLETE 3V* 73610LT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT COMPLETE 3V* 73610RT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE RT COMPLETE 3V* 73610RT | $61.20 | $153.00 | $6.87–$150.95 | — | 60% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT | $262.00 | $655.00 | $6.87–$158.89 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O LT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O LT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O RT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O RT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | 5% below | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O | $981.60 | $2,454.00 | $38.79–$547.67 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O | $981.60 | $2,454.00 | $38.79–$547.67 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O LT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O RT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | — | 60% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O RT 73200 | $981.60 | $2,454.00 | $38.79–$547.67 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS 74220 | $118.80 | $297.00 | $23.60–$292.84 | 72% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS* (BA SWALLOW) 74220 | $118.80 | $297.00 | $23.60–$292.84 | 72% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS 74220 | $118.80 | $297.00 | $23.60–$292.84 | 72% below | 60% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS* (BA SWALLOW) 74220 | $118.80 | $297.00 | $23.60–$292.84 | 72% below | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS* (BA SWALLOW) 74220 | $118.80 | $297.00 | $23.60–$292.84 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS 74220 | $118.80 | $297.00 | $23.60–$292.84 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS* (BA SWALLOW) 74220 | $118.80 | $297.00 | $23.60–$292.84 | — | 60% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS 74220 | $118.80 | $297.00 | $23.60–$292.84 | — | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY 78306 | $971.20 | $2,428.00 | $32.92–$456.56 | 1% above | 60% |
| Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN, WHOLE BODY 78306 | $971.20 | $2,428.00 | $32.92–$456.56 | 1% above | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN, WHOLE BODY 78306 | $971.20 | $2,428.00 | $32.92–$456.56 | — | 60% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN, WHOLE BODY 78306 | $971.20 | $2,428.00 | $32.92–$456.56 | — | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST BIL LTD 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST BIL LTD 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD UNI LT 76642 | $251.20 | $628.00 | $26.69–$111.81 | 15% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD UNI LT 76642 | $251.20 | $628.00 | $26.69–$111.81 | 15% below | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LTD LT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD UNI RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD UNI RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LTD LT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LTD RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST UNI LTD RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | 28% above | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST BIL LTD 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST BIL LTD 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD UNI LT 76642 | $251.20 | $628.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD UNI LT 76642 | $251.20 | $628.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LTD RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LTD RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD UNI RT 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LTD LT 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST UNI LTD LT 76642 | $376.40 | $941.00 | $26.69–$111.81 | — | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS | $2,402.40 | $6,006.00 | $85.21–$1,942.73 | at median | 60% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS | $2,402.40 | $6,006.00 | $85.21–$1,942.73 | at median | 60% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS | $2,402.40 | $6,006.00 | $85.21–$1,942.73 | — | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA - HEAD W & W/O 70496 | $206.00 | $515.00 | $68.31–$375.65 | 89% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA - HEAD W & W/O 70496 | $206.00 | $515.00 | $68.31–$375.65 | 89% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA - HEAD WITH 70496 | $925.20 | $2,313.00 | $68.31–$1,320.93 | 48% below | 60% |
| CT angiography (CTA) of the head CPT 70496 CTA - HEAD WITH 70496 | $925.20 | $2,313.00 | $68.31–$1,320.93 | 48% below | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA - HEAD W & W/O 70496 | $206.00 | $515.00 | $68.31–$375.65 | — | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA - HEAD WITH 70496 | $925.20 | $2,313.00 | $68.31–$1,320.93 | — | 60% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA - HEAD WITH 70496 | $925.20 | $2,313.00 | $68.31–$1,320.93 | — | 60% |
| CT angiography (CTA) of the neck CPT 70498 CTA - NECK W & W/O 70498 | $206.00 | $515.00 | $68.31–$375.23 | 89% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CTA - NECK W & W/O 70498 | $206.00 | $515.00 | $68.31–$375.23 | 89% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CTA - NECK 70498 | $1,398.00 | $3,495.00 | $68.31–$1,321.99 | 22% below | 60% |
| CT angiography (CTA) of the neck CPT 70498 CTA - NECK 70498 | $1,398.00 | $3,495.00 | $68.31–$1,321.99 | 22% below | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA - NECK W & W/O 70498 | $206.00 | $515.00 | $68.31–$375.23 | — | 60% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CTA - NECK 70498 | $1,398.00 | $3,495.00 | $68.31–$1,321.99 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & W/O 71275 | $206.00 | $515.00 | $70.84–$383.66 | 88% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & W/O 71275 | $206.00 | $515.00 | $70.84–$383.66 | 88% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH 71275 | $1,201.20 | $3,003.00 | $70.84–$1,303.99 | 32% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST WITH 71275 | $1,201.20 | $3,003.00 | $70.84–$1,303.99 | 32% below | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & W/O 71275 | $206.00 | $515.00 | $70.84–$383.66 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & W/O 71275 | $206.00 | $515.00 | $70.84–$383.66 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WITH 71275 | $1,201.20 | $3,003.00 | $70.84–$1,303.99 | — | 60% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST WITH 71275 | $1,201.20 | $3,003.00 | $70.84–$1,303.99 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA OF HEART 75574 | $737.20 | $1,843.00 | $151.56–$627.10 | 19% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA OF HEART 75574 | $737.20 | $1,843.00 | $151.56–$627.10 | 19% below | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA OF HEART 75574 | $737.20 | $1,843.00 | $151.56–$627.10 | — | 60% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA OF HEART 75574 | $737.20 | $1,843.00 | $151.56–$627.10 | — | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING OF HEART 75571 | $236.00 | $590.00 | $37.17–$547.67 | 19% above | 60% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CALCIUM SCORING OF HEART 75571 | $236.00 | $590.00 | $37.17–$547.67 | 19% above | 60% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CALCIUM SCORING OF HEART 75571 | $236.00 | $590.00 | $37.17–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD/PELVIS W/O CONTRAST 74176 | $2,138.40 | $5,346.00 | $60.72–$547.67 | 64% above | 60% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 ABD/PELVIS W/O CONTRAST 74176 | $2,138.40 | $5,346.00 | $60.72–$547.67 | 64% above | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABD/PELVIS W/O CONTRAST 74176 | $2,138.40 | $5,346.00 | $60.72–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 ABD/PELVIS W/O CONTRAST 74176 | $2,138.40 | $5,346.00 | $60.72–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY-SM BOWEL 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | 60% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD/PELVIS W/CONTRAST 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | 60% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 ABD/PELVIS W/CONTRAST 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | 60% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY-SM BOWEL 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | 60% above | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 ABD/PELVIS W/CONTRAST 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY-SM BOWEL 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ENTEROGRAPHY-SM BOWEL 74177 | $2,256.00 | $5,640.00 | $71.10–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD/PELVIS W/O & W CONTRAST | $2,551.20 | $6,378.00 | $78.14–$547.67 | 46% above | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 ABD/PELVIS W/O & W CONTRAST | $2,551.20 | $6,378.00 | $78.14–$547.67 | 46% above | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABD/PELVIS W/O & W CONTRAST | $2,551.20 | $6,378.00 | $78.14–$547.67 | — | 60% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 ABD/PELVIS W/O & W CONTRAST | $2,551.20 | $6,378.00 | $78.14–$547.67 | — | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $1,400.80 | $3,502.00 | $49.61–$547.67 | 15% above | 60% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST | $1,400.80 | $3,502.00 | $49.61–$547.67 | 15% above | 60% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST | $1,400.80 | $3,502.00 | $49.61–$547.67 | — | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $206.00 | $515.00 | $46.38–$187.80 | 81% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST | $206.00 | $515.00 | $46.38–$187.80 | 81% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRST | $1,014.40 | $2,536.00 | $46.38–$547.67 | 6% below | 60% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRST | $1,014.40 | $2,536.00 | $46.38–$547.67 | 6% below | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST | $206.00 | $515.00 | $46.38–$187.80 | — | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRST | $1,014.40 | $2,536.00 | $46.38–$547.67 | — | 60% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRST | $1,014.40 | $2,536.00 | $46.38–$547.67 | — | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL BONES/SINUSES W/O 70486 | $947.20 | $2,368.00 | $33.42–$547.67 | 1% below | 60% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL BONES/SINUSES W/O 70486 | $947.20 | $2,368.00 | $33.42–$547.67 | 1% below | 60% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FACIAL BONES/SINUSES W/O 70486 | $947.20 | $2,368.00 | $33.42–$547.67 | — | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $206.00 | $515.00 | $33.16–$173.58 | 80% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $206.00 | $515.00 | $33.16–$173.58 | 80% below | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST 70450 | $1,061.20 | $2,653.00 | $33.16–$547.67 | 3% above | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 HEAD W/O CONTRAST 70450 | $1,061.20 | $2,653.00 | $33.16–$547.67 | 3% above | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST | $206.00 | $515.00 | $33.16–$173.58 | — | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD W/O CONTRAST 70450 | $1,061.20 | $2,653.00 | $33.16–$547.67 | — | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD W/O CONTRAST 70450 | $1,061.20 | $2,653.00 | $33.16–$547.67 | — | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $206.00 | $515.00 | $44.12–$297.15 | 81% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/CONTRAST | $206.00 | $515.00 | $44.12–$297.15 | 81% below | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $1,162.80 | $2,907.00 | $44.12–$547.67 | 6% above | 60% |
| CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST | $1,162.80 | $2,907.00 | $44.12–$547.67 | 6% above | 60% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST | $206.00 | $515.00 | $44.12–$297.15 | — | 60% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/CONTRAST | $206.00 | $515.00 | $44.12–$297.15 | — | 60% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST | $1,162.80 | $2,907.00 | $44.12–$547.67 | — | 60% |
| CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST | $1,162.80 | $2,907.00 | $44.12–$547.67 | — | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST | $1,344.40 | $3,361.00 | $49.61–$547.67 | 8% above | 60% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST | $1,344.40 | $3,361.00 | $49.61–$547.67 | 8% above | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST | $1,344.40 | $3,361.00 | $49.61–$547.67 | — | 60% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST | $1,344.40 | $3,361.00 | $49.61–$547.67 | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $1,206.00 | $3,015.00 | $38.79–$547.67 | 8% above | 60% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $1,206.00 | $3,015.00 | $38.79–$547.67 | 8% above | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST | $1,206.00 | $3,015.00 | $38.79–$547.67 | — | 60% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST | $1,206.00 | $3,015.00 | $38.79–$547.67 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $206.00 | $515.00 | $38.79–$178.43 | 79% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $206.00 | $515.00 | $38.79–$178.43 | 79% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTC-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | 9% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTC-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | 9% below | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTRAST | $206.00 | $515.00 | $38.79–$178.43 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT C-SPINE W/O CONTRAST | $206.00 | $515.00 | $38.79–$178.43 | — | 60% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CTC-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | — | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $206.00 | $515.00 | $45.25–$314.71 | 81% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $206.00 | $515.00 | $45.25–$314.71 | 81% below | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,253.20 | $3,133.00 | $45.25–$547.67 | 17% above | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST | $1,253.20 | $3,133.00 | $45.25–$547.67 | 17% above | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/CONTRAST | $206.00 | $515.00 | $45.25–$314.71 | — | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST | $1,253.20 | $3,133.00 | $45.25–$547.67 | — | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST | $1,253.20 | $3,133.00 | $45.25–$547.67 | — | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMPLETE 93880 | $448.80 | $1,122.00 | $38.63–$548.07 | 37% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID COMPLETE 93880 | $448.80 | $1,122.00 | $38.63–$548.07 | 37% below | 60% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID COMPLETE 93880 | $448.80 | $1,122.00 | $38.63–$548.07 | — | 60% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W & W/O CONTRAST | $896.40 | $2,241.00 | $48.62–$547.67 | 28% below | 60% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX W & W/O CONTRAST | $896.40 | $2,241.00 | $48.62–$547.67 | 28% below | 60% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W & W/O CONTRAST | $896.40 | $2,241.00 | $48.62–$547.67 | — | 60% |
| Chest X-ray, 2 views CPT 71046 B-READ 2 VIEW CHEST | $35.20 | $88.00 | $9.00–$50.69 | 84% below | 60% |
| Chest X-ray, 2 views CPT 71046 CHEST X-RAY 2V PA & LAT* | $66.40 | $166.00 | $9.00–$163.28 | 70% below | 60% |
| Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $66.40 | $166.00 | $9.00–$163.28 | 70% below | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 B-READ 2 VIEW CHEST | $35.20 | $88.00 | $9.00–$50.69 | — | 60% |
| Chest X-ray, 2 views inpatient CPT 71046 X-RAY EXAM CHEST 2 VIEWS | $116.40 | $291.00 | $9.00–$171.88 | — | 60% |
| Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW | $54.40 | $136.00 | $6.79–$133.84 | 72% below | 60% |
| Chest X-ray, single view CPT 71045 CHEST XRAY PORTABLE 71045 | $54.40 | $136.00 | $6.79–$133.84 | 72% below | 60% |
| Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW | $54.40 | $136.00 | $6.79–$133.84 | — | 60% |
| Chest X-ray, single view inpatient CPT 71045 CHEST XRAY PORTABLE 71045 | $54.40 | $136.00 | $6.79–$133.84 | — | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000RT | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000LT | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000LT | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000 | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000 | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000 | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000 | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000RT | $50.40 | $126.00 | $6.58–$123.78 | 75% below | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000LT | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000LT | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 73000RT | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 73000 | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 73000RT | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000 | $50.40 | $126.00 | $6.58–$123.78 | — | 60% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000 | $240.80 | $602.00 | $6.58–$130.29 | — | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE 76770 | $676.40 | $1,691.00 | $28.68–$172.71 | 69% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE 76770 | $676.40 | $1,691.00 | $28.68–$172.71 | 69% above | 60% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL COMPLETE 76770 | $676.40 | $1,691.00 | $28.68–$172.71 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA | $87.20 | $218.00 | $8.13–$214.39 | 72% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA | $87.20 | $218.00 | $8.13–$214.39 | 72% below | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA | $87.20 | $218.00 | $8.13–$214.39 | — | 60% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA | $87.20 | $218.00 | $8.13–$214.39 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $454.00 | $1,135.00 | $42.16–$547.67 | 54% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST | $454.00 | $1,135.00 | $42.16–$547.67 | 54% below | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $454.00 | $1,135.00 | $42.16–$547.67 | — | 60% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST | $454.00 | $1,135.00 | $42.16–$547.67 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST | $206.00 | $515.00 | $45.51–$297.15 | 81% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/CONTRAST | $206.00 | $515.00 | $45.51–$297.15 | 81% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST | $1,015.20 | $2,538.00 | $45.51–$547.67 | 5% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST | $1,015.20 | $2,538.00 | $45.51–$547.67 | 5% below | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST | $206.00 | $515.00 | $45.51–$297.15 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/CONTRAST | $206.00 | $515.00 | $45.51–$297.15 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ CONTRAST | $1,015.20 | $2,538.00 | $45.51–$547.67 | — | 60% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ CONTRAST | $1,015.20 | $2,538.00 | $45.51–$547.67 | — | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI 77066 | $179.60 | $449.00 | $38.79–$206.66 | — | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI 77066 | $179.60 | $449.00 | $38.79–$206.66 | — | 60% |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI 77065 | $140.80 | $352.00 | $31.48–$163.27 | 30% below | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILAT ARTERIAL LOWER 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILAT LOW ART DUPLEX 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILAT LOW ART DUPLEX 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILAT ARTERIAL LOWER 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 BILAT ARTERIAL LOWER 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 BILAT ARTERIAL LOWER 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 BILAT LOW ART DUPLEX 93925 | $502.80 | $1,257.00 | $34.55–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT VENOUS UPPER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT VENOUS LOWER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT VENOUS LOWER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT VENOUS UPPER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILAT VENOUS LOWER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILAT VENOUS UPPER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILAT VENOUS UPPER 93970 | $485.20 | $1,213.00 | $37.87–$548.07 | — | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP W/COLOR & DOP 93306 | $908.80 | $2,272.00 | $50.85–$1,746.67 | 52% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP W/COLOR & DOP 93306 | $908.80 | $2,272.00 | $50.85–$1,746.67 | 52% below | 60% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP W/COLOR & DOP 93306 | $908.80 | $2,272.00 | $50.85–$1,746.67 | — | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEW 73070RT | $196.40 | $491.00 | $6.58–$129.23 | at median | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEW 73070LT | $196.40 | $491.00 | $6.58–$129.23 | at median | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEW 73070LT | $196.40 | $491.00 | $6.58–$129.23 | at median | 60% |
| Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEW 73070RT | $196.40 | $491.00 | $6.58–$129.23 | at median | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEW 73070LT | $196.40 | $491.00 | $6.58–$129.23 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEW 73070LT | $196.40 | $491.00 | $6.58–$129.23 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2 VIEW 73070RT | $196.40 | $491.00 | $6.58–$129.23 | — | 60% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2 VIEW 73070RT | $196.40 | $491.00 | $6.58–$129.23 | — | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RT COMPLT 3V* 73080RT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW RT COMPLT 3V* 73080RT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LT COMPLT 3V* 73080LT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW LT COMPLT 3V* 73080LT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT | $66.80 | $167.00 | $6.87–$164.03 | 72% below | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW RT COMPLT 3V* 73080RT | $66.80 | $167.00 | $6.87–$164.03 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT | $66.80 | $167.00 | $6.87–$164.03 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW LT COMPLT 3V* 73080LT | $66.80 | $167.00 | $6.87–$164.03 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT | $66.80 | $167.00 | $6.87–$164.03 | — | 60% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT | $66.80 | $167.00 | $6.87–$164.03 | — | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS, SELLA, OR POST | $1,045.20 | $2,613.00 | $50.16–$547.67 | 1% below | 60% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS, SELLA, OR POST | $1,045.20 | $2,613.00 | $50.16–$547.67 | 1% below | 60% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS, SELLA, OR POST | $1,045.20 | $2,613.00 | $50.16–$547.67 | — | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3+ VIEWS 70150 | $78.80 | $197.00 | $10.24–$94.48 | 74% below | 60% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3+ VIEWS 70150 | $78.80 | $197.00 | $10.24–$94.48 | 74% below | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3+ VIEWS 70150 | $78.80 | $197.00 | $10.24–$94.48 | — | 60% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3+ VIEWS 70150 | $78.80 | $197.00 | $10.24–$94.48 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEW 73090LT | $54.80 | $137.00 | $6.32–$134.84 | 74% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEW 73090LT | $54.80 | $137.00 | $6.32–$134.84 | 74% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEW 73090RT | $54.80 | $137.00 | $6.32–$134.84 | 74% below | 60% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEW 73090RT | $54.80 | $137.00 | $6.32–$134.84 | 74% below | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEW 73090LT | $54.80 | $137.00 | $6.32–$134.84 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEW 73090RT | $54.80 | $137.00 | $6.32–$134.84 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEW 73090RT | $54.80 | $137.00 | $6.32–$134.84 | — | 60% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEW 73090LT | $54.80 | $137.00 | $6.32–$134.84 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY W/O CCK 78226 | $1,118.40 | $2,796.00 | $28.42–$603.79 | 3% above | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY W/O CCK 78226 | $1,118.40 | $2,796.00 | $28.42–$603.79 | 3% above | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY W/O CCK 78226 | $1,118.40 | $2,796.00 | $28.42–$603.79 | — | 60% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY W/O CCK 78226 | $1,118.40 | $2,796.00 | $28.42–$603.79 | — | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, LT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, RT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, RT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, LT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND LT, 2 VIEW 73120LT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND LT, 2 VIEW 73120LT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND RT, 2 VIEW 73120RT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views one side CPT 73120 HAND RT, 2 VIEW 73120RT | $57.20 | $143.00 | $6.58–$118.64 | 70% below | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, LT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, RT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, LT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, RT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT, 2 VIEW 73120RT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT, 2 VIEW 73120LT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND LT, 2 VIEW 73120LT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HAND RT, 2 VIEW 73120RT | $57.20 | $143.00 | $6.58–$118.64 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT 73650LT | $50.40 | $126.00 | $6.32–$123.78 | 74% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT 73650LT | $50.40 | $126.00 | $6.32–$123.78 | 74% below | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RT 73650RT | $198.40 | $496.00 | $6.32–$130.29 | 1% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RT 73650RT | $198.40 | $496.00 | $6.32–$130.29 | 1% above | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RT 73650RT | $50.40 | $126.00 | $6.32–$123.78 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LT 73650LT | $50.40 | $126.00 | $6.32–$123.78 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LT 73650LT | $50.40 | $126.00 | $6.32–$123.78 | — | 60% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RT 73650RT | $198.40 | $496.00 | $6.32–$130.29 | — | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST G0399 | $138.80 | $347.00 | $34.65–$312.30 | 61% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST G0399 | $138.80 | $347.00 | $34.65–$312.30 | 61% below | 60% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TEST G0399 | $138.80 | $347.00 | $34.65–$312.30 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT TECHNICAL COMP | $1,277.20 | $3,193.00 | $96.82–$2,873.70 | 54% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SPLIT NIGHT TECHNICAL COMP | $1,277.20 | $3,193.00 | $96.82–$2,873.70 | 54% below | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT TECHNICAL COMP | $1,277.20 | $3,193.00 | $96.82–$2,873.70 | — | 60% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SPLIT NIGHT TECHNICAL COMP | $1,277.20 | $3,193.00 | $96.82–$2,873.70 | — | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEW* 73562RT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE RT 3 VIEW* 73562RT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, RT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, RT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEW* 73562LT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE LT 3 VIEW* 73562LT | $66.00 | $165.00 | $7.42–$162.02 | 73% below | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, LT | $292.80 | $732.00 | $7.42–$170.54 | 22% above | 60% |
| Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, LT | $292.80 | $732.00 | $7.42–$170.54 | 22% above | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3 VIEW* 73562LT | $66.00 | $165.00 | $7.42–$162.02 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3 VIEW* 73562RT | $66.00 | $165.00 | $7.42–$162.02 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE RT 3 VIEW* 73562RT | $66.00 | $165.00 | $7.42–$162.02 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE LT 3 VIEW* 73562LT | $66.00 | $165.00 | $7.42–$162.02 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, RT | $66.00 | $165.00 | $7.42–$162.02 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, LT | $292.80 | $732.00 | $7.42–$170.54 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, RT | $292.80 | $732.00 | $7.42–$170.54 | — | 60% |
| Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, LT | $292.80 | $732.00 | $7.42–$170.54 | — | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT COMPLT 4 VIEW 73564LT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W COMPLETE, RT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE W COMPLETE, RT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE, LT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE, LT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE LT COMPLT 4 VIEW 73564LT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT COMPLT 4 VIEW 73564RT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE RT COMPLT 4 VIEW 73564RT | $95.20 | $238.00 | $9.10–$234.47 | 71% below | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE, LT | $95.20 | $238.00 | $9.10–$234.47 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LT COMPLT 4 VIEW 73564LT | $95.20 | $238.00 | $9.10–$234.47 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE LT COMPLT 4 VIEW 73564LT | $95.20 | $238.00 | $9.10–$234.47 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE W COMPLETE, RT | $95.20 | $238.00 | $9.10–$234.47 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE RT COMPLT 4 VIEW 73564RT | $95.20 | $238.00 | $9.10–$234.47 | — | 60% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE, LT | $336.80 | $842.00 | $9.10–$246.81 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O RT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O LT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O RT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O LT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | 18% below | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O | $836.40 | $2,091.00 | $38.79–$547.67 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O | $836.40 | $2,091.00 | $38.79–$547.67 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O RT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O LT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | — | 60% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O LT 73700 | $836.40 | $2,091.00 | $38.79–$547.67 | — | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED 76705 | $519.20 | $1,298.00 | $23.05–$149.27 | 64% above | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED 76705 | $519.20 | $1,298.00 | $23.05–$149.27 | 64% above | 60% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED 76705 | $519.20 | $1,298.00 | $23.05–$149.27 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NONVAS LIM 76882 | $239.20 | $598.00 | $4.64–$133.56 | 21% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NONVAS LIM 76882 | $239.20 | $598.00 | $4.64–$133.56 | 21% below | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NONVAS LIM 76882 | $239.20 | $598.00 | $4.64–$133.56 | — | 60% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NONVAS LIM 76882 | $239.20 | $598.00 | $4.64–$133.56 | — | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING 71271 | $534.00 | $1,335.00 | $42.16–$547.67 | 17% below | 60% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING 71271 | $206.00 | $515.00 | $42.16–$188.19 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT | $62.40 | $156.00 | $6.32–$153.97 | 72% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT | $62.40 | $156.00 | $6.32–$153.97 | 72% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT | $62.40 | $156.00 | $6.32–$153.97 | 72% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT | $62.40 | $156.00 | $6.32–$153.97 | 72% below | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT | $62.40 | $156.00 | $6.32–$153.97 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT | $62.40 | $156.00 | $6.32–$153.97 | — | 60% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT | $62.40 | $156.00 | $6.32–$153.97 | — | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | 3% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA/COW HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | 3% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA/COW HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | 3% below | 60% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | 3% below | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | — | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | — | 60% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA/COW HEAD W/O 70544 | $1,348.80 | $3,372.00 | $46.92–$758.02 | — | 60% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $230.00 | $575.00 | $89.66–$492.25 | — | 60% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST C-+ W/CAD BI | $230.00 | $575.00 | $89.66–$492.25 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HIP BIL W/O 7372150 | $2,303.60 | $5,759.00 | $52.96–$629.87 | 81% above | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HIP BIL W/O 7372150 | $2,303.60 | $5,759.00 | $52.96–$629.87 | 81% above | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | at median | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HIP BIL W/O 7372150 | $2,303.60 | $5,759.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HIP BIL W/O 7372150 | $2,303.60 | $5,759.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE LT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE LT W/O 73721LT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE LT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT W/O 73721RT | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT LIM PREOP-TOTAL KNEE | $1,270.80 | $3,177.00 | $52.96–$629.87 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 ANKLE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 KNEE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HIP RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | 24% below | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ANKLE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HIP RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HIP LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 KNEE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 KNEE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 KNEE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ANKLE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ANKLE RT W & W/O 73723RT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 ANKLE LT W & W/O 73723LT | $1,247.60 | $3,119.00 | $83.89–$714.20 | — | 60% |
| MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O 74181 | $1,386.40 | $3,466.00 | $57.05–$629.87 | 11% above | 60% |
| MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O 74181 | $1,386.40 | $3,466.00 | $57.05–$629.87 | 11% above | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN W/O 74181 | $1,386.40 | $3,466.00 | $57.05–$629.87 | — | 60% |
| MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN W/O 74181 | $1,386.40 | $3,466.00 | $57.05–$629.87 | — | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W & W/O 74183 | $1,762.00 | $4,405.00 | $85.59–$716.03 | 6% above | 60% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W & W/O 74183 | $1,762.00 | $4,405.00 | $85.59–$716.03 | 6% above | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W & W/O 74183 | $1,762.00 | $4,405.00 | $85.59–$716.03 | — | 60% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W & W/O 74183 | $1,762.00 | $4,405.00 | $85.59–$716.03 | — | 60% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN W/O 70551 | $1,436.40 | $3,591.00 | $57.89–$629.87 | 15% above | 60% |
| MRI of the brain, no contrast dye CPT 70551 BRAIN W/O 70551 | $1,436.40 | $3,591.00 | $57.89–$629.87 | 15% above | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O 70551 | $1,436.40 | $3,591.00 | $57.89–$629.87 | — | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W & W/O 70553 | $2,116.00 | $5,290.00 | $89.37–$629.87 | 22% above | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 BRAIN W & W/O 70553 | $2,116.00 | $5,290.00 | $89.37–$629.87 | 22% above | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W & W/O 70553 | $2,116.00 | $5,290.00 | $89.37–$629.87 | — | 60% |
| MRI of the lower back, no contrast dye CPT 72148 L-SPINE W/O 72148 | $1,431.60 | $3,579.00 | $57.89–$629.87 | 15% above | 60% |
| MRI of the lower back, no contrast dye CPT 72148 L-SPINE W/O 72148 | $1,431.60 | $3,579.00 | $57.89–$629.87 | 15% above | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 L-SPINE W/O 72148 | $1,431.60 | $3,579.00 | $57.89–$629.87 | — | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 L-SPINE W/O 72148 | $1,431.60 | $3,579.00 | $57.89–$629.87 | — | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 L-SPINE W & W/O 72158 | $1,806.40 | $4,516.00 | $89.37–$629.87 | 4% above | 60% |
| MRI of the lower back, without and then with contrast dye CPT 72158 L-SPINE W & W/O 72158 | $1,806.40 | $4,516.00 | $89.37–$629.87 | 4% above | 60% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 L-SPINE W & W/O 72158 | $1,806.40 | $4,516.00 | $89.37–$629.87 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 T-SPINE W/O 72146 | $1,343.20 | $3,358.00 | $57.89–$629.87 | 13% above | 60% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 T-SPINE W/O 72146 | $1,343.20 | $3,358.00 | $57.89–$629.87 | 13% above | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 T-SPINE W/O 72146 | $1,343.20 | $3,358.00 | $57.89–$629.87 | — | 60% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 T-SPINE W/O 72146 | $1,343.20 | $3,358.00 | $57.89–$629.87 | — | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE W & W/O 72156 | $1,688.40 | $4,221.00 | $89.37–$629.87 | at median | 60% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE W & W/O 72156 | $1,688.40 | $4,221.00 | $89.37–$629.87 | at median | 60% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 C-SPINE W & W/O 72156 | $1,688.40 | $4,221.00 | $89.37–$629.87 | — | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 C-SPINE W/O 72141 | $1,466.00 | $3,665.00 | $57.89–$629.87 | 25% above | 60% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 C-SPINE W/O 72141 | $1,466.00 | $3,665.00 | $57.89–$629.87 | 25% above | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 C-SPINE W/O 72141 | $1,466.00 | $3,665.00 | $57.89–$629.87 | — | 60% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 C-SPINE W/O 72141 | $1,466.00 | $3,665.00 | $57.89–$629.87 | — | 60% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS W & W/O 72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | 2% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 PELVIS W & W/O 72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | 2% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI ENTEROGRAPHY-SM BOWEL72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | 2% below | 60% |
| MRI of the pelvis without and with contrast CPT 72197 MRI ENTEROGRAPHY-SM BOWEL72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | 2% below | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI ENTEROGRAPHY-SM BOWEL72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | — | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI ENTEROGRAPHY-SM BOWEL72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | — | 60% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W & W/O 72197 | $1,624.80 | $4,062.00 | $85.59–$716.03 | — | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O 72195 | $1,033.20 | $2,583.00 | $57.05–$629.87 | 13% below | 60% |
| MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O 72195 | $1,033.20 | $2,583.00 | $57.05–$629.87 | 13% below | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS W/O 72195 | $1,033.20 | $2,583.00 | $57.05–$629.87 | — | 60% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS W/O 72195 | $1,033.20 | $2,583.00 | $57.05–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 BRACHIAL PLEXUS W/O 73221 | $1,220.80 | $3,052.00 | $53.22–$629.87 | 1% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 BRACHIAL PLEXUS W/O 73221 | $1,220.80 | $3,052.00 | $53.22–$629.87 | 1% below | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LT W/O 73221LT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LT W/O 73221LT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | 10% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O 73221RT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O 73221RT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | 14% above | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 BRACHIAL PLEXUS W/O 73221 | $1,220.80 | $3,052.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW RT W/O 73221RT | $230.00 | $575.00 | $53.22–$338.49 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER RT W/O 73221RT | $230.00 | $575.00 | $53.22–$338.49 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW LT W/O 73221LT | $1,361.60 | $3,404.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW LT W/O 73221LT | $1,361.60 | $3,404.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST RT W/O 73221RT | $1,361.60 | $3,404.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER RT W/O 73221RT | $1,404.00 | $3,510.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | — | 60% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST LT W/O 73221LT | $1,404.00 | $3,510.00 | $53.22–$629.87 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEW 72050 | $101.20 | $253.00 | $10.80–$249.57 | 73% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEW 72050 | $101.20 | $253.00 | $10.80–$249.57 | 73% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEWS 72050 | $101.20 | $253.00 | $10.80–$249.57 | 73% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEWS 72050 | $101.20 | $253.00 | $10.80–$249.57 | 73% below | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 OR 5 VIEW 72050 | $101.20 | $253.00 | $10.80–$249.57 | — | 60% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 OR 5 VIEWS 72050 | $101.20 | $253.00 | $10.80–$249.57 | — | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CO | $1,178.40 | $2,946.00 | $54.08–$547.67 | 10% above | 60% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CO | $1,178.40 | $2,946.00 | $54.08–$547.67 | 10% above | 60% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CO | $1,178.40 | $2,946.00 | $54.08–$547.67 | — | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $887.20 | $2,218.00 | $50.16–$547.67 | 6% below | 60% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $887.20 | $2,218.00 | $50.16–$547.67 | 6% below | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $206.00 | $515.00 | $50.16–$206.16 | — | 60% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR | $887.20 | $2,218.00 | $50.16–$547.67 | — | 60% |
| Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE 70360 | $56.80 | $142.00 | $7.16–$139.88 | 72% below | 60% |
| Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE 70360 | $56.80 | $142.00 | $7.16–$139.88 | 72% below | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE 70360 | $56.80 | $142.00 | $7.16–$139.88 | — | 60% |
| Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE 70360 | $56.80 | $142.00 | $7.16–$139.88 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC STRESS W/DOBUT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC STRESS W/DOBUT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 DUAL150/MYCAR TOMO MULT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 DUAL150/MYCAR TOMO MULT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC STRES W/LEXISCAN 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CARDIAC STRES W/LEXISCAN 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | 14% below | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC STRES W/LEXISCAN 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CARDIAC STRESS W/DOBUT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 DUAL150/MYCAR TOMO MULT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | — | 60% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 DUAL150/MYCAR TOMO MULT 78452 | $2,024.00 | $5,060.00 | $65.26–$1,673.61 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | 48% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT AXUMIN SKULL THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | 48% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT AXUMIN SKULL THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | 48% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT SKULL BASE TO THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | 48% below | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT AXUMIN SKULL THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | — | 60% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT SKULL BASE TO THIGH | $1,981.60 | $4,954.00 | $97.67–$2,001.13 | — | 60% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $1,058.00 | $2,645.00 | $42.45–$547.67 | at median | 60% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $1,058.00 | $2,645.00 | $42.45–$547.67 | at median | 60% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST | $1,058.00 | $2,645.00 | $42.45–$547.67 | — | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED 76857 | $444.00 | $1,110.00 | $19.39–$117.44 | 50% above | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED 76857 | $444.00 | $1,110.00 | $19.39–$117.44 | 50% above | 60% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LIMITED 76857 | $444.00 | $1,110.00 | $19.39–$117.44 | — | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE 76856 | $807.60 | $2,019.00 | $26.98–$140.47 | 127% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE 76856 | $807.60 | $2,019.00 | $26.98–$140.47 | 127% above | 60% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMPLETE 76856 | $807.60 | $2,019.00 | $26.98–$140.47 | — | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB AFTER FIRST TRIMESTER >14WK | $555.20 | $1,388.00 | $39.02–$178.59 | 51% above | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB AFTER FIRST TRIMESTER >14WK | $555.20 | $1,388.00 | $39.02–$178.59 | 51% above | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB AFTER FIRST TRIMESTER >14WK | $555.20 | $1,388.00 | $39.02–$178.59 | — | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB FIRST TRI <14 WEEKS 76801 | $594.80 | $1,487.00 | $38.76–$155.49 | 92% above | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB FIRST TRI <14 WEEKS 76801 | $594.80 | $1,487.00 | $38.76–$155.49 | 92% above | 60% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB FIRST TRI <14 WEEKS 76801 | $594.80 | $1,487.00 | $38.76–$155.49 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED 76815 | $260.00 | $650.00 | $25.57–$161.31 | 2% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED 76815 | $260.00 | $650.00 | $25.57–$161.31 | 2% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED OB ULTRASOUND | $286.00 | $715.00 | $25.57–$161.31 | 13% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 LIMITED OB ULTRASOUND | $286.00 | $715.00 | $25.57–$161.31 | 13% above | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED 76815 | $260.00 | $650.00 | $25.57–$161.31 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED OB ULTRASOUND | $286.00 | $715.00 | $25.57–$161.31 | — | 60% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 LIMITED OB ULTRASOUND | $286.00 | $715.00 | $25.57–$161.31 | — | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIB LT UNILATERAL 71100LT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIB RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIB RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS LT UNILAT 71100LT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS LT UNILAT 71100LT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIB LT UNILATERAL 71100LT | $58.80 | $147.00 | $8.83–$144.91 | 74% below | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB LT UNILATERAL 71100LT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LT UNILAT 71100LT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB LT UNILATERAL 71100LT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIB RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RT UNILATERAL 71100RT | $58.80 | $147.00 | $8.83–$144.91 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LEFT WITH CXR 71101LT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RIGHT WITH CXR 71101RT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RIGHT WITH CXR 71101RT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LEFT WITH CXR 71101LT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT WITH CHEST 71101LT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT WITH CHEST 71101LT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT WITH CHEST 71101RT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT WITH CHEST 71101RT | $88.00 | $220.00 | $10.53–$216.36 | 70% below | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT WITH CHEST 71101LT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT WITH CHEST 71101RT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RIGHT WITH CXR 71101RT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT WITH CHEST 71101RT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT WITH CHEST 71101LT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LEFT WITH CXR 71101LT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RIGHT WITH CXR 71101RT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LEFT WITH CXR 71101LT | $88.00 | $220.00 | $10.53–$216.36 | — | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI W/CAD 77067 | $179.60 | $449.00 | $29.78–$183.54 | — | 60% |
| Screening mammogram, both breasts CPT 77067 SCR BIL W/CAD CORP 77067 | $118.40 | $296.00 | $29.78–$183.54 | 40% below | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI LT W/CAD 77067 | $140.80 | $352.00 | $29.78–$183.54 | 29% below | 60% |
| Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI RT W/CAD 77067 | $140.80 | $352.00 | $29.78–$183.54 | 29% below | 60% |
| Screening mammogram, both breasts inpatient one side CPT 77067 SCR MAMMO UNI LT W/CAD 77067 | $140.80 | $352.00 | $29.78–$183.54 | — | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT COMPLT 2V* 73030LT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER LT COMPLT 2V* 73030LT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT COMPLT 2V* 73030RT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER RT COMPLT 2V* 73030RT | $61.60 | $154.00 | $7.42–$151.96 | 73% below | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT | $61.60 | $154.00 | $7.42–$151.96 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT | $61.60 | $154.00 | $7.42–$151.96 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER RT COMPLT 2V* 73030RT | $61.60 | $154.00 | $7.42–$151.96 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER LT COMPLT 2V* 73030LT | $61.60 | $154.00 | $7.42–$151.96 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT | $257.60 | $644.00 | $7.42–$159.95 | — | 60% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT | $257.60 | $644.00 | $7.42–$159.95 | — | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3+ VIEWS 70220 | $85.60 | $214.00 | $8.57–$210.32 | 71% below | 60% |
| Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3+ VIEWS 70220 | $85.60 | $214.00 | $8.57–$210.32 | 71% below | 60% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3+ VIEWS 70220 | $85.60 | $214.00 | $8.57–$210.32 | — | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS 70250 | $62.80 | $157.00 | $7.16–$154.98 | 74% below | 60% |
| Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS 70250 | $62.80 | $157.00 | $7.16–$154.98 | 74% below | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS 70250 | $62.80 | $157.00 | $7.16–$154.98 | — | 60% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS 70250 | $62.80 | $157.00 | $7.16–$154.98 | — | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM TECHNICAL COMP | $1,174.40 | $2,936.00 | $93.13–$2,642.40 | 56% below | 60% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAM TECHNICAL COMP | $1,174.40 | $2,936.00 | $93.13–$2,642.40 | 56% below | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM TECHNICAL COMP | $1,174.40 | $2,936.00 | $93.13–$2,642.40 | — | 60% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAM TECHNICAL COMP | $1,174.40 | $2,936.00 | $93.13–$2,642.40 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPH-SWALLOWING FUNC 74230 | $594.80 | $1,487.00 | $20.81–$355.92 | 10% above | 60% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPH-SWALLOWING FUNC 74230 | $594.80 | $1,487.00 | $20.81–$355.92 | 10% above | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPH-SWALLOWING FUNC 74230 | $594.80 | $1,487.00 | $20.81–$355.92 | — | 60% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPH-SWALLOWING FUNC 74230 | $594.80 | $1,487.00 | $20.81–$355.92 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VWS 73552LT | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VWS 73552LT | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VW 73552RT | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VW 73552RT | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | 81% below | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT MIN 2 VWS 73552LT | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT MIN 2 VW 73552RT | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552 | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR LT MIN 2 VWS 73552LT | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT MIN 2 VW 73552RT | $47.20 | $118.00 | $7.16–$76.80 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | 9% below | 60% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | 9% below | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST | $206.00 | $515.00 | $38.79–$178.00 | — | 60% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST | $887.20 | $2,218.00 | $38.79–$547.67 | — | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES RT MIN 2 VIEW 73660RT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, RT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, RT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, LT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, LT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES LT MIN 2 VIEW 73660LT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES LT MIN 2 VIEW 73660LT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views one side CPT 73660 TOES RT MIN 2 VIEW 73660RT | $47.60 | $119.00 | $5.19–$116.74 | 74% below | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, RT | $47.60 | $119.00 | $5.19–$116.74 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES LT MIN 2 VIEW 73660LT | $47.60 | $119.00 | $5.19–$116.74 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES RT MIN 2 VIEW 73660RT | $47.60 | $119.00 | $5.19–$116.74 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES RT MIN 2 VIEW 73660RT | $47.60 | $119.00 | $5.19–$116.74 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, LT | $47.60 | $119.00 | $5.19–$116.74 | — | 60% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, LT | $175.60 | $439.00 | $5.19–$122.88 | — | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ECHO 76830 | $404.40 | $1,011.00 | $27.24–$157.63 | 34% above | 60% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ECHO 76830 | $404.40 | $1,011.00 | $27.24–$157.63 | 34% above | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ECHO 76830 | $404.40 | $1,011.00 | $27.24–$157.63 | — | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ECHO 76830 | $404.40 | $1,011.00 | $27.24–$157.63 | — | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAG 76817 | $345.60 | $864.00 | $29.50–$161.31 | 1% below | 60% |
| Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAG 76817 | $345.60 | $864.00 | $29.50–$161.31 | 1% below | 60% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAG 76817 | $345.60 | $864.00 | $29.50–$161.31 | — | 60% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE 76700 | $713.20 | $1,783.00 | $31.48–$172.71 | 65% above | 60% |
| Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE 76700 | $713.20 | $1,783.00 | $31.48–$172.71 | 65% above | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE 76700 | $713.20 | $1,783.00 | $31.48–$172.71 | — | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE 76700 | $713.20 | $1,783.00 | $31.48–$172.71 | — | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR 76870 | $533.20 | $1,333.00 | $25.02–$140.47 | 57% above | 60% |
| Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR 76870 | $533.20 | $1,333.00 | $25.02–$140.47 | 57% above | 60% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR 76870 | $533.20 | $1,333.00 | $25.02–$140.47 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK 76536 | $560.80 | $1,402.00 | $22.19–$548.07 | 9% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK 76536 | $560.80 | $1,402.00 | $22.19–$548.07 | 9% below | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK 76536 | $560.80 | $1,402.00 | $22.19–$548.07 | — | 60% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK 76536 | $560.80 | $1,402.00 | $22.19–$548.07 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CON W/O KUB 74240 | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CON W/O KUB 74240 | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE W/SMALL BOWEL 74240 | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE W/SMALL BOWEL 74240 | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SG CON W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SG CON W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTS W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTS W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | 66% below | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE W/SBFT | $699.60 | $1,749.00 | $31.46–$486.21 | 29% above | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE W/SBFT | $699.60 | $1,749.00 | $31.46–$486.21 | 29% above | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SG CON W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTS W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE W/SMALL BOWEL 74240 | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CON W/O KUB 74240 | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SG CON W/O KUB | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE | $187.60 | $469.00 | $31.46–$461.90 | — | 60% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE W/SBFT | $699.60 | $1,749.00 | $31.46–$486.21 | — | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT MIN 2V 73060RT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT 2V 73060LT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS LT 2V 73060LT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS RT MIN 2V 73060RT | $60.40 | $151.00 | $6.58–$148.93 | 74% below | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS LT 2V 73060LT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT MIN 2V 73060RT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS RT MIN 2V 73060RT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT | $60.40 | $151.00 | $6.58–$148.93 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT VENOUS UPPER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT VENOUS LOWER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT VENOUS LOWER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT VENOUS UPPER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | 37% below | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILAT VENOUS LOWER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | — | 60% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILAT VENOUS UPPER 93971 | $422.00 | $1,055.00 | $23.21–$548.07 | — | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RT, 2 VIEW 73100RT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT LT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LT, 2 VIEW 73100LT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST LT, 2 VIEW 73100LT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST RT, 2 VIEW 73100RT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT LT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT RT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT RT | $47.20 | $118.00 | $6.58–$110.17 | 74% below | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST RT, 2 VIEW 73100RT | $47.20 | $118.00 | $6.58–$110.17 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT LT | $47.20 | $118.00 | $6.58–$110.17 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST LT, 2 VIEW 73100LT | $47.20 | $118.00 | $6.58–$110.17 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT RT | $47.20 | $118.00 | $6.58–$110.17 | — | 60% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT RT | $47.20 | $118.00 | $6.58–$110.17 | — | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMPLT 3V* 73110LT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT COMPLT 3V* 73110RT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST RT COMPLT 3V* 73110RT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST LT COMPLT 3V* 73110LT | $62.80 | $157.00 | $6.87–$154.98 | 73% below | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT COMPLT 3V* 73110RT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT COMPLT 3V* 73110LT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST RT COMPLT 3V* 73110RT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST LT COMPLT 3V* 73110LT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT | $226.00 | $565.00 | $6.87–$163.13 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3 V W/PEL* 73502RT | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3 V W/PEL* 73502LT | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP RT 2-3 V W/PEL* 73502RT | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP LT 2-3 V W/PEL* 73502LT | $76.40 | $191.00 | $8.83–$187.63 | 70% below | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2-3 V W/PEL* 73502LT | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT W/PELVIS 2-3VW 73502 | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP LT 2-3 VIEW | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT 2-3 V W/PEL* 73502RT | $76.40 | $191.00 | $8.83–$187.63 | — | 60% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP RT W/PELVIS 2-3VW 73502 | $212.40 | $531.00 | $8.83–$197.50 | — | 60% |
| X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VW* 74018 | $59.20 | $148.00 | $7.52–$145.91 | 71% below | 60% |
| X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $59.20 | $148.00 | $7.52–$145.91 | 71% below | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VW* 74018 | $59.20 | $148.00 | $7.52–$145.91 | — | 60% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW | $248.00 | $620.00 | $7.52–$153.59 | — | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEW 73600LT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEW 73600RT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEW 73600RT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEW 73600LT | $47.20 | $118.00 | $6.58–$112.71 | 75% below | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEW 73600RT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEW 73600RT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEW 73600LT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT AP & LAT | $47.20 | $118.00 | $6.58–$112.71 | — | 60% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEW 73600LT | $218.80 | $547.00 | $6.58–$118.64 | — | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT MIN 2 VIEW 73140RT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, RT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, LT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, LT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT MIN 2 VIEW 73140LT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER LT MIN 2 VIEW 73140LT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER RT MIN 2 VIEW 73140RT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, RT | $47.20 | $118.00 | $5.46–$114.72 | 73% below | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT MIN 2 VIEW 73140LT | $47.20 | $118.00 | $5.46–$114.72 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER LT MIN 2 VIEW 73140LT | $47.20 | $118.00 | $5.46–$114.72 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER S MIN 2 VIEWS, LT | $47.20 | $118.00 | $5.46–$114.72 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER RT MIN 2 VIEW 73140RT | $47.20 | $118.00 | $5.46–$114.72 | — | 60% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER S MIN 2 VIEWS, RT | $47.20 | $118.00 | $5.46–$114.72 | — | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 73620RT | $47.20 | $118.00 | $6.06–$108.05 | 75% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 73620RT | $47.20 | $118.00 | $6.06–$108.05 | 75% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 76320RT | $47.20 | $118.00 | $6.06–$108.05 | 75% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 76320RT | $47.20 | $118.00 | $6.06–$108.05 | 75% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEW 73620LT | $59.20 | $148.00 | $6.06–$108.05 | 69% below | 60% |
| X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEW 73620LT | $59.20 | $148.00 | $6.06–$108.05 | 69% below | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEW 73620RT | $47.20 | $118.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEW 73620RT | $47.20 | $118.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEW 76320RT | $47.20 | $118.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEW 76320RT | $47.20 | $118.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEW 73620LT | $59.20 | $148.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEW 73620LT | $198.40 | $496.00 | $6.06–$108.05 | — | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT | $47.20 | $118.00 | $6.60–$76.80 | 79% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT | $47.20 | $118.00 | $6.60–$76.80 | 79% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT COMPLETE 3V* 73630LT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT LT COMPLETE 3V* 73630LT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT COMLETE 3V* 73630RT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT RT COMLETE 3V* 73630RT | $59.20 | $148.00 | $6.60–$145.91 | 74% below | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT | $47.20 | $118.00 | $6.60–$76.80 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT | $47.20 | $118.00 | $6.60–$76.80 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT RT COMLETE 3V* 73630RT | $59.20 | $148.00 | $6.60–$145.91 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT | $59.20 | $148.00 | $6.60–$145.91 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT LT COMPLETE 3V* 73630LT | $59.20 | $148.00 | $6.60–$145.91 | — | 60% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT | $59.20 | $148.00 | $6.60–$145.91 | — | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT MIN 3V* 73130LT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT MIN 3V* 73130RT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND RT MIN 3V* 73130RT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND LT MIN 3V* 73130LT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, LT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, LT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, RT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, RT | $60.00 | $150.00 | $6.87–$147.93 | 73% below | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND LT MIN 3V* 73130LT | $60.00 | $150.00 | $6.87–$147.93 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND RT MIN 3V* 73130RT | $60.00 | $150.00 | $6.87–$147.93 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, RT | $60.00 | $150.00 | $6.87–$147.93 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, LT | $60.00 | $150.00 | $6.87–$147.93 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, LT | $60.00 | $150.00 | $6.87–$147.93 | — | 60% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, RT | $226.00 | $565.00 | $6.87–$155.71 | — | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1 OR 2 VIEW 73560RT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE RT 1 OR 2 VIEW 73560RT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1 OR 2 VIEW 73560LT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE LT 1 OR 2 VIEW 73560LT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, LT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, LT | $47.60 | $119.00 | $6.58–$116.74 | 75% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, RT | $66.00 | $165.00 | $6.58–$122.88 | 65% below | 60% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, RT | $66.00 | $165.00 | $6.58–$122.88 | 65% below | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 1 OR 2 VIEW 73560RT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1 OR 2 VIEW 73560LT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE RT 1 OR 2 VIEW 73560RT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, LT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, LT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE LT 1 OR 2 VIEW 73560LT | $47.60 | $119.00 | $6.58–$116.74 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, RT | $66.00 | $165.00 | $6.58–$122.88 | — | 60% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, RT | $66.00 | $165.00 | $6.58–$122.88 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS 72100 | $76.80 | $192.00 | $8.83–$189.19 | 72% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS 72100 | $76.80 | $192.00 | $8.83–$189.19 | 72% below | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS 72100 | $76.80 | $192.00 | $8.83–$189.19 | — | 60% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS 72100 | $76.80 | $192.00 | $8.83–$189.19 | — | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEWS 72110 | $109.20 | $273.00 | $10.24–$268.69 | 72% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEWS 72110 | $109.20 | $273.00 | $10.24–$268.69 | 72% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 BACK X-RAYS | $127.60 | $319.00 | $10.24–$282.83 | 67% below | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 BACK X-RAYS | $127.60 | $319.00 | $10.24–$282.83 | 67% below | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4 VIEWS 72110 | $109.20 | $273.00 | $10.24–$268.69 | — | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 BACK X-RAYS | $127.60 | $319.00 | $10.24–$282.83 | — | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4 VIEWS 72110 | $454.80 | $1,137.00 | $10.24–$282.83 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS 72070 | $58.80 | $147.00 | $8.00–$144.91 | 74% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS 72070 | $58.80 | $147.00 | $8.00–$144.91 | 74% below | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS 72070 | $58.80 | $147.00 | $8.00–$144.91 | — | 60% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS 72070 | $58.80 | $147.00 | $8.00–$144.91 | — | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEWS 70160 | $65.20 | $163.00 | $6.87–$160.00 | 73% below | 60% |
| X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEWS 70160 | $65.20 | $163.00 | $6.87–$160.00 | 73% below | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3+ VIEWS 70160 | $65.20 | $163.00 | $6.87–$160.00 | — | 60% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3+ VIEWS 70160 | $241.60 | $604.00 | $6.87–$168.42 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 3 VIEWS OR LESS 72040 | $70.40 | $176.00 | $8.83–$173.09 | 71% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS 72040 | $70.40 | $176.00 | $8.83–$173.09 | 71% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 2-3 VIEWS 72040 | $70.40 | $176.00 | $8.83–$173.09 | 71% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 3 VIEWS OR LESS 72040 | $70.40 | $176.00 | $8.83–$173.09 | 71% below | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 3 VIEWS OR LESS 72040 | $70.40 | $176.00 | $8.83–$173.09 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 3 VIEWS OR LESS 72040 | $70.40 | $176.00 | $8.83–$173.09 | — | 60% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 2-3 VIEWS 72040 | $70.40 | $176.00 | $8.83–$173.09 | — | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS, 1=2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | 72% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | 72% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | 72% below | 60% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS, 1=2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | 72% below | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | — | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS, 1=2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | — | 60% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS, 1=2 VIEWS 72170 | $55.60 | $139.00 | $6.87–$136.86 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 72220 | $62.80 | $157.00 | $6.87–$154.98 | 72% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 72220 | $62.80 | $157.00 | $6.87–$154.98 | 72% below | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 72220 | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 72220 | $62.80 | $157.00 | $6.87–$154.98 | — | 60% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HOROMONE | $76.00 | $190.00 | $32.83–$171.00 | 57% below | 60% |
| ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HOROMONE | $76.00 | $190.00 | $32.83–$171.00 | 57% below | 60% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HOROMONE | $76.00 | $190.00 | $32.83–$171.00 | — | 60% |
| ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HOROMONE | $76.00 | $190.00 | $32.83–$171.00 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT-SGPT | $4.00 | $10.00 | $1.08–$9.00 | 88% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT-SGPT | $4.00 | $10.00 | $1.08–$9.00 | 88% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER FIBROSIS/ALT | $20.80 | $52.00 | $1.08–$46.80 | 39% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER FIBROSIS/ALT | $20.80 | $52.00 | $1.08–$46.80 | 39% below | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT, SGPT | $65.60 | $164.00 | $1.08–$147.60 | 92% above | 60% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT, SGPT | $65.60 | $164.00 | $1.08–$147.60 | 92% above | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT-SGPT | $4.00 | $10.00 | $1.08–$9.00 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT-SGPT | $4.00 | $10.00 | $1.08–$9.00 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT, SGPT | $9.20 | $23.00 | $1.08–$20.70 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LIVER FIBROSIS/ALT | $20.80 | $52.00 | $1.08–$46.80 | — | 60% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT, SGPT | $65.60 | $164.00 | $1.08–$147.60 | — | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST-SGOT | $6.00 | $15.00 | $1.08–$13.50 | 83% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST-SGOT | $6.00 | $15.00 | $1.08–$13.50 | 83% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST, SGOT | $33.60 | $84.00 | $1.08–$75.60 | 6% below | 60% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST, SGOT | $33.60 | $84.00 | $1.08–$75.60 | 6% below | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST-SGOT | $6.00 | $15.00 | $1.08–$13.50 | — | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST-SGOT | $6.00 | $15.00 | $1.08–$13.50 | — | 60% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST, SGOT | $33.60 | $84.00 | $1.08–$75.60 | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP4 PANEL | $28.00 | $70.00 | $40.49–$63.00 | 87% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEP4 PANEL | $28.00 | $70.00 | $40.49–$63.00 | 87% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $134.40 | $336.00 | $40.49–$302.40 | 35% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE | $134.40 | $336.00 | $40.49–$302.40 | 35% below | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP4 PANEL | $28.00 | $70.00 | $40.49–$63.00 | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEP4 PANEL | $28.00 | $70.00 | $40.49–$63.00 | — | 60% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, ACUTE | $134.40 | $336.00 | $40.49–$302.40 | — | 60% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $30.00 | $75.00 | $1.08–$67.50 | 6% below | 60% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $30.00 | $75.00 | $1.08–$67.50 | 6% below | 60% |
| Albumin blood test CPT 82040 ALB, SERUM | $56.40 | $141.00 | $1.08–$126.90 | 77% above | 60% |
| Albumin blood test CPT 82040 ALB, SERUM | $56.40 | $141.00 | $1.08–$126.90 | 77% above | 60% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $30.00 | $75.00 | $1.08–$67.50 | — | 60% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $30.00 | $75.00 | $1.08–$67.50 | — | 60% |
| Albumin blood test inpatient CPT 82040 ALB, SERUM | $56.40 | $141.00 | $1.08–$126.90 | — | 60% |
| Albumin blood test inpatient CPT 82040 ALB, SERUM | $56.40 | $141.00 | $1.08–$126.90 | — | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $78.80 | $197.00 | $34.64–$177.30 | 56% below | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM | $78.80 | $197.00 | $34.64–$177.30 | 56% below | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HOUR URINE | $97.60 | $244.00 | $34.64–$219.60 | 46% below | 60% |
| Aldosterone blood test CPT 82088 ALDOSTERONE, 24 HOUR URINE | $97.60 | $244.00 | $34.64–$219.60 | 46% below | 60% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, SERUM | $78.80 | $197.00 | $34.64–$177.30 | — | 60% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, 24 HOUR URINE | $97.60 | $244.00 | $34.64–$219.60 | — | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, SERUM | $5.20 | $13.00 | $1.08–$11.70 | 85% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE, SERUM | $5.20 | $13.00 | $1.08–$11.70 | 85% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISOENZYME-TOTAL | $16.80 | $42.00 | $1.08–$37.80 | 53% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS ISOENZYME-TOTAL | $16.80 | $42.00 | $1.08–$37.80 | 53% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATES, ALKALINE | $32.40 | $81.00 | $1.08–$72.90 | 9% below | 60% |
| Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATES, ALKALINE | $32.40 | $81.00 | $1.08–$72.90 | 9% below | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, SERUM | $5.20 | $13.00 | $1.08–$11.70 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE, SERUM | $5.20 | $13.00 | $1.08–$11.70 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISOENZYME-TOTAL | $16.80 | $42.00 | $1.08–$37.80 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS ISOENZYME-TOTAL | $16.80 | $42.00 | $1.08–$37.80 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATES, ALKALINE | $32.40 | $81.00 | $1.08–$72.90 | — | 60% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATES, ALKALINE | $32.40 | $81.00 | $1.08–$72.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN CAT DANDER | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN RAGWEED COMMON | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DOG DANDER | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN RAGWEED COMMON | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN CAT DANDER | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DOG DANDER | $9.20 | $23.00 | $4.73–$20.70 | 69% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PEANUT | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN PEANUT | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN MILK | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN MILK | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN EGG WHITE | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN EGG WHITE | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DUST MITES F | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DUST MITES F | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DUST MITES P | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN DUST MITES P | $9.60 | $24.00 | $4.73–$21.60 | 67% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX R/A | $10.00 | $25.00 | $4.73–$22.50 | 66% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX R/A | $10.00 | $25.00 | $4.73–$22.50 | 66% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PEANUT IGE | $10.40 | $26.00 | $4.73–$23.40 | 65% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PEANUT IGE | $10.40 | $26.00 | $4.73–$23.40 | 65% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COW MILK IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TOMATO IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST TOMATO IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST STRAWBERRY IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST STRAWBERRY IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COW MILK IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SOYBEAN | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SOYBEAN | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BREWERS YEAST IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RICE IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RICE IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BREWERS YEAST IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WHEAT IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ORANGE IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ORANGE IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST WHEAT IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST EGG IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST CORN IGE | $11.20 | $28.00 | $4.73–$25.20 | 62% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS IGE | $12.00 | $30.00 | $4.73–$27.00 | 59% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS IGE | $12.00 | $30.00 | $4.73–$27.00 | 59% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $30.00 | $4.73–$27.00 | 59% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $30.00 | $4.73–$27.00 | 59% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHELL FISH IGE- VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHELL FISH IGE- VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY IGE | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY IGE | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | 58% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - LOBSTER | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SHRIMP | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SHRIMP | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - TUNA | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUST MITES (D.F.) ALLERG COUNT | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DUST MITES (D.F.) ALLERG COUNT | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - LOBSTER | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - TUNA | $14.40 | $36.00 | $4.73–$32.40 | 51% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PORK IGE | $16.40 | $41.00 | $4.73–$36.90 | 44% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PORK IGE | $16.40 | $41.00 | $4.73–$36.90 | 44% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLUM IGE | $16.80 | $42.00 | $4.73–$37.80 | 43% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLUM IGE | $16.80 | $42.00 | $4.73–$37.80 | 43% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN COUNT | $17.20 | $43.00 | $4.73–$38.70 | 41% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN EGG YOLK | $17.20 | $43.00 | $4.73–$38.70 | 41% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN EGG YOLK | $17.20 | $43.00 | $4.73–$38.70 | 41% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN COUNT | $17.20 | $43.00 | $4.73–$38.70 | 41% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER | $17.60 | $44.00 | $4.73–$39.60 | 40% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER | $17.60 | $44.00 | $4.73–$39.60 | 40% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALMOND | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCONUT | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST COCONUT | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PECAN | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST PECAN | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SESAME SEED | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST SESAME SEED | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR IGE | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR IGE | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALMOND | $18.00 | $45.00 | $4.73–$40.50 | 39% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REDTOP - BENTGRASS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 REDTOP - BENTGRASS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALTWORT - RUSSIAN THISTLE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 OAK | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ELM | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SHORT RAGWEED | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SALTWORT - RUSSIAN THISTLE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINAE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS IGE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS IGE | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSIN | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES PTERONYSSIN | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER | $18.40 | $46.00 | $4.73–$41.40 | 37% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN IGE | $20.40 | $51.00 | $4.73–$45.90 | 31% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN IGE | $20.40 | $51.00 | $4.73–$45.90 | 31% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER IGE | $22.80 | $57.00 | $4.73–$51.30 | 22% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER IGE | $22.80 | $57.00 | $4.73–$51.30 | 22% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | 14% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | 14% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | 14% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | 14% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FLAVUS IGE | $25.60 | $64.00 | $4.73–$57.60 | 13% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FLAVUS IGE | $25.60 | $64.00 | $4.73–$57.60 | 13% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN MUGWORT | $26.40 | $66.00 | $4.73–$59.40 | 10% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN SILVER BIRCH | $26.40 | $66.00 | $4.73–$59.40 | 10% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN MUGWORT | $26.40 | $66.00 | $4.73–$59.40 | 10% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN SILVER BIRCH | $26.40 | $66.00 | $4.73–$59.40 | 10% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW IGE | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BARLEY | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RYE | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST RYE | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 COW IGE | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST BARLEY | $28.80 | $72.00 | $4.73–$64.80 | 2% below | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT ADDL | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT IGE | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT IGE | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 STINGING INSECT ADDL | $30.40 | $76.00 | $4.73–$68.40 | 3% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IGE | $32.00 | $80.00 | $4.73–$72.00 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE IGE | $32.00 | $80.00 | $4.73–$72.00 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HORSE IGE | $32.00 | $80.00 | $4.73–$72.00 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST ALLERGEN IGE | $32.00 | $80.00 | $4.73–$72.00 | 9% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SALMON | $32.40 | $81.00 | $4.73–$72.90 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SALMON | $32.40 | $81.00 | $4.73–$72.90 | 10% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IGE | $33.20 | $83.00 | $4.73–$74.70 | 13% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 LATEX SPECIFIC IGE | $33.20 | $83.00 | $4.73–$74.70 | 13% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - MILK | $34.00 | $85.00 | $4.73–$76.50 | 16% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 RAST - MILK | $34.00 | $85.00 | $4.73–$76.50 | 16% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE | $35.60 | $89.00 | $4.73–$80.10 | 21% above | 60% |
| Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE | $35.60 | $89.00 | $4.73–$80.10 | 21% above | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN CAT DANDER | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN RAGWEED COMMON | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN CAT DANDER | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN DOG DANDER | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN DOG DANDER | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN RAGWEED COMMON | $9.20 | $23.00 | $4.73–$20.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN PEANUT | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN MILK | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN EGG WHITE | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN DUST MITES F | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN DUST MITES P | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN DUST MITES P | $9.60 | $24.00 | $4.73–$21.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX R/A | $10.00 | $25.00 | $4.73–$22.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PEANUT IGE | $10.40 | $26.00 | $4.73–$23.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PEANUT IGE | $10.40 | $26.00 | $4.73–$23.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RICE IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST EGG IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BREWERS YEAST IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST CORN IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SOYBEAN | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST WHEAT IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TOMATO IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COW MILK IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ORANGE IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST STRAWBERRY IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BREWERS YEAST IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST STRAWBERRY IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ORANGE IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RICE IGE | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SOYBEAN | $11.20 | $28.00 | $4.73–$25.20 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $30.00 | $4.73–$27.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEGRASS IGE | $12.00 | $30.00 | $4.73–$27.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE | $12.00 | $30.00 | $4.73–$27.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY IGE | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHELL FISH IGE- VFOOD | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHELL FISH IGE- VFOOD | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE IGE-VFOOD | $12.40 | $31.00 | $4.73–$27.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUST MITES (D.F.) ALLERG COUNT | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - LOBSTER | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - LOBSTER | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - SHRIMP | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUST MITES (D.F.) ALLERG COUNT | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - TUNA | $14.40 | $36.00 | $4.73–$32.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PORK IGE | $16.40 | $41.00 | $4.73–$36.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PORK IGE | $16.40 | $41.00 | $4.73–$36.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLUM IGE | $16.80 | $42.00 | $4.73–$37.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN COUNT | $17.20 | $43.00 | $4.73–$38.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN COUNT | $17.20 | $43.00 | $4.73–$38.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN EGG YOLK | $17.20 | $43.00 | $4.73–$38.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN EGG YOLK | $17.20 | $43.00 | $4.73–$38.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER | $17.60 | $44.00 | $4.73–$39.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER | $17.60 | $44.00 | $4.73–$39.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST COCONUT | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR IGE | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SESAME SEED | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PECAN | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALMOND | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST PECAN | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST SESAME SEED | $18.00 | $45.00 | $4.73–$40.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSHELDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALTWORT - RUSSIAN THISTLE | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS IGE | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINAE | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHORT RAGWEED | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 REDTOP - BENTGRASS | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES PTERONYSSIN | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSHELDER | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALTWORT - RUSSIAN THISTLE | $18.40 | $46.00 | $4.73–$41.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN IGE | $20.40 | $51.00 | $4.73–$45.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN IGE | $20.40 | $51.00 | $4.73–$45.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER IGE | $22.80 | $57.00 | $4.73–$51.30 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER IGE | $22.80 | $57.00 | $4.73–$51.30 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED ALLERGEN IGE | $25.20 | $63.00 | $4.73–$56.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FLAVUS IGE | $25.60 | $64.00 | $4.73–$57.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FLAVUS IGE | $25.60 | $64.00 | $4.73–$57.60 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN SILVER BIRCH | $26.40 | $66.00 | $4.73–$59.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN MUGWORT | $26.40 | $66.00 | $4.73–$59.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BARLEY | $28.80 | $72.00 | $4.73–$64.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW IGE | $28.80 | $72.00 | $4.73–$64.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST BARLEY | $28.80 | $72.00 | $4.73–$64.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST RYE | $28.80 | $72.00 | $4.73–$64.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW IGE | $28.80 | $72.00 | $4.73–$64.80 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STINGING INSECT ADDL | $30.40 | $76.00 | $4.73–$68.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE | $30.40 | $76.00 | $4.73–$68.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STINGING INSECT IGE | $30.40 | $76.00 | $4.73–$68.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STINGING INSECT IGE | $30.40 | $76.00 | $4.73–$68.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE | $30.40 | $76.00 | $4.73–$68.40 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IGE | $32.00 | $80.00 | $4.73–$72.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE IGE | $32.00 | $80.00 | $4.73–$72.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE IGE | $32.00 | $80.00 | $4.73–$72.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST ALLERGEN IGE | $32.00 | $80.00 | $4.73–$72.00 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - SALMON | $32.40 | $81.00 | $4.73–$72.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - SALMON | $32.40 | $81.00 | $4.73–$72.90 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX SPECIFIC IGE | $33.20 | $83.00 | $4.73–$74.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX SPECIFIC IGE | $33.20 | $83.00 | $4.73–$74.70 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - MILK | $34.00 | $85.00 | $4.73–$76.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - MILK | $34.00 | $85.00 | $4.73–$76.50 | — | 60% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GALACTOSE-ALPHA-1,3-GALACTOSE | $35.60 | $89.00 | $4.73–$80.10 | — | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $66.80 | $167.00 | $14.25–$150.30 | 32% below | 60% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM | $66.80 | $167.00 | $14.25–$150.30 | 32% below | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $66.80 | $167.00 | $14.25–$150.30 | — | 60% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN SERUM | $66.80 | $167.00 | $14.25–$150.30 | — | 60% |
| Ammonia blood test CPT 82140 AMMONIA, BLOOD | $57.20 | $143.00 | $12.38–$128.70 | 33% below | 60% |
| Ammonia blood test CPT 82140 AMMONIA, BLOOD | $57.20 | $143.00 | $12.38–$128.70 | 33% below | 60% |
| Ammonia blood test inpatient CPT 82140 AMMONIA, BLOOD | $57.20 | $143.00 | $12.38–$128.70 | — | 60% |
| Amylase blood test CPT 82150 AMYLASE, SERUM | $80.80 | $202.00 | $5.88–$181.80 | 47% above | 60% |
| Amylase blood test CPT 82150 AMYLASE, SERUM | $80.80 | $202.00 | $5.88–$181.80 | 47% above | 60% |
| Amylase blood test inpatient CPT 82150 AMYLASE, SERUM | $80.80 | $202.00 | $5.88–$181.80 | — | 60% |
| Amylase blood test inpatient CPT 82150 AMYLASE, SERUM | $80.80 | $202.00 | $5.88–$181.80 | — | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYLIC CITRULLINATED PEP IGG | $91.60 | $229.00 | $11.75–$206.10 | 2% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYLIC CITRULLINATED PEP IGG | $91.60 | $229.00 | $11.75–$206.10 | 2% below | 60% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYLIC CITRULLINATED PEP IGG | $91.60 | $229.00 | $11.75–$206.10 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID | $44.00 | $110.00 | $10.97–$99.00 | 35% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID | $44.00 | $110.00 | $10.97–$99.00 | 35% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $47.60 | $119.00 | $10.97–$107.10 | 30% below | 60% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA | $47.60 | $119.00 | $10.97–$107.10 | 30% below | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BODY FLUID | $44.00 | $110.00 | $10.97–$99.00 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BODY FLUID | $44.00 | $110.00 | $10.97–$99.00 | — | 60% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA | $47.60 | $119.00 | $10.97–$107.10 | — | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATIURETIC PEPTIDE | $86.40 | $216.00 | $30.80–$194.40 | 33% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATIURETIC PEPTIDE | $86.40 | $216.00 | $30.80–$194.40 | 33% below | 60% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATIURETIC PEPTIDE | $86.40 | $216.00 | $30.80–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $24.80 | $62.00 | $7.35–$55.80 | 56% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $24.80 | $62.00 | $7.35–$55.80 | 56% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TRANSFUSION REACTION CULTURE | $39.60 | $99.00 | $7.35–$89.10 | 29% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TRANSFUSION REACTION CULTURE | $39.60 | $99.00 | $7.35–$89.10 | 29% below | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $70.80 | $177.00 | $7.35–$159.30 | 27% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SPUTUM CULTURE | $70.80 | $177.00 | $7.35–$159.30 | 27% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CERV-VAG CULTURE, ROUT. | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CERV-VAG CULTURE, ROUT. | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF/EAR/EYE CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CSF/EAR/EYE CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BODY FLUID CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 THROAT CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WC CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 WC CULTURE | $86.40 | $216.00 | $7.35–$194.40 | 55% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LUNG ASPIRATE | $149.60 | $374.00 | $7.35–$336.60 | 168% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LUNG ASPIRATE | $149.60 | $374.00 | $7.35–$336.60 | 168% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SINUS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PLEURAL FLUID | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SINUS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TISSUE CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ABCESS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PLEURAL FLUID | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ABCESS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | 177% above | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENVIRONMENTAL CULTURE | $24.80 | $62.00 | $7.35–$55.80 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENVIRONMENTAL CULTURE | $24.80 | $62.00 | $7.35–$55.80 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TRANSFUSION REACTION CULTURE | $39.60 | $99.00 | $7.35–$89.10 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SPUTUM CULTURE | $70.80 | $177.00 | $7.35–$159.30 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF/EAR/EYE CULTURE | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CERV-VAG CULTURE, ROUT. | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 THROAT CULTURE | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BODY FLUID CULTURE | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CSF/EAR/EYE CULTURE | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 WC CULTURE | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CERV-VAG CULTURE, ROUT. | $86.40 | $216.00 | $7.35–$194.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LUNG ASPIRATE | $149.60 | $374.00 | $7.35–$336.60 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ABCESS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ABCESS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PLEURAL FLUID | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PLEURAL FLUID | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SINUS CULTURE | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 TISSUE CULTURE | $154.40 | $386.00 | $7.35–$347.40 | — | 60% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $34.80 | $87.00 | $8.46–$78.30 | 48% below | 60% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $34.80 | $87.00 | $8.46–$78.30 | 48% below | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $34.80 | $87.00 | $8.46–$78.30 | — | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $34.80 | $87.00 | $8.46–$78.30 | — | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID CYTOL | $16.40 | $41.00 | $1.08–$36.90 | 55% below | 60% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID CYTOL | $16.40 | $41.00 | $1.08–$36.90 | 55% below | 60% |
| Bilirubin blood test, total CPT 82247 LIVER FIBROSIS/TOTAL BILIRUBIN | $20.00 | $50.00 | $1.08–$45.00 | 45% below | 60% |
| Bilirubin blood test, total CPT 82247 LIVER FIBROSIS/TOTAL BILIRUBIN | $20.00 | $50.00 | $1.08–$45.00 | 45% below | 60% |
| Bilirubin blood test, total CPT 82247 TBIL | $26.80 | $67.00 | $1.08–$60.30 | 26% below | 60% |
| Bilirubin blood test, total CPT 82247 TBIL | $26.80 | $67.00 | $1.08–$60.30 | 26% below | 60% |
| Bilirubin blood test, total CPT 82247 T. BILI | $32.40 | $81.00 | $1.08–$72.90 | 11% below | 60% |
| Bilirubin blood test, total CPT 82247 T. BILI | $32.40 | $81.00 | $1.08–$72.90 | 11% below | 60% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID CYTOL | $16.40 | $41.00 | $1.08–$36.90 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 LIVER FIBROSIS/TOTAL BILIRUBIN | $20.00 | $50.00 | $1.08–$45.00 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 TBIL | $26.80 | $67.00 | $1.08–$60.30 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 TBIL | $26.80 | $67.00 | $1.08–$60.30 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 T. BILI | $32.40 | $81.00 | $1.08–$72.90 | — | 60% |
| Bilirubin blood test, total inpatient CPT 82247 T. BILI | $32.40 | $81.00 | $1.08–$72.90 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 NEPHRO LEVEL IV TC | $86.40 | $216.00 | $29.84–$194.40 | 60% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 NEPHRO LEVEL IV TC | $86.40 | $216.00 | $29.84–$194.40 | 60% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV TC | $101.60 | $254.00 | $29.84–$228.60 | 53% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LVL IV EA | $101.60 | $254.00 | $29.84–$228.60 | 53% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LEVEL IV TC | $101.60 | $254.00 | $29.84–$228.60 | 53% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 GROSS & MICRO LVL IV EA | $101.60 | $254.00 | $29.84–$228.60 | 53% below | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 NEPHRO LEVEL IV TC | $86.40 | $216.00 | $29.84–$194.40 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LVL IV EA | $101.60 | $254.00 | $29.84–$228.60 | — | 60% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 GROSS & MICRO LEVEL IV TC | $101.60 | $254.00 | $29.84–$228.60 | — | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $74.40 | $186.00 | $9.37–$167.40 | 5% below | 60% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE | $74.40 | $186.00 | $9.37–$167.40 | 5% below | 60% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE | $74.40 | $186.00 | $9.37–$167.40 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-ROUTINE | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE NURSERY | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE NURSERY | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE BIRTH CTR | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE BIRTH CTR | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL COLLECTION | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL COLLECTION | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-ROUTINE | $18.00 | $45.00 | $1.80–$40.50 | at median | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-ROUTINE | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE NURSERY | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL COLLECTION | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE BIRTH CTR | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-ROUTINE | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE NURSERY | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL COLLECTION | $18.00 | $45.00 | $1.80–$40.50 | — | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $24.40 | $61.00 | $1.08–$54.90 | 6% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD | $24.40 | $61.00 | $1.08–$54.90 | 6% below | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUAN | $26.40 | $66.00 | $1.08–$59.40 | 2% above | 60% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, QUAN | $26.40 | $66.00 | $1.08–$59.40 | 2% above | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD | $24.40 | $61.00 | $1.08–$54.90 | — | 60% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, QUAN | $26.40 | $66.00 | $1.08–$59.40 | — | 60% |
| Blood lead test CPT 83655 LEAD URINE | $16.00 | $40.00 | $10.98–$36.00 | 69% below | 60% |
| Blood lead test CPT 83655 LEAD URINE | $16.00 | $40.00 | $10.98–$36.00 | 69% below | 60% |
| Blood lead test CPT 83655 LEAD BLOOD | $16.80 | $42.00 | $10.98–$37.80 | 68% below | 60% |
| Blood lead test CPT 83655 LEAD, SERUM - SUB A | $16.80 | $42.00 | $10.98–$37.80 | 68% below | 60% |
| Blood lead test CPT 83655 LEAD, SERUM - SUB A | $16.80 | $42.00 | $10.98–$37.80 | 68% below | 60% |
| Blood lead test CPT 83655 LEAD BLOOD | $16.80 | $42.00 | $10.98–$37.80 | 68% below | 60% |
| Blood lead test CPT 83655 LEAD LEVEL | $40.80 | $102.00 | $10.98–$91.80 | 22% below | 60% |
| Blood lead test CPT 83655 LEAD LEVEL | $40.80 | $102.00 | $10.98–$91.80 | 22% below | 60% |
| Blood lead test inpatient CPT 83655 LEAD URINE | $16.00 | $40.00 | $10.98–$36.00 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $16.80 | $42.00 | $10.98–$37.80 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD BLOOD | $16.80 | $42.00 | $10.98–$37.80 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD, SERUM - SUB A | $16.80 | $42.00 | $10.98–$37.80 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD, SERUM - SUB A | $16.80 | $42.00 | $10.98–$37.80 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $40.80 | $102.00 | $10.98–$91.80 | — | 60% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $40.80 | $102.00 | $10.98–$91.80 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $89.60 | $224.00 | $6.82–$201.60 | 54% above | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $89.60 | $224.00 | $6.82–$201.60 | 54% above | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $89.60 | $224.00 | $6.82–$201.60 | — | 60% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $89.60 | $224.00 | $6.82–$201.60 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING | $62.00 | $155.00 | $2.71–$139.50 | 36% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING | $62.00 | $155.00 | $2.71–$139.50 | 36% below | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC - ABO GROUP | $102.00 | $255.00 | $2.71–$229.50 | 6% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $102.00 | $255.00 | $2.71–$229.50 | 6% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO BLOOD TYPING | $102.00 | $255.00 | $2.71–$229.50 | 6% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC - ABO GROUP | $102.00 | $255.00 | $2.71–$229.50 | 6% above | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING | $62.00 | $155.00 | $2.71–$139.50 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING | $62.00 | $155.00 | $2.71–$139.50 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPING | $102.00 | $255.00 | $2.71–$229.50 | — | 60% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ARC - ABO GROUP | $102.00 | $255.00 | $2.71–$229.50 | — | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $4.40 | $11.00 | $1.08–$9.90 | 85% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 BLOOD UREA NITROGEN | $4.40 | $11.00 | $1.08–$9.90 | 85% below | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, QUANTITAT | $29.20 | $73.00 | $1.08–$65.70 | at median | 60% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, QUANTITAT | $29.20 | $73.00 | $1.08–$65.70 | at median | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BLOOD UREA NITROGEN | $4.40 | $11.00 | $1.08–$9.90 | — | 60% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN, QUANTITAT | $29.20 | $73.00 | $1.08–$65.70 | — | 60% |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $58.80 | $147.00 | $17.69–$132.30 | 44% below | 60% |
| C-peptide blood test CPT 84681 C-PEPTIDE, SERUM | $58.80 | $147.00 | $17.69–$132.30 | 44% below | 60% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, SERUM | $58.80 | $147.00 | $17.69–$132.30 | — | 60% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE, SERUM | $58.80 | $147.00 | $17.69–$132.30 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREATINE REACT PROTEIN | $35.60 | $89.00 | $4.69–$80.10 | 26% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CREATINE REACT PROTEIN | $35.60 | $89.00 | $4.69–$80.10 | 26% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $39.20 | $98.00 | $4.69–$88.20 | 18% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $39.20 | $98.00 | $4.69–$88.20 | 18% below | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CREATINE REACT PROTEIN | $35.60 | $89.00 | $4.69–$80.10 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $39.20 | $98.00 | $4.69–$88.20 | — | 60% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $39.20 | $98.00 | $4.69–$88.20 | — | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE A&B SO | $47.20 | $118.00 | $31.84–$106.20 | 58% below | 60% |
| C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE A&B SO | $47.20 | $118.00 | $31.84–$106.20 | 58% below | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE A&B SO | $47.20 | $118.00 | $31.84–$106.20 | — | 60% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE A&B SO | $47.20 | $118.00 | $31.84–$106.20 | — | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $33.60 | $84.00 | $18.88–$75.60 | 66% below | 60% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 | $33.60 | $84.00 | $18.88–$75.60 | 66% below | 60% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 | $33.60 | $84.00 | $18.88–$75.60 | — | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $116.00 | $290.00 | $18.88–$261.00 | 23% above | 60% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125 | $116.00 | $290.00 | $18.88–$261.00 | 23% above | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 | $116.00 | $290.00 | $18.88–$261.00 | — | 60% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125 | $116.00 | $290.00 | $18.88–$261.00 | — | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA OR RNA | $54.40 | $136.00 | $43.61–$122.40 | 60% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA OR RNA | $54.40 | $136.00 | $43.61–$122.40 | 60% below | 60% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 DNA OR RNA | $54.40 | $136.00 | $43.61–$122.40 | — | 60% |
| Calcium blood test, total CPT 82310 CALCIUM URINE-RANDOM CCR | $7.60 | $19.00 | $1.08–$17.10 | 77% below | 60% |
| Calcium blood test, total CPT 82310 CALCIUM URINE-RANDOM CCR | $7.60 | $19.00 | $1.08–$17.10 | 77% below | 60% |
| Calcium blood test, total CPT 82310 CALCIUM, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | 7% below | 60% |
| Calcium blood test, total CPT 82310 CALCIUM, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | 7% below | 60% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE-RANDOM CCR | $7.60 | $19.00 | $1.08–$17.10 | — | 60% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE-RANDOM CCR | $7.60 | $19.00 | $1.08–$17.10 | — | 60% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | — | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $49.20 | $123.00 | $17.21–$110.70 | 55% below | 60% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $49.20 | $123.00 | $17.21–$110.70 | 55% below | 60% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $49.20 | $123.00 | $17.21–$110.70 | — | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA | $40.40 | $101.00 | $10.95–$90.90 | 56% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA | $40.40 | $101.00 | $10.95–$90.90 | 56% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA, IGG IMMUNE | $47.20 | $118.00 | $10.95–$106.20 | 48% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA, IGG IMMUNE | $47.20 | $118.00 | $10.95–$106.20 | 48% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGM AB | $52.80 | $132.00 | $10.95–$118.80 | 42% below | 60% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGM AB | $52.80 | $132.00 | $10.95–$118.80 | 42% below | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA | $40.40 | $101.00 | $10.95–$90.90 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA, IGG IMMUNE | $47.20 | $118.00 | $10.95–$106.20 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGM AB | $52.80 | $132.00 | $10.95–$118.80 | — | 60% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGM AB | $52.80 | $132.00 | $10.95–$118.80 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS URINE | $45.20 | $113.00 | $31.84–$101.70 | 60% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACHOMATIS URINE | $45.20 | $113.00 | $31.84–$101.70 | 60% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPL | $49.20 | $123.00 | $31.84–$110.70 | 56% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMPL | $49.20 | $123.00 | $31.84–$110.70 | 56% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - DNA | $63.20 | $158.00 | $31.84–$142.20 | 43% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA - DNA | $63.20 | $158.00 | $31.84–$142.20 | 43% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA | $65.60 | $164.00 | $31.84–$147.60 | 41% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA | $65.60 | $164.00 | $31.84–$147.60 | 41% below | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS URINE | $45.20 | $113.00 | $31.84–$101.70 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACHOMATIS URINE | $45.20 | $113.00 | $31.84–$101.70 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMPL | $49.20 | $123.00 | $31.84–$110.70 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMPL | $49.20 | $123.00 | $31.84–$110.70 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA - DNA | $63.20 | $158.00 | $31.84–$142.20 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA | $65.60 | $164.00 | $31.84–$147.60 | — | 60% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA | $65.60 | $164.00 | $31.84–$147.60 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIP PROFILE | $30.40 | $76.00 | $12.16–$68.40 | 65% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIP PROFILE | $30.40 | $76.00 | $12.16–$68.40 | 65% below | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $88.00 | $220.00 | $12.16–$198.00 | at median | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $88.00 | $220.00 | $12.16–$198.00 | at median | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIP PROFILE | $30.40 | $76.00 | $12.16–$68.40 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $88.00 | $220.00 | $12.16–$198.00 | — | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $88.00 | $220.00 | $12.16–$198.00 | — | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $70.80 | $177.00 | $6.41–$159.30 | 74% above | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC | $70.80 | $177.00 | $6.41–$159.30 | 74% above | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $70.80 | $177.00 | $6.41–$159.30 | — | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC | $70.80 | $177.00 | $6.41–$159.30 | — | 60% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $35.20 | $88.00 | $5.33–$79.20 | 18% below | 60% |
| Complete blood count (CBC), no differential CPT 85027 HEMOGRAM | $35.20 | $88.00 | $5.33–$79.20 | 18% below | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $35.20 | $88.00 | $5.33–$79.20 | — | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM | $35.20 | $88.00 | $5.33–$79.20 | — | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $115.60 | $289.00 | $10.56–$260.10 | 21% above | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $115.60 | $289.00 | $10.56–$260.10 | 21% above | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $56.80 | $142.00 | $10.56–$127.80 | — | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $115.60 | $289.00 | $10.56–$260.10 | — | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.40 | $136.00 | $14.79–$122.40 | 45% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $54.40 | $136.00 | $14.79–$122.40 | 45% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL PM | $54.40 | $136.00 | $14.79–$122.40 | 45% below | 60% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.40 | $136.00 | $14.79–$122.40 | 45% below | 60% |
| Cortisol blood test, total CPT 82533 CORTROSYN-60 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total CPT 82533 CORTYROSYN-BASELINE | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total CPT 82533 CORTYROSYN-BASELINE | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total CPT 82533 CORTROSYN-60 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total CPT 82533 CORTROSYN-30 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total CPT 82533 CORTROSYN-30 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | 43% below | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $54.40 | $136.00 | $14.79–$122.40 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $54.40 | $136.00 | $14.79–$122.40 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL PM | $54.40 | $136.00 | $14.79–$122.40 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTROSYN-60 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTYROSYN-BASELINE | $56.00 | $140.00 | $14.79–$126.00 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTROSYN-30 MIN POST INFUSION | $56.00 | $140.00 | $14.79–$126.00 | — | 60% |
| Cortisol blood test, total inpatient CPT 82533 CORTYROSYN-BASELINE | $56.00 | $140.00 | $14.79–$126.00 | — | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL-FOR ISOENZYMES | $11.20 | $28.00 | $1.08–$25.20 | 76% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL-FOR ISOENZYMES | $11.20 | $28.00 | $1.08–$25.20 | 76% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK REFLEX | $11.60 | $29.00 | $1.08–$26.10 | 75% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK REFLEX | $11.60 | $29.00 | $1.08–$26.10 | 75% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK, CPK, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | 33% below | 60% |
| Creatine kinase (CK) blood test, total CPT 82550 CK, CPK, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | 33% below | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL-FOR ISOENZYMES | $11.20 | $28.00 | $1.08–$25.20 | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL-FOR ISOENZYMES | $11.20 | $28.00 | $1.08–$25.20 | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK REFLEX | $11.60 | $29.00 | $1.08–$26.10 | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK REFLEX | $11.60 | $29.00 | $1.08–$26.10 | — | 60% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, CPK, TOTAL | $30.80 | $77.00 | $1.08–$69.30 | — | 60% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $7.20 | $18.00 | $1.08–$16.20 | 78% below | 60% |
| Creatinine blood test CPT 82565 CREATININE SERUM | $7.20 | $18.00 | $1.08–$16.20 | 78% below | 60% |
| Creatinine blood test CPT 82565 CREATININE, BLOOD | $20.40 | $51.00 | $1.08–$45.90 | 39% below | 60% |
| Creatinine blood test CPT 82565 CREATININE, BLOOD | $20.40 | $51.00 | $1.08–$45.90 | 39% below | 60% |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $7.20 | $18.00 | $1.08–$16.20 | — | 60% |
| Creatinine blood test inpatient CPT 82565 CREATININE SERUM | $7.20 | $18.00 | $1.08–$16.20 | — | 60% |
| Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD | $20.40 | $51.00 | $1.08–$45.90 | — | 60% |
| Creatinine blood test inpatient CPT 82565 CREATININE, BLOOD | $20.40 | $51.00 | $1.08–$45.90 | — | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE CHARGE | $32.00 | $80.00 | $12.23–$72.00 | 71% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE CHARGE | $32.00 | $80.00 | $12.23–$72.00 | 71% below | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG | $123.20 | $308.00 | $12.23–$277.20 | 13% above | 60% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG | $123.20 | $308.00 | $12.23–$277.20 | 13% above | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEGATIVE CHARGE | $32.00 | $80.00 | $12.23–$72.00 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG | $123.20 | $308.00 | $12.23–$277.20 | — | 60% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG | $123.20 | $308.00 | $12.23–$277.20 | — | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER HS 500 | $80.80 | $202.00 | $9.23–$181.80 | 29% below | 60% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER HS 500 | $80.80 | $202.00 | $9.23–$181.80 | 29% below | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER HS 500 | $80.80 | $202.00 | $9.23–$181.80 | — | 60% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER HS 500 | $80.80 | $202.00 | $9.23–$181.80 | — | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $79.20 | $198.00 | $20.17–$178.20 | 38% below | 60% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $79.20 | $198.00 | $20.17–$178.20 | 38% below | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $79.20 | $198.00 | $20.17–$178.20 | — | 60% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE SULFATE | $79.20 | $198.00 | $20.17–$178.20 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 RAPID DRUG TEST 7 OR 8 PANEL | $34.40 | $86.00 | $62.14–$77.40 | 76% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 10 PANEL DRUG TEST ESTAB | $65.20 | $163.00 | $62.14–$146.70 | 55% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 5 PANEL DRUG TEST - ESTAB | $65.20 | $163.00 | $62.14–$146.70 | 55% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT- MEPERIDINE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT-TRAMADOL | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 5 - COCAINE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT-OXYCODONE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT-PROPOXYPHENE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT BENZODIAZEPINES | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT-BARBITURATES | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT METH AND EDDP | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 5 - AMPHETAMINE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 5 - CANNABINOIDS | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 5 - PCP | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 5 - OPIATE | $71.60 | $179.00 | $62.14–$161.10 | 51% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECSTAT 12 | $128.40 | $321.00 | $62.14–$288.90 | 12% below | 60% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 UMB CORD DRUG SCREEN | $128.40 | $321.00 | $62.14–$288.90 | 12% below | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 RAPID DRUG TEST 7 OR 8 PANEL | $34.40 | $86.00 | $62.14–$77.40 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 10 PANEL DRUG TEST ESTAB | $65.20 | $163.00 | $62.14–$146.70 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT-BARBITURATES | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT BENZODIAZEPINES | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT-PROPOXYPHENE | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT 5 - COCAINE | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT METH AND EDDP | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT- MEPERIDINE | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT 5 - AMPHETAMINE | $71.60 | $179.00 | $62.14–$161.10 | — | 60% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECSTAT 12 | $128.40 | $321.00 | $62.14–$288.90 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, BLOOD | $55.60 | $139.00 | $4.34–$125.10 | at median | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, BLOOD | $55.60 | $139.00 | $4.34–$125.10 | at median | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, BLOOD | $55.60 | $139.00 | $4.34–$125.10 | — | 60% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, BLOOD | $55.60 | $139.00 | $4.34–$125.10 | — | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA IGM | $51.60 | $129.00 | $15.42–$116.10 | 48% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGG | $51.60 | $129.00 | $15.42–$116.10 | 48% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGG | $51.60 | $129.00 | $15.42–$116.10 | 48% below | 60% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VCA IGM | $51.60 | $129.00 | $15.42–$116.10 | 48% below | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IGG | $51.60 | $129.00 | $15.42–$116.10 | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VCA IGG | $51.60 | $129.00 | $15.42–$116.10 | — | 60% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR VCA IGM | $51.60 | $129.00 | $15.42–$116.10 | — | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL E2 | $83.20 | $208.00 | $25.35–$187.20 | 51% below | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL E2 | $83.20 | $208.00 | $25.35–$187.20 | 51% below | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL | $138.00 | $345.00 | $25.35–$310.50 | 18% below | 60% |
| Estradiol blood test CPT 82670 ESTRADIOL | $138.00 | $345.00 | $25.35–$310.50 | 18% below | 60% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL E2 | $83.20 | $208.00 | $25.35–$187.20 | — | 60% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $138.00 | $345.00 | $25.35–$310.50 | — | 60% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $138.00 | $345.00 | $25.35–$310.50 | — | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $76.00 | $190.00 | $16.86–$171.00 | 34% below | 60% |
| FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE | $76.00 | $190.00 | $16.86–$171.00 | 34% below | 60% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE | $76.00 | $190.00 | $16.86–$171.00 | — | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $144.40 | $361.00 | $19.63–$324.90 | 34% below | 60% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL | $144.40 | $361.00 | $19.63–$324.90 | 34% below | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL | $144.40 | $361.00 | $19.63–$324.90 | — | 60% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL | $144.40 | $361.00 | $19.63–$324.90 | — | 60% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $52.80 | $132.00 | $10.37–$118.80 | 38% below | 60% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $52.80 | $132.00 | $10.37–$118.80 | 38% below | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $52.80 | $132.00 | $10.37–$118.80 | — | 60% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $52.80 | $132.00 | $10.37–$118.80 | — | 60% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $51.20 | $128.00 | $7.71–$115.20 | 11% below | 60% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $51.20 | $128.00 | $7.71–$115.20 | 11% below | 60% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $51.20 | $128.00 | $7.71–$115.20 | — | 60% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $51.20 | $128.00 | $7.71–$115.20 | — | 60% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM | $40.40 | $101.00 | $13.34–$90.90 | 59% below | 60% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM | $40.40 | $101.00 | $13.34–$90.90 | 59% below | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID, SERUM | $40.40 | $101.00 | $13.34–$90.90 | — | 60% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID, SERUM | $40.40 | $101.00 | $13.34–$90.90 | — | 60% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $124.00 | $310.00 | $15.37–$279.00 | 3% below | 60% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $124.00 | $310.00 | $15.37–$279.00 | 3% below | 60% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $124.00 | $310.00 | $15.37–$279.00 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (TY), FREE | $106.40 | $266.00 | $8.18–$239.40 | 70% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (TY), FREE | $106.40 | $266.00 | $8.18–$239.40 | 70% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 - 50 | $119.20 | $298.00 | $8.18–$268.20 | 91% above | 60% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4 - 50 | $119.20 | $298.00 | $8.18–$268.20 | 91% above | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (TY), FREE | $106.40 | $266.00 | $8.18–$239.40 | — | 60% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T4 - 50 | $119.20 | $298.00 | $8.18–$268.20 | — | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $52.80 | $132.00 | $23.10–$118.80 | 63% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $52.80 | $132.00 | $23.10–$118.80 | 63% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE ADDL | $57.20 | $143.00 | $23.10–$128.70 | 60% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE ADDL | $57.20 | $143.00 | $23.10–$128.70 | 60% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $70.00 | $175.00 | $23.10–$157.50 | 51% below | 60% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $70.00 | $175.00 | $23.10–$157.50 | 51% below | 60% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $52.80 | $132.00 | $23.10–$118.80 | — | 60% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE ADDL | $57.20 | $143.00 | $23.10–$128.70 | — | 60% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE ADDL | $57.20 | $143.00 | $23.10–$128.70 | — | 60% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $70.00 | $175.00 | $23.10–$157.50 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LIVER FIBROSIS/GGT | $25.20 | $63.00 | $1.08–$56.70 | 41% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 LIVER FIBROSIS/GGT | $25.20 | $63.00 | $1.08–$56.70 | 41% below | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.00 | $125.00 | $1.08–$112.50 | 18% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.00 | $125.00 | $1.08–$112.50 | 18% above | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LIVER FIBROSIS/GGT | $25.20 | $63.00 | $1.08–$56.70 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 LIVER FIBROSIS/GGT | $25.20 | $63.00 | $1.08–$56.70 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $50.00 | $125.00 | $1.08–$112.50 | — | 60% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $50.00 | $125.00 | $1.08–$112.50 | — | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2HR POST GLUCOLA | $48.00 | $120.00 | $4.31–$108.00 | 3% above | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2HR POST GLUCOLA | $48.00 | $120.00 | $4.31–$108.00 | 3% above | 60% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 2HR POST GLUCOLA | $48.00 | $120.00 | $4.31–$108.00 | — | 60% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE FIRST 3 SPEC | $46.40 | $116.00 | $11.68–$104.40 | 48% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 LACTOSE TOLERANCE FIRST 3 SPEC | $46.40 | $116.00 | $11.68–$104.40 | 48% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC INCLUD GLUC | $74.00 | $185.00 | $11.68–$166.50 | 17% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC INCLUD GLUC | $74.00 | $185.00 | $11.68–$166.50 | 17% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER. 2 HR NO URINE | $74.00 | $185.00 | $11.68–$166.50 | 17% below | 60% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER. 2 HR NO URINE | $74.00 | $185.00 | $11.68–$166.50 | 17% below | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 LACTOSE TOLERANCE FIRST 3 SPEC | $46.40 | $116.00 | $11.68–$104.40 | — | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER. 2 HR NO URINE | $74.00 | $185.00 | $11.68–$166.50 | — | 60% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC INCLUD GLUC | $74.00 | $185.00 | $11.68–$166.50 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE URINE | $45.20 | $113.00 | $31.84–$101.70 | 56% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE URINE | $45.20 | $113.00 | $31.84–$101.70 | 56% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED DNA | $63.20 | $158.00 | $31.84–$142.20 | 39% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC AMPLIFIED DNA | $63.20 | $158.00 | $31.84–$142.20 | 39% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE | $65.60 | $164.00 | $31.84–$147.60 | 37% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE | $65.60 | $164.00 | $31.84–$147.60 | 37% below | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE URINE | $45.20 | $113.00 | $31.84–$101.70 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC AMPLIFIED DNA | $63.20 | $158.00 | $31.84–$142.20 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE | $65.60 | $164.00 | $31.84–$147.60 | — | 60% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE | $65.60 | $164.00 | $31.84–$147.60 | — | 60% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $22.00 | $55.00 | $13.17–$49.50 | 68% below | 60% |
| H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI | $22.00 | $55.00 | $13.17–$49.50 | 68% below | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI | $22.00 | $55.00 | $13.17–$49.50 | — | 60% |
| H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI | $22.00 | $55.00 | $13.17–$49.50 | — | 60% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG | $70.40 | $176.00 | $10.88–$158.40 | 37% below | 60% |
| H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG | $70.40 | $176.00 | $10.88–$158.40 | 37% below | 60% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL AG | $70.40 | $176.00 | $10.88–$158.40 | — | 60% |
| H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL AG | $70.40 | $176.00 | $10.88–$158.40 | — | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRASENSITIVE RNA, QUANT | $84.80 | $212.00 | $77.19–$190.80 | 70% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV ULTRASENSITIVE RNA, QUANT | $84.80 | $212.00 | $77.19–$190.80 | 70% below | 60% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV ULTRASENSITIVE RNA, QUANT | $84.80 | $212.00 | $77.19–$190.80 | — | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV - IN HOUSE | $38.40 | $96.00 | $11.65–$86.40 | 54% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV - IN HOUSE | $38.40 | $96.00 | $11.65–$86.40 | 54% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV (NON NEEDLESTICK) | $66.00 | $165.00 | $11.65–$148.50 | 20% below | 60% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV (NON NEEDLESTICK) | $66.00 | $165.00 | $11.65–$148.50 | 20% below | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV - IN HOUSE | $38.40 | $96.00 | $11.65–$86.40 | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV (NON NEEDLESTICK) | $66.00 | $165.00 | $11.65–$148.50 | — | 60% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV (NON NEEDLESTICK) | $66.00 | $165.00 | $11.65–$148.50 | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 AG/AB COMBO | $28.80 | $72.00 | $21.85–$64.80 | 69% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/2 AG/AB COMBO | $28.80 | $72.00 | $21.85–$64.80 | 69% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND 2 ANTIBODY SCREEN | $49.60 | $124.00 | $21.85–$111.60 | 47% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1 AND 2 ANTIBODY SCREEN | $49.60 | $124.00 | $21.85–$111.60 | 47% below | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/2 AG/AB COMBO | $28.80 | $72.00 | $21.85–$64.80 | — | 60% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1 AND 2 ANTIBODY SCREEN | $49.60 | $124.00 | $21.85–$111.60 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HG B GLYCATED A.C. | $24.40 | $61.00 | $8.00–$54.90 | 58% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HG B GLYCATED A.C. | $24.40 | $61.00 | $8.00–$54.90 | 58% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HG B GLYCATED A,C | $58.00 | $145.00 | $8.00–$130.50 | 1% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HG B GLYCATED A,C | $58.00 | $145.00 | $8.00–$130.50 | 1% below | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HG B GLYCATED A.C. | $24.40 | $61.00 | $8.00–$54.90 | — | 60% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HG B GLYCATED A,C | $58.00 | $145.00 | $8.00–$130.50 | — | 60% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $17.20 | $43.00 | $1.96–$38.70 | 20% below | 60% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $17.20 | $43.00 | $1.96–$38.70 | 20% below | 60% |
| Hemoglobin blood test CPT 85018 HEMOBLOBIN | $26.00 | $65.00 | $1.96–$58.50 | 21% above | 60% |
| Hemoglobin blood test CPT 85018 HEMOBLOBIN | $26.00 | $65.00 | $1.96–$58.50 | 21% above | 60% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $17.20 | $43.00 | $1.96–$38.70 | — | 60% |
| Hemoglobin blood test inpatient CPT 85018 HEMOBLOBIN | $26.00 | $65.00 | $1.96–$58.50 | — | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $35.20 | $88.00 | $10.94–$79.20 | 48% below | 60% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $35.20 | $88.00 | $10.94–$79.20 | 48% below | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $35.20 | $88.00 | $10.94–$79.20 | — | 60% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $35.20 | $88.00 | $10.94–$79.20 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B - POST VAC | $46.80 | $117.00 | $9.74–$105.30 | 40% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B - POST VAC | $46.80 | $117.00 | $9.74–$105.30 | 40% below | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $94.80 | $237.00 | $9.74–$213.30 | 22% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY | $94.80 | $237.00 | $9.74–$213.30 | 22% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB-POST | $102.00 | $255.00 | $9.74–$229.50 | 31% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBSAB-POST | $102.00 | $255.00 | $9.74–$229.50 | 31% above | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B - POST VAC | $46.80 | $117.00 | $9.74–$105.30 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $94.80 | $237.00 | $9.74–$213.30 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY | $94.80 | $237.00 | $9.74–$213.30 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB-POST | $102.00 | $255.00 | $9.74–$229.50 | — | 60% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBSAB-POST | $102.00 | $255.00 | $9.74–$229.50 | — | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $105.60 | $264.00 | $9.37–$237.60 | 79% above | 60% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN | $105.60 | $264.00 | $9.37–$237.60 | 79% above | 60% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTIGEN | $105.60 | $264.00 | $9.37–$237.60 | — | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $70.00 | $175.00 | $12.95–$157.50 | 8% below | 60% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $70.00 | $175.00 | $12.95–$157.50 | 8% below | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $70.00 | $175.00 | $12.95–$157.50 | — | 60% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $70.00 | $175.00 | $12.95–$157.50 | — | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGG | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG ABS | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGG | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG ABS | $33.20 | $83.00 | $11.21–$74.70 | 65% below | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG ABS | $33.20 | $83.00 | $11.21–$74.70 | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGG | $33.20 | $83.00 | $11.21–$74.70 | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.20 | $83.00 | $11.21–$74.70 | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG ABS | $33.20 | $83.00 | $11.21–$74.70 | — | 60% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.20 | $83.00 | $11.21–$74.70 | — | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.60 | $84.00 | $17.56–$75.60 | 63% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.60 | $84.00 | $17.56–$75.60 | 63% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2 TYPE 2 IGG | $33.60 | $84.00 | $17.56–$75.60 | 63% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2 TYPE 2 IGG | $33.60 | $84.00 | $17.56–$75.60 | 63% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG ABS | $34.80 | $87.00 | $17.56–$78.30 | 62% below | 60% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG ABS | $34.80 | $87.00 | $17.56–$78.30 | 62% below | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.60 | $84.00 | $17.56–$75.60 | — | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 1/2 TYPE 2 IGG | $33.60 | $84.00 | $17.56–$75.60 | — | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 1/2 TYPE 1 IGM | $33.60 | $84.00 | $17.56–$75.60 | — | 60% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG ABS | $34.80 | $87.00 | $17.56–$78.30 | — | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS SO | $36.80 | $92.00 | $11.01–$82.80 | 58% below | 60% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS SO | $36.80 | $92.00 | $11.01–$82.80 | 58% below | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS SO | $36.80 | $92.00 | $11.01–$82.80 | — | 60% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-REACTIVE PROTEIN HS SO | $36.80 | $92.00 | $11.01–$82.80 | — | 60% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA OR SERUM | $126.00 | $315.00 | $15.31–$283.50 | 44% below | 60% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE, PLASMA OR SERUM | $126.00 | $315.00 | $15.31–$283.50 | 44% below | 60% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, PLASMA OR SERUM | $126.00 | $315.00 | $15.31–$283.50 | — | 60% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE, PLASMA OR SERUM | $126.00 | $315.00 | $15.31–$283.50 | — | 60% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $78.00 | $195.00 | $10.37–$175.50 | 4% below | 60% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $78.00 | $195.00 | $10.37–$175.50 | 4% below | 60% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $78.00 | $195.00 | $10.37–$175.50 | — | 60% |
| Iron blood test (serum iron) CPT 83540 IRON | $20.80 | $52.00 | $5.50–$46.80 | 51% below | 60% |
| Iron blood test (serum iron) CPT 83540 IRON | $20.80 | $52.00 | $5.50–$46.80 | 51% below | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $20.80 | $52.00 | $5.50–$46.80 | — | 60% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $20.80 | $52.00 | $5.50–$46.80 | — | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $32.40 | $81.00 | $7.93–$72.90 | 49% below | 60% |
| Iron-binding capacity (TIBC) test CPT 83550 TOTAL IRON BINDING CAPACITY | $32.40 | $81.00 | $7.93–$72.90 | 49% below | 60% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 TOTAL IRON BINDING CAPACITY | $32.40 | $81.00 | $7.93–$72.90 | — | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $44.80 | $112.00 | $8.68–$100.80 | 36% below | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $44.80 | $112.00 | $8.68–$100.80 | 36% below | 60% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $44.80 | $112.00 | $8.68–$100.80 | — | 60% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $89.20 | $223.00 | $16.80–$200.70 | 19% below | 60% |
| LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE | $89.20 | $223.00 | $16.80–$200.70 | 19% below | 60% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE | $89.20 | $223.00 | $16.80–$200.70 | — | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID-BODY FLUID | $21.20 | $53.00 | $9.69–$47.70 | 73% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID-BODY FLUID | $21.20 | $53.00 | $9.69–$47.70 | 73% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $30.00 | $75.00 | $9.69–$67.50 | 62% below | 60% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $30.00 | $75.00 | $9.69–$67.50 | 62% below | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID-BODY FLUID | $21.20 | $53.00 | $9.69–$47.70 | — | 60% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $30.00 | $75.00 | $9.69–$67.50 | — | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD ISO 1-5 | $12.00 | $30.00 | $1.08–$27.00 | 69% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD ISO 1-5 | $12.00 | $30.00 | $1.08–$27.00 | 69% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, CSF | $23.60 | $59.00 | $1.08–$53.10 | 38% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH, CSF | $23.60 | $59.00 | $1.08–$53.10 | 38% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE L | $28.80 | $72.00 | $1.08–$64.80 | 25% below | 60% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE L | $28.80 | $72.00 | $1.08–$64.80 | 25% below | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD ISO 1-5 | $12.00 | $30.00 | $1.08–$27.00 | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD ISO 1-5 | $12.00 | $30.00 | $1.08–$27.00 | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH, CSF | $23.60 | $59.00 | $1.08–$53.10 | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE L | $28.80 | $72.00 | $1.08–$64.80 | — | 60% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE L | $28.80 | $72.00 | $1.08–$64.80 | — | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $67.60 | $169.00 | $6.25–$152.10 | 9% above | 60% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $67.60 | $169.00 | $6.25–$152.10 | 9% above | 60% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $67.60 | $169.00 | $6.25–$152.10 | — | 60% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $66.40 | $166.00 | $7.59–$149.40 | 13% below | 60% |
| Liver function blood test panel CPT 80076 LIVER PROFILE | $66.40 | $166.00 | $7.59–$149.40 | 13% below | 60% |
| Liver function blood test panel inpatient CPT 80076 LIVER PROFILE | $66.40 | $166.00 | $7.59–$149.40 | — | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $40.00 | $100.00 | $14.48–$90.00 | 67% below | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES | $40.00 | $100.00 | $14.48–$90.00 | 67% below | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGG CSF | $120.40 | $301.00 | $14.48–$270.90 | at median | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGM CSF | $120.40 | $301.00 | $14.48–$270.90 | at median | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGM CSF | $120.40 | $301.00 | $14.48–$270.90 | at median | 60% |
| Lyme disease antibody test CPT 86618 LYME DISEASE IGG CSF | $120.40 | $301.00 | $14.48–$270.90 | at median | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES | $40.00 | $100.00 | $14.48–$90.00 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGM CSF | $120.40 | $301.00 | $14.48–$270.90 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG CSF | $120.40 | $301.00 | $14.48–$270.90 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGM CSF | $120.40 | $301.00 | $14.48–$270.90 | — | 60% |
| Lyme disease antibody test inpatient CPT 86618 LYME DISEASE IGG CSF | $120.40 | $301.00 | $14.48–$270.90 | — | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-URINE | $14.00 | $35.00 | $6.08–$31.50 | 73% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-URINE | $14.00 | $35.00 | $6.08–$31.50 | 73% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR | $17.60 | $44.00 | $6.08–$39.60 | 66% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE 24 HR | $17.60 | $44.00 | $6.08–$39.60 | 66% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM, STOOL | $32.40 | $81.00 | $6.08–$72.90 | 37% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM, STOOL | $32.40 | $81.00 | $6.08–$72.90 | 37% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM | $36.00 | $90.00 | $6.08–$81.00 | 31% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM | $36.00 | $90.00 | $6.08–$81.00 | 31% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-RBC | $40.00 | $100.00 | $6.08–$90.00 | 23% below | 60% |
| Magnesium blood test CPT 83735 MAGNESIUM-RBC | $40.00 | $100.00 | $6.08–$90.00 | 23% below | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM-URINE | $14.00 | $35.00 | $6.08–$31.50 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM-URINE | $14.00 | $35.00 | $6.08–$31.50 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE 24 HR | $17.60 | $44.00 | $6.08–$39.60 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, STOOL | $32.40 | $81.00 | $6.08–$72.90 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, STOOL | $32.40 | $81.00 | $6.08–$72.90 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $36.00 | $90.00 | $6.08–$81.00 | — | 60% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM-RBC | $40.00 | $100.00 | $6.08–$90.00 | — | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) | $43.60 | $109.00 | $10.95–$98.10 | 56% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA (MEASLES) | $43.60 | $109.00 | $10.95–$98.10 | 56% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY | $52.00 | $130.00 | $10.95–$117.00 | 47% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG ANTIBODY | $52.00 | $130.00 | $10.95–$117.00 | 47% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY | $61.20 | $153.00 | $10.95–$137.70 | 38% below | 60% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM ANTIBODY | $61.20 | $153.00 | $10.95–$137.70 | 38% below | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA (MEASLES) | $43.60 | $109.00 | $10.95–$98.10 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG ANTIBODY | $52.00 | $130.00 | $10.95–$117.00 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODY | $61.20 | $153.00 | $10.95–$137.70 | — | 60% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM ANTIBODY | $61.20 | $153.00 | $10.95–$137.70 | — | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST, SCREEN | $64.00 | $160.00 | $4.27–$144.00 | 44% above | 60% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST, SCREEN | $64.00 | $160.00 | $4.27–$144.00 | 44% above | 60% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST, SCREEN | $64.00 | $160.00 | $4.27–$144.00 | — | 60% |
| Mumps immunity blood test CPT 86735 MUMPS | $40.40 | $101.00 | $11.09–$90.90 | 54% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS | $40.40 | $101.00 | $11.09–$90.90 | 54% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY, IGG | $49.60 | $124.00 | $11.09–$111.60 | 43% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY, IGG | $49.60 | $124.00 | $11.09–$111.60 | 43% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM | $64.00 | $160.00 | $11.09–$144.00 | 27% below | 60% |
| Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM | $64.00 | $160.00 | $11.09–$144.00 | 27% below | 60% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS | $40.40 | $101.00 | $11.09–$90.90 | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY, IGG | $49.60 | $124.00 | $11.09–$111.60 | — | 60% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGM | $64.00 | $160.00 | $11.09–$144.00 | — | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG FREE | $61.20 | $153.00 | $16.69–$137.70 | 33% below | 60% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG FREE | $61.20 | $153.00 | $16.69–$137.70 | 33% below | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG FREE | $61.20 | $153.00 | $16.69–$137.70 | — | 60% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG FREE | $61.20 | $153.00 | $16.69–$137.70 | — | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOTAL | $61.20 | $153.00 | $16.69–$137.70 | 43% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG TOTAL | $61.20 | $153.00 | $16.69–$137.70 | 43% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROST SPECIFIC ANTIGEN | $74.40 | $186.00 | $16.69–$167.40 | 30% below | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROST SPECIFIC ANTIGEN | $74.40 | $186.00 | $16.69–$167.40 | 30% below | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG TOTAL | $61.20 | $153.00 | $16.69–$137.70 | — | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROST SPECIFIC ANTIGEN | $74.40 | $186.00 | $16.69–$167.40 | — | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT | $122.00 | $305.00 | $35.09–$274.50 | 39% below | 60% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, INTACT | $122.00 | $305.00 | $35.09–$274.50 | 39% below | 60% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, INTACT | $122.00 | $305.00 | $35.09–$274.50 | — | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) | $12.40 | $31.00 | $5.25–$27.90 | 73% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) | $12.40 | $31.00 | $5.25–$27.90 | 73% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOSIS PANEL-PTT | $14.40 | $36.00 | $5.25–$32.40 | 68% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOSIS PANEL-LUPUS ANT | $14.40 | $36.00 | $5.25–$32.40 | 68% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOSIS PANEL-PTT | $14.40 | $36.00 | $5.25–$32.40 | 68% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOSIS PANEL-LUPUS ANT | $14.40 | $36.00 | $5.25–$32.40 | 68% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PTT | $33.20 | $83.00 | $5.25–$74.70 | 27% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PTT | $33.20 | $83.00 | $5.25–$74.70 | 27% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULADT APTT | $39.20 | $98.00 | $5.25–$88.20 | 14% below | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 LUPUS ANTICOAGULADT APTT | $39.20 | $98.00 | $5.25–$88.20 | 14% below | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) | $12.40 | $31.00 | $5.25–$27.90 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLAS TIME (PTT) | $12.40 | $31.00 | $5.25–$27.90 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOSIS PANEL-PTT | $14.40 | $36.00 | $5.25–$32.40 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOSIS PANEL-LUPUS ANT | $14.40 | $36.00 | $5.25–$32.40 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOSIS PANEL-PTT | $14.40 | $36.00 | $5.25–$32.40 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PTT | $33.20 | $83.00 | $5.25–$74.70 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PTT | $33.20 | $83.00 | $5.25–$74.70 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULADT APTT | $39.20 | $98.00 | $5.25–$88.20 | — | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LUPUS ANTICOAGULADT APTT | $39.20 | $98.00 | $5.25–$88.20 | — | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS STOOL | $13.60 | $34.00 | $1.08–$30.60 | 61% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS STOOL | $13.60 | $34.00 | $1.08–$30.60 | 61% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC | $24.80 | $62.00 | $1.08–$55.80 | 30% below | 60% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC | $24.80 | $62.00 | $1.08–$55.80 | 30% below | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS STOOL | $13.60 | $34.00 | $1.08–$30.60 | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS STOOL | $13.60 | $34.00 | $1.08–$30.60 | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS INORGANIC | $24.80 | $62.00 | $1.08–$55.80 | — | 60% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS INORGANIC | $24.80 | $62.00 | $1.08–$55.80 | — | 60% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $22.40 | $56.00 | $1.08–$50.40 | 30% below | 60% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $22.40 | $56.00 | $1.08–$50.40 | 30% below | 60% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $22.40 | $56.00 | $1.08–$50.40 | — | 60% |
| Progesterone blood test CPT 84144 PROGESTERONE | $84.80 | $212.00 | $18.93–$190.80 | 23% below | 60% |
| Progesterone blood test CPT 84144 PROGESTERONE | $84.80 | $212.00 | $18.93–$190.80 | 23% below | 60% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $84.80 | $212.00 | $18.93–$190.80 | — | 60% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $84.80 | $212.00 | $18.93–$190.80 | — | 60% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $93.60 | $234.00 | $17.58–$210.60 | 27% below | 60% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $93.60 | $234.00 | $17.58–$210.60 | 27% below | 60% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL | $93.60 | $234.00 | $17.58–$210.60 | — | 60% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL | $93.60 | $234.00 | $17.58–$210.60 | — | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOSIS PANEL-PT | $11.60 | $29.00 | $3.24–$26.10 | 63% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOSIS PANEL-PT | $11.60 | $29.00 | $3.24–$26.10 | 63% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $14.40 | $36.00 | $3.24–$32.40 | 54% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME (PT) | $14.40 | $36.00 | $3.24–$32.40 | 54% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $22.40 | $56.00 | $3.24–$50.40 | 29% below | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME | $22.40 | $56.00 | $3.24–$50.40 | 29% below | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOSIS PANEL-PT | $11.60 | $29.00 | $3.24–$26.10 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOSIS PANEL-PT | $11.60 | $29.00 | $3.24–$26.10 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT) | $14.40 | $36.00 | $3.24–$32.40 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME (PT) | $14.40 | $36.00 | $3.24–$32.40 | — | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME | $22.40 | $56.00 | $3.24–$50.40 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 UDC WITH NICOTINE ADDED | $6.00 | $15.00 | $11.95–$13.50 | 88% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 ALCOHOL UDC | $8.40 | $21.00 | $11.95–$18.90 | 84% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 OXYCODODNE UDC | $14.00 | $35.00 | $11.95–$31.50 | 73% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE URINE | $14.40 | $36.00 | $11.95–$32.40 | 72% below | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CONFIRMATION OPIATE | $60.00 | $150.00 | $11.95–$135.00 | 18% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CONFIRMATION AMP | $65.60 | $164.00 | $11.95–$147.60 | 29% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN OTC URINE | $78.00 | $195.00 | $11.95–$175.50 | 53% above | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 UDC WITH NICOTINE ADDED | $6.00 | $15.00 | $11.95–$13.50 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 OXYCODODNE UDC | $14.00 | $35.00 | $11.95–$31.50 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CONFIRMATION OPIATE | $60.00 | $150.00 | $11.95–$135.00 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CONFIRMATION AMP | $65.60 | $164.00 | $11.95–$147.60 | — | 60% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN OTC URINE | $78.00 | $195.00 | $11.95–$175.50 | — | 60% |
| Renin blood test CPT 84244 RENIN, PLASMA | $52.40 | $131.00 | $19.96–$117.90 | 59% below | 60% |
| Renin blood test CPT 84244 RENIN, PLASMA | $52.40 | $131.00 | $19.96–$117.90 | 59% below | 60% |
| Renin blood test inpatient CPT 84244 RENIN, PLASMA | $52.40 | $131.00 | $19.96–$117.90 | — | 60% |
| Renin blood test inpatient CPT 84244 RENIN, PLASMA | $52.40 | $131.00 | $19.96–$117.90 | — | 60% |
| Rh blood typing CPT 86901 ARC - RH(D) | $30.00 | $75.00 | $2.71–$67.50 | 53% below | 60% |
| Rh blood typing CPT 86901 ARC - RH(D) | $30.00 | $75.00 | $2.71–$67.50 | 53% below | 60% |
| Rh blood typing inpatient CPT 86901 ARC - RH(D) | $30.00 | $75.00 | $2.71–$67.50 | — | 60% |
| Rheumatoid factor (RF) test CPT 86431 RA SEMI-QUANTITATIVE | $19.20 | $48.00 | $5.15–$43.20 | 61% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 RA SEMI-QUANTITATIVE | $19.20 | $48.00 | $5.15–$43.20 | 61% below | 60% |
| Rheumatoid factor (RF) test CPT 86431 RA, BODY FLUIDS-SO | $70.40 | $176.00 | $5.15–$158.40 | 44% above | 60% |
| Rheumatoid factor (RF) test CPT 86431 RA, BODY FLUIDS-SO | $70.40 | $176.00 | $5.15–$158.40 | 44% above | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA SEMI-QUANTITATIVE | $19.20 | $48.00 | $5.15–$43.20 | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA SEMI-QUANTITATIVE | $19.20 | $48.00 | $5.15–$43.20 | — | 60% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA, BODY FLUIDS-SO | $70.40 | $176.00 | $5.15–$158.40 | — | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $58.00 | $145.00 | $12.23–$130.50 | 3% below | 60% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA | $58.00 | $145.00 | $12.23–$130.50 | 3% below | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $30.40 | $76.00 | $12.23–$68.40 | — | 60% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA | $58.00 | $145.00 | $12.23–$130.50 | — | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $36.80 | $92.00 | $2.45–$82.80 | 14% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE | $36.80 | $92.00 | $2.45–$82.80 | 14% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, ERYTHROCYTE NO | $40.40 | $101.00 | $2.45–$90.90 | 25% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE, ERYTHROCYTE NO | $40.40 | $101.00 | $2.45–$90.90 | 25% above | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE | $36.80 | $92.00 | $2.45–$82.80 | — | 60% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE, ERYTHROCYTE NO | $40.40 | $101.00 | $2.45–$90.90 | — | 60% |
| Sodium blood test CPT 84295 SODIUM SERUM | $16.40 | $41.00 | $1.08–$36.90 | 44% below | 60% |
| Sodium blood test CPT 84295 SODIUM SERUM | $16.40 | $41.00 | $1.08–$36.90 | 44% below | 60% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $16.40 | $41.00 | $1.08–$36.90 | — | 60% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $16.40 | $41.00 | $1.08–$36.90 | — | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $28.80 | $72.00 | $8.07–$64.80 | 49% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $28.80 | $72.00 | $8.07–$64.80 | 49% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $28.80 | $72.00 | $8.07–$64.80 | 49% below | 60% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITES | $28.80 | $72.00 | $8.07–$64.80 | 49% below | 60% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES | $28.80 | $72.00 | $8.07–$64.80 | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $28.80 | $72.00 | $8.07–$64.80 | — | 60% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $28.80 | $72.00 | $8.07–$64.80 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL-OCCULT BLOOD WELLNESS | $20.80 | $52.00 | $2.69–$46.80 | 23% below | 60% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL-OCCULT BLOOD WELLNESS | $20.80 | $52.00 | $2.69–$46.80 | 23% below | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL-OCCULT BLOOD WELLNESS | $20.80 | $52.00 | $2.69–$46.80 | — | 60% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 STOOL-OCCULT BLOOD WELLNESS | $20.80 | $52.00 | $2.69–$46.80 | — | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-CSF | $26.40 | $66.00 | $12.01–$59.40 | 63% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-CSF | $26.40 | $66.00 | $12.01–$59.40 | 63% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TPALLIDUM AB BY TP-PA 86780 | $32.00 | $80.00 | $12.01–$72.00 | 55% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TPALLIDUM AB BY TP-PA 86780 | $32.00 | $80.00 | $12.01–$72.00 | 55% below | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 VDRL/RPR, QUAL. | $75.20 | $188.00 | $12.01–$169.20 | 5% above | 60% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 VDRL/RPR, QUAL. | $75.20 | $188.00 | $12.01–$169.20 | 5% above | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-CSF | $26.40 | $66.00 | $12.01–$59.40 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-CSF | $26.40 | $66.00 | $12.01–$59.40 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TPALLIDUM AB BY TP-PA 86780 | $32.00 | $80.00 | $12.01–$72.00 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TPALLIDUM AB BY TP-PA 86780 | $32.00 | $80.00 | $12.01–$72.00 | — | 60% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 VDRL/RPR, QUAL. | $75.20 | $188.00 | $12.01–$169.20 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CSF | $35.20 | $88.00 | $3.87–$79.20 | 2% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL - CSF | $35.20 | $88.00 | $3.87–$79.20 | 2% below | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL - CSF | $35.20 | $88.00 | $3.87–$79.20 | — | 60% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL - CSF | $35.20 | $88.00 | $3.87–$79.20 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $124.00 | $310.00 | $56.23–$279.00 | 33% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON | $124.00 | $310.00 | $56.23–$279.00 | 33% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $140.80 | $352.00 | $56.23–$316.80 | 24% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $140.80 | $352.00 | $56.23–$316.80 | 24% below | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON | $124.00 | $310.00 | $56.23–$279.00 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON | $124.00 | $310.00 | $56.23–$279.00 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $140.80 | $352.00 | $56.23–$316.80 | — | 60% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $140.80 | $352.00 | $56.23–$316.80 | — | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $51.20 | $128.00 | $23.42–$115.20 | 64% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $51.20 | $128.00 | $23.42–$115.20 | 64% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $70.00 | $175.00 | $23.42–$157.50 | 50% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $70.00 | $175.00 | $23.42–$157.50 | 50% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $88.80 | $222.00 | $23.42–$199.80 | 37% below | 60% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $88.80 | $222.00 | $23.42–$199.80 | 37% below | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $51.20 | $128.00 | $23.42–$115.20 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $51.20 | $128.00 | $23.42–$115.20 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $70.00 | $175.00 | $23.42–$157.50 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $70.00 | $175.00 | $23.42–$157.50 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $88.80 | $222.00 | $23.42–$199.80 | — | 60% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $88.80 | $222.00 | $23.42–$199.80 | — | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICRO AB | $40.40 | $101.00 | $13.19–$90.90 | 48% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICRO AB | $40.40 | $101.00 | $13.19–$90.90 | 48% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODIES | $72.80 | $182.00 | $13.19–$163.80 | 7% below | 60% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODIES | $72.80 | $182.00 | $13.19–$163.80 | 7% below | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI MICRO AB | $40.40 | $101.00 | $13.19–$90.90 | — | 60% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID MICROSOMAL ANTIBODIES | $72.80 | $182.00 | $13.19–$163.80 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $101.20 | $253.00 | $15.25–$227.70 | 18% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $101.20 | $253.00 | $15.25–$227.70 | 18% above | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $101.20 | $253.00 | $15.25–$227.70 | — | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $101.20 | $253.00 | $15.25–$227.70 | — | 60% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $77.60 | $194.00 | $13.99–$174.60 | 15% below | 60% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIN E | $77.60 | $194.00 | $13.99–$174.60 | 15% below | 60% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $77.60 | $194.00 | $13.99–$174.60 | — | 60% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN E | $77.60 | $194.00 | $13.99–$174.60 | — | 60% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOT, SERUM | $27.20 | $68.00 | $1.08–$61.20 | 21% below | 60% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOT, SERUM | $27.20 | $68.00 | $1.08–$61.20 | 21% below | 60% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOT, SERUM | $27.20 | $68.00 | $1.08–$61.20 | — | 60% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOT, SERUM | $27.20 | $68.00 | $1.08–$61.20 | — | 60% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T-4) TOTAL | $21.60 | $54.00 | $6.23–$48.60 | 46% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T-4) TOTAL | $21.60 | $54.00 | $6.23–$48.60 | 46% below | 60% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL | $40.00 | $100.00 | $6.23–$90.00 | at median | 60% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL | $40.00 | $100.00 | $6.23–$90.00 | at median | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T-4) TOTAL | $21.60 | $54.00 | $6.23–$48.60 | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T-4) TOTAL | $21.60 | $54.00 | $6.23–$48.60 | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL | $40.00 | $100.00 | $6.23–$90.00 | — | 60% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL | $40.00 | $100.00 | $6.23–$90.00 | — | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $88.00 | $220.00 | $12.86–$198.00 | 12% above | 60% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL | $88.00 | $220.00 | $12.86–$198.00 | 12% above | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $88.00 | $220.00 | $12.86–$198.00 | — | 60% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL | $88.00 | $220.00 | $12.86–$198.00 | — | 60% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $69.60 | $174.00 | $11.58–$156.60 | 32% below | 60% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $69.60 | $174.00 | $11.58–$156.60 | 32% below | 60% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $69.60 | $174.00 | $11.58–$156.60 | — | 60% |
| Trichomonas test (NAAT) CPT 87661 T VAGINALIS RNA | $45.60 | $114.00 | $35.09–$102.60 | 66% below | 60% |
| Trichomonas test (NAAT) inpatient CPT 87661 T VAGINALIS RNA | $45.60 | $114.00 | $35.09–$102.60 | — | 60% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $32.40 | $81.00 | $1.08–$72.90 | 10% below | 60% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $32.40 | $81.00 | $1.08–$72.90 | 10% below | 60% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $32.40 | $81.00 | $1.08–$72.90 | — | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN | $53.20 | $133.00 | $8.93–$119.70 | 53% below | 60% |
| Troponin test, quantitative CPT 84484 TROPONIN | $53.20 | $133.00 | $8.93–$119.70 | 53% below | 60% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $53.20 | $133.00 | $8.93–$119.70 | — | 60% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN | $53.20 | $133.00 | $8.93–$119.70 | — | 60% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $40.80 | $102.00 | $1.08–$91.80 | 13% above | 60% |
| Uric acid blood test CPT 84550 URIC ACID, BLOOD | $40.80 | $102.00 | $1.08–$91.80 | 13% above | 60% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $40.80 | $102.00 | $1.08–$91.80 | — | 60% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, BLOOD | $40.80 | $102.00 | $1.08–$91.80 | — | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, NON-AUTO, W/MI | $22.00 | $55.00 | $2.61–$49.50 | 32% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS, NON-AUTO, W/MI | $22.00 | $55.00 | $2.61–$49.50 | 32% below | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $56.80 | $142.00 | $2.61–$127.80 | 75% above | 60% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $56.80 | $142.00 | $2.61–$127.80 | 75% above | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS, NON-AUTO, W/MI | $22.00 | $55.00 | $2.61–$49.50 | — | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $56.80 | $142.00 | $2.61–$127.80 | — | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $56.80 | $142.00 | $2.61–$127.80 | — | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINE BLOOD-QUAL | $16.00 | $40.00 | $1.85–$36.00 | 27% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 URINE BLOOD-QUAL | $16.00 | $40.00 | $1.85–$36.00 | 27% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPY | $16.80 | $42.00 | $1.85–$37.80 | 24% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPY | $16.80 | $42.00 | $1.85–$37.80 | 24% below | 60% |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE UA | $22.80 | $57.00 | $1.85–$51.30 | 4% above | 60% |
| Urinalysis without microscope exam, automated CPT 81003 SP. GRAVITY URINE | $22.80 | $57.00 | $1.85–$51.30 | 4% above | 60% |
| Urinalysis without microscope exam, automated CPT 81003 SP. GRAVITY URINE | $22.80 | $57.00 | $1.85–$51.30 | 4% above | 60% |
| Urinalysis without microscope exam, automated CPT 81003 ACETONE UA | $22.80 | $57.00 | $1.85–$51.30 | 4% above | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BLOOD-QUAL | $16.00 | $40.00 | $1.85–$36.00 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINE BLOOD-QUAL | $16.00 | $40.00 | $1.85–$36.00 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPY | $16.80 | $42.00 | $1.85–$37.80 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPY | $16.80 | $42.00 | $1.85–$37.80 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ACETONE UA | $22.80 | $57.00 | $1.85–$51.30 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SP. GRAVITY URINE | $22.80 | $57.00 | $1.85–$51.30 | — | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 ACETONE UA | $22.80 | $57.00 | $1.85–$51.30 | — | 60% |
| Urinalysis without microscope exam, manual CPT 81002 UA W/O MICROSCOPY (REFERRED) | $15.60 | $39.00 | $2.11–$35.10 | 17% below | 60% |
| Urinalysis without microscope exam, manual CPT 81002 UA W/O MICROSCOPY (REFERRED) | $15.60 | $39.00 | $2.11–$35.10 | 17% below | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA W/O MICROSCOPY (REFERRED) | $15.60 | $39.00 | $2.11–$35.10 | — | 60% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN | $18.40 | $46.00 | $5.25–$41.40 | 60% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN | $18.40 | $46.00 | $5.25–$41.40 | 60% below | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $56.40 | $141.00 | $5.25–$126.90 | 23% above | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN | $56.40 | $141.00 | $5.25–$126.90 | 23% above | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HR | $115.60 | $289.00 | $5.25–$260.10 | 151% above | 60% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24 HR | $115.60 | $289.00 | $5.25–$260.10 | 151% above | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN | $18.40 | $46.00 | $5.25–$41.40 | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 URINE MICROALBUMIN | $18.40 | $46.00 | $5.25–$41.40 | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN | $56.40 | $141.00 | $5.25–$126.90 | — | 60% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24 HR | $115.60 | $289.00 | $5.25–$260.10 | — | 60% |
| Urine pregnancy test, read by color change CPT 81025 HCG - URINE | $59.60 | $149.00 | $5.22–$134.10 | 31% above | 60% |
| Urine pregnancy test, read by color change CPT 81025 HCG - URINE | $59.60 | $149.00 | $5.22–$134.10 | 31% above | 60% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG - URINE | $59.60 | $149.00 | $5.22–$134.10 | — | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12 | $33.60 | $84.00 | $13.68–$75.60 | 63% below | 60% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12 | $33.60 | $84.00 | $13.68–$75.60 | 63% below | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12 | $33.60 | $84.00 | $13.68–$75.60 | — | 60% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12 | $33.60 | $84.00 | $13.68–$75.60 | — | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL | $140.40 | $351.00 | $25.16–$315.90 | 42% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CALCIFEDIOL | $140.40 | $351.00 | $25.16–$315.90 | 42% below | 60% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CALCIFEDIOL | $140.40 | $351.00 | $25.16–$315.90 | — | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25 DIHYDROXY | $66.00 | $165.00 | $34.93–$148.50 | 56% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25 DIHYDROXY | $66.00 | $165.00 | $34.93–$148.50 | 56% below | 60% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1, 25 DIHYDROXY | $66.00 | $165.00 | $34.93–$148.50 | — | 60% |
| Zinc blood test CPT 84630 ZINC | $58.00 | $145.00 | $10.33–$130.50 | 1% below | 60% |
| Zinc blood test CPT 84630 ZINC | $58.00 | $145.00 | $10.33–$130.50 | 1% below | 60% |
| Zinc blood test inpatient CPT 84630 ZINC | $58.00 | $145.00 | $10.33–$130.50 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, QUANTITATIVE | $115.60 | $289.00 | $12.79–$260.10 | 25% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG, QUANTITATIVE | $115.60 | $289.00 | $12.79–$260.10 | 25% above | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, QUANTITATIVE | $115.60 | $289.00 | $12.79–$260.10 | — | 60% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG, QUANTITATIVE | $115.60 | $289.00 | $12.79–$260.10 | — | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE | $253.60 | $634.00 | $27.44–$334.74 | 28% below | 60% |
| Botox injections for chronic migraine CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE | $253.60 | $634.00 | $27.44–$334.74 | 28% below | 60% |
| Botox injections for chronic migraine inpatient CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE | $253.60 | $634.00 | $27.44–$334.74 | — | 60% |
| Botox injections for chronic migraine inpatient CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE | $253.60 | $634.00 | $27.44–$334.74 | — | 60% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH PLACE CORS/LHC/LV 93458 | $3,761.20 | $9,403.00 | $248.88–$8,462.70 | 50% below | 60% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH PLACE CORS/LHC/LV 93458 | $3,761.20 | $9,403.00 | $248.88–$8,462.70 | 50% below | 60% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH PLACE CORS/LHC/LV 93458 | $3,761.20 | $9,403.00 | $248.88–$8,462.70 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION 92960 | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION 92960 | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION, EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | 24% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL92960 | $1,059.20 | $2,648.00 | $150.00–$549.40 | 62% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL92960 | $1,059.20 | $2,648.00 | $150.00–$549.40 | 62% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,180.40 | $2,951.00 | $150.00–$549.40 | 81% above | 60% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,180.40 | $2,951.00 | $150.00–$549.40 | 81% above | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION, EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION 92960 | $811.60 | $2,029.00 | $150.00–$549.40 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL | $811.60 | $2,029.00 | $150.00–$549.40 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL92960 | $1,059.20 | $2,648.00 | $150.00–$549.40 | — | 60% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,180.40 | $2,951.00 | $150.00–$549.40 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION-INFANT | $1,395.20 | $3,488.00 | $187.76–$3,139.20 | 148% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION-INFANT | $1,395.20 | $3,488.00 | $187.76–$3,139.20 | 148% above | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION-INFANT | $1,395.20 | $3,488.00 | $187.76–$3,139.20 | — | 60% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION-INFANT | $1,395.20 | $3,488.00 | $187.76–$3,139.20 | — | 60% |
| Coronary stent placement, one artery CPT 92928 BARE METAL STNT INITAL 92928 | $7,294.80 | $18,237.00 | $677.26–$8,900.32 | 33% below | 60% |
| Coronary stent placement, one artery CPT 92928 BARE METAL STNT INITAL 92928 | $7,294.80 | $18,237.00 | $677.26–$8,900.32 | 33% below | 60% |
| Coronary stent placement, one artery inpatient CPT 92928 BARE METAL STNT INITAL 92928 | $7,294.80 | $18,237.00 | $677.26–$8,900.32 | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | at median | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPI INJ CERV/THORA W/IMG 62321 | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | at median | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 EPI INJ CERV/THORA W/IMG 62321 | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | — | 60% |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 NJX INTERLAMINAR CRV/THRC | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | 4% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | 4% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 2 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | 4% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 2 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | 4% above | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | — | 60% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 2 LEV | $1,054.40 | $2,636.00 | $187.49–$2,372.40 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH | $117.60 | $294.00 | $68.84–$182.61 | 37% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH | $117.60 | $294.00 | $68.84–$182.61 | 37% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $182.40 | $456.00 | $68.84–$182.61 | 2% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT | $182.40 | $456.00 | $68.84–$182.61 | 2% below | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 MUSCLE INJECTION 20550 | $398.80 | $997.00 | $68.84–$750.00 | 115% above | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 MUSCLE INJECTION 20550 | $398.80 | $997.00 | $68.84–$750.00 | 115% above | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH | $117.60 | $294.00 | $68.84–$182.61 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH | $117.60 | $294.00 | $68.84–$182.61 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $182.40 | $456.00 | $68.84–$182.61 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ TENDON SHEATH/LIGAMENT | $182.40 | $456.00 | $68.84–$182.61 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 MUSCLE INJECTION 20550 | $398.80 | $997.00 | $68.84–$750.00 | — | 60% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 MUSCLE INJECTION 20550 | $398.80 | $997.00 | $68.84–$750.00 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR ASP/INJ MAJOR JOINT KSM OS | $154.00 | $385.00 | $78.08–$346.50 | 55% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR ASP/INJ MAJOR JOINT KSM OS | $154.00 | $385.00 | $78.08–$346.50 | 55% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION 20610 | $287.60 | $719.00 | $78.08–$647.10 | 16% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $287.60 | $719.00 | $78.08–$647.10 | 16% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $287.60 | $719.00 | $78.08–$647.10 | 16% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION 20610 | $287.60 | $719.00 | $78.08–$647.10 | 16% below | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR ASP/INJ MAJOR JOINT KSM OS | $154.00 | $385.00 | $78.08–$346.50 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 XR ASP/INJ MAJOR JOINT KSM OS | $154.00 | $385.00 | $78.08–$346.50 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION 20610 | $287.60 | $719.00 | $78.08–$647.10 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION 20610 | $287.60 | $719.00 | $78.08–$647.10 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $287.60 | $719.00 | $78.08–$647.10 | — | 60% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT/BURSA W/O US | $287.60 | $719.00 | $78.08–$647.10 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR ASP/INJ MED JOINT KSM OS | $154.00 | $385.00 | $66.08–$346.50 | 44% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR ASP/INJ MED JOINT KSM OS | $154.00 | $385.00 | $66.08–$346.50 | 44% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $161.20 | $403.00 | $66.08–$362.70 | 41% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $161.20 | $403.00 | $66.08–$362.70 | 41% below | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA | $287.60 | $719.00 | $66.08–$647.10 | 5% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA | $287.60 | $719.00 | $66.08–$647.10 | 5% above | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 XR ASP/INJ MED JOINT KSM OS | $154.00 | $385.00 | $66.08–$346.50 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $161.20 | $403.00 | $66.08–$362.70 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJ JOINT/BURSA W/O US | $161.20 | $403.00 | $66.08–$362.70 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT/BURSA | $287.60 | $719.00 | $66.08–$647.10 | — | 60% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT/BURSA | $287.60 | $719.00 | $66.08–$647.10 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR ASP/INJ SMALL JOINT KSM OS | $154.00 | $385.00 | $63.52–$346.50 | 35% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR ASP/INJ SMALL JOINT KSM OS | $154.00 | $385.00 | $63.52–$346.50 | 35% below | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/URSA | $287.60 | $719.00 | $63.52–$647.10 | 22% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA | $287.60 | $719.00 | $63.52–$647.10 | 22% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA | $287.60 | $719.00 | $63.52–$647.10 | 22% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/URSA | $287.60 | $719.00 | $63.52–$647.10 | 22% above | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 XR ASP/INJ SMALL JOINT KSM OS | $154.00 | $385.00 | $63.52–$346.50 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT/SMALL JOINT/URSA | $287.60 | $719.00 | $63.52–$647.10 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA | $287.60 | $719.00 | $63.52–$647.10 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT/SMALL JOINT/URSA | $287.60 | $719.00 | $63.52–$647.10 | — | 60% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA | $287.60 | $719.00 | $63.52–$647.10 | — | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | at median | 60% |
| Lower-back epidural injection, with imaging guidance CPT 62323 EPI INJ SPN LUMB/SACL W/IMAG | $1,198.00 | $2,995.00 | $178.25–$2,800.00 | at median | 60% |
| Lower-back epidural injection, without imaging guidance CPT 62322 EPIDURAL INJ SPINE LUMB/SACRAL | $750.40 | $1,876.00 | $178.25–$1,500.00 | 8% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $750.40 | $1,876.00 | $168.00–$1,688.40 | 27% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S | $750.40 | $1,876.00 | $168.00–$1,688.40 | 27% below | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $750.40 | $1,876.00 | $168.00–$1,688.40 | — | 60% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S | $750.40 | $1,876.00 | $168.00–$1,688.40 | — | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN SKINLESION W/MARGIN | $578.00 | $1,445.00 | $157.61–$1,300.50 | 175% above | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN SKINLESION W/MARGIN | $578.00 | $1,445.00 | $157.61–$1,300.50 | 175% above | 60% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN SKINLESION W/MARGIN | $578.00 | $1,445.00 | $157.61–$1,300.50 | — | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $287.60 | $719.00 | $89.84–$647.10 | 28% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL | $287.60 | $719.00 | $89.84–$647.10 | 28% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV | $287.60 | $719.00 | $89.84–$647.10 | 28% below | 60% |
| Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL | $287.60 | $719.00 | $89.84–$647.10 | 28% below | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $287.60 | $719.00 | $89.84–$647.10 | — | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL | $287.60 | $719.00 | $89.84–$647.10 | — | 60% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 NJX AA&/STRD GR OCPL NRV | $287.60 | $719.00 | $89.84–$647.10 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LAMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | 10% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LAMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | 10% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | 10% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | 10% below | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LAMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LAMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | — | 60% |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT | $1,785.20 | $4,463.00 | $335.71–$2,800.00 | — | 60% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING 32555 | $702.80 | $1,757.00 | $142.66–$1,500.00 | 28% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAGING 32555 | $702.80 | $1,757.00 | $142.66–$1,500.00 | 28% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG 32555 | $737.20 | $1,843.00 | $142.66–$1,500.00 | 24% below | 60% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG 32555 | $737.20 | $1,843.00 | $142.66–$1,500.00 | 24% below | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING 32555 | $702.80 | $1,757.00 | $142.66–$1,500.00 | — | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAGING 32555 | $702.80 | $1,757.00 | $142.66–$1,500.00 | — | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG 32555 | $737.20 | $1,843.00 | $142.66–$1,500.00 | — | 60% |
| Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG 32555 | $737.20 | $1,843.00 | $142.66–$1,500.00 | — | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $287.60 | $719.00 | $66.40–$376.80 | 37% above | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $287.60 | $719.00 | $66.40–$376.80 | 37% above | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $298.40 | $746.00 | $66.40–$376.80 | 43% above | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $298.40 | $746.00 | $66.40–$376.80 | 43% above | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ 1-2 MUSCLE(S) 20552 | $302.40 | $756.00 | $66.40–$750.00 | 44% above | 60% |
| Trigger point injections, 1 or 2 muscles CPT 20552 INJ 1-2 MUSCLE(S) 20552 | $302.40 | $756.00 | $66.40–$750.00 | 44% above | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $287.60 | $719.00 | $66.40–$376.80 | — | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL | $287.60 | $719.00 | $66.40–$376.80 | — | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1-2 MUSCL | $298.40 | $746.00 | $66.40–$376.80 | — | 60% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ 1-2 MUSCLE(S) 20552 | $302.40 | $756.00 | $66.40–$750.00 | — | 60% |
| Vein ablation, radiofrequency, first vein CPT 36475 ABLATION 1ST VEIN EXT 36475 | $4,648.00 | $11,620.00 | $828.39–$10,458.00 | at median | 60% |
| Vein ablation, radiofrequency, first vein CPT 36475 ABLATION 1ST VEIN EXT 36475 | $4,648.00 | $11,620.00 | $828.39–$10,458.00 | at median | 60% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 ABLATION 1ST VEIN EXT 36475 | $4,648.00 | $11,620.00 | $828.39–$10,458.00 | — | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 36430 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 36430 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION | $484.80 | $1,212.00 | $44.07–$1,000.00 | 16% below | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X 1 36430 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X 1 36430 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X 1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X 1 | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION | $484.80 | $1,212.00 | $44.07–$1,000.00 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI | $114.80 | $287.00 | $9.85–$275.11 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL | $114.80 | $287.00 | $9.85–$275.11 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL | $114.80 | $287.00 | $9.85–$275.11 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI | $114.80 | $287.00 | $9.85–$275.11 | 10% below | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL | $104.40 | $261.00 | $9.85–$35.09 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI | $114.80 | $287.00 | $9.85–$275.11 | — | 60% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL | $114.80 | $287.00 | $9.85–$275.11 | — | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO, IV INFUSION, 1 HR | $238.00 | $595.00 | $113.77–$408.35 | 39% below | 60% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO, IV INFUSION, 1 HR | $238.00 | $595.00 | $113.77–$408.35 | 39% below | 60% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO, IV INFUSION, 1 HR | $238.00 | $595.00 | $113.77–$408.35 | — | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 ER - CRITICAL CARE | $2,868.80 | $7,172.00 | $122.27–$2,403.00 | 102% above | 60% |
| Critical care, first 30 to 74 minutes CPT 99291 ER - CRITICAL CARE | $2,868.80 | $7,172.00 | $122.27–$2,403.00 | 102% above | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER - CRITICAL CARE | $2,868.80 | $7,172.00 | $122.27–$2,403.00 | — | 60% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 ER - CRITICAL CARE | $2,868.80 | $7,172.00 | $122.27–$2,403.00 | — | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG, AWAKE AND DROWSY | $405.20 | $1,013.00 | $52.27–$441.38 | 37% below | 60% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG, AWAKE AND DROWSY | $405.20 | $1,013.00 | $52.27–$441.38 | 37% below | 60% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG, AWAKE AND DROWSY | $405.20 | $1,013.00 | $52.27–$441.38 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W/O INT (REF) | $34.00 | $85.00 | $7.33–$26.67 | 79% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W/O INT (REF) | $34.00 | $85.00 | $7.33–$26.67 | 79% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W/O INT | $152.00 | $380.00 | $7.33–$187.51 | 5% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY W/O INT | $152.00 | $380.00 | $7.33–$187.51 | 5% below | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY W/O INT (REF) | $34.00 | $85.00 | $7.33–$26.67 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY W/O INT | $152.00 | $380.00 | $7.33–$187.51 | — | 60% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY W/O INT | $152.00 | $380.00 | $7.33–$187.51 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER - LEVEL 1 | $153.60 | $384.00 | $16.71–$194.15 | 27% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER - LEVEL 1 | $153.60 | $384.00 | $16.71–$194.15 | 27% below | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER - LEVEL 1 | $153.60 | $384.00 | $16.71–$194.15 | — | 60% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER - LEVEL 1 | $153.60 | $384.00 | $16.71–$194.15 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER - LEVEL 2 | $316.00 | $790.00 | $16.71–$302.45 | 4% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER - LEVEL 2 | $316.00 | $790.00 | $16.71–$302.45 | 4% below | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER - LEVEL 2 | $316.00 | $790.00 | $16.71–$302.45 | — | 60% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER - LEVEL 2 | $316.00 | $790.00 | $16.71–$302.45 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER - LEVEL 3 | $457.60 | $1,144.00 | $16.71–$1,029.60 | 11% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER - LEVEL 3 | $457.60 | $1,144.00 | $16.71–$1,029.60 | 11% below | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER - LEVEL 3 | $457.60 | $1,144.00 | $16.71–$1,029.60 | — | 60% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER - LEVEL 3 | $457.60 | $1,144.00 | $16.71–$1,029.60 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SART EXAM | $290.00 | $725.00 | $16.71–$652.50 | 66% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 SART EXAM | $290.00 | $725.00 | $16.71–$652.50 | 66% below | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER - LEVEL 4 | $855.60 | $2,139.00 | $16.71–$1,925.10 | 1% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER - LEVEL 4 | $855.60 | $2,139.00 | $16.71–$1,925.10 | 1% above | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 SART EXAM | $290.00 | $725.00 | $16.71–$652.50 | — | 60% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER - LEVEL 4 | $855.60 | $2,139.00 | $16.71–$1,925.10 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER - LEVEL 5 | $1,585.20 | $3,963.00 | $16.71–$1,892.00 | 20% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER - LEVEL 5 | $1,585.20 | $3,963.00 | $16.71–$1,892.00 | 20% above | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER - LEVEL 5 | $1,585.20 | $3,963.00 | $16.71–$1,892.00 | — | 60% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER - LEVEL 5 | $1,585.20 | $3,963.00 | $16.71–$1,892.00 | — | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GRADE EXER TEST W/O INTE | $403.60 | $1,009.00 | $39.61–$406.26 | 28% below | 60% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 GRADE EXER TEST W/O INTE | $403.60 | $1,009.00 | $39.61–$406.26 | 28% below | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GRADE EXER TEST W/O INTE | $403.60 | $1,009.00 | $39.61–$406.26 | — | 60% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 GRADE EXER TEST W/O INTE | $403.60 | $1,009.00 | $39.61–$406.26 | — | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY | $81.20 | $203.00 | $73.68–$145.03 | 70% below | 60% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY | $81.20 | $203.00 | $73.68–$145.03 | 70% below | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY | $81.20 | $203.00 | $73.68–$145.03 | — | 60% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY | $81.20 | $203.00 | $73.68–$145.03 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, 1ST HR | $161.60 | $404.00 | $37.66–$291.02 | 34% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION, 1ST HR | $161.60 | $404.00 | $37.66–$291.02 | 34% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 1ST HR | $167.60 | $419.00 | $37.66–$291.02 | 32% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 1ST HR | $167.60 | $419.00 | $37.66–$291.02 | 32% below | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, 1ST HR | $161.60 | $404.00 | $37.66–$291.02 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION, 1ST HR | $161.60 | $404.00 | $37.66–$291.02 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 1ST HR | $167.60 | $419.00 | $37.66–$291.02 | — | 60% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 1ST HR | $167.60 | $419.00 | $37.66–$291.02 | — | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH DG INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | 16% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH DG INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | 16% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | 16% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | 16% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF 1ST HR | $256.80 | $642.00 | $49.90–$291.02 | 6% below | 60% |
| IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF 1ST HR | $256.80 | $642.00 | $49.90–$291.02 | 6% below | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DG IV INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DG IV INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH DG INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH DG INF, 1ST HR | $227.20 | $568.00 | $49.90–$291.02 | — | 60% |
| IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DG IV INF 1ST HR | $256.80 | $642.00 | $49.90–$291.02 | — | 60% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $134.40 | $336.00 | $24.42–$291.01 | 38% below | 60% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $134.40 | $336.00 | $24.42–$291.01 | 38% below | 60% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $152.00 | $380.00 | $24.42–$291.01 | 30% below | 60% |
| IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $152.00 | $380.00 | $24.42–$291.01 | 30% below | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $134.40 | $336.00 | $24.42–$291.01 | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ, IV PUSH | $134.40 | $336.00 | $24.42–$291.01 | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $152.00 | $380.00 | $24.42–$291.01 | — | 60% |
| IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH | $152.00 | $380.00 | $24.42–$291.01 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJECT SQ/IM | $74.00 | $185.00 | $15.02–$95.65 | 9% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJECT SQ/IM | $74.00 | $185.00 | $15.02–$95.65 | 9% above | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJECT SQ/IM | $74.00 | $185.00 | $15.02–$95.65 | — | 60% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJECT SQ/IM | $74.00 | $185.00 | $15.02–$95.65 | — | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVALUATION | $86.40 | $216.00 | $110.16–$192.87 | 56% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH EVALUATION | $86.40 | $216.00 | $110.16–$192.87 | 56% below | 60% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH EVALUATION | $86.40 | $216.00 | $110.16–$192.87 | — | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 TELE NEUROMUSC FACILI /15MIN | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION 15M | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 TELE NEUROMUSC RE-EDUCAT 15M | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 TELE NEUROMUSC RE-EDUCAT 15MIN | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NUEROMUSCULAR FACILITAT PER15 | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR FACILITATI | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 TELE NEUROMUSCULAR FACILITATI | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-ED | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR FACILI PER 15MIN | $33.60 | $84.00 | $27.07–$57.57 | 57% below | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELE NEUROMUSC FACILI /15MIN | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NUEROMUSCULAR FACILITAT PER15 | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELE NEUROMUSC RE-EDUCAT 15MIN | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR FACILITATI | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE-EDUCATION 15M | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELE NEUROMUSCULAR FACILITATI | $33.60 | $84.00 | $27.07–$57.57 | — | 60% |
| New patient office visit, about 30 minutes CPT 99203 PHYSICAL LEVEL 2 | $54.00 | $135.00 | $77.71–$115.14 | 64% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 PHYSICAL LEVEL 2 | $54.00 | $135.00 | $77.71–$115.14 | 64% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OP NEW LEVEL III | $79.20 | $198.00 | $77.71–$115.14 | 48% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE OP NEW LEVEL III | $79.20 | $198.00 | $77.71–$115.14 | 48% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 E&M NEW PT - LEVEL 3 | $127.60 | $319.00 | $77.71–$115.14 | 15% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 E&M NEW PT - LEVEL 3 | $127.60 | $319.00 | $77.71–$115.14 | 15% below | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3 | $276.40 | $691.00 | $77.71–$115.14 | 83% above | 60% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3 | $276.40 | $691.00 | $77.71–$115.14 | 83% above | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PHYSICAL LEVEL 2 | $54.00 | $135.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OP NEW LEVEL III | $79.20 | $198.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE OP NEW LEVEL III | $79.20 | $198.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M NEW PT - LEVEL 3 | $127.60 | $319.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3 | $276.40 | $691.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3 | $276.40 | $691.00 | $77.71–$115.14 | — | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OP NEW LEVEL IV | $79.20 | $198.00 | $109.38–$170.85 | 57% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE OP NEW LEVEL IV | $79.20 | $198.00 | $109.38–$170.85 | 57% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 E&M NEW PT LEVEL 4 | $84.80 | $212.00 | $109.38–$170.85 | 54% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 E&M NEW PT LEVEL 4 | $84.80 | $212.00 | $109.38–$170.85 | 54% below | 60% |
| New patient office visit, about 45 minutes CPT 99204 E&M NEW PT - LEVEL 4 | $282.40 | $706.00 | $109.38–$170.85 | 53% above | 60% |
| New patient office visit, about 45 minutes CPT 99204 E&M NEW PT - LEVEL 4 | $282.40 | $706.00 | $109.38–$170.85 | 53% above | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OPT VISIT NEW LEVEL 4 | $322.40 | $806.00 | $109.38–$170.85 | 75% above | 60% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE/OPT VISIT NEW LEVEL 4 | $322.40 | $806.00 | $109.38–$170.85 | 75% above | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE OP NEW LEVEL IV | $79.20 | $198.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M NEW PT LEVEL 4 | $84.80 | $212.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M NEW PT LEVEL 4 | $84.80 | $212.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M NEW PT - LEVEL 4 | $282.40 | $706.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OPT VISIT NEW LEVEL 4 | $322.40 | $806.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OFFICE/OPT VISIT NEW LEVEL 4 | $322.40 | $806.00 | $109.38–$170.85 | — | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OP NEW LEVELV | $132.40 | $331.00 | $140.72–$227.27 | 53% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE OP NEW LEVELV | $132.40 | $331.00 | $140.72–$227.27 | 53% below | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OPT VISIT NEW LEVEL 5 | $432.00 | $1,080.00 | $140.72–$227.27 | 54% above | 60% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE/OPT VISIT NEW LEVEL 5 | $432.00 | $1,080.00 | $140.72–$227.27 | 54% above | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE OP NEW LEVELV | $132.40 | $331.00 | $140.72–$227.27 | — | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OPT VISIT NEW LEVEL 5 | $432.00 | $1,080.00 | $140.72–$227.27 | — | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OFFICE/OPT VISIT NEW LEVEL 5 | $432.00 | $1,080.00 | $140.72–$227.27 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OP VISIT NEW LEVEL 1 | $32.80 | $82.00 | $52.18–$77.14 | 69% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OP VISIT NEW LEVEL 1 | $32.80 | $82.00 | $52.18–$77.14 | 69% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PHYSICAL LEVEL 1 | $43.60 | $109.00 | $52.18–$94.88 | 59% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PHYSICAL LEVEL 1 | $43.60 | $109.00 | $52.18–$94.88 | 59% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OP VISIT NEW LEVEL II | $53.20 | $133.00 | $52.18–$94.88 | 49% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE OP VISIT NEW LEVEL II | $53.20 | $133.00 | $52.18–$94.88 | 49% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M NEW PT - LEVEL 2 | $54.00 | $135.00 | $52.18–$94.88 | 49% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 E&M NEW PT - LEVEL 2 | $54.00 | $135.00 | $52.18–$94.88 | 49% below | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OPT VISIT LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | 67% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OPT VISIT LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | 67% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OPT VISIT NEW LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | 67% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE/OPT VISIT NEW LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | 67% above | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OP VISIT NEW LEVEL 1 | $32.80 | $82.00 | $52.18–$77.14 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PHYSICAL LEVEL 1 | $43.60 | $109.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PHYSICAL LEVEL 1 | $43.60 | $109.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE OP VISIT NEW LEVEL II | $53.20 | $133.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M NEW PT - LEVEL 2 | $54.00 | $135.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 E&M NEW PT - LEVEL 2 | $54.00 | $135.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OPT VISIT NEW LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OPT VISIT NEW LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | — | 60% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OFFICE/OPT VISIT LEVEL 2 | $175.60 | $439.00 | $52.18–$94.88 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT - INITIAL - INDIV 15 MIN | $22.00 | $55.00 | $15.92–$44.50 | 28% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT - INITIAL - INDIV 15 MIN | $22.00 | $55.00 | $15.92–$44.50 | 28% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL COUNSELING,INTITAL | $22.00 | $55.00 | $15.92–$44.50 | 28% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITIONAL COUNSELING,INTITAL | $22.00 | $55.00 | $15.92–$44.50 | 28% below | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL COUNSELING,INTITAL | $22.00 | $55.00 | $15.92–$44.50 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT - INITIAL - INDIV 15 MIN | $22.00 | $55.00 | $15.92–$44.50 | — | 60% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITIONAL COUNSELING,INTITAL | $22.00 | $55.00 | $15.92–$44.50 | — | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 LOW COMPLEXITY EVAL | $70.40 | $176.00 | $55.76–$133.65 | 58% below | 60% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $70.40 | $176.00 | $55.76–$133.65 | 58% below | 60% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN | $70.40 | $176.00 | $55.76–$133.65 | — | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $97.60 | $244.00 | $57.45–$137.48 | 53% below | 60% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEX 45 MIN | $97.60 | $244.00 | $57.45–$137.48 | — | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $70.40 | $176.00 | $71.82–$158.11 | 57% below | 60% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEX 20 MIN | $70.40 | $176.00 | $71.82–$158.11 | — | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $86.00 | $215.00 | $71.82–$137.48 | 55% below | 60% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEX 30 MIN | $86.00 | $215.00 | $71.82–$137.48 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUE | $31.20 | $78.00 | $22.37–$66.21 | 59% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECH PER 15 MIN | $31.20 | $78.00 | $22.37–$66.21 | 59% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY | $31.20 | $78.00 | $22.37–$66.21 | 59% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES | $31.20 | $78.00 | $22.37–$66.21 | 59% below | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECH PER 15 MIN | $31.20 | $78.00 | $22.37–$66.21 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUE | $31.20 | $78.00 | $22.37–$66.21 | — | 60% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY | $31.20 | $78.00 | $22.37–$66.21 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE PER 15MIN | $30.40 | $76.00 | $26.03–$64.88 | 61% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE | $30.40 | $76.00 | $26.03–$64.88 | 61% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE I PER 15 MIN | $30.40 | $76.00 | $26.03–$64.88 | 61% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELE THERAP EXERCISE PER 15MIN | $30.40 | $76.00 | $26.03–$64.88 | 61% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELE EXERCISE I PER 15 MIN | $30.40 | $76.00 | $26.03–$64.88 | 61% below | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE PER 15MIN | $30.40 | $76.00 | $26.03–$64.88 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE | $30.40 | $76.00 | $26.03–$64.88 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE I PER 15 MIN | $30.40 | $76.00 | $26.03–$64.88 | — | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELE THERAP EXERCISE PER 15MIN | $30.40 | $76.00 | $26.03–$64.88 | — | 60% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST HR | $83.60 | $209.00 | $86.98–$145.14 | 37% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHER-IND PHD 30MIN | $74.80 | $187.00 | $38.54–$95.89 | 51% below | 60% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHER-IND PHD 30MIN | $74.80 | $187.00 | $38.54–$95.89 | 51% below | 60% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHER-IND PHD 30MIN | $74.80 | $187.00 | $38.54–$95.89 | — | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHER-IND PHD 45 MIN | $74.80 | $187.00 | $77.08–$124.45 | 55% below | 60% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHER-IND PHD 45 MIN | $74.80 | $187.00 | $77.08–$124.45 | 55% below | 60% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHER-IND PHD 45 MIN | $74.80 | $187.00 | $77.08–$124.45 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PHARMACOLOGIC MANAGEMENT 40MIN | $74.00 | $185.00 | $96.82–$170.98 | 66% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PHARMACOLOGIC MANAGEMENT 40MIN | $74.00 | $185.00 | $96.82–$170.98 | 66% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OP ESTABLISHED LVL V | $79.20 | $198.00 | $96.82–$170.98 | 64% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE OP ESTABLISHED LVL V | $79.20 | $198.00 | $96.82–$170.98 | 64% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 OP OB EXAM | $200.00 | $500.00 | $96.82–$303.51 | 9% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 LEVEL 5 OP OB EXAM | $200.00 | $500.00 | $96.82–$303.51 | 9% below | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OPT VISIT EST LEVEL 5 | $313.60 | $784.00 | $96.82–$303.51 | 42% above | 60% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE/OPT VISIT EST LEVEL 5 | $313.60 | $784.00 | $96.82–$303.51 | 42% above | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PHARMACOLOGIC MANAGEMENT 40MIN | $74.00 | $185.00 | $96.82–$170.98 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE OP ESTABLISHED LVL V | $79.20 | $198.00 | $96.82–$170.98 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 LEVEL 5 OP OB EXAM | $200.00 | $500.00 | $96.82–$303.51 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OPT VISIT EST LEVEL 5 | $313.60 | $784.00 | $96.82–$303.51 | — | 60% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OFFICE/OPT VISIT EST LEVEL 5 | $313.60 | $784.00 | $96.82–$303.51 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M ESTAB PT LEVEL 3 | $38.00 | $95.00 | $42.07–$79.68 | 72% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M ESTAB PT LEVEL 3 | $38.00 | $95.00 | $42.07–$79.68 | 72% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OP ESTABLISHED LVL III | $53.20 | $133.00 | $42.07–$79.68 | 61% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE OP ESTABLISHED LVL III | $53.20 | $133.00 | $42.07–$79.68 | 61% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M ESTABLISHED PT - LEVEL 3 | $84.80 | $212.00 | $42.07–$152.18 | 37% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 E&M ESTABLISHED PT - LEVEL 3 | $84.80 | $212.00 | $42.07–$152.18 | 37% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 OP OB EXAM | $88.80 | $222.00 | $42.07–$152.18 | 34% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 LEVEL 3 OP OB EXAM | $88.80 | $222.00 | $42.07–$152.18 | 34% below | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ER - RECHECK INTERMEDIATE | $139.20 | $348.00 | $42.07–$152.18 | 3% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ER - RECHECK INTERMEDIATE | $139.20 | $348.00 | $42.07–$152.18 | 3% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OPT VISIT EST LEVEL 3 | $211.60 | $529.00 | $42.07–$152.18 | 57% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE/OPT VISIT EST LEVEL 3 | $211.60 | $529.00 | $42.07–$152.18 | 57% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VERTRAL AUGMENT THORACIC | $3,724.40 | $9,311.00 | $42.07–$152.18 | 2658% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 VERTRAL AUGMENT THORACIC | $3,724.40 | $9,311.00 | $42.07–$152.18 | 2658% above | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M ESTAB PT LEVEL 3 | $38.00 | $95.00 | $42.07–$79.68 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M ESTAB PT LEVEL 3 | $38.00 | $95.00 | $42.07–$79.68 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OP ESTABLISHED LVL III | $53.20 | $133.00 | $42.07–$79.68 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE OP ESTABLISHED LVL III | $53.20 | $133.00 | $42.07–$79.68 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M ESTABLISHED PT - LEVEL 3 | $84.80 | $212.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 E&M ESTABLISHED PT - LEVEL 3 | $84.80 | $212.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 LEVEL 3 OP OB EXAM | $88.80 | $222.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ER - RECHECK INTERMEDIATE | $139.20 | $348.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ER - RECHECK INTERMEDIATE | $139.20 | $348.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OPT VISIT EST LEVEL 3 | $211.60 | $529.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OFFICE/OPT VISIT EST LEVEL 3 | $211.60 | $529.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VERTRAL AUGMENT THORACIC | $3,724.40 | $9,311.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VERTRAL AUGMENT THORACIC | $3,724.40 | $9,311.00 | $42.07–$152.18 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PHARMACOLOGIC MANAGEMENT 25MIN | $57.20 | $143.00 | $66.15–$116.10 | 65% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M ESTAB PT LEVEL 4 | $57.20 | $143.00 | $66.15–$116.10 | 65% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PHARMACOLOGIC MANAGEMENT 25MIN | $57.20 | $143.00 | $66.15–$116.10 | 65% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M ESTAB PT LEVEL 4 | $57.20 | $143.00 | $66.15–$116.10 | 65% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OP ESTABLISHED LVL IV | $63.20 | $158.00 | $66.15–$116.10 | 62% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE OP ESTABLISHED LVL IV | $63.20 | $158.00 | $66.15–$116.10 | 62% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M ESTABLISHED PT - LEVEL 4 | $102.00 | $255.00 | $66.15–$214.97 | 38% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 E&M ESTABLISHED PT - LEVEL 4 | $102.00 | $255.00 | $66.15–$214.97 | 38% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 OP OB EXAM | $141.60 | $354.00 | $66.15–$214.97 | 14% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 LEVEL 4 OP OB EXAM | $141.60 | $354.00 | $66.15–$214.97 | 14% below | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ER - RECHECK/REFERRAL - MAJ | $192.40 | $481.00 | $66.15–$214.97 | 17% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ER - RECHECK/REFERRAL - MAJ | $192.40 | $481.00 | $66.15–$214.97 | 17% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OPT VISIT EST LEVEL 4 | $263.20 | $658.00 | $66.15–$214.97 | 60% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE/OPT VISIT EST LEVEL 4 | $263.20 | $658.00 | $66.15–$214.97 | 60% above | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M ESTAB PT LEVEL 4 | $57.20 | $143.00 | $66.15–$116.10 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PHARMACOLOGIC MANAGEMENT 25MIN | $57.20 | $143.00 | $66.15–$116.10 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M ESTAB PT LEVEL 4 | $57.20 | $143.00 | $66.15–$116.10 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE OP ESTABLISHED LVL IV | $63.20 | $158.00 | $66.15–$116.10 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 E&M ESTABLISHED PT - LEVEL 4 | $102.00 | $255.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 OP OB EXAM | $141.60 | $354.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 LEVEL 4 OP OB EXAM | $141.60 | $354.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ER - RECHECK/REFERRAL - MAJ | $192.40 | $481.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OPT VISIT EST LEVEL 4 | $210.40 | $526.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OFFICE/OPT VISIT EST LEVEL 4 | $263.20 | $658.00 | $66.15–$214.97 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M ESTAB PT LEVEL 2 | $29.60 | $74.00 | $30.65–$73.68 | 72% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M ESTAB PT LEVEL 2 | $29.60 | $74.00 | $30.65–$73.68 | 72% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST 16-30MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST 16-30MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST 10-15MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST 10-15MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST >30MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 RESPIRATOR FIT TEST >30MIN | $32.00 | $80.00 | $30.65–$73.68 | 69% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M ESTABLISHED PT - LEVEL 2 | $34.80 | $87.00 | $30.65–$73.68 | 67% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 E&M ESTABLISHED PT - LEVEL 2 | $34.80 | $87.00 | $30.65–$73.68 | 67% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OP ESTABILISHED LVEL II | $41.20 | $103.00 | $30.65–$97.33 | 60% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE OP ESTABILISHED LVEL II | $41.20 | $103.00 | $30.65–$97.33 | 60% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVAL & MANAGEMENT W/PROC | $46.00 | $115.00 | $30.65–$97.33 | 56% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 OP OB EXAM | $46.00 | $115.00 | $30.65–$97.33 | 56% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EVAL & MANAGEMENT W/PROC | $46.00 | $115.00 | $30.65–$97.33 | 56% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LEVEL 2 OP OB EXAM | $46.00 | $115.00 | $30.65–$97.33 | 56% below | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OPT VISIT EST LEVEL 2 | $152.80 | $382.00 | $30.65–$97.33 | 47% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE/OPT VISIT EST LEVEL 2 | $152.80 | $382.00 | $30.65–$97.33 | 47% above | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M ESTAB PT LEVEL 2 | $29.60 | $74.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M ESTAB PT LEVEL 2 | $29.60 | $74.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RESPIRATOR FIT TEST >30MIN | $32.00 | $80.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RESPIRATOR FIT TEST 10-15MIN | $32.00 | $80.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RESPIRATOR FIT TEST >30MIN | $32.00 | $80.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RESPIRATOR FIT TEST 16-30MIN | $32.00 | $80.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 RESPIRATOR FIT TEST 16-30MIN | $32.00 | $80.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M ESTABLISHED PT - LEVEL 2 | $34.80 | $87.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 E&M ESTABLISHED PT - LEVEL 2 | $34.80 | $87.00 | $30.65–$73.68 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OP ESTABILISHED LVEL II | $41.20 | $103.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE OP ESTABILISHED LVEL II | $41.20 | $103.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 OP OB EXAM | $46.00 | $115.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EVAL & MANAGEMENT W/PROC | $46.00 | $115.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EVAL & MANAGEMENT W/PROC | $46.00 | $115.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LEVEL 2 OP OB EXAM | $46.00 | $115.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OPT VISIT EST LEVEL 2 | $152.80 | $382.00 | $30.65–$97.33 | — | 60% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OFFICE/OPT VISIT EST LEVEL 2 | $152.80 | $382.00 | $30.65–$97.33 | — | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH/LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH / LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH / LANGUAG | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH/LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH / LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, BRIEF SPEECH / LANGUAG | $116.80 | $292.00 | $89.51–$279.39 | 50% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | 45% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, INTERMEDIATE SPEECH/LANG | $154.40 | $386.00 | $89.51–$279.39 | 34% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, INTERMEDIATE SPEECH/LANG | $154.40 | $386.00 | $89.51–$279.39 | 34% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, INTERMEDIATE SPEECH LANG | $154.40 | $386.00 | $89.51–$279.39 | 34% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, INTERMEDIATE SPEECH LANG | $154.40 | $386.00 | $89.51–$279.39 | 34% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, EXTENDED SPEECH/LANG | $179.20 | $448.00 | $89.51–$279.39 | 24% below | 60% |
| Speech and language evaluation CPT 92523 EVAL, EXTENDED SPEECH/LANG | $179.20 | $448.00 | $89.51–$279.39 | 24% below | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, BRIEF SPEECH/LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, BRIEF SPEECH / LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, BRIEF SPEECH/LANGUAGE | $116.80 | $292.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, BRIEF SPEECH / LANGUAG | $116.80 | $292.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL SPEECH / LANGUAGE | $128.40 | $321.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, INTERMEDIATE SPEECH/LANG | $154.40 | $386.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, INTERMEDIATE SPEECH LANG | $154.40 | $386.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, INTERMEDIATE SPEECH/LANG | $154.40 | $386.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, EXTENDED SPEECH/LANG | $179.20 | $448.00 | $89.51–$279.39 | — | 60% |
| Speech and language evaluation inpatient CPT 92523 EVAL, EXTENDED SPEECH/LANG | $179.20 | $448.00 | $89.51–$279.39 | — | 60% |
| Speech therapy session, individual CPT 92507 TELE SLP TREATMENT -30 MINUTES | $80.00 | $200.00 | $65.74–$92.95 | 41% below | 60% |
| Speech therapy session, individual CPT 92507 SLP TREATMENT - 30 MINUTES | $88.40 | $221.00 | $65.74–$92.95 | 34% below | 60% |
| Speech therapy session, individual CPT 92507 SLP TREATMENT - 45 MINUTES | $96.00 | $240.00 | $65.74–$92.95 | 29% below | 60% |
| Speech therapy session, individual CPT 92507 SLP TREATMENT - 60 MINUTES | $140.00 | $350.00 | $65.74–$92.95 | 4% above | 60% |
| Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 30 MINUTES | $88.40 | $221.00 | $65.74–$92.95 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 45 MINUTES | $96.00 | $240.00 | $65.74–$92.95 | — | 60% |
| Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 60 MINUTES | $140.00 | $350.00 | $65.74–$92.95 | — | 60% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY- OCC HEALTH | $38.40 | $96.00 | $6.90–$62.87 | 87% below | 60% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY- OCC HEALTH | $38.40 | $96.00 | $6.90–$62.87 | 87% below | 60% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $131.20 | $328.00 | $6.90–$325.96 | 57% below | 60% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $131.20 | $328.00 | $6.90–$325.96 | 57% below | 60% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY- OCC HEALTH | $38.40 | $96.00 | $6.90–$62.87 | — | 60% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $131.20 | $328.00 | $6.90–$325.96 | — | 60% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $131.20 | $328.00 | $6.90–$325.96 | — | 60% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION | $316.80 | $792.00 | $12.56–$426.17 | 26% below | 60% |
| Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION | $316.80 | $792.00 | $12.56–$426.17 | 26% below | 60% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVALUATION | $316.80 | $792.00 | $12.56–$426.17 | — | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TELE FUNCTION TRAIN PER 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TELE THERAP ACTIVITIES 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TELE THERAP ACTIVITIES 15MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL TRAINING PER 15MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL TRAINING | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 TELE FUNCTION TRAIN PER 15MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL TRAINING PER 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | 51% below | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELE FUNCTION TRAIN PER 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELE FUNCTION TRAIN PER 15MIN | $38.40 | $96.00 | $27.02–$64.88 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITY | $38.40 | $96.00 | $27.02–$64.88 | — | 60% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL TRAINING PER 15 MIN | $38.40 | $96.00 | $27.02–$64.88 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC | $65.20 | $163.00 | $49.13–$121.99 | 51% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC | $65.20 | $163.00 | $49.13–$121.99 | 51% below | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC | $65.20 | $163.00 | $49.13–$121.99 | — | 60% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC | $65.20 | $163.00 | $49.13–$121.99 | — | 60% |
| Treadmill or drug stress test with ECG, supervision and report CPT 93015 STRESS TEST CMPL W/PF | $74.40 | $186.00 | $81.57–$185.33 | 73% below | 60% |
| Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 STRESS TEST CMPL W/PF | $74.40 | $186.00 | $81.57–$185.33 | — | 60% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Kansas | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VACCINE | $88.00 | $220.00 | $122.02–$149.30 | 59% below | 60% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VAC TRIV 24-25 0.5ML | $18.96 | $47.40 | $22.35–$28.23 | 47% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VAC TRI HIDOSE 0.5ML | $69.50 | $173.76 | $67.08–$104.82 | 29% below | 60% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC QUAD HIDOSE | $73.10 | $182.76 | $67.08–$104.82 | 26% below | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR IMMUNIZATION | $52.00 | $130.00 | $70.92–$86.55 | 56% below | 60% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS&RUBELLA VACC | $92.56 | $231.40 | $70.92–$149.96 | 22% below | 60% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 VACC 0.5ML | $254.98 | $637.44 | $312.90–$425.66 | 32% below | 60% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNU-IMUNE 23 | $99.77 | $249.41 | $115.71–$190.61 | 43% below | 60% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPV POLIO VACCINE | $36.00 | $90.00 | $25.47–$69.21 | 44% below | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $164.40 | $411.00 | $203.43–$349.87 | 73% below | 60% |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE | $164.40 | $411.00 | $203.43–$349.87 | 73% below | 60% |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE | $378.00 | $944.99 | $203.43–$673.81 | 38% below | 60% |
| Rabies vaccine, one dose CPT 90675 IMOVAX RABIES VACCINE | $378.00 | $944.99 | $203.43–$673.81 | 38% below | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE | $164.40 | $411.00 | $203.43–$349.87 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE | $164.40 | $411.00 | $203.43–$349.87 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE | $378.00 | $944.99 | $203.43–$673.81 | — | 60% |
| Rabies vaccine, one dose inpatient CPT 90675 IMOVAX RABIES VACCINE | $378.00 | $944.99 | $203.43–$673.81 | — | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TDAP | $31.20 | $78.00 | $33.96–$44.22 | 52% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP/TET PF VACC >7YR IM DOSE | $36.69 | $91.73 | $33.96–$44.22 | 43% below | 60% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TDAP | $31.20 | $78.00 | $33.96–$44.22 | — | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIP/TET/ACE PERT VACC >7YR IM | $39.43 | $98.57 | $39.07–$76.54 | 51% below | 60% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DIP/TET/ACE PERT VACC >7YR IM | $39.43 | $98.57 | $39.07–$76.54 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INITIAL | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INITIAL | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INJECTION | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INJECTION | $38.00 | $95.00 | $8.75–$39.13 | at median | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM PNEUM | $42.00 | $105.00 | $8.75–$39.13 | 10% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM PNEUM | $42.00 | $105.00 | $8.75–$39.13 | 10% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM INFLUENZA | $43.20 | $108.00 | $8.75–$39.13 | 13% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADM INFLUENZA | $43.20 | $108.00 | $8.75–$39.13 | 13% above | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INJECTION | $34.40 | $86.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INJECTION | $38.00 | $95.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM | $38.00 | $95.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM | $38.00 | $95.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INITIAL | $38.00 | $95.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM PNEUM | $42.00 | $105.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM INFLUENZA | $43.20 | $108.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADM INFLUENZA | $43.20 | $108.00 | $8.75–$39.13 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | 47% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | 47% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADM EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | 47% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | 47% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE TOXOID ADD INJ OV 8YRS | $43.20 | $108.00 | $8.75–$27.01 | 67% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE TOXOID ADD INJ OV 8YRS | $43.20 | $108.00 | $8.75–$27.01 | 67% above | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADM EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL | $38.00 | $95.00 | $8.75–$27.01 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE TOXOID ADD INJ OV 8YRS | $43.20 | $108.00 | $8.75–$27.01 | — | 60% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE TOXOID ADD INJ OV 8YRS | $43.20 | $108.00 | $8.75–$27.01 | — | 60% |
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.