Hospital Manhattan, KS

Wamego Health Center

Listed in its price file as “Wamego Hospital Association, Inc.”.

Wamego Health Center in Wamego, KS publishes cash prices for 330 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 233 of 327 procedures and above it for 90. By typical cash price it ranks #19 of 85 Kansas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

711 Genn Dr Wamego KS 66547 Collected Sep 23, 2026 Source price file Check a bill from this hospital (785) 456-2295

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 171337 · CMS hospital register NPI 1588657928

Financial assistance

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

Wamego Health Center 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 ABDOMEN W/WO CONTRAST	$1,330.00	$3,325.00	$54.39–$664.17	at median	60%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,330.00	$3,325.00	$54.39–$664.17	at median	60%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/WO CONTRAST	$1,330.00	$3,325.00	$54.39–$664.17	—	60%
Abdominal X-ray, 2 views CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$219.20	$548.00	$9.58–$138.73	12% below	60%
Abdominal X-ray, 2 views inpatient CPT 74019 X-RAY EXAM ABDOMEN 2 VIEWS	$219.20	$548.00	$9.58–$138.73	—	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$192.69	28% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$192.69	28% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$192.69	28% below	60%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$192.69	28% below	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$192.69	—	60%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$192.69	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/BRACHIAL INDEX 93922	$266.00	$665.00	$14.88–$664.65	56% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/BRACHIAL INDEX 93922	$266.00	$665.00	$14.88–$664.65	56% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE/BRACHIAL INDEX 93922	$266.00	$665.00	$14.88–$664.65	—	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O LT 73200	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O RT 73200	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O RT 73200	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UPPER EXTREM W/O LT 73200	$809.20	$2,023.00	$38.79–$664.17	22% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT UPPER EXTREMITY W/O	$809.20	$2,023.00	$38.79–$664.17	—	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O LT 73200	$809.20	$2,023.00	$38.79–$664.17	—	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UPPER EXTREM W/O RT 73200	$809.20	$2,023.00	$38.79–$664.17	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS 74220	$252.40	$631.00	$23.60–$373.83	40% below	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS 74220	$252.40	$631.00	$23.60–$373.83	40% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS 74220	$252.40	$631.00	$23.60–$373.83	—	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST UNI 76642RT	$290.80	$727.00	$26.69–$131.25	1% below	60%
Breast ultrasound, limited (one breast or one area) CPT 76642 BREAST UNI 76642RT	$290.80	$727.00	$26.69–$131.25	1% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST UNI 76642 LT	$290.80	$727.00	$26.69–$131.25	1% below	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 BREAST UNI 76642 LT	$290.80	$727.00	$26.69–$131.25	1% below	60%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 BREAST UNI 76642RT	$290.80	$727.00	$26.69–$131.25	—	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST UNI 76642 LT	$290.80	$727.00	$26.69–$131.25	—	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 BREAST UNI 76642 LT	$290.80	$727.00	$26.69–$131.25	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS 74174	$2,528.00	$6,320.00	$85.21–$2,355.99	5% above	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD/PELVIS 74174	$2,528.00	$6,320.00	$85.21–$2,355.99	5% above	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS 74174	$2,528.00	$6,320.00	$85.21–$2,355.99	—	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABD/PELVIS 74174	$2,528.00	$6,320.00	$85.21–$2,355.99	—	60%
CT angiography (CTA) of the head CPT 70496 CTA HEAD WITH CONTRAST	$959.20	$2,398.00	$68.31–$1,601.92	46% below	60%
CT angiography (CTA) of the head CPT 70496 CTA HEAD WITH CONTRAST	$959.20	$2,398.00	$68.31–$1,601.92	46% below	60%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WITH CONTRAST	$959.20	$2,398.00	$68.31–$1,601.92	—	60%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD WITH CONTRAST	$959.20	$2,398.00	$68.31–$1,601.92	—	60%
CT angiography (CTA) of the neck CPT 70498 CTA - NECK 70498	$906.00	$2,265.00	$68.31–$1,603.20	49% below	60%
CT angiography (CTA) of the neck CPT 70498 CTA - NECK 70498	$906.00	$2,265.00	$68.31–$1,603.20	49% below	60%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA - NECK 70498	$906.00	$2,265.00	$68.31–$1,603.20	—	60%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA - NECK 70498	$906.00	$2,265.00	$68.31–$1,603.20	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & W/O 71275	$898.40	$2,246.00	$70.84–$1,581.37	49% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST W & W/O 71275	$898.40	$2,246.00	$70.84–$1,581.37	49% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & W/O 71275	$898.40	$2,246.00	$70.84–$1,581.37	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA CHEST W & W/O 71275	$898.40	$2,246.00	$70.84–$1,581.37	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST 74176	$1,987.60	$4,969.00	$60.72–$664.17	52% above	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PELV W/O CONTRAST 74176	$1,987.60	$4,969.00	$60.72–$664.17	52% above	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONTRAST 74176	$1,987.60	$4,969.00	$60.72–$664.17	—	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PELV W/O CONTRAST 74176	$1,987.60	$4,969.00	$60.72–$664.17	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/CONTRAST 74177	$2,354.00	$5,885.00	$71.10–$664.17	67% above	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W/CONTRAST 74177	$2,354.00	$5,885.00	$71.10–$664.17	67% above	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/CONTRAST 74177	$2,354.00	$5,885.00	$71.10–$664.17	—	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W/CONTRAST 74177	$2,354.00	$5,885.00	$71.10–$664.17	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 UROGRAM ABD/PEL W/WO 74178	$2,344.80	$5,862.00	$78.14–$664.17	34% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 UROGRAM ABD/PEL W/WO 74178	$2,344.80	$5,862.00	$78.14–$664.17	34% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO CONTRAST 74178	$2,579.20	$6,448.00	$78.14–$664.17	48% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL W/WO CONTRAST 74178	$2,579.20	$6,448.00	$78.14–$664.17	48% above	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 UROGRAM ABD/PEL W/WO 74178	$2,344.80	$5,862.00	$78.14–$664.17	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 UROGRAM ABD/PEL W/WO 74178	$2,344.80	$5,862.00	$78.14–$664.17	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL W/WO CONTRAST 74178	$2,579.20	$6,448.00	$78.14–$664.17	—	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$1,203.60	$3,009.00	$49.61–$664.17	1% below	60%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$1,203.60	$3,009.00	$49.61–$664.17	1% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST	$1,203.60	$3,009.00	$49.61–$664.17	—	60%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST	$1,203.60	$3,009.00	$49.61–$664.17	—	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRST	$982.80	$2,457.00	$46.38–$664.17	9% below	60%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRST	$982.80	$2,457.00	$46.38–$664.17	9% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRST	$982.80	$2,457.00	$46.38–$664.17	—	60%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRST	$982.80	$2,457.00	$46.38–$664.17	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL BONES/SINUSES W/O 70486	$740.40	$1,851.00	$33.42–$664.17	22% below	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 FACIAL BONES/SINUSES W/O 70486	$740.40	$1,851.00	$33.42–$664.17	22% below	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FACIAL BONES/SINUSES W/O 70486	$740.40	$1,851.00	$33.42–$664.17	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$1,018.00	$2,545.00	$33.16–$664.17	1% below	60%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST	$1,018.00	$2,545.00	$33.16–$664.17	1% below	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$1,018.00	$2,545.00	$33.16–$664.17	—	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O CONTRAST	$1,018.00	$2,545.00	$33.16–$664.17	—	60%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST	$1,145.60	$2,864.00	$44.12–$664.17	5% above	60%
CT scan of the head with contrast CPT 70460 CT HEAD W/ CONTRAST	$1,145.60	$2,864.00	$44.12–$664.17	5% above	60%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W/ CONTRAST	$1,145.60	$2,864.00	$44.12–$664.17	—	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST	$1,248.00	$3,120.00	$49.61–$664.17	1% above	60%
CT scan of the head without and with contrast CPT 70470 CT HEAD W & W/O CONTRAST	$1,248.00	$3,120.00	$49.61–$664.17	1% above	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST	$1,248.00	$3,120.00	$49.61–$664.17	—	60%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD W & W/O CONTRAST	$1,248.00	$3,120.00	$49.61–$664.17	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$1,204.40	$3,011.00	$38.79–$664.17	8% above	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST	$1,204.40	$3,011.00	$38.79–$664.17	8% above	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT L-SPINE W/O CONTRAST	$1,204.40	$3,011.00	$38.79–$664.17	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTC-SPINE W/O CONTRAST	$1,264.00	$3,160.00	$38.79–$664.17	30% above	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTC-SPINE W/O CONTRAST	$1,264.00	$3,160.00	$38.79–$664.17	30% above	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CTC-SPINE W/O CONTRAST	$1,264.00	$3,160.00	$38.79–$664.17	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$1,230.80	$3,077.00	$45.25–$664.17	14% above	60%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$1,230.80	$3,077.00	$45.25–$664.17	14% above	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$1,230.80	$3,077.00	$45.25–$664.17	—	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$1,230.80	$3,077.00	$45.25–$664.17	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN EXTRACRANIAL	$297.60	$744.00	$38.63–$664.65	58% below	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX SCAN EXTRACRANIAL	$297.60	$744.00	$38.63–$664.65	58% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX SCAN EXTRACRANIAL	$297.60	$744.00	$38.63–$664.65	—	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX SCAN EXTRACRANIAL	$297.60	$744.00	$38.63–$664.65	—	60%
Chest CT scan without and with contrast CPT 71270 CT THORAX W & W/O CONTRAST	$1,100.00	$2,750.00	$48.62–$664.17	11% below	60%
Chest CT scan without and with contrast CPT 71270 CT THORAX W & W/O CONTRAST	$1,100.00	$2,750.00	$48.62–$664.17	11% below	60%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W & W/O CONTRAST	$1,100.00	$2,750.00	$48.62–$664.17	—	60%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W & W/O CONTRAST	$1,100.00	$2,750.00	$48.62–$664.17	—	60%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$219.20	$548.00	$9.00–$208.44	1% below	60%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$149.20	$373.00	$6.79–$170.85	22% below	60%
Chest X-ray, single view inpatient CPT 71045 X-RAY EXAM CHEST 1 VIEW	$149.20	$373.00	$6.79–$170.85	—	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000	$167.60	$419.00	$6.58–$158.01	16% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000	$167.60	$419.00	$6.58–$158.01	16% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 73000	$167.60	$419.00	$6.58–$158.01	16% below	60%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 73000	$167.60	$419.00	$6.58–$158.01	16% below	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000	$167.60	$419.00	$6.58–$158.01	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 73000	$167.60	$419.00	$6.58–$158.01	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 73000	$167.60	$419.00	$6.58–$158.01	—	60%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 73000	$167.60	$419.00	$6.58–$158.01	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE 76770	$593.20	$1,483.00	$28.68–$209.45	48% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETROPERITONEAL COMPLETE 76770	$593.20	$1,483.00	$28.68–$209.45	48% above	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL COMPLETE 76770	$593.20	$1,483.00	$28.68–$209.45	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETROPERITONEAL COMPLETE 76770	$593.20	$1,483.00	$28.68–$209.45	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA 77080	$140.40	$351.00	$8.13–$273.68	54% below	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BONE DENSITY DEXA 77080	$140.40	$351.00	$8.13–$273.68	54% below	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BONE DENSITY DEXA 77080	$140.40	$351.00	$8.13–$273.68	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA-PERIPHERAL-WRIST 77081	$127.60	$319.00	$8.00–$65.63	10% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA-PERIPHERAL-WRIST 77081	$127.60	$319.00	$8.00–$65.63	10% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA-PERIPHERAL-WRIST 77081	$127.60	$319.00	$8.00–$65.63	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA-PERIPHERAL-WRIST 77081	$127.60	$319.00	$8.00–$65.63	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$850.40	$2,126.00	$42.16–$664.17	13% below	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$850.40	$2,126.00	$42.16–$664.17	13% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$850.40	$2,126.00	$42.16–$664.17	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST	$944.00	$2,360.00	$45.51–$664.17	12% below	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST	$944.00	$2,360.00	$45.51–$664.17	12% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ CONTRAST	$944.00	$2,360.00	$45.51–$664.17	—	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ CONTRAST	$944.00	$2,360.00	$45.51–$664.17	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI 77066	$228.80	$572.00	$38.79–$206.66	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO INCL CAD BI 77066	$228.80	$572.00	$38.79–$206.66	—	60%
Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI 77065	$181.60	$454.00	$31.48–$170.35	10% below	60%
Diagnostic mammogram, one breast inpatient CPT 77065 DX MAMMO INCL CAD UNI 77065	$181.60	$454.00	$31.48–$170.35	—	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–$664.65	—	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–$664.65	—	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–$664.65	—	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–$664.65	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT LOW VENOUS DUPLEX 93970	$274.00	$685.00	$37.87–$664.65	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 BILAT LOW VENOUS DUPLEX 93970	$274.00	$685.00	$37.87–$664.65	—	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 BILAT LOW VENOUS DUPLEX 93970	$274.00	$685.00	$37.87–$664.65	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP W/COLOR & DOPP 93306	$1,342.80	$3,357.00	$50.85–$2,118.22	29% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO COMP W/COLOR & DOPP 93306	$1,342.80	$3,357.00	$50.85–$2,118.22	29% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP W/COLOR & DOPP 93306	$1,342.80	$3,357.00	$50.85–$2,118.22	—	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO COMP W/COLOR & DOPP 93306	$1,342.80	$3,357.00	$50.85–$2,118.22	—	60%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEW 73070RT	$176.00	$440.00	$6.58–$156.72	10% below	60%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEW 73070LT	$176.00	$440.00	$6.58–$156.72	10% below	60%
Elbow X-ray, 2 views one side CPT 73070 ELBOW LT 2 VIEW 73070LT	$176.00	$440.00	$6.58–$156.72	10% below	60%
Elbow X-ray, 2 views one side CPT 73070 ELBOW RT 2 VIEW 73070RT	$176.00	$440.00	$6.58–$156.72	10% below	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEW 73070LT	$176.00	$440.00	$6.58–$156.72	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW RT 2 VIEW 73070RT	$176.00	$440.00	$6.58–$156.72	—	60%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW LT 2 VIEW 73070LT	$176.00	$440.00	$6.58–$156.72	—	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT	$228.00	$570.00	$6.87–$209.39	5% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT	$228.00	$570.00	$6.87–$209.39	5% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT	$228.00	$570.00	$6.87–$209.39	5% below	60%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT	$228.00	$570.00	$6.87–$209.39	5% below	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS RT	$228.00	$570.00	$6.87–$209.39	—	60%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW COMP MIN 3 VIEWS, LT	$228.00	$570.00	$6.87–$209.39	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS, SELLA, OR POST	$941.60	$2,354.00	$50.16–$664.17	11% below	60%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS, SELLA, OR POST	$941.60	$2,354.00	$50.16–$664.17	11% below	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS, SELLA, OR POST	$941.60	$2,354.00	$50.16–$664.17	—	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3+ VIEWS 70150	$294.00	$735.00	$10.24–$262.07	4% below	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3+ VIEWS 70150	$294.00	$735.00	$10.24–$262.07	4% below	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3+ VIEWS 70150	$294.00	$735.00	$10.24–$262.07	—	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3+ VIEWS 70150	$294.00	$735.00	$10.24–$262.07	—	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEW 73090LT	$145.60	$364.00	$6.32–$172.14	30% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEW 73090RT	$145.60	$364.00	$6.32–$172.14	30% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM RT 2 VIEW 73090RT	$145.60	$364.00	$6.32–$172.14	30% below	60%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM LT 2 VIEW 73090LT	$145.60	$364.00	$6.32–$172.14	30% below	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEW 73090RT	$145.60	$364.00	$6.32–$172.14	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEW 73090LT	$145.60	$364.00	$6.32–$172.14	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM RT 2 VIEW 73090RT	$145.60	$364.00	$6.32–$172.14	—	60%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM LT 2 VIEW 73090LT	$145.60	$364.00	$6.32–$172.14	—	60%
Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, LT	$145.60	$364.00	$6.58–$143.88	23% below	60%
Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, RT	$145.60	$364.00	$6.58–$143.88	23% below	60%
Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, RT	$145.60	$364.00	$6.58–$143.88	23% below	60%
Hand X-ray, 2 views one side CPT 73120 HAND, 2 VIEWS, LT	$145.60	$364.00	$6.58–$143.88	23% below	60%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, RT	$145.60	$364.00	$6.58–$143.88	—	60%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND, 2 VIEWS, LT	$145.60	$364.00	$6.58–$143.88	—	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT 73650LT	$145.60	$364.00	$6.32–$158.01	26% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RT 73650RT	$145.60	$364.00	$6.32–$158.01	26% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL RT 73650RT	$145.60	$364.00	$6.32–$158.01	26% below	60%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HEEL LT 73650LT	$145.60	$364.00	$6.32–$158.01	26% below	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RT 73650RT	$145.60	$364.00	$6.32–$158.01	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL LT 73650LT	$145.60	$364.00	$6.32–$158.01	—	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HEEL RT 73650RT	$145.60	$364.00	$6.32–$158.01	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST G0399	$185.60	$464.00	$34.65–$417.60	48% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP TEST G0399	$185.60	$464.00	$34.65–$417.60	48% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TEST G0399	$185.60	$464.00	$34.65–$417.60	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HOME SLEEP TEST G0399	$185.60	$464.00	$34.65–$417.60	—	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 3 VIEW, RT	$190.00	$475.00	$7.42–$206.82	21% below	60%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, RT	$190.00	$475.00	$7.42–$206.82	21% below	60%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, LT	$190.00	$475.00	$7.42–$206.82	21% below	60%
Knee X-ray, 3 views one side CPT 73562 KNEE 3 VIEW, LT	$190.00	$475.00	$7.42–$206.82	21% below	60%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, LT	$190.00	$475.00	$7.42–$206.82	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, RT	$190.00	$475.00	$7.42–$206.82	—	60%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3 VIEW, LT	$190.00	$475.00	$7.42–$206.82	—	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE, LT	$183.20	$458.00	$9.10–$299.31	45% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEEWW COMPLETE, RT	$183.20	$458.00	$9.10–$299.31	45% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEEWW COMPLETE, RT	$183.20	$458.00	$9.10–$299.31	45% below	60%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE COMPLETE, LT	$183.20	$458.00	$9.10–$299.31	45% below	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEEWW COMPLETE, RT	$183.20	$458.00	$9.10–$299.31	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEEWW COMPLETE, RT	$183.20	$458.00	$9.10–$299.31	—	60%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE COMPLETE, LT	$183.20	$458.00	$9.10–$299.31	—	60%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O RT 73700	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O RT 73700	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O LT 73700	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTREM W/O LT 73700	$894.40	$2,236.00	$38.79–$664.17	13% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT LOWER EXTREMITY W/O	$894.40	$2,236.00	$38.79–$664.17	—	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O RT 73700	$894.40	$2,236.00	$38.79–$664.17	—	60%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTREM W/O LT 73700	$894.40	$2,236.00	$38.79–$664.17	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED 76705	$452.80	$1,132.00	$23.05–$181.02	43% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ABDOMEN LIMITED 76705	$452.80	$1,132.00	$23.05–$181.02	43% above	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ABDOMEN LIMITED 76705	$452.80	$1,132.00	$23.05–$181.02	—	60%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NONVAS LIM 76882	$280.40	$701.00	$4.64–$161.97	7% below	60%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EXTREMITY NONVAS LIM 76882	$280.40	$701.00	$4.64–$161.97	7% below	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EXTREMITY NONVAS LIM 76882	$280.40	$701.00	$4.64–$161.97	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG CA SCREEN 71271	$562.00	$1,405.00	$42.16–$664.17	12% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG CA SCREEN 71271	$562.00	$1,405.00	$42.16–$664.17	—	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT	$194.40	$486.00	$6.32–$196.55	13% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT	$194.40	$486.00	$6.32–$196.55	13% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT	$194.40	$486.00	$6.32–$196.55	13% below	60%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT	$194.40	$486.00	$6.32–$196.55	13% below	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB LT 2 VIEW 73590LT	$194.40	$486.00	$6.32–$196.55	—	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB RT 2 VIEW 73590RT	$194.40	$486.00	$6.32–$196.55	—	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRA/COW HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	1% below	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRA/COW HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	1% below	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	1% below	60%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	1% below	60%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA/COW HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	—	60%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD W/O 70544	$1,383.20	$3,458.00	$46.92–$919.27	—	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HIP RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 KNEE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 ANKLE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	27% above	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 KNEE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HIP LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE RT W/O 73721RT	$1,610.80	$4,027.00	$52.96–$763.86	—	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 ANKLE LT W/O 73721LT	$1,610.80	$4,027.00	$52.96–$763.86	—	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	$2,250.00	$5,625.00	$83.89–$763.86	37% above	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	$2,250.00	$5,625.00	$83.89–$763.86	37% above	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	$2,403.20	$6,008.00	$83.89–$763.86	46% above	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	$2,403.20	$6,008.00	$83.89–$763.86	46% above	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	$2,403.20	$6,008.00	$83.89–$763.86	46% above	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	$2,403.20	$6,008.00	$83.89–$763.86	46% above	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	$2,475.20	$6,188.00	$83.89–$763.86	50% above	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	$2,475.20	$6,188.00	$83.89–$763.86	50% above	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	$2,250.00	$5,625.00	$83.89–$763.86	—	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	$2,403.20	$6,008.00	$83.89–$763.86	—	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	$2,403.20	$6,008.00	$83.89–$763.86	—	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	$2,475.20	$6,188.00	$83.89–$763.86	—	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	$2,475.20	$6,188.00	$83.89–$763.86	—	60%
MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O 74181	$1,402.00	$3,505.00	$57.05–$763.86	12% above	60%
MRI of the abdomen without contrast CPT 74181 ABDOMEN W/O 74181	$1,402.00	$3,505.00	$57.05–$763.86	12% above	60%
MRI of the abdomen without contrast inpatient CPT 74181 ABDOMEN W/O 74181	$1,402.00	$3,505.00	$57.05–$763.86	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W & W/O 74183	$2,475.20	$6,188.00	$85.59–$763.86	49% above	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 ABDOMEN W & W/O 74183	$2,475.20	$6,188.00	$85.59–$763.86	49% above	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W & W/O 74183	$2,475.20	$6,188.00	$85.59–$763.86	—	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 ABDOMEN W & W/O 74183	$2,475.20	$6,188.00	$85.59–$763.86	—	60%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O 70551	$1,402.00	$3,505.00	$57.89–$763.86	12% above	60%
MRI of the brain, no contrast dye CPT 70551 BRAIN W/O 70551	$1,402.00	$3,505.00	$57.89–$763.86	12% above	60%
MRI of the brain, no contrast dye inpatient CPT 70551 BRAIN W/O 70551	$1,402.00	$3,505.00	$57.89–$763.86	—	60%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W & W/O 70553	$1,762.80	$4,407.00	$89.37–$763.86	1% above	60%
MRI of the brain, with and without contrast dye CPT 70553 BRAIN W & W/O 70553	$1,762.80	$4,407.00	$89.37–$763.86	1% above	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W & W/O 70553	$1,762.80	$4,407.00	$89.37–$763.86	—	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 BRAIN W & W/O 70553	$1,762.80	$4,407.00	$89.37–$763.86	—	60%
MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O 72148	$1,694.40	$4,236.00	$57.89–$763.86	37% above	60%
MRI of the lower back, no contrast dye CPT 72148 MRI-L-SPINE W/O 72148	$1,694.40	$4,236.00	$57.89–$763.86	37% above	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-L-SPINE W/O 72148	$1,694.40	$4,236.00	$57.89–$763.86	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 L-SPINE W & W/O 72158	$2,849.20	$7,123.00	$89.37–$763.86	65% above	60%
MRI of the lower back, without and then with contrast dye CPT 72158 L-SPINE W & W/O 72158	$2,849.20	$7,123.00	$89.37–$763.86	65% above	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 L-SPINE W & W/O 72158	$2,849.20	$7,123.00	$89.37–$763.86	—	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 L-SPINE W & W/O 72158	$2,849.20	$7,123.00	$89.37–$763.86	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 T-SPINE W/O 72146	$1,402.00	$3,505.00	$57.89–$763.86	18% above	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 T-SPINE W/O 72146	$1,402.00	$3,505.00	$57.89–$763.86	18% above	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 T-SPINE W/O 72146	$1,402.00	$3,505.00	$57.89–$763.86	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE W & W/O 72156	$2,849.20	$7,123.00	$89.37–$763.86	69% above	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 C-SPINE W & W/O 72156	$2,849.20	$7,123.00	$89.37–$763.86	69% above	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 C-SPINE W & W/O 72156	$2,849.20	$7,123.00	$89.37–$763.86	—	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 C-SPINE W & W/O 72156	$2,849.20	$7,123.00	$89.37–$763.86	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 C-SPINE W/O 72141	$1,402.00	$3,505.00	$57.89–$763.86	20% above	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 C-SPINE W/O 72141	$1,402.00	$3,505.00	$57.89–$763.86	20% above	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 C-SPINE W/O 72141	$1,402.00	$3,505.00	$57.89–$763.86	—	60%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W & W/O 72197	$2,475.20	$6,188.00	$85.59–$763.86	50% above	60%
MRI of the pelvis without and with contrast CPT 72197 PELVIS W & W/O 72197	$2,475.20	$6,188.00	$85.59–$763.86	50% above	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W & W/O 72197	$2,475.20	$6,188.00	$85.59–$763.86	—	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 PELVIS W & W/O 72197	$2,475.20	$6,188.00	$85.59–$763.86	—	60%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O 72195	$1,694.40	$4,236.00	$57.05–$763.86	42% above	60%
MRI of the pelvis, no contrast dye CPT 72195 PELVIS W/O 72195	$1,694.40	$4,236.00	$57.05–$763.86	42% above	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 PELVIS W/O 72195	$1,694.40	$4,236.00	$57.05–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 BRACHIAL PLEXUS W/O 73221	$1,274.40	$3,186.00	$53.22–$763.86	3% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 BRACHIAL PLEXUS W/O 73221	$1,274.40	$3,186.00	$53.22–$763.86	3% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 WRIST RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 ELBOW RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 SHOULDER LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	13% above	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 BRACHIAL PLEXUS W/O 73221	$1,274.40	$3,186.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 ELBOW LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 SHOULDER LT W/O 73221LT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 WRIST RT W/O 73221RT	$1,402.00	$3,505.00	$53.22–$763.86	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEWS 72050	$378.00	$945.00	$10.80–$318.58	1% above	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C-SPINE 4 OR 5 VIEWS 72050	$378.00	$945.00	$10.80–$318.58	1% above	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 OR 5 VIEWS 72050	$378.00	$945.00	$10.80–$318.58	—	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C-SPINE 4 OR 5 VIEWS 72050	$378.00	$945.00	$10.80–$318.58	—	60%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CO	$1,136.80	$2,842.00	$54.08–$664.17	6% above	60%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/CO	$1,136.80	$2,842.00	$54.08–$664.17	6% above	60%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/CO	$1,136.80	$2,842.00	$54.08–$664.17	—	60%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$773.60	$1,934.00	$50.16–$664.17	18% below	60%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$773.60	$1,934.00	$50.16–$664.17	18% below	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$773.60	$1,934.00	$50.16–$664.17	—	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTR	$773.60	$1,934.00	$50.16–$664.17	—	60%
Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE 70360	$183.20	$458.00	$7.16–$178.56	9% below	60%
Neck soft tissue X-ray CPT 70360 NECK FOR SOFT TISSUE 70360	$183.20	$458.00	$7.16–$178.56	9% below	60%
Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE 70360	$183.20	$458.00	$7.16–$178.56	—	60%
Neck soft tissue X-ray inpatient CPT 70360 NECK FOR SOFT TISSUE 70360	$183.20	$458.00	$7.16–$178.56	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HRT MUSCLE IMAGE SPECT MULT	$1,341.20	$3,353.00	$65.26–$2,029.62	43% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM HRT MUSCLE IMAGE SPECT MULT	$1,341.20	$3,353.00	$65.26–$2,029.62	43% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HRT MUSCLE IMAGE SPECT MULT	$1,341.20	$3,353.00	$65.26–$2,029.62	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM HRT MUSCLE IMAGE SPECT MULT	$1,341.20	$3,353.00	$65.26–$2,029.62	—	60%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,145.60	$2,864.00	$42.45–$664.17	9% above	60%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$1,145.60	$2,864.00	$42.45–$664.17	9% above	60%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$1,145.60	$2,864.00	$42.45–$664.17	—	60%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$1,145.60	$2,864.00	$42.45–$664.17	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED 76857	$396.00	$990.00	$19.39–$142.43	33% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIC LIMITED 76857	$396.00	$990.00	$19.39–$142.43	33% above	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIC LIMITED 76857	$396.00	$990.00	$19.39–$142.43	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE 76856	$564.40	$1,411.00	$26.98–$170.35	59% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIC COMPLETE 76856	$564.40	$1,411.00	$26.98–$170.35	59% above	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMPLETE 76856	$564.40	$1,411.00	$26.98–$170.35	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIC COMPLETE 76856	$564.40	$1,411.00	$26.98–$170.35	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB AFTER FIRST TRIMESTER >14WK	$504.00	$1,260.00	$39.02–$182.92	37% above	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB AFTER FIRST TRIMESTER >14WK	$504.00	$1,260.00	$39.02–$182.92	37% above	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB AFTER FIRST TRIMESTER >14WK	$504.00	$1,260.00	$39.02–$182.92	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB AFTER FIRST TRIMESTER >14WK	$504.00	$1,260.00	$39.02–$182.92	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB FIRST TRI <14 WEEKS 0 DAYS	$462.40	$1,156.00	$38.76–$169.09	50% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB FIRST TRI <14 WEEKS 0 DAYS	$462.40	$1,156.00	$38.76–$169.09	50% above	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB FIRST TRI <14 WEEKS 0 DAYS	$462.40	$1,156.00	$38.76–$169.09	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED 76815	$116.00	$290.00	$25.57–$195.62	54% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB LIMITED 76815	$116.00	$290.00	$25.57–$195.62	54% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB SONOGRAM LIMITED	$127.60	$319.00	$25.57–$195.62	50% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB SONOGRAM LIMITED	$127.60	$319.00	$25.57–$195.62	50% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED 76815	$116.00	$290.00	$25.57–$195.62	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB LIMITED 76815	$116.00	$290.00	$25.57–$195.62	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB SONOGRAM LIMITED	$127.60	$319.00	$25.57–$195.62	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB SONOGRAM LIMITED	$127.60	$319.00	$25.57–$195.62	—	60%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RT UNILATERAL 71100RT	$219.20	$548.00	$8.83–$184.98	5% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LT UNILAT 71100LT	$219.20	$548.00	$8.83–$184.98	5% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS LT UNILAT 71100LT	$219.20	$548.00	$8.83–$184.98	5% below	60%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS RT UNILATERAL 71100RT	$219.20	$548.00	$8.83–$184.98	5% below	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LT UNILAT 71100LT	$219.20	$548.00	$8.83–$184.98	—	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS LT UNILAT 71100LT	$219.20	$548.00	$8.83–$184.98	—	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS RT UNILATERAL 71100RT	$219.20	$548.00	$8.83–$184.98	—	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT WITH CHEST 71101LT	$230.40	$576.00	$10.53–$276.20	23% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT WITH CHEST 71101RT	$230.40	$576.00	$10.53–$276.20	23% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT WITH CHEST 71101RT	$230.40	$576.00	$10.53–$276.20	23% below	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT WITH CHEST 71101LT	$230.40	$576.00	$10.53–$276.20	23% below	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT WITH CHEST 71101RT	$230.40	$576.00	$10.53–$276.20	—	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT WITH CHEST 71101LT	$230.40	$576.00	$10.53–$276.20	—	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT WITH CHEST 71101RT	$230.40	$576.00	$10.53–$276.20	—	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT WITH CHEST 71101LT	$230.40	$576.00	$10.53–$276.20	—	60%
Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI W/CAD 77067	$188.80	$472.00	$29.78–$222.58	—	60%
Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI LT W/CAD 77067	$148.40	$371.00	$29.78–$222.58	25% below	60%
Screening mammogram, both breasts one side CPT 77067 SCR MAMMO UNI RT W/CAD 77067	$148.40	$371.00	$29.78–$222.58	25% below	60%
Screening mammogram, both breasts inpatient one side CPT 77067 SCR MAMMO UNI LT W/CAD 77067	$148.40	$371.00	$29.78–$222.58	—	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT	$228.00	$570.00	$7.42–$193.98	1% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT	$228.00	$570.00	$7.42–$193.98	1% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT	$228.00	$570.00	$7.42–$193.98	1% above	60%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT	$228.00	$570.00	$7.42–$193.98	1% above	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, LT	$228.00	$570.00	$7.42–$193.98	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT	$228.00	$570.00	$7.42–$193.98	—	60%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER COMP MIN 2 VIEW, RT	$228.00	$570.00	$7.42–$193.98	—	60%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3+ VIEWS 70220	$282.00	$705.00	$8.57–$268.48	6% below	60%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 3+ VIEWS 70220	$282.00	$705.00	$8.57–$268.48	6% below	60%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 3+ VIEWS 70220	$282.00	$705.00	$8.57–$268.48	—	60%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS 70250	$252.40	$631.00	$7.16–$197.84	6% above	60%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 1-3 VIEWS 70250	$252.40	$631.00	$7.16–$197.84	6% above	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS 70250	$252.40	$631.00	$7.16–$197.84	—	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 1-3 VIEWS 70250	$252.40	$631.00	$7.16–$197.84	—	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	$212.40	$531.00	$20.81–$431.63	61% below	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPH-SWALLOWING FUNC 74230	$212.40	$531.00	$20.81–$431.63	61% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPH-SWALLOWING FUNC 74230	$212.40	$531.00	$20.81–$431.63	—	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552	$246.00	$615.00	$7.16–$76.80	1% above	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552	$246.00	$615.00	$7.16–$76.80	1% above	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR LT MIN 2 VIEWS 73552	$246.00	$615.00	$7.16–$76.80	1% above	60%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552	$246.00	$615.00	$7.16–$76.80	1% above	60%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR RT MIN 2 VIEWS 73552	$246.00	$615.00	$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	$246.00	$615.00	$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	$246.00	$615.00	$7.16–$76.80	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$1,330.00	$3,325.00	$38.79–$664.17	36% above	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST	$1,330.00	$3,325.00	$38.79–$664.17	36% above	60%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT T-SPINE W/O CONTRAST	$1,330.00	$3,325.00	$38.79–$664.17	—	60%
Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, RT	$145.60	$364.00	$5.19–$149.02	20% below	60%
Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, RT	$145.60	$364.00	$5.19–$149.02	20% below	60%
Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, LT	$145.60	$364.00	$5.19–$149.02	20% below	60%
Toe X-ray, 2 or more views one side CPT 73660 TOES, MIN 2 VIEWS, LT	$145.60	$364.00	$5.19–$149.02	20% below	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, RT	$145.60	$364.00	$5.19–$149.02	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, LT	$145.60	$364.00	$5.19–$149.02	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, RT	$145.60	$364.00	$5.19–$149.02	—	60%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES, MIN 2 VIEWS, LT	$145.60	$364.00	$5.19–$149.02	—	60%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ECHO 76830	$234.80	$587.00	$27.24–$170.35	22% below	60%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ECHO 76830	$234.80	$587.00	$27.24–$170.35	22% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ECHO 76830	$234.80	$587.00	$27.24–$170.35	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAG 76817	$96.00	$240.00	$29.50–$195.62	73% below	60%
Transvaginal ultrasound during pregnancy CPT 76817 OB TRANSVAG 76817	$96.00	$240.00	$29.50–$195.62	73% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAG 76817	$96.00	$240.00	$29.50–$195.62	—	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB TRANSVAG 76817	$96.00	$240.00	$29.50–$195.62	—	60%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE 76700	$554.40	$1,386.00	$31.48–$209.45	29% above	60%
Ultrasound of the abdomen, complete CPT 76700 ABDOMEN COMPLETE 76700	$554.40	$1,386.00	$31.48–$209.45	29% above	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOMEN COMPLETE 76700	$554.40	$1,386.00	$31.48–$209.45	—	60%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR 76870	$340.00	$850.00	$25.02–$170.35	at median	60%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR 76870	$340.00	$850.00	$25.02–$170.35	at median	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR 76870	$340.00	$850.00	$25.02–$170.35	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK 76536	$337.20	$843.00	$22.19–$664.65	45% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 SOFT TISSUE HEAD/NECK 76536	$337.20	$843.00	$22.19–$664.65	45% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK 76536	$337.20	$843.00	$22.19–$664.65	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 SOFT TISSUE HEAD/NECK 76536	$337.20	$843.00	$22.19–$664.65	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTS W/O KUB	$386.80	$967.00	$31.46–$589.64	29% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE CONTS W/O KUB	$386.80	$967.00	$31.46–$589.64	29% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE	$445.20	$1,113.00	$31.46–$589.64	18% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI SINGLE	$445.20	$1,113.00	$31.46–$589.64	18% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTS W/O KUB	$386.80	$967.00	$31.46–$589.64	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE CONTS W/O KUB	$386.80	$967.00	$31.46–$589.64	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE	$445.20	$1,113.00	$31.46–$589.64	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI SINGLE	$445.20	$1,113.00	$31.46–$589.64	—	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT	$228.00	$570.00	$6.58–$190.12	at median	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT	$228.00	$570.00	$6.58–$190.12	at median	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT	$228.00	$570.00	$6.58–$190.12	at median	60%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT	$228.00	$570.00	$6.58–$190.12	at median	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, LT	$228.00	$570.00	$6.58–$190.12	—	60%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS, MIN 2 VIEWS, RT	$228.00	$570.00	$6.58–$190.12	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT LOW VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	59% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT LOW VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	59% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT UP VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	59% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 UNILAT UP VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	59% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILAT UP VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILAT UP VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 UNILAT LOW VENOUS DUPLEX	$274.00	$685.00	$23.21–$664.65	—	60%
Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT LT	$145.60	$364.00	$6.58–$133.60	21% below	60%
Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT RT	$145.60	$364.00	$6.58–$133.60	21% below	60%
Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT RT	$145.60	$364.00	$6.58–$133.60	21% below	60%
Wrist X-ray, 2 views one side CPT 73100 WRIST, AP/LAT LT	$145.60	$364.00	$6.58–$133.60	21% below	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT LT	$145.60	$364.00	$6.58–$133.60	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT RT	$145.60	$364.00	$6.58–$133.60	—	60%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST, AP/LAT RT	$145.60	$364.00	$6.58–$133.60	—	60%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST COMP MIN 3 VIEWS, BILAT	$233.60	$584.00	$6.87–$197.84	—	60%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST COMP MIN 3 VIEWS, BILAT	$233.60	$584.00	$6.87–$197.84	—	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$197.84	29% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$197.84	29% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$197.84	29% below	60%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$197.84	29% below	60%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST COMP MIN 3 VIEWS, BILAT	$233.60	$584.00	$6.87–$197.84	—	60%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST COMP MIN 3 VIEWS, BILAT	$233.60	$584.00	$6.87–$197.84	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.87–$197.84	—	60%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.87–$197.84	—	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	$246.00	$615.00	$8.83–$239.52	3% 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	$246.00	$615.00	$8.83–$239.52	3% 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	$246.00	$615.00	$8.83–$239.52	3% 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	$246.00	$615.00	$8.83–$239.52	3% below	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	$246.00	$615.00	$8.83–$239.52	—	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	$246.00	$615.00	$8.83–$239.52	—	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	$246.00	$615.00	$8.83–$239.52	—	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	$246.00	$615.00	$8.83–$239.52	—	60%
X-ray of the abdomen, 1 view CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$176.00	$440.00	$7.52–$186.26	15% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-RAY EXAM ABDOMEN 1 VIEW	$176.00	$440.00	$7.52–$186.26	—	60%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEW 73600LT	$145.60	$364.00	$6.58–$143.88	23% below	60%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEW 73600RT	$145.60	$364.00	$6.58–$143.88	23% below	60%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE RT 2 VIEW 73600RT	$145.60	$364.00	$6.58–$143.88	23% below	60%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE LT 2 VIEW 73600LT	$145.60	$364.00	$6.58–$143.88	23% below	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE LT 2 VIEW 73600LT	$145.60	$364.00	$6.58–$143.88	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEW 73600RT	$145.60	$364.00	$6.58–$143.88	—	60%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE RT 2 VIEW 73600RT	$145.60	$364.00	$6.58–$143.88	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER S MIN 2 VIEWS, RT463035	$167.60	$419.00	$5.46–$146.45	4% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER S MIN 2 VIEWS, RT463035	$167.60	$419.00	$5.46–$146.45	4% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, LT	$167.60	$419.00	$5.46–$146.45	4% below	60%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGER S MIN 2 VIEWS, LT	$167.60	$419.00	$5.46–$146.45	4% below	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER S MIN 2 VIEWS, RT463035	$167.60	$419.00	$5.46–$146.45	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER S MIN 2 VIEWS, LT	$167.60	$419.00	$5.46–$146.45	—	60%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGER S MIN 2 VIEWS, LT	$167.60	$419.00	$5.46–$146.45	—	60%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 73620	$145.60	$364.00	$6.06–$131.03	23% below	60%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEW 73620LT	$145.60	$364.00	$6.06–$131.03	23% below	60%
X-ray of the foot, 2 views one side CPT 73620 FOOT LT 2 VIEW 73620LT	$145.60	$364.00	$6.06–$131.03	23% below	60%
X-ray of the foot, 2 views one side CPT 73620 FOOT RT 2 VIEW 73620	$145.60	$364.00	$6.06–$131.03	23% below	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT RT 2 VIEW 73620	$145.60	$364.00	$6.06–$131.03	—	60%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT LT 2 VIEW 73620LT	$145.60	$364.00	$6.06–$131.03	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.60–$186.26	27% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.60–$186.26	27% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.60–$186.26	27% below	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.60–$186.26	27% below	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.60–$186.26	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.60–$186.26	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, LT	$165.20	$413.00	$6.60–$186.26	—	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT, COMP MIN 3 VIEWS, RT	$165.20	$413.00	$6.60–$186.26	—	60%
X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, LT	$178.80	$447.00	$6.87–$188.84	19% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, RT	$178.80	$447.00	$6.87–$188.84	19% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, RT	$178.80	$447.00	$6.87–$188.84	19% below	60%
X-ray of the hand, 3 or more views one side CPT 73130 HAND, MIN 3 VIEWS, LT	$178.80	$447.00	$6.87–$188.84	19% below	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, LT	$178.80	$447.00	$6.87–$188.84	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, RT	$178.80	$447.00	$6.87–$188.84	—	60%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND, MIN 3 VIEWS, LT	$178.80	$447.00	$6.87–$188.84	—	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, LT	$143.20	$358.00	$6.58–$149.02	25% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, RT	$143.20	$358.00	$6.58–$149.02	25% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, RT	$143.20	$358.00	$6.58–$149.02	25% below	60%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE, ONE OR TWO VIEW, LT	$143.20	$358.00	$6.58–$149.02	25% below	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, RT	$143.20	$358.00	$6.58–$149.02	—	60%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE, ONE OR TWO VIEW, LT	$143.20	$358.00	$6.58–$149.02	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS 72100	$271.20	$678.00	$8.83–$241.51	at median	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L-SPINE 2-3 VIEWS 72100	$271.20	$678.00	$8.83–$241.51	at median	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS 72100	$271.20	$678.00	$8.83–$241.51	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L-SPINE 2-3 VIEWS 72100	$271.20	$678.00	$8.83–$241.51	—	60%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEWS 72110	$397.20	$993.00	$10.24–$343.00	2% above	60%
X-ray of the lower back, 4 or more views CPT 72110 L-SPINE MIN 4 VIEWS 72110	$397.20	$993.00	$10.24–$343.00	2% above	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L-SPINE MIN 4 VIEWS 72110	$397.20	$993.00	$10.24–$343.00	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS 72070	$230.40	$576.00	$8.00–$184.98	3% above	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T-SPINE 2 VIEWS 72070	$230.40	$576.00	$8.00–$184.98	3% above	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS 72070	$230.40	$576.00	$8.00–$184.98	—	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T-SPINE 2 VIEWS 72070	$230.40	$576.00	$8.00–$184.98	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEWS 70160	$191.60	$479.00	$6.87–$204.25	20% below	60%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES 3+ VIEWS 70160	$191.60	$479.00	$6.87–$204.25	20% below	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES 3+ VIEWS 70160	$191.60	$479.00	$6.87–$204.25	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 3 VIEWS OR LESS 72040	$252.40	$631.00	$8.83–$220.95	3% above	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C-SPINE 3 VIEWS OR LESS 72040	$252.40	$631.00	$8.83–$220.95	3% above	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C-SPINE 3 VIEWS OR LESS 72040	$252.40	$631.00	$8.83–$220.95	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS 72170	$252.40	$631.00	$6.87–$174.71	26% above	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1-2 VIEWS 72170	$252.40	$631.00	$6.87–$174.71	26% above	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1-2 VIEWS 72170	$252.40	$631.00	$6.87–$174.71	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 72220	$252.40	$631.00	$6.87–$197.84	12% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM AND COCCYX 72220	$252.40	$631.00	$6.87–$197.84	12% above	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM AND COCCYX 72220	$252.40	$631.00	$6.87–$197.84	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HOROMONE	$109.20	$273.00	$32.83–$245.70	39% below	60%
ACTH blood test inpatient CPT 82024 ADRENOCORTICOTROPIC HOROMONE	$109.20	$273.00	$32.83–$245.70	—	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 NASH FIBROSURE ALT	$9.60	$24.00	$5.30–$21.60	72% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER FIBROSIS/ALT	$20.80	$52.00	$5.30–$46.80	39% below	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT, SGPT	$58.00	$145.00	$5.30–$130.50	70% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LIVER FIBROSIS/ALT	$20.80	$52.00	$5.30–$46.80	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 NASH FIBROSUREAST	$9.60	$24.00	$5.18–$21.60	73% below	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST, SGOT	$58.00	$145.00	$5.18–$130.50	62% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 NASH FIBROSUREAST	$9.60	$24.00	$5.18–$21.60	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST, SGOT	$58.00	$145.00	$5.18–$130.50	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL ACUTE PCL	$220.40	$551.00	$40.49–$495.90	6% above	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL ACUTE PCL	$220.40	$551.00	$40.49–$495.90	—	60%
Albumin blood test CPT 82040 ALBUMIN, SERUM-82040	$47.60	$119.00	$4.95–$107.10	49% above	60%
Aldosterone blood test CPT 82088 ALDOSTERONE, 24HR URINE	$96.00	$240.00	$34.64–$216.00	47% below	60%
Aldosterone blood test CPT 82088 ALDOSTERONE, SERUM	$96.80	$242.00	$34.64–$217.80	46% below	60%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE, 24HR URINE	$96.00	$240.00	$34.64–$216.00	—	60%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$18.00	$45.00	$5.18–$40.50	50% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEEN IGE	$11.60	$29.00	$5.22–$26.10	61% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SHORT (COMMON) RAGWEED IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SALTWORT RUSSIAN THISTLE IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP BENTGRASS IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEGRASS IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMAT PTERONY SSINUS IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DERMATOPHAGOIDES FARINGE IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH KOCHIA IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT EPITHELIUM	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BEEF, IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH IGE	$12.00	$30.00	$5.22–$27.00	59% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY RICE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL CLADOSPORIUM	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL PTERONYSSINUS	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL DOG EPITHELIUM	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL GREER HOUSE DUST	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NONSEASONAL HOLLISTER DUST	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NONSEASONAL PENICILLIUM	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL CAT EPITHELIAL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL ASPERGILLUS	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL ALTERNARIA TENUIS	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 NON SEASONAL D FARINAEI	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICCILLIUM IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS IGE , MOLD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HELMIN HALODES IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSAR MONILIFORME IGE, MOLD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPH BOTRYSOSUM IGE, MOLD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 AURO PULLULANS IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCC PURPURANCENS IGE, MOLD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MAPLE BOX ELDER	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB'S OUARTERS IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 JUNE-KENTUCKY BLUE IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BIRCH IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK IGE-VF00D	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SHELL FISH IGE- VFOOD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE IGE- VFOOD	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY COW MILK	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY EGG WHITE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY ORANGE	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY PEANUT	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY SOYBEAN	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY STRAWBERRY	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY TOMATO	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY WHEAT	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY BAKERS YEAST	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 FOOD ALLERGY CORN	$12.40	$31.00	$5.22–$27.90	58% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD MILK	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD PEANUT	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD SCALLOP	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PRO, FOOD SESAME SEED	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD SHRIMP	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD SOYBEAN	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD WALNUT	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD WHEAT	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE, FOOD CLAM	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE,FOOD CODFISH	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PROFILE,FOOD CORN	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PRO, FOOD EGG WHITE	$13.20	$33.00	$5.22–$29.70	55% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT IGE	$14.00	$35.00	$5.22–$31.50	52% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG IGE	$14.00	$35.00	$5.22–$31.50	52% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT IGE	$14.40	$36.00	$5.22–$32.40	51% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK IGE	$14.40	$36.00	$5.22–$32.40	51% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 DUST MITES (D.F.) ALLERG COUNT	$14.40	$36.00	$5.22–$32.40	51% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER IGE	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA TENUIS	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB IGE	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA IGE	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP IGE	$15.60	$39.00	$5.22–$35.10	47% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SOYBEAN IGE	$16.80	$42.00	$5.22–$37.80	43% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHEAT IGE	$16.80	$42.00	$5.22–$37.80	43% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND	$17.20	$43.00	$5.22–$38.70	41% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED	$17.20	$43.00	$5.22–$38.70	41% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN	$17.20	$43.00	$5.22–$38.70	41% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT	$17.20	$43.00	$5.22–$38.70	41% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN COUNT	$17.20	$43.00	$5.22–$38.70	41% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL-PORK IGE	$17.60	$44.00	$5.22–$39.60	40% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL-LAMB IGE	$17.60	$44.00	$5.22–$39.60	40% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL-BEEF IGE	$17.60	$44.00	$5.22–$39.60	40% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PEANUT IGE	$17.60	$44.00	$5.22–$39.60	40% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT IGE	$18.00	$45.00	$5.22–$40.50	39% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE	$19.20	$48.00	$5.22–$43.20	35% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK	$19.20	$48.00	$5.22–$43.20	35% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT COMPONENT REFLEX IGE	$24.40	$61.00	$5.22–$54.90	17% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS NIGER IGE	$24.40	$61.00	$5.22–$54.90	17% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER IGE Z4706	$26.00	$65.00	$5.22–$58.50	12% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN, IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POTATO IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN, IGE	$28.80	$72.00	$5.22–$64.80	2% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OCCUPATION LATEX IGE	$30.00	$75.00	$5.22–$67.50	2% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK	$30.40	$76.00	$5.22–$68.40	3% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE BEAN IGE	$34.40	$86.00	$5.22–$77.40	17% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA IGE	$34.40	$86.00	$5.22–$77.40	17% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT IGE	$34.40	$86.00	$5.22–$77.40	17% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS IGE	$35.20	$88.00	$5.22–$79.20	20% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - ALTERNARIA MOLD	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CODFISH IGE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN IGE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY IGE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - AMERICAN ELM TREE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BLACK WALNUT	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - COTTONWOOD TREE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - TIMOTHY GRASS	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - BERMUDA GRASS	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - RED ROOT PIG WEED	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - SHORT RAGWEED	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CLADOSPORIUM MOLD	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - FARINGE DUST MITE	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - CAT	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST - DOG	$36.40	$91.00	$5.22–$81.90	24% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE	$36.80	$92.00	$5.22–$82.80	25% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE IGE	$38.00	$95.00	$5.22–$85.50	29% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE, IGE	$38.00	$95.00	$5.22–$85.50	29% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE IGE	$38.00	$95.00	$5.22–$85.50	29% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WHITE-FACED HORNET	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FIRE ANT IGE	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN YELLOW HORNET IGE	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PAPER WASP IGE	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN YELLOW JACKET IGE	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN HONEY BEE IGE	$38.80	$97.00	$5.22–$87.30	32% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 GALACTOSE-ALPHA-1,3 IGE	$57.60	$144.00	$5.22–$129.60	96% above	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BEEF, IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEGRASS IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMATOPHAGOIDES FARINGE IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DERMAT PTERONY SSINUS IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT EPITHELIUM	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP BENTGRASS IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH KOCHIA IGE	$12.00	$30.00	$5.22–$27.00	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NONSEASONAL HOLLISTER DUST	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AURO PULLULANS IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCC PURPURANCENS IGE, MOLD	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NON SEASONAL CLADOSPORIUM	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NONSEASONAL PENICILLIUM	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NON SEASONAL D FARINAEI	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON IGE	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY COW MILK	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY PEANUT	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NON SEASONAL ASPERGILLUS	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NON SEASONAL PTERONYSSINUS	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JUNE-KENTUCKY BLUE IGE	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR IGE, MOLD PANEL	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STEMPH BOTRYSOSUM IGE, MOLD	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MAPLE BOX ELDER	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY CORN	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN IGE	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FOOD ALLERGY WHEAT	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSAR MONILIFORME IGE, MOLD	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS IGE , MOLD	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE IGE- VFOOD	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS IGE	$12.40	$31.00	$5.22–$27.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, FOOD SOYBEAN	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE,FOOD CODFISH	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE,FOOD CORN	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, FOOD MILK	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PROFILE, FOOD PEANUT	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PRO, FOOD SESAME SEED	$13.20	$33.00	$5.22–$29.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT IGE	$14.40	$36.00	$5.22–$32.40	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK IGE	$14.40	$36.00	$5.22–$32.40	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS	$15.60	$39.00	$5.22–$35.10	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP IGE	$15.60	$39.00	$5.22–$35.10	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA TENUIS	$15.60	$39.00	$5.22–$35.10	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHEAT IGE	$16.80	$42.00	$5.22–$37.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN COUNT	$17.20	$43.00	$5.22–$38.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED	$17.20	$43.00	$5.22–$38.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT	$17.20	$43.00	$5.22–$38.70	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL-BEEF IGE	$17.60	$44.00	$5.22–$39.60	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL-PORK IGE	$17.60	$44.00	$5.22–$39.60	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT IGE	$18.00	$45.00	$5.22–$40.50	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK	$19.20	$48.00	$5.22–$43.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS NIGER IGE	$24.40	$61.00	$5.22–$54.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER IGE Z4706	$26.00	$65.00	$5.22–$58.50	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POTATO IGE	$28.80	$72.00	$5.22–$64.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRANBERRY IGE	$28.80	$72.00	$5.22–$64.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN, IGE	$28.80	$72.00	$5.22–$64.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN, IGE	$28.80	$72.00	$5.22–$64.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OCCUPATION LATEX IGE	$30.00	$75.00	$5.22–$67.50	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEA IGE	$34.40	$86.00	$5.22–$77.40	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT IGE	$34.40	$86.00	$5.22–$77.40	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS IGE	$35.20	$88.00	$5.22–$79.20	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - FARINGE DUST MITE	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - COTTONWOOD TREE	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - BLACK WALNUT	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - RED ROOT PIG WEED	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CODFISH IGE	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST - ALTERNARIA MOLD	$36.40	$91.00	$5.22–$81.90	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE	$36.80	$92.00	$5.22–$82.80	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE IGE	$38.00	$95.00	$5.22–$85.50	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN HONEY BEE IGE	$38.80	$97.00	$5.22–$87.30	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN YELLOW HORNET IGE	$38.80	$97.00	$5.22–$87.30	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN YELLOW JACKET IGE	$38.80	$97.00	$5.22–$87.30	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PAPER WASP IGE	$38.80	$97.00	$5.22–$87.30	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WHITE-FACED HORNET	$38.80	$97.00	$5.22–$87.30	—	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$117.20	$293.00	$14.25–$263.70	20% above	60%
Ammonia blood test CPT 82140 AMMONIA, BLOOD	$93.60	$234.00	$12.38–$210.60	10% above	60%
Amylase blood test CPT 82150 AMYLASE FLUID	$45.20	$113.00	$6.48–$101.70	18% below	60%
Amylase blood test CPT 82150 AMYLASE, SERUM	$45.20	$113.00	$6.48–$101.70	18% below	60%
Amylase blood test inpatient CPT 82150 AMYLASE, SERUM	$45.20	$113.00	$6.48–$101.70	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CIT PEP-CONNECTIVE TIS	$30.80	$77.00	$12.95–$69.30	67% below	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CYC CITRULLINATED PEPT AB	$95.60	$239.00	$12.95–$215.10	2% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR-CONNECTIVE TISSUE	$36.80	$92.00	$12.09–$82.80	46% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$45.60	$114.00	$12.09–$102.60	33% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA REFLEX-ANTI-NUCLEAR ABS	$122.00	$305.00	$12.09–$274.50	79% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AUTO ANTIBODIES	$122.00	$305.00	$12.09–$274.50	79% above	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID	$122.00	$305.00	$12.09–$274.50	79% above	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR-CONNECTIVE TISSUE	$36.80	$92.00	$12.09–$82.80	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA REFLEX-ANTI-NUCLEAR ABS	$122.00	$305.00	$12.09–$274.50	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NATIURETIC PEPTIDE	$109.60	$274.00	$33.37–$246.60	15% below	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE NATIURETIC PEPTIDE	$109.60	$274.00	$33.37–$246.60	—	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 TISSUE CULTURE WITH GRAM STAIN	$30.80	$77.00	$7.35–$69.30	45% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 TRX RXN 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	$55.20	$138.00	$7.35–$124.20	1% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NASOPHARYNGEAL CULTURE	$60.00	$150.00	$7.35–$135.00	8% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 AEROBIC 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 NASO	$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 UPPER RESP CX	$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 NOSE	$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 AEROBIC BODY FLUID CULTURE	$75.20	$188.00	$7.35–$169.20	35% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 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 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 CX GEN	$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	$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 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 EAR	$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 EYE	$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 CX	$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 CX CATH TIP	$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 EAR 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 WOUND/ABSCESS CUL	$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 FLD CULT	$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 CX BRONCH	$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 CX MARROW	$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 FLD CX	$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 CULT	$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 ABSC 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 WOUND 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 BARTONELLA CULTURE	$110.40	$276.00	$7.35–$248.40	98% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CATHETER TIP CULTURE	$114.00	$285.00	$7.35–$256.50	104% above	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BM CULT	$140.00	$350.00	$7.35–$315.00	151% 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 PERITONSILAR	$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 ABSCESS CULT	$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 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) inpatient CPT 87070 NASOPHARYNGEAL CULTURE	$60.00	$150.00	$7.35–$135.00	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NASO	$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 AEROBIC 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 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 ABSC 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 EAR	$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 THROAT CULT	$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 WOUND 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 CX BRONCH	$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 WOUND/ABSCESS CUL	$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 EAR 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 EYE	$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 BARTONELLA CULTURE	$110.40	$276.00	$7.35–$248.40	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CATHETER TIP CULTURE	$114.00	$285.00	$7.35–$256.50	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ABSCESS CULT	$154.40	$386.00	$7.35–$347.40	—	60%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL-80048	$32.00	$80.00	$8.46–$72.00	52% below	60%
Bilirubin blood test, total CPT 82247 NASH FIBROSURE BILIRUBIN	$13.60	$34.00	$5.02–$30.60	63% below	60%
Bilirubin blood test, total CPT 82247 LIVER FIBROSIS/TOTAL BILIRUBIN	$20.00	$50.00	$5.02–$45.00	45% below	60%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL	$54.40	$136.00	$5.02–$122.40	49% above	60%
Bilirubin blood test, total inpatient CPT 82247 LIVER FIBROSIS/TOTAL BILIRUBIN	$20.00	$50.00	$5.02–$45.00	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV ADDL CHARGE	$120.00	$300.00	$29.84–$270.43	45% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV	$120.00	$300.00	$29.84–$270.43	45% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV	$120.00	$300.00	$29.84–$270.43	45% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL IV ADDL CHARGE	$120.00	$300.00	$29.84–$270.43	45% below	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL IV ADDL CHARGE	$120.00	$300.00	$29.84–$270.43	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL IV	$120.00	$300.00	$29.84–$270.43	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL IV	$120.00	$300.00	$29.84–$270.43	—	60%
Blood culture for bacteria CPT 87040 HSV BY PCR, CSF ONLY	$105.60	$264.00	$9.45–$237.60	35% above	60%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$136.80	$342.00	$9.45–$307.80	75% above	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE-ROUTINE-36415	$14.80	$37.00	$3.00–$31.45	18% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LEGAL BLOOD DRAW	$36.80	$92.00	$3.00–$78.20	105% above	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE-ROUTINE-36415	$14.80	$37.00	$3.00–$31.45	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LEGAL BLOOD DRAW	$36.80	$92.00	$3.00–$78.20	—	60%
Blood glucose (sugar) test CPT 82947 NASH FIBROSURE GLUCOSE	$8.80	$22.00	$3.93–$19.80	66% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD, BY GLUCOS	$16.00	$40.00	$3.93–$36.00	38% below	60%
Blood glucose (sugar) test CPT 82947 GLUCOSE, QUAN-82947	$52.40	$131.00	$3.93–$117.90	102% above	60%
Blood glucose (sugar) test inpatient CPT 82947 NASH FIBROSURE GLUCOSE	$8.80	$22.00	$3.93–$19.80	—	60%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD, BY GLUCOS	$16.00	$40.00	$3.93–$36.00	—	60%
Blood lead test CPT 83655 LEAD-URINE	$14.00	$35.00	$11.70–$31.50	73% below	60%
Blood lead test CPT 83655 LEAD	$32.40	$81.00	$11.70–$72.90	38% below	60%
Blood lead test inpatient CPT 83655 LEAD-URINE	$14.00	$35.00	$11.70–$31.50	—	60%
Blood lead test inpatient CPT 83655 LEAD	$32.40	$81.00	$11.70–$72.90	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PG TEST SERUM	$82.80	$207.00	$7.52–$186.30	42% above	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PG TEST SERUM	$82.80	$207.00	$7.52–$186.30	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ARC - ABO GROUP	$102.00	$255.00	$2.99–$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	$2.99–$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	$2.99–$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	$2.99–$229.50	6% above	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO BLOOD TYPING	$102.00	$255.00	$2.99–$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	$2.99–$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	$2.99–$229.50	—	60%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, QUANTITAT	$40.00	$100.00	$3.95–$90.00	37% above	60%
C-peptide blood test CPT 84681 C-PEPTIDE LEVEL PCL	$139.60	$349.00	$17.69–$314.10	33% above	60%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE LEVEL PCL	$139.60	$349.00	$17.69–$314.10	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$54.40	$136.00	$5.18–$122.40	13% above	60%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE TOXIN B BY PCR	$82.80	$207.00	$34.26–$186.30	26% below	60%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$158.40	$396.00	$20.81–$356.40	59% above	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$120.00	$300.00	$20.81–$270.00	28% above	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$122.00	$305.00	$20.81–$274.50	30% above	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$120.00	$300.00	$20.81–$270.00	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA OR RNA	$81.60	$204.00	$43.61–$204.00	40% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 DNA OR RNA	$81.60	$204.00	$43.61–$204.00	40% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 DNA OR RNA	$81.60	$204.00	$43.61–$204.00	—	60%
Calcium blood test, total CPT 82310 CALCIUM URINE TIMED	$8.00	$20.00	$5.16–$18.00	76% below	60%
Calcium blood test, total CPT 82310 CALCIUM, TOTAL	$50.00	$125.00	$5.16–$112.50	51% above	60%
Calcium blood test, total CPT 82310 CALCIUM, UA QUANT.	$52.40	$131.00	$5.16–$117.90	58% above	60%
Calcium blood test, total inpatient CPT 82310 CALCIUM, TOTAL	$50.00	$125.00	$5.16–$112.50	—	60%
Calcium blood test, total inpatient CPT 82310 CALCIUM, UA QUANT.	$52.40	$131.00	$5.16–$117.90	—	60%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$74.00	$185.00	$18.96–$166.50	32% below	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$74.00	$185.00	$18.96–$166.50	—	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY	$43.20	$108.00	$10.95–$97.20	53% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$43.20	$108.00	$10.95–$97.20	53% below	60%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER PCL IGM	$87.60	$219.00	$10.95–$197.10	4% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHL PCR APTIMA	$49.20	$123.00	$35.09–$110.70	56% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED	$52.40	$131.00	$35.09–$117.90	53% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS	$93.60	$234.00	$35.09–$210.60	16% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA-DNA	$96.80	$242.00	$35.09–$217.80	13% below	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHL PCR APTIMA	$49.20	$123.00	$35.09–$110.70	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED	$52.40	$131.00	$35.09–$117.90	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA-DNA	$96.80	$242.00	$35.09–$217.80	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIP PROFILE	$82.80	$207.00	$13.39–$186.30	6% below	60%
Complete blood count (CBC) with differential CPT 85025 CBC W/DIFF-85025	$66.40	$166.00	$6.60–$149.40	64% above	60%
Complete blood count (CBC), no differential CPT 85027 CBC W/O DIFF-85027	$65.20	$163.00	$6.47–$146.70	52% above	60%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL-80053	$88.80	$222.00	$10.56–$199.80	7% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL-80053	$88.80	$222.00	$10.56–$199.80	—	60%
Cortisol blood test, total CPT 82533 CORTISOL-30 MINUTES	$46.40	$116.00	$16.30–$104.40	53% below	60%
Cortisol blood test, total CPT 82533 CORTISOL, SALIVA	$46.40	$116.00	$16.30–$104.40	53% below	60%
Cortisol blood test, total CPT 82533 CORTISOL-60 MINUTES	$46.40	$116.00	$16.30–$104.40	53% below	60%
Cortisol blood test, total CPT 82533 CORTISOL, TOTAL	$46.40	$116.00	$16.30–$104.40	53% below	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL-60 MINUTES	$46.40	$116.00	$16.30–$104.40	—	60%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL	$46.40	$116.00	$16.30–$104.40	—	60%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL FOR ISO	$22.40	$56.00	$6.51–$50.40	51% below	60%
Creatine kinase (CK) blood test, total CPT 82550 CK, CPK, TOTAL	$58.00	$145.00	$6.51–$130.50	26% above	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL FOR ISO	$22.40	$56.00	$6.51–$50.40	—	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK, CPK, TOTAL	$58.00	$145.00	$6.51–$130.50	—	60%
Creatinine blood test CPT 82565 CREATININE, BLOOD	$47.60	$119.00	$5.12–$107.10	43% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV NEGATIVE UNIT	$49.20	$123.00	$12.23–$110.70	55% below	60%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY IGG	$64.40	$161.00	$12.23–$144.90	41% below	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV NEGATIVE UNIT	$49.20	$123.00	$12.23–$110.70	—	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY IGG	$64.40	$161.00	$12.23–$144.90	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE SULFATE	$126.00	$315.00	$22.23–$283.50	2% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN	$72.00	$180.00	$62.14–$162.00	51% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE URINE	$72.00	$180.00	$62.14–$162.00	51% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT SCREEN	$73.20	$183.00	$62.14–$164.70	50% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BUPRENORPHINE, URINE	$73.20	$183.00	$62.14–$164.70	50% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN,URINE	$74.40	$186.00	$62.14–$167.40	49% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN 10	$79.20	$198.00	$62.14–$178.20	46% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN 8	$83.20	$208.00	$62.14–$187.20	43% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN WITH REFLEX	$90.80	$227.00	$62.14–$204.30	38% below	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE URINE	$72.00	$180.00	$62.14–$162.00	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT SCREEN	$73.20	$183.00	$62.14–$164.70	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN 10	$79.20	$198.00	$62.14–$178.20	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN 8	$83.20	$208.00	$62.14–$187.20	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES, BLOOD	$64.40	$161.00	$6.00–$144.90	16% above	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES, BLOOD	$64.40	$161.00	$6.00–$144.90	—	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTI-EBV CAPSID AG (IGM)	$45.20	$113.00	$15.42–$101.70	55% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANTI-EBV CAPSID AG (IGG)	$45.20	$113.00	$15.42–$101.70	55% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR VIRUS IGA	$46.40	$116.00	$15.42–$104.40	54% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VCA IGG	$80.00	$200.00	$15.42–$180.00	20% below	60%
Estradiol blood test CPT 82670 ESTRADIOL	$103.20	$258.00	$27.94–$232.20	39% below	60%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$103.20	$258.00	$27.94–$232.20	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 FOLLICLE STIMULATING HORMONE	$86.80	$217.00	$18.58–$195.30	24% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FOLLICLE STIMULATING HORMONE	$86.80	$217.00	$18.58–$195.30	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN	$46.40	$116.00	$19.63–$104.40	79% below	60%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$79.20	$198.00	$13.63–$178.20	7% below	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN-AMS	$38.00	$95.00	$9.72–$85.50	34% below	60%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$105.60	$264.00	$9.72–$237.60	84% above	60%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$105.60	$264.00	$9.72–$237.60	—	60%
Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM	$86.00	$215.00	$14.70–$193.50	12% below	60%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID, SERUM	$86.00	$215.00	$14.70–$193.50	—	60%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$128.40	$321.00	$16.94–$288.90	at median	60%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$128.40	$321.00	$16.94–$288.90	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T4	$36.40	$91.00	$9.02–$81.90	42% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE FREE, BY DIALYSIS	$36.40	$91.00	$9.02–$81.90	42% below	60%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$52.80	$132.00	$25.47–$118.80	63% below	60%
Free testosterone test CPT 84402 TESTOSTERONE BIO	$53.20	$133.00	$25.47–$119.70	63% below	60%
Free testosterone test CPT 84402 TESTOSTERONE BIO, FREE	$53.20	$133.00	$25.47–$119.70	63% below	60%
Free testosterone test CPT 84402 TESTOSTERONE, FREE	$70.00	$175.00	$25.47–$157.50	51% below	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$52.80	$132.00	$25.47–$118.80	—	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE BIO, FREE	$53.20	$133.00	$25.47–$119.70	—	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE BIO	$53.20	$133.00	$25.47–$119.70	—	60%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE	$70.00	$175.00	$25.47–$157.50	—	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 NASH FIBROSURE GGT	$20.80	$52.00	$7.20–$46.80	51% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 LIVER FIBROSIS/GGT	$25.20	$63.00	$7.20–$56.70	41% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$68.80	$172.00	$7.20–$154.80	62% above	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$215.60	$539.00	$28.00–$485.10	24% above	60%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$215.60	$539.00	$28.00–$485.10	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE-POST CHALLENGE INC GLU	$47.20	$118.00	$4.75–$106.20	2% above	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE-POST CHALLENGE INC GLU	$47.20	$118.00	$4.75–$106.20	—	60%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 2HR NO URINE	$127.60	$319.00	$12.87–$287.10	44% above	60%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPEC INCLUD GLUC	$174.40	$436.00	$12.87–$392.40	97% above	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPEC INCLUD GLUC	$174.40	$436.00	$12.87–$392.40	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP	$52.40	$131.00	$35.09–$117.90	49% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA PROBE	$93.60	$234.00	$35.09–$210.60	9% below	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP	$52.40	$131.00	$35.09–$117.90	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA PROBE	$93.60	$234.00	$35.09–$210.60	—	60%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI	$27.20	$68.00	$14.32–$61.20	61% below	60%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI	$27.20	$68.00	$14.32–$61.20	—	60%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI STOOL AG	$58.00	$145.00	$14.38–$130.50	48% below	60%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI STOOL AG	$58.00	$145.00	$14.38–$130.50	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QUANTITATIVE VIRAL LOAD	$84.40	$211.00	$85.10–$189.90	71% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT PCR	$120.40	$301.00	$85.10–$270.90	58% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA BRANCH CHAIN	$158.40	$396.00	$85.10–$356.40	45% below	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QUANTITATIVE VIRAL LOAD	$84.40	$211.00	$85.10–$189.90	—	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA BRANCH CHAIN	$158.40	$396.00	$85.10–$356.40	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-MERCY	$33.20	$83.00	$24.08–$74.70	64% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 & HIV2, SNGL ASSAY	$36.40	$91.00	$24.08–$81.90	61% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-MERCY	$33.20	$83.00	$24.08–$74.70	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HG B GLYCATED A,C-83036	$70.40	$176.00	$9.71–$158.40	20% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HG B GLYCATED A,C-83036	$70.40	$176.00	$9.71–$158.40	—	60%
Hemoglobin blood test CPT 85018 HEMOGLOBIN-85018	$23.20	$58.00	$2.01–$52.20	8% above	60%
Hepatitis B core antibody test (total) CPT 86704 ANTI HB CORE TOTAL	$62.00	$155.00	$12.05–$139.50	9% below	60%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL	$64.40	$161.00	$12.05–$144.90	5% below	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL	$64.40	$161.00	$12.05–$144.90	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HBS AB POST VAC	$35.60	$89.00	$10.74–$80.10	54% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIUS B SURF AB HBS AB	$74.80	$187.00	$10.74–$168.30	4% below	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HBS AB POST VAC	$35.60	$89.00	$10.74–$80.10	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIUS B SURF AB HBS AB	$74.80	$187.00	$10.74–$168.30	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTI	$87.20	$218.00	$10.33–$196.20	48% above	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE ANTIGEN	$102.40	$256.00	$10.33–$230.40	73% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE ANTI	$87.20	$218.00	$10.33–$196.20	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$126.00	$315.00	$14.27–$283.50	66% above	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$126.00	$315.00	$14.27–$283.50	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA, QUANT	$135.20	$338.00	$36.41–$304.20	48% below	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C PCR QUANTITATIVE	$239.20	$598.00	$36.41–$538.20	9% below	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA, QUANT	$135.20	$338.00	$36.41–$304.20	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C PCR QUANTITATIVE	$239.20	$598.00	$36.41–$538.20	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1	$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	$42.80	$107.00	$11.21–$96.30	55% below	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1/2 TYPE 1 IGM	$42.80	$107.00	$11.21–$96.30	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2	$34.80	$87.00	$19.35–$78.30	62% below	60%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1/2 TYPE 2 IGG	$61.20	$153.00	$19.35–$137.70	32% below	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2	$34.80	$87.00	$19.35–$78.30	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN (HS)	$86.00	$215.00	$11.01–$193.50	3% below	60%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$94.80	$237.00	$17.92–$213.30	58% below	60%
Insulin blood test CPT 83525 INSULIN LEVEL	$60.00	$150.00	$11.43–$135.00	26% below	60%
Iron blood test (serum iron) CPT 83540 IRON, SERUM	$28.80	$72.00	$5.50–$64.80	32% below	60%
Iron blood test (serum iron) CPT 83540 IRON	$28.80	$72.00	$5.50–$64.80	32% below	60%
Iron blood test (serum iron) inpatient CPT 83540 IRON, SERUM	$28.80	$72.00	$5.50–$64.80	—	60%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$30.80	$77.00	$8.74–$69.30	52% below	60%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$105.60	$264.00	$8.68–$237.60	51% above	60%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$105.60	$264.00	$8.68–$237.60	—	60%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE	$90.40	$226.00	$18.52–$203.40	18% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID FLUID (FLAC)	$29.60	$74.00	$10.08–$66.60	63% below	60%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$42.40	$106.00	$10.08–$95.40	47% below	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE L	$28.80	$72.00	$6.04–$64.80	25% below	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE L	$28.80	$72.00	$6.04–$64.80	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$75.20	$188.00	$6.89–$169.20	21% above	60%
Liver function blood test panel CPT 80076 LIVER PROFILE	$105.60	$264.00	$8.17–$237.60	38% above	60%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$105.60	$264.00	$8.17–$237.60	—	60%
Lyme disease antibody test CPT 86618 LYME-TICKP	$38.00	$95.00	$14.48–$85.50	69% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE- TICK BORNE	$40.00	$100.00	$14.48–$90.00	67% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE EIA	$51.20	$128.00	$14.48–$115.20	58% below	60%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$88.00	$220.00	$14.48–$198.00	27% below	60%
Lyme disease antibody test inpatient CPT 86618 LYME-TICKP	$38.00	$95.00	$14.48–$85.50	—	60%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$88.00	$220.00	$14.48–$198.00	—	60%
Magnesium blood test CPT 83735 MAGNERSIUM RANDOM URINE	$24.80	$62.00	$6.70–$55.80	52% below	60%
Magnesium blood test CPT 83735 MAGNESIUM TIMED URINE	$29.20	$73.00	$6.70–$65.70	44% below	60%
Magnesium blood test CPT 83735 MAGNESIUM-RBCS	$47.60	$119.00	$6.70–$107.10	8% below	60%
Magnesium blood test CPT 83735 MAGNESIUM	$47.60	$119.00	$6.70–$107.10	8% below	60%
Magnesium blood test CPT 83735 MAGNESIUM STOOL	$48.80	$122.00	$6.70–$109.80	6% below	60%
Magnesium blood test inpatient CPT 83735 MAGNERSIUM RANDOM URINE	$24.80	$62.00	$6.70–$55.80	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$47.60	$119.00	$6.70–$107.10	—	60%
Magnesium blood test inpatient CPT 83735 MAGNESIUM STOOL	$48.80	$122.00	$6.70–$109.80	—	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$43.20	$108.00	$10.95–$97.20	56% below	60%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$43.20	$108.00	$10.95–$97.20	56% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MSPOT (HETEROPHILE AB PANEL)	$26.40	$66.00	$5.18–$59.40	41% below	60%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST SCREEN	$60.00	$150.00	$5.18–$135.00	35% above	60%
Mumps immunity blood test CPT 86735 MUMPS IGM	$36.40	$91.00	$11.09–$81.90	58% below	60%
Mumps immunity blood test CPT 86735 MUMPS IGG	$40.00	$100.00	$11.09–$90.00	54% below	60%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$40.00	$100.00	$11.09–$90.00	54% below	60%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY	$74.80	$187.00	$11.09–$168.30	15% below	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM	$36.40	$91.00	$11.09–$81.90	—	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG	$40.00	$100.00	$11.09–$90.00	—	60%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY	$74.80	$187.00	$11.09–$168.30	—	60%
Obstetric blood test panel CPT 80055 PROFILE/PRENATAL HBSAG S	$86.80	$217.00	$47.81–$195.30	52% below	60%
Obstetric blood test panel inpatient CPT 80055 PROFILE/PRENATAL HBSAG S	$86.80	$217.00	$47.81–$195.30	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$40.80	$102.00	$18.39–$91.80	55% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA	$61.20	$153.00	$18.39–$137.70	33% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA	$61.20	$153.00	$18.39–$137.70	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL	$40.40	$101.00	$18.39–$90.90	62% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA	$58.40	$146.00	$18.39–$131.40	45% below	60%
Parathyroid hormone (PTH) blood test CPT 83970 PTH- INTACT	$216.40	$541.00	$35.09–$486.90	8% above	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH- INTACT	$216.40	$541.00	$35.09–$486.90	—	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 LUPUS ANTICOAGULANT PTT	$28.00	$70.00	$5.25–$63.00	38% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PTT	$76.40	$191.00	$5.25–$171.90	68% above	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 LUPUS ANTICOAGULANT PTT	$28.00	$70.00	$5.25–$63.00	—	60%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS INORGANIC	$44.00	$110.00	$4.74–$99.00	25% above	60%
Potassium blood test CPT 84132 POTASSIUM SERUM	$50.80	$127.00	$4.20–$114.30	59% above	60%
Progesterone blood test CPT 84144 PROGESTERONE	$90.40	$226.00	$20.86–$203.40	18% below	60%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$90.40	$226.00	$20.86–$203.40	—	60%
Prolactin blood test CPT 84146 PROLACTIN LEVEL	$102.40	$256.00	$19.38–$230.40	20% below	60%
Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL	$102.40	$256.00	$19.38–$230.40	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 THROMBOSIS PANLE-PT	$11.60	$29.00	$4.29–$26.10	63% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 LUPUS ANTICOAGULANT PT	$20.00	$50.00	$4.29–$45.00	37% below	60%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$34.40	$86.00	$4.29–$77.40	9% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 THROMBOSIS PANLE-PT	$11.60	$29.00	$4.29–$26.10	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$34.40	$86.00	$4.29–$77.40	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 NICOTINE URINE	$29.60	$74.00	$11.95–$66.60	42% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 URINE DRUG SCREEN 10A	$34.00	$85.00	$11.95–$76.50	33% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DUA 13-IN HOUSE	$43.60	$109.00	$11.95–$98.10	14% below	60%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG CONFIRMATION	$70.40	$176.00	$11.95–$158.40	38% above	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 URINE DRUG SCREEN 10A	$34.00	$85.00	$11.95–$76.50	—	60%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG CONFIRMATION	$70.40	$176.00	$11.95–$158.40	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP 10 MIN	$60.00	$150.00	$14.05–$135.00	17% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP 10 MIN	$60.00	$150.00	$14.05–$135.00	—	60%
Renin blood test CPT 84244 RENIN, PLASMA	$68.40	$171.00	$21.99–$153.90	47% below	60%
Rh blood typing CPT 86901 ARC - RH(D)	$30.00	$75.00	$2.99–$67.50	53% below	60%
Rh blood typing CPT 86901 ARC - RH(D)	$30.00	$75.00	$2.99–$67.50	53% below	60%
Rh blood typing CPT 86901 RHO D	$34.00	$85.00	$2.99–$76.50	47% below	60%
Rh blood typing CPT 86901 RHO D	$34.00	$85.00	$2.99–$76.50	47% below	60%
Rh blood typing inpatient CPT 86901 ARC - RH(D)	$30.00	$75.00	$2.99–$67.50	—	60%
Rh blood typing inpatient CPT 86901 RHO D	$34.00	$85.00	$2.99–$76.50	—	60%
Rheumatoid factor (RF) test CPT 86431 RA-SEMI-QUANTITATIVE	$20.80	$52.00	$5.67–$46.80	58% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG	$31.20	$78.00	$12.23–$70.20	48% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$40.00	$100.00	$12.23–$90.00	33% below	60%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM	$95.20	$238.00	$12.23–$214.20	59% above	60%
Sodium blood test CPT 84295 SODIUM SERUM	$44.00	$110.00	$4.20–$99.00	49% above	60%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES	$28.80	$72.00	$8.40–$64.80	49% below	60%
Stool ova and parasites exam CPT 87177 OVA-PARASITES STATE	$89.60	$224.00	$8.40–$201.60	58% above	60%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITES	$28.80	$72.00	$8.40–$64.80	—	60%
Stool ova and parasites exam inpatient CPT 87177 OVA-PARASITES STATE	$89.60	$224.00	$8.40–$201.60	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD, ANNUAL 1-3 CARDS	$20.80	$52.00	$3.82–$46.80	23% below	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 TPALLIDUM AB BY TP-PA 86780	$32.00	$80.00	$13.24–$72.00	55% below	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS AB SCREEN WITH REFLEX	$40.80	$102.00	$13.24–$91.80	43% below	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS ANTIBODY IGM	$62.00	$155.00	$4.27–$139.50	72% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS ANTIBODY IGG	$62.00	$155.00	$4.27–$139.50	72% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL/RPR, QUAL.	$62.00	$155.00	$4.27–$139.50	72% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS ANTIBODY IGM	$62.00	$155.00	$4.27–$139.50	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL/RPR, QUAL.	$62.00	$155.00	$4.27–$139.50	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS ANTIBODY IGG	$62.00	$155.00	$4.27–$139.50	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB	$214.40	$536.00	$61.98–$482.40	16% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL	$52.80	$132.00	$25.81–$118.80	63% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE BIO,TOTAL	$53.20	$133.00	$25.81–$119.70	62% below	60%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL	$70.00	$175.00	$25.81–$157.50	50% below	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL	$52.80	$132.00	$25.81–$118.80	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE BIO,TOTAL	$53.20	$133.00	$25.81–$119.70	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROPEROXIDASE AB (TPO)	$41.20	$103.00	$14.55–$92.70	47% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICROSOM AB	$46.80	$117.00	$14.55–$105.30	40% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER/KIDNEY MICRO AUTO ANTIBO	$53.60	$134.00	$14.55–$120.60	32% below	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID MICROSOMAL ANTIBODIES	$70.40	$176.00	$14.55–$158.40	10% below	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROPEROXIDASE AB (TPO)	$41.20	$103.00	$14.55–$92.70	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$48.40	$121.00	$15.75–$108.90	44% below	60%
Total IgE blood test CPT 82785 DAIRY/GRAIN TOTAL IGE	$36.00	$90.00	$13.99–$81.00	61% below	60%
Total IgE blood test CPT 82785 MIDWEST TOTAL IGE	$43.20	$108.00	$13.99–$97.20	53% below	60%
Total IgE blood test CPT 82785 FOOD ALLERGY TOTAL IGE	$43.60	$109.00	$13.99–$98.10	52% below	60%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN E	$105.60	$264.00	$13.99–$237.60	15% above	60%
Total IgE blood test inpatient CPT 82785 FOOD ALLERGY TOTAL IGE	$43.60	$109.00	$13.99–$98.10	—	60%
Total cholesterol blood test CPT 82465 NASH FIBROSURE CHOLESTEROL	$15.60	$39.00	$4.35–$35.10	55% below	60%
Total cholesterol blood test CPT 82465 LIPOPROTEIN - CHOLESTEROL	$16.80	$42.00	$4.35–$37.80	51% below	60%
Total cholesterol blood test CPT 82465 NWR LIPOPROFILE - CHOLESTEROL	$16.80	$42.00	$4.35–$37.80	51% below	60%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOT, SERUM	$50.80	$127.00	$4.35–$114.30	47% above	60%
Total cholesterol blood test inpatient CPT 82465 NASH FIBROSURE CHOLESTEROL	$15.60	$39.00	$4.35–$35.10	—	60%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOT, SERUM	$50.80	$127.00	$4.35–$114.30	—	60%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL	$50.80	$127.00	$6.87–$114.30	27% above	60%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$124.80	$312.00	$14.18–$280.80	59% above	60%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$124.80	$312.00	$14.18–$280.80	—	60%
Transferrin blood test CPT 84466 TRANSFERRIN	$82.80	$207.00	$12.76–$186.30	19% below	60%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$82.80	$207.00	$12.76–$186.30	—	60%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS PCR	$68.40	$171.00	$35.09–$153.90	50% below	60%
Trichomonas test (NAAT) CPT 87661 T VAGINALIS 87661	$68.40	$171.00	$35.09–$153.90	50% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS PCR	$68.40	$171.00	$35.09–$153.90	—	60%
Triglycerides blood test CPT 84478 NASH FIBROSURE TRIGLYCERIDES	$9.60	$24.00	$5.74–$21.60	73% below	60%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$50.80	$127.00	$5.74–$114.30	41% above	60%
Triglycerides blood test inpatient CPT 84478 NASH FIBROSURE TRIGLYCERIDES	$9.60	$24.00	$5.74–$21.60	—	60%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$50.80	$127.00	$5.74–$114.30	—	60%
Troponin test, quantitative CPT 84484 TROPONIN	$89.60	$224.00	$12.47–$201.60	22% below	60%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$89.60	$224.00	$12.47–$201.60	—	60%
Uric acid blood test CPT 84550 URIC ACID, BLOOD	$44.00	$110.00	$4.52–$99.00	22% above	60%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICRO SEND OUT	$36.00	$90.00	$3.17–$81.00	11% above	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICRO SEND OUT	$36.00	$90.00	$3.17–$81.00	—	60%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS-81000	$37.60	$94.00	$4.02–$84.60	44% above	60%
Urinalysis without microscope exam, automated CPT 81003 KETONE-URINE	$14.40	$36.00	$1.91–$32.40	35% below	60%
Urinalysis without microscope exam, automated CPT 81003 URINE-PH	$27.60	$69.00	$1.91–$62.10	25% above	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONE-URINE	$14.40	$36.00	$1.91–$32.40	—	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE-PH	$27.60	$69.00	$1.91–$62.10	—	60%
Urinalysis without microscope exam, manual CPT 81002 UA W/O MICROSCOPY	$17.20	$43.00	$3.01–$38.70	8% below	60%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE-AMS	$42.80	$107.00	$8.07–$96.30	20% below	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RATIO QUANT	$42.40	$106.00	$5.25–$95.40	8% below	60%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN TIME URINE	$56.40	$141.00	$5.25–$126.90	23% above	60%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANT	$58.00	$145.00	$5.25–$130.50	26% above	60%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RATIO QUANT	$42.40	$106.00	$5.25–$95.40	—	60%
Urine pregnancy test, read by color change CPT 81025 HCG-URINE	$57.20	$143.00	$7.43–$128.70	26% above	60%
Vitamin B12 (cobalamin) blood test CPT 82607 VIT B12	$33.60	$84.00	$15.08–$75.60	63% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VIT B12	$33.60	$84.00	$15.08–$75.60	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D- CALCIFEDIOL	$114.40	$286.00	$25.16–$257.40	53% below	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1.25 DIHYDROXY	$63.20	$158.00	$38.50–$142.20	58% below	60%
Zinc blood test CPT 84630 ZINC	$60.40	$151.00	$11.39–$135.90	3% above	60%
Zinc blood test CPT 84630 ZINC RBC	$78.00	$195.00	$11.39–$175.50	33% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TOTAL QUANT	$113.60	$284.00	$12.79–$255.60	23% above	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	$241.60	$604.00	$27.44–$405.94	31% below	60%
Botox injections for chronic migraine CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE	$241.60	$604.00	$27.44–$405.94	31% below	60%
Botox injections for chronic migraine inpatient CPT 64615 BRACHIAL PLEXUS BLOCK SINGLE	$241.60	$604.00	$27.44–$405.94	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL92960	$599.20	$1,498.00	$150.00–$666.27	8% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXTERNAL92960	$599.20	$1,498.00	$150.00–$666.27	8% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXTERNAL92960	$599.20	$1,498.00	$150.00–$666.27	—	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX RADIUS DISTAL/COLLES 25600	$171.60	$429.00	$133.65–$413.28	72% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FX RADIUS DISTAL/COLLES 25600	$171.60	$429.00	$133.65–$413.28	72% below	60%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 FX RADIUS DISTAL/COLLES 25600	$171.60	$429.00	$133.65–$413.28	—	60%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACT CERUM 69210	$310.80	$777.00	$49.64–$750.00	158% above	60%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACT CERUM 69210	$310.80	$777.00	$49.64–$750.00	158% above	60%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACT CERUM 69210	$310.80	$777.00	$49.64–$750.00	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPT INJ CERV/THOR W/IMAG 62321	$1,140.80	$2,852.00	$178.25–$2,800.00	5% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,004.00	$2,510.00	$187.49–$2,259.00	1% below	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,004.00	$2,510.00	$187.49–$2,259.00	1% below	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,004.00	$2,510.00	$187.49–$2,259.00	—	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,004.00	$2,510.00	$187.49–$2,259.00	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 CATH INTRO HSG 58340	$341.60	$854.00	$88.88–$750.00	12% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE 10060	$122.40	$306.00	$125.45–$275.40	53% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS FINGER SIMP 10060	$122.40	$306.00	$125.45–$275.40	53% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS FINGER SIMP 10060	$122.40	$306.00	$125.45–$275.40	53% below	60%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS SIMPLE 10060	$122.40	$306.00	$125.45–$275.40	53% below	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS FINGER SIMP 10060	$122.40	$306.00	$125.45–$275.40	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE 10060	$122.40	$306.00	$125.45–$275.40	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS FINGER SIMP 10060	$122.40	$306.00	$125.45–$275.40	—	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABCESS SIMPLE 10060	$122.40	$306.00	$125.45–$275.40	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH	$112.00	$280.00	$68.84–$196.88	40% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SNGL TENDON SHEATH	$112.00	$280.00	$68.84–$196.88	40% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH	$112.00	$280.00	$68.84–$196.88	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SNGL TENDON SHEATH	$112.00	$280.00	$68.84–$196.88	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJ LARGE 20610	$274.00	$685.00	$78.08–$616.50	20% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION 20610	$274.00	$685.00	$78.08–$616.50	20% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJECTION 20610	$274.00	$685.00	$78.08–$616.50	20% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 JOINT INJ LARGE 20610	$274.00	$685.00	$78.08–$616.50	20% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT/ASPIRATE MAJ JT 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 INJECT/ASPIRATE MAJ JT 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 one side CPT 20610 ARTHO ASP/INJ JOINT LT	$177.20	$443.00	$78.08–$398.70	48% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHO ASP/INJ JOINT RT	$177.20	$443.00	$78.08–$398.70	48% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHO ASP/INJ JOINT RT	$177.20	$443.00	$78.08–$398.70	48% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTHO ASP/INJ JOINT LT	$177.20	$443.00	$78.08–$398.70	48% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJ LARGE 20610	$274.00	$685.00	$78.08–$616.50	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION 20610	$274.00	$685.00	$78.08–$616.50	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJ LARGE 20610	$274.00	$685.00	$78.08–$616.50	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 JOINT INJECTION 20610	$274.00	$685.00	$78.08–$616.50	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT/ASPIRATE MAJ JT 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 INJECT/ASPIRATE MAJ JT 20610	$287.60	$719.00	$78.08–$647.10	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHO ASP/INJ JOINT LT	$177.20	$443.00	$78.08–$398.70	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHO ASP/INJ JOINT RT	$177.20	$443.00	$78.08–$398.70	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ARTHO ASP/INJ JOINT RT	$177.20	$443.00	$78.08–$398.70	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/ASPIRATE INT JT 20605	$200.40	$501.00	$66.08–$450.90	27% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECT/ASPIRATE INT JT 20605	$200.40	$501.00	$66.08–$450.90	27% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA	$274.00	$685.00	$66.08–$616.50	at median	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJECT JOINT/BURSA	$274.00	$685.00	$66.08–$616.50	at median	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECT/ASPIRATE INT JT 20605	$200.40	$501.00	$66.08–$450.90	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRAIN/INJECT JOINT/BURSA	$274.00	$685.00	$66.08–$616.50	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASPIRATE SMALL JT 20600	$113.20	$283.00	$63.52–$254.70	52% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 INJECT/ASPIRATE SMALL JT 20600	$113.20	$283.00	$63.52–$254.70	52% below	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA	$274.00	$685.00	$63.52–$616.50	16% above	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA	$274.00	$685.00	$63.52–$616.50	16% above	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 INJECT/ASPIRATE SMALL JT 20600	$113.20	$283.00	$63.52–$254.70	—	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT/SMALL JOINT/BURSA	$274.00	$685.00	$63.52–$616.50	—	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSE INT <2.5 12031	$224.80	$562.00	$250.00–$505.80	44% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSE INT <2.5 12031	$224.80	$562.00	$250.00–$505.80	44% below	60%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSE INT <2.5 12031	$224.80	$562.00	$250.00–$505.80	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 EPI INJ SPN LUMB/SACL W/IMAG	$1,140.80	$2,852.00	$178.25–$2,800.00	5% below	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 EPI INJ SPN LUMB/SACL W/IMAG	$1,140.80	$2,852.00	$178.25–$2,800.00	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S	$714.80	$1,787.00	$168.00–$1,608.30	30% below	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJ FORAMEN EPIDURAL L/S	$714.80	$1,787.00	$168.00–$1,608.30	30% below	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 INJ FORAMEN EPIDURAL L/S	$714.80	$1,787.00	$168.00–$1,608.30	—	60%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION 11730 INIT	$122.40	$306.00	$71.54–$275.40	25% below	60%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVULSION 11730 INIT	$122.40	$306.00	$71.54–$275.40	25% below	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION 11730 INIT	$122.40	$306.00	$71.54–$275.40	—	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVULSION 11730 INIT	$122.40	$306.00	$71.54–$275.40	—	60%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL	$274.00	$685.00	$89.84–$616.50	31% below	60%
Occipital nerve block (injection for headaches) CPT 64405 N BLOCK INJ OCCIPITAL	$274.00	$685.00	$89.84–$616.50	31% below	60%
Occipital nerve block (injection for headaches) inpatient CPT 64405 N BLOCK INJ OCCIPITAL	$274.00	$685.00	$89.84–$616.50	—	60%
Paracentesis with imaging guidance CPT 49083 PARA W/O SPEC W/IMAGE 49083	$461.20	$1,153.00	$144.42–$1,037.70	38% below	60%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGING 49083	$461.20	$1,153.00	$144.42–$1,037.70	38% below	60%
Paracentesis with imaging guidance CPT 49083 PARA W/O SPEC W/IMAGE 49083	$461.20	$1,153.00	$144.42–$1,037.70	38% below	60%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGING 49083	$461.20	$1,153.00	$144.42–$1,037.70	38% below	60%
Paracentesis with imaging guidance inpatient CPT 49083 PARA W/O SPEC W/IMAGE 49083	$461.20	$1,153.00	$144.42–$1,037.70	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W IMAGING 49083	$461.20	$1,153.00	$144.42–$1,037.70	—	60%
Paracentesis with imaging guidance inpatient CPT 49083 PARA W/O SPEC W/IMAGE 49083	$461.20	$1,153.00	$144.42–$1,037.70	—	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL EXCISION 11750	$458.40	$1,146.00	$200.41–$1,031.40	9% above	60%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL EXCISION 11750	$458.40	$1,146.00	$200.41–$1,031.40	9% above	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL EXCISION 11750	$458.40	$1,146.00	$200.41–$1,031.40	—	60%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL EXCISION 11750	$458.40	$1,146.00	$200.41–$1,031.40	—	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,700.00	$4,250.00	$335.71–$2,800.00	14% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,700.00	$4,250.00	$335.71–$2,800.00	14% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 DESTROY LUMB/SAC FACET JNT	$1,700.00	$4,250.00	$335.71–$2,800.00	—	60%
Removal of a foreign object under the skin, simple CPT 10120 FB INCIS & REMOVAL SIMP 10120	$535.20	$1,338.00	$187.58–$1,204.20	44% above	60%
Removal of a foreign object under the skin, simple CPT 10120 FB INCIS & REMOVAL SIMP 10120	$535.20	$1,338.00	$187.58–$1,204.20	44% above	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB INCIS & REMOVAL SIMP 10120	$535.20	$1,338.00	$187.58–$1,204.20	—	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FB INCIS & REMOVAL SIMP 10120	$535.20	$1,338.00	$187.58–$1,204.20	—	60%
Short arm splint (forearm and hand) CPT 29125 SPLINT APP ARM SHORT 29125	$159.60	$399.00	$78.09–$318.36	11% below	60%
Short arm splint (forearm and hand) CPT 29125 SPLINT APP ARM SHORT 29125	$159.60	$399.00	$78.09–$318.36	11% below	60%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APP ARM SHORT 29125	$159.60	$399.00	$78.09–$318.36	—	60%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APP ARM SHORT 29125	$159.60	$399.00	$78.09–$318.36	—	60%
Short leg cast (below the knee) CPT 29405 CAST APP LEG SHORT 29405	$135.60	$339.00	$96.66–$210.00	48% below	60%
Short leg cast (below the knee) CPT 29405 CAST APP LEG SHORT 29405	$135.60	$339.00	$96.66–$210.00	48% below	60%
Short leg cast (below the knee) inpatient CPT 29405 CAST APP LEG SHORT 29405	$135.60	$339.00	$96.66–$210.00	—	60%
Short leg cast (below the knee) inpatient CPT 29405 CAST APP LEG SHORT 29405	$135.60	$339.00	$96.66–$210.00	—	60%
Short leg splint (calf to foot) CPT 29515 SPLINT APP LEG SHORT 29515	$114.40	$286.00	$85.64–$210.00	42% below	60%
Short leg splint (calf to foot) CPT 29515 SPLINT APP LEG SHORT 29515	$114.40	$286.00	$85.64–$210.00	42% below	60%
Short leg splint (calf to foot) inpatient CPT 29515 SPLINT APP LEG SHORT 29515	$114.40	$286.00	$85.64–$210.00	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REP SIMPLE <2.5 12001	$190.40	$476.00	$85.75–$428.40	27% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REP SIMPLE <2.5 12001	$190.40	$476.00	$85.75–$428.40	27% below	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REP SIMPLE <2.5 12001	$190.40	$476.00	$85.75–$428.40	—	60%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REP SIMPLE <2.5 12001	$190.40	$476.00	$85.75–$428.40	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REP SIMPLE 2.6-7.5 12002	$227.20	$568.00	$85.75–$511.20	30% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC REP SIMPLE 2.6-7.5 12002	$227.20	$568.00	$85.75–$511.20	30% below	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REP SIMPLE 2.6-7.5 12002	$227.20	$568.00	$85.75–$511.20	—	60%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC REP SIMPLE 2.6-7.5 12002	$227.20	$568.00	$85.75–$511.20	—	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REP SIMPLE <2.5 12011	$236.40	$591.00	$60.00–$531.90	23% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REP SIMPLE <2.5 12011	$236.40	$591.00	$60.00–$531.90	23% below	60%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC REP SIMPLE <2.5 12011	$236.40	$591.00	$60.00–$531.90	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECT	$268.80	$672.00	$66.40–$456.96	28% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT INJECT	$268.80	$672.00	$66.40–$456.96	28% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$274.00	$685.00	$66.40–$456.96	31% above	60%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$274.00	$685.00	$66.40–$456.96	31% above	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECT	$268.80	$672.00	$66.40–$456.96	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGGER POINT INJECT	$268.80	$672.00	$66.40–$456.96	—	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$274.00	$685.00	$66.40–$456.96	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST/LOC CLIP 19083	$286.80	$717.00	$239.16–$702.07	85% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BIOPSY BREAST-NEEDLE CORE19083	$1,694.00	$4,235.00	$239.16–$3,811.50	14% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST MASS LT 19083	$1,694.00	$4,235.00	$239.16–$3,811.50	14% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST MASS RT 19083	$1,694.00	$4,235.00	$239.16–$3,811.50	14% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST MASS RT 19083	$1,694.00	$4,235.00	$239.16–$3,811.50	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 BX BREAST 1ST MASS LT 19083	$1,694.00	$4,235.00	$239.16–$3,811.50	—	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/POLYPECTOMY BY SNARE	$858.40	$2,146.00	$225.00–$1,931.40	43% below	60%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/POLYPECTOMY BY SNARE	$858.40	$2,146.00	$225.00–$1,931.40	43% below	60%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD W/POLYPECTOMY BY SNARE	$858.40	$2,146.00	$225.00–$1,931.40	—	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	$301.60	$754.00	$44.07–$750.00	48% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$301.60	$754.00	$44.07–$750.00	48% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 36430	$358.00	$895.00	$44.07–$750.00	38% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION X 1 36430	$358.00	$895.00	$44.07–$750.00	38% below	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$301.60	$754.00	$44.07–$750.00	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION X 1 36430	$358.00	$895.00	$44.07–$750.00	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI THERAPY 94640	$123.20	$308.00	$9.85–$35.09	4% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI THERAPY 94640	$123.20	$308.00	$9.85–$35.09	4% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI THERAPY 94640	$123.20	$308.00	$9.85–$35.09	—	60%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUS-BIO RESPONSE MOD-1HR	$385.60	$964.00	$113.77–$495.21	1% below	60%
Chemotherapy IV infusion, first hour CPT 96413 IV INFUS-BIO RESPONSE MOD-1HR	$385.60	$964.00	$113.77–$495.21	1% below	60%
Chemotherapy IV infusion, first hour inpatient CPT 96413 IV INFUS-BIO RESPONSE MOD-1HR	$385.60	$964.00	$113.77–$495.21	—	60%
Critical care, first 30 to 74 minutes CPT 99291 ER - CRITICAL CARE	$635.20	$1,588.00	$122.27–$1,412.62	55% below	60%
Critical care, first 30 to 74 minutes CPT 99291 ER - CRITICAL CARE	$635.20	$1,588.00	$122.27–$1,412.62	55% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 ER - CRITICAL CARE	$635.20	$1,588.00	$122.27–$1,412.62	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ONLY W/O INT/REP 12 LEADS	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ONLY W/O INT/REP 12 LEADS	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEADS;TRACING ONLY	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG-12 LEADS;TRACING ONLY	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ONLY W/O INT/REP-12 LEADS	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG ONLY W/O INT/REP-12 LEADS	$72.40	$181.00	$7.33–$26.67	55% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ONLY W/O INT/REP 12 LEADS	$72.40	$181.00	$7.33–$26.67	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ONLY W/O INT/REP-12 LEADS	$72.40	$181.00	$7.33–$26.67	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG-12 LEADS;TRACING ONLY	$72.40	$181.00	$7.33–$26.67	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG ONLY W/O INT/REP 12 LEADS	$72.40	$181.00	$7.33–$26.67	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER - LEVEL 1	$100.80	$252.00	$16.71–$235.45	52% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER - LEVEL 1	$100.80	$252.00	$16.71–$235.45	52% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER - LEVEL 1	$100.80	$252.00	$16.71–$235.45	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER - LEVEL 2	$157.60	$394.00	$16.71–$366.79	52% below	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER - LEVEL 2	$157.60	$394.00	$16.71–$366.79	52% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER - LEVEL 2	$157.60	$394.00	$16.71–$366.79	—	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER - LEVEL 2	$157.60	$394.00	$16.71–$366.79	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER - LEVEL 3	$242.00	$605.00	$16.71–$563.77	53% below	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER - LEVEL 3	$242.00	$605.00	$16.71–$563.77	53% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER - LEVEL 3	$242.00	$605.00	$16.71–$563.77	—	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER - LEVEL 3	$242.00	$605.00	$16.71–$563.77	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER - LEVEL 4	$412.80	$1,032.00	$16.71–$961.17	51% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 ER - LEVEL 4	$412.80	$1,032.00	$16.71–$961.17	51% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER - LEVEL 4	$412.80	$1,032.00	$16.71–$961.17	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 ER - LEVEL 4	$412.80	$1,032.00	$16.71–$961.17	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER - LEVEL 5	$640.80	$1,602.00	$16.71–$1,493.85	51% below	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 ER - LEVEL 5	$640.80	$1,602.00	$16.71–$1,493.85	51% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER - LEVEL 5	$640.80	$1,602.00	$16.71–$1,493.85	—	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 ER - LEVEL 5	$640.80	$1,602.00	$16.71–$1,493.85	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING W/O INTRPR	$338.40	$846.00	$39.61–$492.68	39% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST TRACING W/O INTRPR	$338.40	$846.00	$39.61–$492.68	39% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING W/O INTRPR	$338.40	$846.00	$39.61–$492.68	—	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST TRACING W/O INTRPR	$338.40	$846.00	$39.61–$492.68	—	60%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY INITIAL	$153.60	$384.00	$73.68–$175.88	43% below	60%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY INITIAL	$153.60	$384.00	$73.68–$175.88	43% below	60%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY PSYCHOTHERAPY INITIAL	$153.60	$384.00	$73.68–$175.88	—	60%
Family therapy without the patient, 50 minutes CPT 90846 PSYCH THRPY FAMILY W/O PT	$153.60	$384.00	$73.68–$128.21	34% below	60%
Family therapy without the patient, 50 minutes CPT 90846 PSYCH THRPY FAMILY W/O PT	$153.60	$384.00	$73.68–$128.21	34% below	60%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THRPY FAMILY W/O PT	$153.60	$384.00	$73.68–$128.21	—	60%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCH THRPY FAMILY W/O PT	$153.60	$384.00	$73.68–$128.21	—	60%
Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY INITIAL	$126.40	$316.00	$25.21–$60.66	52% below	60%
Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY INITIAL	$126.40	$316.00	$25.21–$60.66	52% below	60%
Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY SUBS/HR	$126.40	$316.00	$25.21–$60.66	52% below	60%
Group psychotherapy session CPT 90853 PROCESS GROUP THERAPY SUBS/HR	$126.40	$316.00	$25.21–$60.66	52% below	60%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP THERAPY INITIAL	$126.40	$316.00	$25.21–$60.66	—	60%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP THERAPY INITIAL	$126.40	$316.00	$25.21–$60.66	—	60%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP THERAPY SUBS/HR	$126.40	$316.00	$25.21–$60.66	—	60%
Group psychotherapy session inpatient CPT 90853 PROCESS GROUP THERAPY SUBS/HR	$126.40	$316.00	$25.21–$60.66	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 1ST HR	$142.40	$356.00	$37.66–$352.92	42% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION 1ST HR	$142.40	$356.00	$37.66–$352.92	42% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION-1ST HR (INITIAL)	$148.80	$372.00	$37.66–$352.92	40% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION-1ST HR (INITIAL)	$148.80	$372.00	$37.66–$352.92	40% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 1ST HR	$142.40	$356.00	$37.66–$352.92	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATION IV INFUSION 1ST HR	$142.40	$356.00	$37.66–$352.92	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION-1ST HR (INITIAL)	$148.80	$372.00	$37.66–$352.92	—	60%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF 1ST HR	$172.80	$432.00	$49.90–$352.92	36% below	60%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DG IV INF 1ST HR	$172.80	$432.00	$49.90–$352.92	36% below	60%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION-INITIAL (1 HOUR)	$179.60	$449.00	$49.90–$352.92	34% below	60%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION-INITIAL (1 HOUR)	$179.60	$449.00	$49.90–$352.92	34% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DG IV INF 1ST HR	$172.80	$432.00	$49.90–$352.92	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 THER/PROPH/DG IV INF 1ST HR	$172.80	$432.00	$49.90–$352.92	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION-INITIAL (1 HOUR)	$179.60	$449.00	$49.90–$352.92	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION-INITIAL (1 HOUR)	$179.60	$449.00	$49.90–$352.92	—	60%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$138.00	$345.00	$24.42–$335.27	36% below	60%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$138.00	$345.00	$24.42–$335.27	36% below	60%
IV push of a medicine, first drug CPT 96374 IV PUSH	$143.20	$358.00	$24.42–$352.91	34% below	60%
IV push of a medicine, first drug CPT 96374 IV PUSH	$143.20	$358.00	$24.42–$352.91	34% below	60%
IV push of a medicine, first drug inpatient CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$138.00	$345.00	$24.42–$335.27	—	60%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH	$143.20	$358.00	$24.42–$352.91	—	60%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH	$143.20	$358.00	$24.42–$352.91	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJECTION	$51.20	$128.00	$15.02–$115.99	24% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJECTION	$51.20	$128.00	$15.02–$115.99	24% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMIN-IM/SQ	$59.20	$148.00	$15.02–$115.99	12% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION ADMIN-IM/SQ	$59.20	$148.00	$15.02–$115.99	12% below	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJECTION	$51.20	$128.00	$15.02–$115.99	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER/PROPH/DIAG INJECTION	$51.20	$128.00	$15.02–$115.99	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION ADMIN-IM/SQ	$59.20	$148.00	$15.02–$115.99	—	60%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$145.20	$363.00	$110.16–$233.89	26% below	60%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$145.20	$363.00	$110.16–$233.89	26% below	60%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$145.20	$363.00	$110.16–$233.89	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION 15M	$60.40	$151.00	$27.07–$69.82	22% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 MUSCLE RE-EDUCATION	$64.40	$161.00	$27.07–$69.82	17% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 UE COORDINATION	$64.40	$161.00	$27.07–$69.82	17% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR FACILITATI	$85.20	$213.00	$27.07–$69.82	10% above	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR FACILITATI	$85.20	$213.00	$27.07–$69.82	—	60%
New patient office visit, about 30 minutes CPT 99203 WOUND CARE MGMT-NEW PATIENT	$173.60	$434.00	$77.71–$139.63	15% above	60%
New patient office visit, about 30 minutes CPT 99203 WOUND CARE MGMT-NEW PATIENT	$173.60	$434.00	$77.71–$139.63	15% above	60%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3	$221.20	$553.00	$77.71–$139.63	47% above	60%
New patient office visit, about 30 minutes CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3	$221.20	$553.00	$77.71–$139.63	47% above	60%
New patient office visit, about 30 minutes inpatient CPT 99203 WOUND CARE MGMT-NEW PATIENT	$173.60	$434.00	$77.71–$139.63	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3	$221.20	$553.00	$77.71–$139.63	—	60%
New patient office visit, about 30 minutes inpatient CPT 99203 OFFICE/OPT VISIT NEW LEVEL 3	$221.20	$553.00	$77.71–$139.63	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-INITIAL-IND 15 MIN	$24.40	$61.00	$19.31–$44.50	20% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT-INITIAL-IND 15 MIN	$24.40	$61.00	$19.31–$44.50	20% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-INITIAL-IND 15 MIN	$24.40	$61.00	$19.31–$44.50	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT-INITIAL-IND 15 MIN	$24.40	$61.00	$19.31–$44.50	—	60%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$97.60	$244.00	$55.76–$162.08	41% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$97.60	$244.00	$55.76–$162.08	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$131.60	$329.00	$57.45–$166.73	37% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$88.40	$221.00	$71.82–$191.74	47% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$110.00	$275.00	$71.82–$166.73	42% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUES	$48.40	$121.00	$22.37–$80.30	36% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY TECHNIQUE	$66.00	$165.00	$22.37–$80.30	13% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY TECHNIQUES	$48.40	$121.00	$22.37–$80.30	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE I	$64.00	$160.00	$26.03–$78.68	18% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP PROC EACH 15 MIN (BTE)	$70.40	$176.00	$26.03–$78.68	10% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 AAROM - 15 MIN	$70.40	$176.00	$26.03–$78.68	10% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PROM	$70.40	$176.00	$26.03–$78.68	10% below	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE	$77.60	$194.00	$26.03–$78.68	1% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PROM	$70.40	$176.00	$26.03–$78.68	—	60%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/ MED SERVICE	$176.80	$442.00	$110.16–$242.66	37% below	60%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/ MED SERVICE	$176.80	$442.00	$110.16–$242.66	37% below	60%
Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/ MED SERVICE	$176.80	$442.00	$110.16–$242.66	—	60%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH THERAPY CRISIS 1ST 60 M	$220.00	$550.00	$110.16–$174.76	5% above	60%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCH THERAPY CRISIS 1ST 60 M	$220.00	$550.00	$110.16–$174.76	5% above	60%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH THERAPY CRISIS 1ST 60 M	$220.00	$550.00	$110.16–$174.76	—	60%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYCH THERAPY CRISIS 1ST 60 M	$220.00	$550.00	$110.16–$174.76	—	60%
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY 30 MIN W/	$116.00	$290.00	$38.54–$116.28	24% below	60%
Psychotherapy session, 30 minutes CPT 90832 PSYCH THERAPY 30 MIN W/	$116.00	$290.00	$38.54–$116.28	24% below	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY 30 MIN W/	$116.00	$290.00	$38.54–$116.28	—	60%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH THERAPY 30 MIN W/	$116.00	$290.00	$38.54–$116.28	—	60%
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN W/	$158.40	$396.00	$77.08–$138.54	5% below	60%
Psychotherapy session, 45 minutes CPT 90834 PSYCH THERAPY 45 MIN W/	$158.40	$396.00	$77.08–$138.54	5% below	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY 45 MIN W/	$158.40	$396.00	$77.08–$138.54	—	60%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCH THERAPY 45 MIN W/	$158.40	$396.00	$77.08–$138.54	—	60%
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY 60 MIN W/	$176.80	$442.00	$110.16–$209.02	21% below	60%
Psychotherapy session, 60 minutes CPT 90837 PSYCH THERAPY 60 MIN W/	$176.80	$442.00	$110.16–$209.02	21% below	60%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY 60 MIN W/	$176.80	$442.00	$110.16–$209.02	—	60%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCH THERAPY 60 MIN W/	$176.80	$442.00	$110.16–$209.02	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE MGMT-EST PATIENT	$158.40	$396.00	$96.82–$368.08	28% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT PSYCH ESTAB LEVEL V	$158.40	$396.00	$96.82–$368.08	28% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT PSYCH ESTAB LEVEL V	$158.40	$396.00	$96.82–$368.08	28% below	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 WOUND CARE MGMT-EST PATIENT	$158.40	$396.00	$96.82–$368.08	28% below	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT PSYCH ESTAB LEVEL V	$158.40	$396.00	$96.82–$368.08	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 VISIT PSYCH ESTAB LEVEL V	$158.40	$396.00	$96.82–$368.08	—	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WOUND CARE MGMT-EST PATIENT	$158.40	$396.00	$96.82–$368.08	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT PSYCH ESTAB LEVEL III	$88.80	$222.00	$42.07–$184.55	34% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT PSYCH ESTAB LEVEL III	$88.80	$222.00	$42.07–$184.55	34% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND CARE MGMT-EST PATIENT	$116.00	$290.00	$42.07–$184.55	14% below	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 WOUND CARE MGMT-EST PATIENT	$116.00	$290.00	$42.07–$184.55	14% below	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 VISIT PSYCH ESTAB LEVEL III	$88.80	$222.00	$42.07–$184.55	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND CARE MGMT-EST PATIENT	$116.00	$290.00	$42.07–$184.55	—	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WOUND CARE MGMT-EST PATIENT	$116.00	$290.00	$42.07–$184.55	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT PSYCH ESTAB LEVEL IV	$101.20	$253.00	$66.15–$247.66	39% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT PSYCH ESTAB LEVEL IV	$101.20	$253.00	$66.15–$247.66	39% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE MGMT-EST PATIENT	$137.20	$343.00	$66.15–$260.70	17% below	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WOUND CARE MGMT-EST PATIENT	$137.20	$343.00	$66.15–$260.70	17% below	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 VISIT PSYCH ESTAB LEVEL IV	$101.20	$253.00	$66.15–$247.66	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE MGMT-EST PATIENT	$137.20	$343.00	$66.15–$260.70	—	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WOUND CARE MGMT-EST PATIENT	$137.20	$343.00	$66.15–$260.70	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT PSYCH ESTAB LEVEL II	$76.40	$191.00	$30.65–$118.04	27% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT PSYCH ESTAB LEVEL II	$76.40	$191.00	$30.65–$118.04	27% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WOUND CARE MGMT-EST PATIENT	$95.20	$238.00	$30.65–$118.04	8% below	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WOUND CARE MGMT-EST PATIENT	$95.20	$238.00	$30.65–$118.04	8% below	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 VISIT PSYCH ESTAB LEVEL II	$76.40	$191.00	$30.65–$118.04	—	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WOUND CARE MGMT-EST PATIENT	$95.20	$238.00	$30.65–$118.04	—	60%
Speech and language evaluation CPT 92523 EVAL, BRIEF - SPEECH / LANGUAG	$162.40	$406.00	$89.51–$279.39	31% below	60%
Speech and language evaluation CPT 92523 EVAL, BRIEF - SPEECH / LANGUAG	$162.40	$406.00	$89.51–$279.39	31% below	60%
Speech and language evaluation inpatient CPT 92523 EVAL, BRIEF - SPEECH / LANGUAG	$162.40	$406.00	$89.51–$279.39	—	60%
Speech therapy session, individual CPT 92507 SLP TREATMENT - 30 MINUTES	$126.40	$316.00	$65.74–$107.52	6% below	60%
Speech therapy session, individual CPT 92507 SLP TREATMENT - 45 MINUTES	$158.80	$397.00	$65.74–$107.52	18% above	60%
Speech therapy session, individual CPT 92507 SLP TREATMENT - 60 MINUTES	$189.60	$474.00	$65.74–$107.52	41% above	60%
Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 30 MINUTES	$126.40	$316.00	$65.74–$107.52	—	60%
Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 45 MINUTES	$158.80	$397.00	$65.74–$107.52	—	60%
Speech therapy session, individual inpatient CPT 92507 SLP TREATMENT - 60 MINUTES	$189.60	$474.00	$65.74–$107.52	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 TRANSFER, THERAPEUTIC ACTIVITY	$45.20	$113.00	$27.02–$78.68	43% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 UE STRENGTHENING	$48.40	$121.00	$27.02–$78.68	38% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNCTIONAL TRAINING47905261	$53.60	$134.00	$27.02–$78.68	32% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 UE STRENGTHENING	$48.40	$121.00	$27.02–$78.68	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNCTIONAL TRAINING47905261	$53.60	$134.00	$27.02–$78.68	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC	$94.00	$235.00	$49.13–$121.99	29% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THERAPEUTIC	$94.00	$235.00	$49.13–$121.99	29% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC	$94.00	$235.00	$49.13–$121.99	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THERAPEUTIC	$94.00	$235.00	$49.13–$121.99	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH/TET/ACELL PERT DTAP VAC	$25.32	$63.30	$23.56–$56.10	56% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH/TET/ACELL PERT DTAP VAC	$25.32	$63.30	$23.56–$56.10	—	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–$34.23	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–$127.12	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–$127.12	26% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VAC TRI HIDOSE 0.5ML	$69.50	$173.76	$67.08–$127.12	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACC QUAD HIDOSE	$73.10	$182.76	$67.08–$127.12	—	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT)	$238.80	$597.00	$203.43–$349.87	61% below	60%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE (RABAVERT)	$238.80	$597.00	$203.43–$349.87	61% below	60%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE (RABAVERT)	$238.80	$597.00	$203.43–$349.87	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 0.5ML INJECTION	$40.13	$100.33	$39.07–$92.82	50% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 0.5ML INJECTION	$40.13	$100.33	$39.07–$92.82	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/TOXOIDS-INITIAL (AMB)	$48.80	$122.00	$10.61–$39.13	28% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INJECTION >18 YR	$48.80	$122.00	$10.61–$39.13	28% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION INJECTION >18 YR	$48.80	$122.00	$10.61–$39.13	28% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE/TOXOIDS-INITIAL (AMB)	$48.80	$122.00	$10.61–$39.13	28% above	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INJECTION >18 YR	$48.80	$122.00	$10.61–$39.13	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/TOXOIDS-INITIAL (AMB)	$48.80	$122.00	$10.61–$39.13	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE/TOXOIDS-INITIAL (AMB)	$48.80	$122.00	$10.61–$39.13	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION INJECTION >18 YR	$48.80	$122.00	$10.61–$39.13	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL >18	$19.20	$48.00	$10.61–$27.01	26% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EA ADDL >18	$19.20	$48.00	$10.61–$27.01	26% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EA ADDL >18	$19.20	$48.00	$10.61–$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.

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/721526400_wamego-hospital-association_standardcharges.csv