Johnson Memorial Hospital
Johnson Memorial Hospital in Stafford Springs, CT publishes cash prices for 324 common procedures listed here, from its own machine-readable price file updated Mar 31, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Connecticut median for 263 of 319 procedures and above it for 45. By typical cash price it ranks #3 of 16 Connecticut hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
201 Chestnut Hill Rd, Stafford Springs, CT 06105 Collected Sep 23, 2026 Source price file Check a bill from this hospital (860) 684-4251
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 070008 · CMS hospital register NPI 1932123569
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Johnson Memorial Hospital 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.
State law
This state limits hospital bills for lower-income patients
Connecticut law (C.G.S. §19a-673): if you are uninsured, your income is at or below 250% of the federal poverty level and Medicaid has turned you down, a hospital and the clinicians billing through it may collect no more than the cost of your care (its charges times its cost-to-charge ratio), which is usually well below its list price. Ask the billing office to apply it. Other states' laws.
CMS price transparency record
The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 2 actions for a hospital named Johnson Memorial Hospital in Stafford Springs, CT:
- May 17, 2023 Met requirements
- Jul 10, 2025 Met requirements
Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.
A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 HC CT Abdomen W/O & W/Contrast | $967.45 | $1,759.00 | $194.21–$1,759.00 | 57% below | 45% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT Abdomen W/O & W/Contrast | $967.45 | $1,759.00 | $194.21–$1,759.00 | — | 45% |
| Abdominal X-ray, 2 views CPT 74019 HC Xr Abdomen 2 Views | $296.45 | $539.00 | $68.45–$539.00 | 24% below | 45% |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC Xr Abdomen 2 Views | $296.45 | $539.00 | $68.45–$539.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC Xr Ankle > 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | 9% above | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | 27% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | 27% below | 45% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle > 3 Views Rt | $232.10 | — | $73.73–$243.08 | 27% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC Xr Ankle > 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 HC Xr Ankle > 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral | $232.10 | $422.00 | $147.32–$1,475.00 | — | 45% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC Doppler Upper/Lower Extremity Arteries Limited Bilateral | $232.10 | $422.00 | $147.32–$1,475.00 | — | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT Upper Extremity W/O Contrast Bl | $953.15 | $1,733.00 | $115.75–$1,733.00 | 31% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Upper Extremity W/O Contrast Rt | $634.70 | $1,154.00 | $115.75–$1,154.00 | 54% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 HC CT Upper Extremity W/O Contrast Lt | $634.70 | $1,154.00 | $115.75–$1,154.00 | 54% below | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT Upper Extremity W/O Contrast Bl | $953.15 | $1,733.00 | $115.75–$1,733.00 | — | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT Upper Extremity W/O Contrast Lt | $634.70 | $1,154.00 | $115.75–$1,154.00 | — | 45% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 HC CT Upper Extremity W/O Contrast Rt | $634.70 | $1,154.00 | $115.75–$1,154.00 | — | 45% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study | $303.60 | $552.00 | $164.17–$552.00 | 53% below | 45% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC Xr Esophogram Chest Radiograph(S) & Delayed Images Single Contrast Study | $303.60 | $552.00 | $164.17–$552.00 | — | 45% |
| Bone scan, whole body (nuclear medicine) CPT 78306 HC NM Imaging Bone/Joint Whole Body | $827.20 | $1,504.00 | $442.63–$2,001.11 | 48% below | 45% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM Imaging Bone/Joint Whole Body | $827.20 | $1,504.00 | $442.63–$2,001.11 | — | 45% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Rt | $214.50 | $390.00 | $115.75–$525.75 | 34% below | 45% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Lt | $214.50 | $390.00 | $115.75–$525.75 | 34% below | 45% |
| Breast ultrasound, complete, one breast one side CPT 76641 HC US Breast Unilateral Complete Bl | $321.20 | $584.00 | $115.75–$584.00 | 1% below | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Rt | $214.50 | $390.00 | $115.75–$525.75 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Lt | $214.50 | $390.00 | $115.75–$525.75 | — | 45% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US Breast Unilateral Complete Bl | $321.20 | $584.00 | $115.75–$584.00 | — | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Lt | $172.70 | $314.00 | $96.36–$400.87 | 31% below | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Rt | $172.70 | $314.00 | $96.36–$400.87 | 31% below | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Bl | $259.05 | $471.00 | $96.36–$471.00 | 4% above | 45% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US Breast Unilateral Limited Lt | $980.65 | — | $96.36–$887.24 | 294% above | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Rt | $172.70 | $314.00 | $96.36–$400.87 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Lt | $172.70 | $314.00 | $96.36–$400.87 | — | 45% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US Breast Unilateral Limited Bl | $259.05 | $471.00 | $96.36–$471.00 | — | 45% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT Angiography Abdomen & Pelvis W/O & W/Contrast | $1,053.80 | $1,916.00 | $386.27–$1,916.00 | 66% below | 45% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT Angiography Abdomen & Pelvis W/O & W/Contrast | $1,053.80 | $1,916.00 | $386.27–$1,916.00 | — | 45% |
| CT angiography (CTA) of the head CPT 70496 HC Cta Head W/O &/or W/Contrast | $1,268.30 | $2,306.00 | $194.21–$2,306.00 | 40% below | 45% |
| CT angiography (CTA) of the head inpatient CPT 70496 HC Cta Head W/O &/or W/Contrast | $1,268.30 | $2,306.00 | $194.21–$2,306.00 | — | 45% |
| CT angiography (CTA) of the neck CPT 70498 HC Cta Neck W/O &/or W/Contrast | $1,206.70 | $2,194.00 | $194.21–$2,194.00 | 50% below | 45% |
| CT angiography (CTA) of the neck inpatient CPT 70498 HC Cta Neck W/O &/or W/Contrast | $1,206.70 | $2,194.00 | $194.21–$2,194.00 | — | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC Cta Chest W/O & W/Contrast | $1,098.90 | $1,998.00 | $194.21–$1,998.00 | 36% below | 45% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC Cta Chest W/O & W/Contrast | $1,098.90 | $1,998.00 | $194.21–$1,998.00 | — | 45% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abdomen & Pelvis W/O Contrast | $719.40 | $1,308.00 | $264.18–$1,308.00 | 44% below | 45% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT Abdomen & Pelvis W/O Contrast | $719.40 | $1,308.00 | $264.18–$1,308.00 | — | 45% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $896.50 | $1,630.00 | $386.27–$1,630.00 | 58% below | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT Abdomen & Pelvis W/Contrast | $896.50 | $1,630.00 | $386.27–$1,630.00 | — | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast | $1,001.55 | $1,821.00 | $386.27–$1,826.46 | 65% below | 45% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT Abdomen & Pelvis W/O & W/Contrast | $1,001.55 | $1,821.00 | $386.27–$1,826.46 | — | 45% |
| CT scan of the abdomen with contrast CPT 74160 HC CT Abdomen W/Contrast | $838.75 | $1,525.00 | $194.21–$1,525.00 | 39% below | 45% |
| CT scan of the abdomen with contrast inpatient CPT 74160 HC CT Abdomen W/Contrast | $838.75 | $1,525.00 | $194.21–$1,525.00 | — | 45% |
| CT scan of the abdomen without contrast CPT 74150 HC CT Abdomen W/O Contrast | $658.35 | $1,197.00 | $115.75–$1,197.00 | 36% below | 45% |
| CT scan of the abdomen without contrast inpatient CPT 74150 HC CT Abdomen W/O Contrast | $658.35 | $1,197.00 | $115.75–$1,197.00 | — | 45% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT Maxillofacial W/O Contrast | $669.35 | $1,217.00 | $115.75–$1,217.00 | 36% below | 45% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT Maxillofacial W/O Contrast | $669.35 | $1,217.00 | $115.75–$1,217.00 | — | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $754.60 | — | $115.75–$538.74 | 9% below | — |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $754.60 | $1,372.00 | $115.75–$1,372.00 | 9% below | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT Head/Brain W/O Contrast | $754.60 | $1,372.00 | $115.75–$1,372.00 | — | 45% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/Contrast | $865.70 | $1,574.00 | $194.21–$1,574.00 | 28% below | 45% |
| CT scan of the head with contrast inpatient CPT 70460 HC CT Head/Brain W/Contrast | $865.70 | $1,574.00 | $194.21–$1,574.00 | — | 45% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W/O & W/Contrast | $948.20 | $1,724.00 | $194.21–$1,724.00 | 31% below | 45% |
| CT scan of the head without and with contrast inpatient CPT 70470 HC CT Head/Brain W/O & W/Contrast | $948.20 | $1,724.00 | $194.21–$1,724.00 | — | 45% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT Lumbar Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | 28% below | 45% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT Lumbar Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | — | 45% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast | $741.95 | — | $115.75–$858.66 | 29% below | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT Cervical Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | 29% below | 45% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT Cervical Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | — | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/Contrast | $870.10 | $1,582.00 | $194.21–$1,582.00 | 50% below | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT Pelvis W/Contrast | $870.10 | $1,582.00 | $194.21–$1,582.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral | $1,169.85 | $2,127.00 | $264.18–$2,127.00 | — | 45% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC Scan Duplex Extracranial Arteries Complete Bilateral | $1,169.85 | $2,127.00 | $264.18–$2,127.00 | — | 45% |
| Chest CT scan without and with contrast CPT 71270 HC CT Thorax Diagnostic W/O & W/Contrast | $1,147.30 | $2,086.00 | $194.21–$2,086.00 | 35% below | 45% |
| Chest CT scan without and with contrast inpatient CPT 71270 HC CT Thorax Diagnostic W/O & W/Contrast | $1,147.30 | $2,086.00 | $194.21–$2,086.00 | — | 45% |
| Chest X-ray, 2 views CPT 71046 HC Xr Chest 2 Views | $230.45 | $419.00 | $62.18–$419.00 | 34% below | 45% |
| Chest X-ray, 2 views inpatient CPT 71046 HC Xr Chest 2 Views | $230.45 | $419.00 | $62.18–$419.00 | — | 45% |
| Chest X-ray, single view CPT 71045 HC Xr Chest Single View | $209.55 | $381.00 | $34.33–$381.00 | 26% below | 45% |
| Chest X-ray, single view CPT 71045 HC Xr Chest Single View | $13,741.89 | — | $5,103.38–$16,886.60 | 4722% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC Xr Chest Single View | $209.55 | $381.00 | $34.33–$381.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC Xr Clavicle Complete Bl | $296.45 | $539.00 | $68.45–$539.00 | 5% above | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Complete Rt | $197.45 | $359.00 | $68.45–$400.38 | 30% below | 45% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Complete Lt | $197.45 | $359.00 | $68.45–$400.38 | 30% below | 45% |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC Xr Clavicle Complete Bl | $296.45 | $539.00 | $68.45–$539.00 | — | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Xr Clavicle Complete Rt | $197.45 | $359.00 | $68.45–$400.38 | — | 45% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 HC Xr Clavicle Complete Lt | $197.45 | $359.00 | $68.45–$400.38 | — | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitioneal Complete | $417.45 | $759.00 | $115.75–$764.12 | 11% above | 45% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US Retroperitioneal Complete | $417.45 | $759.00 | $115.75–$764.12 | — | 45% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton | $254.10 | $462.00 | $81.05–$1,200.69 | 2% below | 45% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC Dexa Bone Density Study >=1 Sites Axial Skeleton | $254.10 | $462.00 | $81.05–$1,200.69 | — | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral) | $156.75 | $285.00 | $60.38–$294.52 | 20% below | 45% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC Dexa Bone Density Study >=1 Sites Appendicular Skeleton (Peripheral) | $156.75 | $285.00 | $60.38–$294.52 | — | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation | $713.35 | $1,297.00 | $246.75–$1,297.00 | 79% above | 45% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US Pregnant Uterus Detailed Fetal Exam Single/1st Gestation | $713.35 | $1,297.00 | $246.75–$1,297.00 | — | 45% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax Diagnostic W/O Contrast | $675.95 | $1,229.00 | $115.75–$1,229.00 | 52% below | 45% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT Thorax Diagnostic W/O Contrast | $675.95 | $1,229.00 | $115.75–$1,229.00 | — | 45% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax Diagnostic W/Contrast | $1,047.20 | $1,904.00 | $194.21–$1,904.00 | 26% below | 45% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT Thorax Diagnostic W/Contrast | $1,047.20 | $1,904.00 | $194.21–$1,904.00 | — | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC Mammography Diagnostic Bilateral | $637.45 | $1,159.00 | $116.78–$1,159.00 | — | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC Mammography Diagnostic Bilateral | $637.45 | $1,159.00 | $116.78–$1,159.00 | — | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $499.40 | $908.00 | $90.99–$908.00 | 23% above | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $499.40 | $908.00 | $90.99–$908.00 | 23% above | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Lt | $499.40 | $908.00 | $90.99–$908.00 | — | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC Mammography Diagnostic Unilateral Rt | $499.40 | $908.00 | $90.99–$908.00 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral | $747.45 | $1,359.00 | $264.18–$1,562.35 | — | 45% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC Scan Duplex Lower Extremity Arteries Complete Bilateral | $747.45 | $1,359.00 | $264.18–$1,562.35 | — | 45% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral | $736.45 | $1,339.00 | $264.18–$1,725.08 | — | 45% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC Scan Duplex Extremity Veins Complete Bilateral | $736.45 | $1,339.00 | $264.18–$1,725.08 | — | 45% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler | $1,299.65 | $2,363.00 | $641.95–$674.70 | 34% below | 45% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC Echocardiography Transthoracic 2d Complete W/M-Mode & Doppler | $1,299.65 | $2,363.00 | $641.95–$674.70 | — | 45% |
| Elbow X-ray, 2 views CPT 73070 HC Xr Elbow 2 Views Bl | $232.65 | $423.00 | $57.68–$423.00 | 18% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2 Views Rt | $155.10 | $282.00 | $57.68–$400.38 | 46% below | 45% |
| Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2 Views Lt | $155.10 | $282.00 | $57.68–$400.38 | 46% below | 45% |
| Elbow X-ray, 2 views inpatient CPT 73070 HC Xr Elbow 2 Views Bl | $232.65 | $423.00 | $57.68–$423.00 | — | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC Xr Elbow 2 Views Lt | $155.10 | $282.00 | $57.68–$400.38 | — | 45% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 HC Xr Elbow 2 Views Rt | $155.10 | $282.00 | $57.68–$400.38 | — | 45% |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC Xr Elbow >= 3 Views Bl | $314.05 | $571.00 | $66.65–$571.00 | 1% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow >= 3 Views Lt | $209.55 | $381.00 | $66.65–$443.70 | 34% below | 45% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow >= 3 Views Rt | $209.55 | $381.00 | $66.65–$443.70 | 34% below | 45% |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC Xr Elbow >= 3 Views Bl | $314.05 | $571.00 | $66.65–$571.00 | — | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC Xr Elbow >= 3 Views Lt | $209.55 | $381.00 | $66.65–$443.70 | — | 45% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 HC Xr Elbow >= 3 Views Rt | $209.55 | $381.00 | $66.65–$443.70 | — | 45% |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast | $787.05 | — | $115.75–$858.66 | 36% below | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast | $787.05 | $1,431.00 | $115.75–$1,431.00 | 36% below | 45% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT Orbit/Sella/ or Posterior Outer Inner or Middle Ear W/O Contrast | $787.05 | $1,431.00 | $115.75–$1,431.00 | — | 45% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC Xr Facial Bones Complete > 3 Views | $232.10 | $422.00 | $92.75–$422.00 | 43% below | 45% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC Xr Facial Bones Complete > 3 Views | $232.10 | $422.00 | $92.75–$422.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC Xr Forearm 2 Views Bl | $278.30 | $506.00 | $57.68–$506.00 | 6% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Rt | $185.35 | $337.00 | $57.68–$400.38 | 38% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Lt | $185.35 | $337.00 | $57.68–$400.38 | 38% below | 45% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2 Views Rt | $417.45 | — | $57.68–$243.08 | 41% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC Xr Forearm 2 Views Bl | $278.30 | $506.00 | $57.68–$506.00 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC Xr Forearm 2 Views Lt | $185.35 | $337.00 | $57.68–$400.38 | — | 45% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 HC Xr Forearm 2 Views Rt | $185.35 | $337.00 | $57.68–$400.38 | — | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM Imaging Hepatobiliary System | $920.70 | $1,674.00 | $442.63–$2,256.31 | 26% below | 45% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM Imaging Hepatobiliary System | $920.70 | $1,674.00 | $442.63–$2,256.31 | — | 45% |
| Hand X-ray, 2 views CPT 73120 HC Xr Hand 2 Views Bl | $251.35 | $457.00 | $63.08–$457.00 | 23% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 HC Xr Hand 2 Views Rt | $167.75 | $305.00 | $63.08–$385.90 | 49% below | 45% |
| Hand X-ray, 2 views one side CPT 73120 HC Xr Hand 2 Views Lt | $167.75 | $305.00 | $63.08–$385.90 | 49% below | 45% |
| Hand X-ray, 2 views inpatient CPT 73120 HC Xr Hand 2 Views Bl | $251.35 | $457.00 | $63.08–$457.00 | — | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC Xr Hand 2 Views Rt | $167.75 | $305.00 | $63.08–$385.90 | — | 45% |
| Hand X-ray, 2 views inpatient one side CPT 73120 HC Xr Hand 2 Views Lt | $167.75 | $305.00 | $63.08–$385.90 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC Xr Heel/Calcaneus > 2 Views Bl | $278.30 | $506.00 | $55.88–$506.00 | 8% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Lt | $185.35 | $337.00 | $55.88–$337.00 | 39% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Rt | $185.35 | $337.00 | $55.88–$337.00 | 39% below | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC Xr Heel/Calcaneus > 2 Views Bl | $278.30 | $506.00 | $55.88–$506.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Lt | $185.35 | $337.00 | $55.88–$337.00 | — | 45% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 HC Xr Heel/Calcaneus > 2 Views Rt | $185.35 | $337.00 | $55.88–$337.00 | — | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC Sleep Study Unattended | $512.60 | $932.00 | $239.08–$3,584.00 | 58% below | 45% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC Sleep Study Unattended | $512.60 | $932.00 | $239.08–$3,584.00 | — | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years W/Cpap Bipap | $3,666.85 | $6,667.00 | $950.80–$6,667.00 | 31% below | 45% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years W/Cpap Bipap | $3,666.85 | $6,667.00 | $950.80–$6,667.00 | — | 45% |
| Knee X-ray, 3 views CPT 73562 HC Xr Knee 3 Views Bl | $364.10 | $662.00 | $79.31–$662.00 | 17% above | 45% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Rt | $242.55 | — | $79.31–$443.70 | 22% below | — |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Lt | $242.55 | $441.00 | $79.31–$443.70 | 22% below | 45% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3 Views Rt | $242.55 | $441.00 | $79.31–$443.70 | 22% below | 45% |
| Knee X-ray, 3 views inpatient CPT 73562 HC Xr Knee 3 Views Bl | $364.10 | $662.00 | $79.31–$662.00 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Rt | $242.55 | $441.00 | $79.31–$443.70 | — | 45% |
| Knee X-ray, 3 views inpatient one side CPT 73562 HC Xr Knee 3 Views Lt | $242.55 | $441.00 | $79.31–$443.70 | — | 45% |
| Knee X-ray, complete, 4 or more views CPT 73564 HC Xr Knee >=4 Views Bl | $377.85 | $687.00 | $86.26–$687.00 | 2% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee >=4 Views Lt | $252.45 | $459.00 | $86.26–$480.24 | 35% below | 45% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee >=4 Views Rt | $252.45 | $459.00 | $86.26–$480.24 | 35% below | 45% |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC Xr Knee >=4 Views Bl | $377.85 | $687.00 | $86.26–$687.00 | — | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC Xr Knee >=4 Views Lt | $252.45 | $459.00 | $86.26–$480.24 | — | 45% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 HC Xr Knee >=4 Views Rt | $252.45 | $459.00 | $86.26–$480.24 | — | 45% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT Lower Extremity W/O Contrast Bl | $1,009.25 | $1,835.00 | $115.75–$1,835.00 | 3% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast Rt | $672.65 | $1,223.00 | $115.75–$1,223.00 | 35% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 HC CT Lower Extremity W/O Contrast Lt | $672.65 | $1,223.00 | $115.75–$1,223.00 | 35% below | 45% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT Lower Extremity W/O Contrast Bl | $1,009.25 | $1,835.00 | $115.75–$1,835.00 | — | 45% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast Rt | $672.65 | $1,223.00 | $115.75–$1,223.00 | — | 45% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 HC CT Lower Extremity W/O Contrast Lt | $672.65 | $1,223.00 | $115.75–$1,223.00 | — | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Limited | $393.80 | $716.00 | $115.75–$716.00 | 25% above | 45% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US Abdomen Limited | $393.80 | $716.00 | $115.75–$716.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Lt | $183.70 | $334.00 | $33.85–$334.00 | 3% above | 45% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Rt | $183.70 | $334.00 | $33.85–$334.00 | 3% above | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Lt | $183.70 | $334.00 | $33.85–$334.00 | — | 45% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 HC US Joint/Nonvascular Extremity Limited Rt | $183.70 | $334.00 | $33.85–$334.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC Xr Tibia/Fibula 2 Views Bl | $278.30 | $506.00 | $63.98–$506.00 | 6% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2 Views Lt | $185.35 | $337.00 | $63.98–$400.38 | 37% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2 Views Rt | $185.35 | $337.00 | $63.98–$400.38 | 37% below | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC Xr Tibia/Fibula 2 Views Bl | $278.30 | $506.00 | $63.98–$506.00 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC Xr Tibia/Fibula 2 Views Rt | $185.35 | $337.00 | $63.98–$400.38 | — | 45% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 HC Xr Tibia/Fibula 2 Views Lt | $185.35 | $337.00 | $63.98–$400.38 | — | 45% |
| MR angiography (MRA) of the head without contrast CPT 70544 HC Mra Head W/O Contrast | $1,080.20 | $1,964.00 | $264.18–$1,964.00 | 42% below | 45% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC Mra Head W/O Contrast | $1,080.20 | $1,964.00 | $264.18–$1,964.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,841.40 | $3,348.00 | $264.18–$3,348.00 | 14% above | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $1,227.05 | $2,231.00 | $264.18–$2,231.00 | 24% below | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $1,227.05 | $2,231.00 | $264.18–$2,231.00 | 24% below | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Bl | $1,841.40 | $3,348.00 | $264.18–$3,348.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Lt | $1,227.05 | $2,231.00 | $264.18–$2,231.00 | — | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 HC MRI Lower Extremity Joint W/O Contrast Rt | $1,227.05 | $2,231.00 | $264.18–$2,231.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $3,527.70 | $6,414.00 | $386.27–$6,414.00 | 8% above | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $2,351.25 | $4,275.00 | $386.27–$4,275.00 | 28% below | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $2,351.25 | $4,275.00 | $386.27–$4,275.00 | 28% below | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Bl | $3,527.70 | $6,414.00 | $386.27–$6,414.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Rt | $2,351.25 | $4,275.00 | $386.27–$4,275.00 | — | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 HC MRI Lower Extremity Joint W/O & W/Contrast Lt | $2,351.25 | $4,275.00 | $386.27–$4,275.00 | — | 45% |
| MRI of the abdomen without contrast CPT 74181 HC MRI Abdomen W/O Contrast | $1,040.05 | $1,891.00 | $264.18–$1,891.00 | 26% below | 45% |
| MRI of the abdomen without contrast inpatient CPT 74181 HC MRI Abdomen W/O Contrast | $1,040.05 | $1,891.00 | $264.18–$1,891.00 | — | 45% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI Abdomen W/O & W/Contrast | $2,031.15 | $3,693.00 | $386.27–$3,693.00 | 28% below | 45% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI Abdomen W/O & W/Contrast | $2,031.15 | $3,693.00 | $386.27–$3,693.00 | — | 45% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Contrast | $1,134.65 | $2,063.00 | $264.18–$2,063.00 | 24% below | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI Brain W/O Contrast | $1,134.65 | $2,063.00 | $264.18–$2,063.00 | — | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W/O & W/Contrast | $1,965.15 | $3,573.00 | $386.27–$3,573.00 | 22% below | 45% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI Brain W/O & W/Contrast | $1,965.15 | $3,573.00 | $386.27–$3,573.00 | — | 45% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | 19% below | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI Lumbar Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | — | 45% |
| MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast | $1,965.70 | $3,574.00 | $386.27–$3,574.00 | 22% below | 45% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI Lumbar Spine W/O & W/Contrast | $1,965.70 | $3,574.00 | $386.27–$3,574.00 | — | 45% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI Thoracic Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | 19% below | 45% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI Thoracic Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | — | 45% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI Cervival Spine W/O & W/Contrast | $1,965.70 | $3,574.00 | $386.27–$3,574.00 | 23% below | 45% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI Cervival Spine W/O & W/Contrast | $1,965.70 | $3,574.00 | $386.27–$3,574.00 | — | 45% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI Cervical Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | 19% below | 45% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI Cervical Spine W/O Contrast | $1,157.20 | $2,104.00 | $264.18–$2,104.00 | — | 45% |
| MRI of the pelvis without and with contrast CPT 72197 HC MRI Pelvis W/O & W/Contrast | $1,976.70 | $3,594.00 | $386.27–$3,594.00 | 30% below | 45% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI Pelvis W/O & W/Contrast | $1,976.70 | $3,594.00 | $386.27–$3,594.00 | — | 45% |
| MRI of the pelvis, no contrast dye CPT 72195 HC MRI Pelvis W/O Contrast | $1,080.20 | $1,964.00 | $264.18–$1,964.00 | 26% below | 45% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI Pelvis W/O Contrast | $1,080.20 | $1,964.00 | $264.18–$1,964.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl | $1,907.95 | $3,469.00 | $264.18–$3,469.00 | 18% above | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt | $1,272.15 | $2,313.00 | $264.18–$2,313.00 | 22% below | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt | $1,272.15 | $2,313.00 | $264.18–$2,313.00 | 22% below | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Bl | $1,907.95 | $3,469.00 | $264.18–$3,469.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Rt | $1,272.15 | $2,313.00 | $264.18–$2,313.00 | — | 45% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 HC MRI Upper Extremity Joint W/O Contrast Lt | $1,272.15 | $2,313.00 | $264.18–$2,313.00 | — | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr Cervical Spine 4-5 Views | $256.85 | $467.00 | $113.43–$467.00 | 38% below | 45% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC Xr Cervical Spine 4-5 Views | $256.85 | $467.00 | $113.43–$467.00 | — | 45% |
| Neck soft tissue CT scan with contrast CPT 70491 HC CT Neck Soft Tissue W/Contrast | $996.60 | $1,812.00 | $194.21–$1,812.00 | 35% below | 45% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT Neck Soft Tissue W/Contrast | $996.60 | $1,812.00 | $194.21–$1,812.00 | — | 45% |
| Neck soft tissue CT scan without contrast CPT 70490 HC CT Neck Soft Tissue W/O Contrast | $699.60 | $1,272.00 | $115.75–$1,272.00 | 39% below | 45% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT Neck Soft Tissue W/O Contrast | $699.60 | $1,272.00 | $115.75–$1,272.00 | — | 45% |
| Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue | $162.25 | $295.00 | $57.05–$295.00 | 41% below | 45% |
| Neck soft tissue X-ray inpatient CPT 70360 HC Xr Neck Soft Tissue | $162.25 | $295.00 | $57.05–$295.00 | — | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress | $2,886.95 | $5,249.00 | $952.25–$5,249.00 | 18% below | 45% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM Imaging Myocardial Perfusion Tomographic (Spect) Multiple Studies at Rest or Stress | $2,886.95 | $5,249.00 | $952.25–$5,249.00 | — | 45% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast | $673.75 | $1,225.00 | $115.75–$1,225.00 | 35% below | 45% |
| Pelvic CT scan without contrast inpatient CPT 72192 HC CT Pelvis W/O Contrast | $673.75 | $1,225.00 | $115.75–$1,225.00 | — | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up | $250.80 | $456.00 | $73.85–$456.00 | 4% above | 45% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US Pelvis Non-Obstetric Limited/Follow Up | $250.80 | $456.00 | $73.85–$456.00 | — | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Non Obstetric Complete | $574.75 | $1,045.00 | $115.75–$1,045.00 | 65% above | 45% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US Pelvis Non Obstetric Complete | $574.75 | $1,045.00 | $115.75–$1,045.00 | — | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation | $328.90 | $598.00 | $115.75–$598.00 | 2% below | 45% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US Pregnant Uterus < 14 Weeks Single/1st Gestation | $328.90 | $598.00 | $115.75–$598.00 | — | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses | $206.25 | $375.00 | $115.75–$483.50 | 14% below | 45% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US Pregnant Uterus Limited >= 1 Fetuses | $206.25 | $375.00 | $115.75–$483.50 | — | 45% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs 2 Views Rt | $203.50 | $370.00 | $69.35–$370.00 | 38% below | 45% |
| Rib X-ray, one side, 2 views one side CPT 71100 HC Xr Ribs 2 Views Lt | $203.50 | $370.00 | $69.35–$370.00 | 38% below | 45% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Xr Ribs 2 Views Lt | $203.50 | $370.00 | $69.35–$370.00 | — | 45% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC Xr Ribs 2 Views Rt | $203.50 | $370.00 | $69.35–$370.00 | — | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Lt | $221.10 | $402.00 | $78.35–$402.00 | 44% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Rt | $221.10 | $402.00 | $78.35–$402.00 | 44% below | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Lt | $221.10 | $402.00 | $78.35–$402.00 | — | 45% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC Xr Ribs W/Posterior Anterior Chest 3 Views Rt | $221.10 | $402.00 | $78.35–$402.00 | — | 45% |
| Screening mammogram, both breasts both sides CPT 77067 HC Mammography Screen Bilateral | $355.30 | $646.00 | $96.29–$733.78 | — | 45% |
| Screening mammogram, both breasts one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $258.50 | $470.00 | $96.29–$733.78 | 17% below | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC Mammography Screen Bilateral | $355.30 | $646.00 | $96.29–$733.78 | — | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 HC Mammography Screen Bl Reduced Service Unilateral Only Completed | $258.50 | $470.00 | $96.29–$733.78 | — | 45% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC Xr Shoulder > 2 Views Bl | $314.05 | $571.00 | $72.05–$571.00 | 6% above | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt | $209.55 | $381.00 | $72.05–$443.70 | 29% below | 45% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Rt | $209.55 | — | $72.05–$443.70 | 29% below | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder > 2 Views Lt | $209.55 | $381.00 | $72.05–$443.70 | 29% below | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC Xr Shoulder > 2 Views Bl | $314.05 | $571.00 | $72.05–$571.00 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Lt | $209.55 | $381.00 | $72.05–$443.70 | — | 45% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 HC Xr Shoulder > 2 Views Rt | $209.55 | $381.00 | $72.05–$443.70 | — | 45% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses Paranasal Complete > 3 Views | $232.10 | $422.00 | $73.85–$422.00 | 41% below | 45% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC Xr Sinuses Paranasal Complete > 3 Views | $232.10 | $422.00 | $73.85–$422.00 | — | 45% |
| Skull X-ray, fewer than 4 views CPT 70250 HC Xr Skull < 4 Views | $232.10 | $422.00 | $72.95–$422.00 | 35% below | 45% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC Xr Skull < 4 Views | $232.10 | $422.00 | $72.95–$422.00 | — | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years | $2,886.95 | $5,249.00 | $950.80–$6,538.00 | 45% below | 45% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC Polysomnography Sleep Staging >=4 Parameters Age >=6 Years | $2,886.95 | $5,249.00 | $950.80–$6,538.00 | — | 45% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study | $326.15 | $593.00 | $180.85–$751.97 | 46% below | 45% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC Xr Swallowing Function W/Ciner/Videoradiography Neck Radiographs(S)&Delayed Images Contrast Study | $326.15 | $593.00 | $180.85–$751.97 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC Xr Femur >=2 Views Bl | $278.30 | $506.00 | $72.95–$506.00 | 10% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur >=2 Views Lt | $185.35 | $337.00 | $72.95–$337.00 | 40% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur >=2 Views Rt | $185.35 | $337.00 | $72.95–$337.00 | 40% below | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC Xr Femur >=2 Views Bl | $278.30 | $506.00 | $72.95–$506.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Xr Femur >=2 Views Rt | $185.35 | $337.00 | $72.95–$337.00 | — | 45% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 HC Xr Femur >=2 Views Lt | $185.35 | $337.00 | $72.95–$337.00 | — | 45% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT Thoracic Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | 29% below | 45% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT Thoracic Spine W/O Contrast | $741.95 | $1,349.00 | $115.75–$1,349.00 | — | 45% |
| Toe X-ray, 2 or more views CPT 73660 HC Xr Toe(S) > 2 Views Bl | $278.30 | $506.00 | $57.05–$506.00 | 2% above | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) > 2 Views Lt | $185.35 | $337.00 | $57.05–$337.00 | 32% below | 45% |
| Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) > 2 Views Lt | $185.35 | — | $57.05–$243.08 | 32% below | — |
| Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) > 2 Views Rt | $185.35 | $337.00 | $57.05–$337.00 | 32% below | 45% |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC Xr Toe(S) > 2 Views Bl | $278.30 | $506.00 | $57.05–$506.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC Xr Toe(S) > 2 Views Lt | $185.35 | $337.00 | $57.05–$337.00 | — | 45% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 HC Xr Toe(S) > 2 Views Rt | $185.35 | $337.00 | $57.05–$337.00 | — | 45% |
| Transvaginal pelvic ultrasound CPT 76830 HC US Transvaginal Non Obstetric | $574.75 | $1,045.00 | $115.75–$1,045.00 | 39% above | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US Transvaginal Non Obstetric | $574.75 | $1,045.00 | $115.75–$1,045.00 | — | 45% |
| Transvaginal ultrasound during pregnancy CPT 76817 HC US Pregnant Uterus Transvaginal | $298.10 | $542.00 | $115.75–$542.00 | 10% above | 45% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US Pregnant Uterus Transvaginal | $298.10 | $542.00 | $115.75–$542.00 | — | 45% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Complete | $503.80 | $916.00 | $115.75–$916.00 | 30% above | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US Abdomen Complete | $503.80 | $916.00 | $115.75–$916.00 | — | 45% |
| Ultrasound of the scrotum and testicles CPT 76870 HC US Scrotum and Contents | $423.50 | $770.00 | $115.75–$770.00 | 17% above | 45% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US Scrotum and Contents | $423.50 | $770.00 | $115.75–$770.00 | — | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US Head/Neck Soft Tissue | $309.65 | $563.00 | $115.75–$655.75 | 24% below | 45% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US Head/Neck Soft Tissue | $309.65 | $563.00 | $115.75–$655.75 | — | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study | $459.80 | $836.00 | $194.21–$836.00 | 36% below | 45% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC Xr Upper Gastrointestinal Tract Scout Abdominal Radiographs Delayed Images Single Contrast Study | $459.80 | $836.00 | $194.21–$836.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus >= 2 Views Rt | $185.35 | $337.00 | $64.85–$337.00 | 42% below | 45% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus >= 2 Views Lt | $185.35 | $337.00 | $64.85–$337.00 | 42% below | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC Xr Humerus >= 2 Views Lt | $185.35 | $337.00 | $64.85–$337.00 | — | 45% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HC Xr Humerus >= 2 Views Rt | $185.35 | $337.00 | $64.85–$337.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study | $603.90 | $1,098.00 | $115.75–$1,475.00 | 18% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt | $603.90 | — | $115.75–$1,475.00 | 18% below | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt | $603.90 | $1,098.00 | $115.75–$1,475.00 | 18% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt | $603.90 | $1,098.00 | $115.75–$1,475.00 | 18% below | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Lt | $603.90 | $1,098.00 | $115.75–$1,475.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study | $603.90 | $1,098.00 | $115.75–$1,475.00 | — | 45% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC Scan Duplex Extremity Veins Unilateral/Limited Study Rt | $603.90 | $1,098.00 | $115.75–$1,475.00 | — | 45% |
| Wrist X-ray, 2 views CPT 73100 HC Xr Wrist 2 Views Bl | $236.50 | $430.00 | $68.18–$430.00 | 17% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views Rt | $157.30 | $286.00 | $68.18–$385.90 | 45% below | 45% |
| Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2 Views Lt | $157.30 | $286.00 | $68.18–$385.90 | 45% below | 45% |
| Wrist X-ray, 2 views inpatient CPT 73100 HC Xr Wrist 2 Views Bl | $236.50 | $430.00 | $68.18–$430.00 | — | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC Xr Wrist 2 Views Rt | $157.30 | $286.00 | $68.18–$385.90 | — | 45% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 HC Xr Wrist 2 Views Lt | $157.30 | $286.00 | $68.18–$385.90 | — | 45% |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC Xr Wrist >= 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | 9% above | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | 27% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | 27% below | 45% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist >= 3 Views Rt | $417.45 | — | $73.73–$407.78 | 31% above | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC Xr Wrist >= 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 HC Xr Wrist >= 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt | $185.35 | $337.00 | $96.16–$337.00 | 50% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt | $185.35 | $337.00 | $96.16–$337.00 | 50% below | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Rt | $185.35 | $337.00 | $96.16–$337.00 | — | 45% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC Xr Hip With Pelvis When Performed Unilateral 2-3 Views Lt | $185.35 | $337.00 | $96.16–$337.00 | — | 45% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View | $232.10 | — | $56.78–$243.08 | 19% below | — |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View | $232.10 | $422.00 | $56.78–$422.00 | 19% below | 45% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC Xr Abdomen 1 View | $232.10 | $422.00 | $56.78–$422.00 | — | 45% |
| X-ray of the ankle, 2 views CPT 73600 HC Xr Ankle 2 Views Bl | $314.05 | $571.00 | $65.75–$571.00 | 16% above | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Lt | $209.55 | $381.00 | $65.75–$385.90 | 22% below | 45% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2 Views Rt | $209.55 | $381.00 | $65.75–$385.90 | 22% below | 45% |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC Xr Ankle 2 Views Bl | $314.05 | $571.00 | $65.75–$571.00 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Rt | $209.55 | $381.00 | $65.75–$385.90 | — | 45% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 HC Xr Ankle 2 Views Lt | $209.55 | $381.00 | $65.75–$385.90 | — | 45% |
| X-ray of the finger(s), 2 or more views CPT 73140 HC Xr Finger(S) >= 2 Views Bl | $278.30 | $506.00 | $57.05–$506.00 | 1% above | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt | $185.35 | $337.00 | $57.05–$337.00 | 33% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt | $185.35 | $337.00 | $57.05–$337.00 | 33% below | 45% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt | $185.35 | — | $57.05–$327.38 | 33% below | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC Xr Finger(S) >= 2 Views Bl | $278.30 | $506.00 | $57.05–$506.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Rt | $185.35 | $337.00 | $57.05–$337.00 | — | 45% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 HC Xr Finger(S) >= 2 Views Lt | $185.35 | $337.00 | $57.05–$337.00 | — | 45% |
| X-ray of the foot, 2 views CPT 73620 HC Xr Foot 2 Views Bl | $251.35 | $457.00 | $56.78–$457.00 | 2% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Rt | $167.75 | $305.00 | $56.78–$385.90 | 35% below | 45% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2 Views Lt | $167.75 | $305.00 | $56.78–$385.90 | 35% below | 45% |
| X-ray of the foot, 2 views inpatient CPT 73620 HC Xr Foot 2 Views Bl | $251.35 | $457.00 | $56.78–$457.00 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Lt | $167.75 | $305.00 | $56.78–$385.90 | — | 45% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 HC Xr Foot 2 Views Rt | $167.75 | $305.00 | $56.78–$385.90 | — | 45% |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC Xr Foot > 3 Views Bl | $327.25 | $595.00 | $70.25–$595.00 | 9% above | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Rt | $217.80 | $396.00 | $70.25–$407.78 | 27% below | 45% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot > 3 Views Lt | $217.80 | $396.00 | $70.25–$407.78 | 27% below | 45% |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC Xr Foot > 3 Views Bl | $327.25 | $595.00 | $70.25–$595.00 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Lt | $217.80 | $396.00 | $70.25–$407.78 | — | 45% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HC Xr Foot > 3 Views Rt | $217.80 | $396.00 | $70.25–$407.78 | — | 45% |
| X-ray of the hand, 3 or more views CPT 73130 HC Xr Hand >= 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | 2% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | 35% below | 45% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand >= 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | 35% below | 45% |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC Xr Hand >= 3 Views Bl | $348.15 | $633.00 | $73.73–$633.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Lt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 HC Xr Hand >= 3 Views Rt | $232.10 | $422.00 | $73.73–$422.00 | — | 45% |
| X-ray of the knee, 1 or 2 views CPT 73560 HC Xr Knee 1-2 Views Bl | $278.30 | $506.00 | $71.15–$506.00 | 7% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Lt | $185.35 | $337.00 | $71.15–$400.38 | 38% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt | $185.35 | $337.00 | $71.15–$400.38 | 38% below | 45% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2 Views Rt | $185.35 | — | $71.15–$400.38 | 38% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC Xr Knee 1-2 Views Bl | $278.30 | $506.00 | $71.15–$506.00 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Lt | $185.35 | $337.00 | $71.15–$400.38 | — | 45% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 HC Xr Knee 1-2 Views Rt | $185.35 | $337.00 | $71.15–$400.38 | — | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr Lumbosacral Spine 2-3 Views | $232.10 | $422.00 | $80.15–$422.00 | 40% below | 45% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC Xr Lumbosacral Spine 2-3 Views | $232.10 | $422.00 | $80.15–$422.00 | — | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $308.55 | $561.00 | $109.83–$561.00 | 36% below | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC Xr Lumbosacral Spine >= 4 Views | $308.55 | $561.00 | $109.83–$561.00 | — | 45% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr Thoracic Spine 2 Views | $219.45 | $399.00 | $63.08–$399.00 | 36% below | 45% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC Xr Thoracic Spine 2 Views | $219.45 | $399.00 | $63.08–$399.00 | — | 45% |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC Xr Nasal Bones Complete > 3 Views | $185.35 | $337.00 | $72.33–$337.00 | 35% below | 45% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC Xr Nasal Bones Complete > 3 Views | $185.35 | $337.00 | $72.33–$337.00 | — | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr Cervical Spine 2-3 Views | $198.55 | $361.00 | $79.25–$361.00 | 40% below | 45% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC Xr Cervical Spine 2-3 Views | $198.55 | $361.00 | $79.25–$361.00 | — | 45% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2 Views | $172.70 | $314.00 | $53.18–$314.00 | 44% below | 45% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC Xr Pelvis 1-2 Views | $172.70 | $314.00 | $53.18–$314.00 | — | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views | $232.10 | $422.00 | $63.98–$422.00 | 28% below | 45% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC Xr Sacrum/Coccyx >= 2 Views | $232.10 | $422.00 | $63.98–$422.00 | — | 45% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Mayo Adrenocorticotropic Hormone (Acth) | $111.65 | $203.00 | $37.85–$221.75 | 47% below | 45% |
| ACTH blood test CPT 82024 HC Warde Adrenocorticotropic Hormone (Acth) | $114.95 | $209.00 | $37.85–$221.75 | 45% below | 45% |
| ACTH blood test inpatient CPT 82024 HC Mayo Adrenocorticotropic Hormone (Acth) | $111.65 | $203.00 | $37.85–$221.75 | — | 45% |
| ACTH blood test inpatient CPT 82024 HC Warde Adrenocorticotropic Hormone (Acth) | $114.95 | $209.00 | $37.85–$221.75 | — | 45% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC Alt/Sgpt | $19.80 | $36.00 | $5.19–$36.00 | 30% below | 45% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC Alt/Sgpt | $19.80 | $36.00 | $5.19–$36.00 | — | 45% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Ast/Sgot | $19.25 | $35.00 | $5.08–$35.00 | 31% below | 45% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC Ast/Sgot | $19.25 | $35.00 | $5.08–$35.00 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Quest Acute Hepatitis Panel | $131.45 | $239.00 | $46.68–$272.52 | 48% below | 45% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Acute Hepatitis Panel | $140.80 | $256.00 | $46.68–$272.52 | 44% below | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Quest Acute Hepatitis Panel | $131.45 | $239.00 | $46.68–$272.52 | — | 45% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC Acute Hepatitis Panel | $140.80 | $256.00 | $46.68–$272.52 | — | 45% |
| Albumin blood test CPT 82040 HC Warde 3000403 Albumin Serum Plasma or Whole Blood | $16.50 | $30.00 | $4.85–$30.00 | 44% below | 45% |
| Albumin blood test CPT 82040 HC Albumin Serum Plasma or Whole Blood | $17.05 | $31.00 | $4.85–$31.00 | 42% below | 45% |
| Albumin blood test CPT 82040 HC Albumin Serum Plasma or Whole Blood | $746.90 | — | $4.95–$371.64 | 2428% above | — |
| Albumin blood test inpatient CPT 82040 HC Warde 3000403 Albumin Serum Plasma or Whole Blood | $16.50 | $30.00 | $4.85–$30.00 | — | 45% |
| Albumin blood test inpatient CPT 82040 HC Albumin Serum Plasma or Whole Blood | $17.05 | $31.00 | $4.85–$31.00 | — | 45% |
| Aldosterone blood test CPT 82088 HC Warde Aldosterone | $152.35 | $277.00 | $39.94–$277.00 | 18% below | 45% |
| Aldosterone blood test inpatient CPT 82088 HC Warde Aldosterone | $152.35 | $277.00 | $39.94–$277.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Warde 3400260 Alkaline Phosphatase | $18.15 | $33.00 | $5.08–$33.00 | 33% below | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Alkaline Phosphatase | $19.25 | $35.00 | $5.08–$35.00 | 28% below | 45% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Warde Alkaline Phosphatase Bone | $59.95 | $109.00 | $5.08–$109.00 | 123% above | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Warde 3400260 Alkaline Phosphatase | $18.15 | $33.00 | $5.08–$33.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Alkaline Phosphatase | $19.25 | $35.00 | $5.08–$35.00 | — | 45% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC Warde Alkaline Phosphatase Bone | $59.95 | $109.00 | $5.08–$109.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Pistachio Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Penicillium Chrysogenum Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Tomato Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Nettle Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Orange Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Mugwort Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Peanut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Oak Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Mulberry Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Penicillin V Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Mountain Juniper Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Whitefish Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Yellow Hornet Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen White Faced Hornet Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Soybean Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Peanut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Shrimp Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Egg White Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Hazelnut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Cod Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Broccoli Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Catfish Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Chick Pea Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Banana Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Cashew Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Aureobasidium Pullulans Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Aspergillus Niger Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Avocado Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Tuna Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Crab Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Dog Dander Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Halibut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Grape Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Cottonwood Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Clam Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Cod Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Chocolate Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Corn Maize Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Pecan Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Maple Leaf Sycamore London Plane Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Yellow Jacket Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Hazelnut/Filbert Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Squid Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Lemon Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Silver Birch Common Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen German Cockroach Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Salmon Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Maple Box Elder Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Soybean Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Latex Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Swordfish Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Guinea Pig Epithelia Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen White Bean Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Almond Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Trout Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Cashew Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Walnut Tree Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Cows Milk Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Walnut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Scallop Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Tuna Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Walnut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Honey Bee Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Oat Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Alternaria Alternata Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Salmon Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Mucor Racemosus Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Apple Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Mouse Urine Proteins Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Amoxicilloyl Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Paper Wasp Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Wheat Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Oyster Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde 3064062 Allergen Sesame Seed Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Ragweed Short/Common Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Gluten Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Pineapple Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Elm Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Lobster Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Cat Dander Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Coconut Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Egg Yolk Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Blue Mussel Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Aspergillus Fumigatus Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Dermatophagoides Farinae Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Cladosporium Herbarum Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Candida Albicans Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Bermuda Grass Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Scallop Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Shrimp Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Wheat Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Pigweed Rough/Common Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Timothy Grass Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen Sheep Sorrel Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Warde Allergen White Ash Ige | $37.95 | $69.00 | $5.12–$69.00 | 96% above | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Pigweed Rough/Common Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Yellow Jacket Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Squid Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Silver Birch Common Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Salmon Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Soybean Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Swordfish Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen White Bean Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Trout Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Walnut Tree Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Walnut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Tuna Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Honey Bee Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Oat Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Mucor Racemosus Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Mouse Urine Proteins Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Paper Wasp Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Oyster Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Ragweed Short/Common Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Pineapple Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Pecan Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Corn Maize Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Chocolate Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Cod Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Clam Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Cottonwood Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Grape Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Halibut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Dog Dander Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Crab Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Tuna Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Avocado Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Aspergillus Niger Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Aureobasidium Pullulans Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Cashew Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Banana Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Chick Pea Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Catfish Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Broccoli Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Cod Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Hazelnut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Egg White Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Shrimp Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Peanut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Soybean Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen White Faced Hornet Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Yellow Hornet Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Whitefish Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Mountain Juniper Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Penicillin V Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Mulberry Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Oak Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Peanut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Mugwort Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Orange Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Nettle Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Tomato Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Penicillium Chrysogenum Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Pistachio Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen White Ash Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Sheep Sorrel Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Timothy Grass Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Hazelnut/Filbert Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Wheat Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Shrimp Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Scallop Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Bermuda Grass Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Candida Albicans Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Cladosporium Herbarum Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Dermatophagoides Farinae Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Aspergillus Fumigatus Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Blue Mussel Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Egg Yolk Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Coconut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Cat Dander Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Lobster Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Elm Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Gluten Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Maple Leaf Sycamore London Plane Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Sesame Seed Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Wheat Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Amoxicilloyl Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Apple Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Salmon Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Alternaria Alternata Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Walnut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Scallop Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Cows Milk Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Cashew Nut Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde 3064062 Allergen Almond Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Guinea Pig Epithelia Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Latex Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Maple Box Elder Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen German Cockroach Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC Warde Allergen Lemon Ige | $37.95 | $69.00 | $5.12–$69.00 | — | 45% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Tumor Marker | $68.20 | $124.00 | $16.43–$124.00 | 8% below | 45% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC Alpha-Fetoprotein Tumor Marker | $68.20 | $124.00 | $16.43–$124.00 | — | 45% |
| Ammonia blood test CPT 82140 HC Ammonia | $52.80 | $96.00 | $14.28–$96.00 | 30% below | 45% |
| Ammonia blood test inpatient CPT 82140 HC Ammonia | $52.80 | $96.00 | $14.28–$96.00 | — | 45% |
| Amylase blood test CPT 82150 HC Amylase | $20.90 | $38.00 | $6.35–$38.00 | 56% below | 45% |
| Amylase blood test CPT 82150 HC Amylase Urine | $39.60 | $72.00 | $6.35–$72.00 | 16% below | 45% |
| Amylase blood test CPT 82150 HC Amylase Body Fluid | $56.65 | $103.00 | $6.35–$103.00 | 20% above | 45% |
| Amylase blood test inpatient CPT 82150 HC Amylase | $20.90 | $38.00 | $6.35–$38.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 HC Amylase Urine | $39.60 | $72.00 | $6.35–$72.00 | — | 45% |
| Amylase blood test inpatient CPT 82150 HC Amylase Body Fluid | $56.65 | $103.00 | $6.35–$103.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody | $47.30 | $86.00 | $12.69–$86.00 | 30% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Warde Cyclic Citrullinated Peptide Antibody | $48.40 | $88.00 | $12.69–$88.00 | 33% above | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Quest Cyclic Citrullinated Peptide Antibody | $47.30 | $86.00 | $12.69–$86.00 | — | 45% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC Warde Cyclic Citrullinated Peptide Antibody | $48.40 | $88.00 | $12.69–$88.00 | — | 45% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $110.55 | $201.00 | $38.47–$225.53 | 26% below | 45% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC Natriuretic Peptide | $110.55 | $201.00 | $38.47–$225.53 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Genital | $30.80 | $56.00 | $8.45–$56.00 | 40% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Respiratory | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture CSF | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Eye | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Tissue | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Throat | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Ear | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Wound | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Bacterial Other Source | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Body Fluid | $31.90 | $58.00 | $8.45–$58.00 | 38% below | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Wound | $13,148.13 | — | $3,216.14–$8,113.57 | 25520% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Genital | $30.80 | $56.00 | $8.45–$56.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Bacterial Other Source | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Ear | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Throat | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Eye | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Body Fluid | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture CSF | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Tissue | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Respiratory | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC Culture Wound | $31.90 | $58.00 | $8.45–$58.00 | — | 45% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $33.55 | $61.00 | $8.29–$61.00 | 81% below | 45% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $670.45 | — | $8.29–$371.64 | 288% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC Basic Metabolic Panel (Calcium Total) | $33.55 | $61.00 | $8.29–$61.00 | — | 45% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $18.70 | $34.00 | $4.92–$34.00 | 38% below | 45% |
| Bilirubin blood test, total inpatient CPT 82247 HC Bilirubin Total | $18.70 | $34.00 | $4.92–$34.00 | — | 45% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination | $218.35 | $397.00 | $44.39–$397.00 | at median | 45% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC Surgical Pathology Level 4 Gross & Microscopic Examination | $218.35 | $397.00 | $44.39–$397.00 | — | 45% |
| Blood culture for bacteria CPT 87040 HC Culture Blood | $39.05 | $71.00 | $10.11–$71.00 | 42% below | 45% |
| Blood culture for bacteria CPT 87040 HC Culture Blood | $1,116.77 | — | $20.64–$594.13 | 1552% above | — |
| Blood culture for bacteria inpatient CPT 87040 HC Culture Blood | $39.05 | $71.00 | $10.11–$71.00 | — | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection of Venous Blood by Venipuncture | $15.40 | $28.00 | $3.00–$29.70 | 3% above | 45% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Collection of Venous Blood by Venipuncture | $4,561.37 | — | $3.00–$1,912.00 | 30309% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC Collection of Venous Blood by Venipuncture | $15.40 | $28.00 | $3.00–$29.70 | — | 45% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative | $14.85 | $27.00 | $3.75–$27.00 | 36% below | 45% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative Fasting | $14.85 | $27.00 | $3.75–$27.00 | 36% below | 45% |
| Blood glucose (sugar) test CPT 82947 HC Glucose Blood Quantitative POC | $14.85 | $27.00 | $3.75–$27.00 | 36% below | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative Fasting | $14.85 | $27.00 | $3.75–$27.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative | $14.85 | $27.00 | $3.75–$27.00 | — | 45% |
| Blood glucose (sugar) test inpatient CPT 82947 HC Glucose Blood Quantitative POC | $14.85 | $27.00 | $3.75–$27.00 | — | 45% |
| Blood lead test CPT 83655 HC Warde 3400949 Lead 24 Hour Urine | $30.80 | $56.00 | $11.87–$69.55 | 31% below | 45% |
| Blood lead test CPT 83655 HC Warde 3400852 Lead | $30.80 | $56.00 | $11.87–$69.55 | 31% below | 45% |
| Blood lead test CPT 83655 HC Warde Lead | $30.80 | $56.00 | $11.87–$69.55 | 31% below | 45% |
| Blood lead test inpatient CPT 83655 HC Warde Lead | $30.80 | $56.00 | $11.87–$69.55 | — | 45% |
| Blood lead test inpatient CPT 83655 HC Warde 3400949 Lead 24 Hour Urine | $30.80 | $56.00 | $11.87–$69.55 | — | 45% |
| Blood lead test inpatient CPT 83655 HC Warde 3400852 Lead | $30.80 | $56.00 | $11.87–$69.55 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative | $35.20 | $64.00 | $7.37–$64.00 | 36% below | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC Hcg Qualitative Urine | $35.20 | $64.00 | $7.37–$64.00 | 36% below | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative Urine | $35.20 | $64.00 | $7.37–$64.00 | — | 45% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC Hcg Qualitative | $35.20 | $64.00 | $7.37–$64.00 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo | $23.65 | $43.00 | $2.99–$371.64 | 1% below | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Abo Reference | $217.25 | $395.00 | $2.99–$395.00 | 805% above | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo | $23.65 | $43.00 | $2.99–$371.64 | — | 45% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC Blood Typing Abo Reference | $217.25 | $395.00 | $2.99–$395.00 | — | 45% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Urea Nitrogen | $14.85 | $27.00 | $3.87–$27.00 | 38% below | 45% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 HC Urea Nitrogen | $14.85 | $27.00 | $3.87–$27.00 | — | 45% |
| C-peptide blood test CPT 84681 HC Warde C-Peptide | $80.85 | $147.00 | $20.39–$147.00 | 17% below | 45% |
| C-peptide blood test inpatient CPT 84681 HC Warde C-Peptide | $80.85 | $147.00 | $20.39–$147.00 | — | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein | $27.50 | $50.00 | $5.08–$50.00 | 36% below | 45% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-Reactive Protein | $27.50 | $50.00 | $5.08–$50.00 | — | 45% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) | $79.75 | $145.00 | $36.52–$214.25 | 46% below | 45% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC Infectious Agent Nucleic Acid Amplified Probe Clostridium Difficile Toxin Gene(S) | $79.75 | $145.00 | $36.52–$214.25 | — | 45% |
| CA 19-9 blood test (tumor marker) CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $77.00 | $140.00 | $20.39–$140.00 | 23% below | 45% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC Immunoassay Tumor Antigen Quantitative Ca 19-9 | $77.00 | $140.00 | $20.39–$140.00 | — | 45% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 | $84.70 | $154.00 | $20.39–$154.00 | 34% below | 45% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC Immunoassay Tumor Antigen Quantitative Ca 125 | $84.70 | $154.00 | $20.39–$154.00 | — | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 | $117.15 | $213.00 | $35.91–$295.08 | 5% below | 45% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC Infectious Agent Nucleic Acid Amplified Probe Sars-Cov-2/Covid-19 | $117.15 | $213.00 | $35.91–$295.08 | — | 45% |
| Calcium blood test, total CPT 82310 HC Quest 8837 Calcium Total | $9.35 | $17.00 | $5.06–$30.07 | 67% below | 45% |
| Calcium blood test, total CPT 82310 HC Calcium Total | $18.15 | $33.00 | $5.06–$33.00 | 35% below | 45% |
| Calcium blood test, total CPT 82310 HC Calcium Total | $353.10 | — | $5.06–$30.07 | 1164% above | — |
| Calcium blood test, total inpatient CPT 82310 HC Quest 8837 Calcium Total | $9.35 | $17.00 | $5.06–$30.07 | — | 45% |
| Calcium blood test, total inpatient CPT 82310 HC Calcium Total | $18.15 | $33.00 | $5.06–$33.00 | — | 45% |
| Carcinoembryonic antigen (CEA) test CPT 82378 HC Carcinoembryonic Ag (Cea) | $94.05 | $171.00 | $18.58–$171.00 | 1% below | 45% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC Carcinoembryonic Ag (Cea) | $94.05 | $171.00 | $18.58–$171.00 | — | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Warde Varicella Zoster Antibody Igm | $41.80 | $76.00 | $12.62–$76.00 | 36% below | 45% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella Zoster Antibody Igg | $41.80 | $76.00 | $12.62–$76.00 | 36% below | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Varicella Zoster Antibody Igg | $41.80 | $76.00 | $12.62–$76.00 | — | 45% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC Warde Varicella Zoster Antibody Igm | $41.80 | $76.00 | $12.62–$76.00 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Urine | $45.65 | $83.00 | $27.86–$201.10 | 58% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Mayo Cgrna Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis | $92.95 | $169.00 | $34.39–$201.10 | 14% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis | $99.55 | $181.00 | $34.39–$201.10 | 7% below | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis Urine | $45.65 | $83.00 | $27.86–$201.10 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Mayo Cgrna Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis | $92.95 | $169.00 | $34.39–$201.10 | — | 45% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC Infectious Agent Nucleic Acid Amplified Probe Chlamydia Trachomatis | $99.55 | $181.00 | $34.39–$201.10 | — | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $51.70 | $94.00 | $12.79–$94.00 | 42% below | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC Lipid Panel | $51.70 | $94.00 | $12.79–$94.00 | — | 45% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $22.00 | $40.00 | $7.61–$45.13 | 47% below | 45% |
| Complete blood count (CBC) with differential CPT 85025 HC Cbc Automated/Differential Wbc Automated | $198.00 | — | $7.61–$45.13 | 381% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC Cbc Automated/Differential Wbc Automated | $22.00 | $40.00 | $7.61–$45.13 | — | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $22.00 | $40.00 | $6.34–$40.00 | 39% below | 45% |
| Complete blood count (CBC), no differential CPT 85027 HC Cbc Automated | $215.05 | — | $6.34–$37.57 | 492% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC Cbc Automated | $22.00 | $40.00 | $6.34–$40.00 | — | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $41.25 | $75.00 | $10.35–$75.00 | 87% below | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Comprehensive Metabolic Panel | $193.05 | — | $10.56–$371.64 | 40% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC Comprehensive Metabolic Panel | $41.25 | $75.00 | $10.35–$75.00 | — | 45% |
| Cortisol blood test, total CPT 82533 HC Cortisol Total | $58.30 | $106.00 | $15.97–$106.00 | 25% below | 45% |
| Cortisol blood test, total CPT 82533 HC Cortisol Total Am | $58.30 | $106.00 | $15.97–$106.00 | 25% below | 45% |
| Cortisol blood test, total CPT 82533 HC Cortisol Total Pm | $58.30 | $106.00 | $15.97–$106.00 | 25% below | 45% |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total Am | $58.30 | $106.00 | $15.97–$106.00 | — | 45% |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total | $58.30 | $106.00 | $15.97–$106.00 | — | 45% |
| Cortisol blood test, total inpatient CPT 82533 HC Cortisol Total Pm | $58.30 | $106.00 | $15.97–$106.00 | — | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase | $24.20 | $44.00 | $6.38–$44.00 | 43% below | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Warde 1010700 Creatine Kinase | $24.20 | $44.00 | $6.38–$44.00 | 43% below | 45% |
| Creatine kinase (CK) blood test, total CPT 82550 HC Creatine Kinase | $334.40 | — | $6.51–$371.64 | 691% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Warde 1010700 Creatine Kinase | $24.20 | $44.00 | $6.38–$44.00 | — | 45% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 HC Creatine Kinase | $24.20 | $44.00 | $6.38–$44.00 | — | 45% |
| Creatinine blood test CPT 82565 HC Creatinine | $22.55 | $41.00 | $5.02–$41.00 | 27% below | 45% |
| Creatinine blood test CPT 82565 HC POCT Creatinine | $22.55 | $41.00 | $5.02–$41.00 | 27% below | 45% |
| Creatinine blood test CPT 82565 HC Creatinine | $1,681.35 | — | $5.12–$594.13 | 5324% above | — |
| Creatinine blood test inpatient CPT 82565 HC Creatinine | $22.55 | $41.00 | $5.02–$41.00 | — | 45% |
| Creatinine blood test inpatient CPT 82565 HC POCT Creatinine | $22.55 | $41.00 | $5.02–$41.00 | — | 45% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Warde Cytomegalovirus (Cmv) Antibody Igg | $67.10 | $122.00 | $14.10–$122.00 | at median | 45% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC Warde Cytomegalovirus (Cmv) Antibody Igg | $67.10 | $122.00 | $14.10–$122.00 | — | 45% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradation D Dimer Quantitative | $50.60 | $92.00 | $9.98–$92.00 | 8% below | 45% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 HC Fibrin Degradation D Dimer Quantitative | $50.60 | $92.00 | $9.98–$92.00 | — | 45% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Warde Dhea-S (Dehydroepiand Sulfate) | $82.50 | $150.00 | $21.79–$150.00 | at median | 45% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC Warde Dhea-S (Dehydroepiand Sulfate) | $82.50 | $150.00 | $21.79–$150.00 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Warde Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Pain Management | $74.25 | $135.00 | $45.32–$357.08 | 5% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Salicylate | $74.25 | $135.00 | $45.32–$357.08 | 5% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Acetaminophen | $74.25 | $135.00 | $45.32–$357.08 | 5% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Warde 1820000 Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $91.30 | $166.00 | $55.73–$357.08 | 30% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Warde 1841040 Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | 34% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | 34% above | 45% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HC Warde Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | 34% above | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Warde Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Pain Management | $74.25 | $135.00 | $45.32–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Salicylate | $74.25 | $135.00 | $45.32–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers Acetaminophen | $74.25 | $135.00 | $45.32–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Warde 1820000 Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $91.30 | $166.00 | $55.73–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Warde 1841040 Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | — | 45% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC Warde Drug Test(S) Presumptive Any Class Instrument Chemistry Analyzers | $94.60 | $172.00 | $57.74–$357.08 | — | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $23.65 | $43.00 | $6.87–$43.00 | 77% below | 45% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC Electrolyte Panel | $23.65 | $43.00 | $6.87–$43.00 | — | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Warde 3000430 Epstein Barr Viral Capsid Antigen Antibody Igg | $99.55 | $181.00 | $17.78–$181.00 | 5% above | 45% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Warde 3000430 Epstein Barr Viral Capsid Antigen Antibody Igm | $99.55 | $181.00 | $17.78–$181.00 | 5% above | 45% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Warde 3000430 Epstein Barr Viral Capsid Antigen Antibody Igg | $99.55 | $181.00 | $17.78–$181.00 | — | 45% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC Warde 3000430 Epstein Barr Viral Capsid Antigen Antibody Igm | $99.55 | $181.00 | $17.78–$181.00 | — | 45% |
| Estradiol blood test CPT 82670 HC Warde Estradiol Total | $80.30 | $146.00 | $27.38–$159.76 | 52% below | 45% |
| Estradiol blood test inpatient CPT 82670 HC Warde Estradiol Total | $80.30 | $146.00 | $27.38–$159.76 | — | 45% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh) | $75.90 | $138.00 | $18.21–$138.00 | 19% below | 45% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC Gonadotropin Follicle Stimulating Hormone (Fsh) | $75.90 | $138.00 | $18.21–$138.00 | — | 45% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Warde Calprotectin Fecal | $123.75 | $225.00 | $19.24–$225.00 | 24% below | 45% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC Warde Calprotectin Fecal | $123.75 | $225.00 | $19.24–$225.00 | — | 45% |
| Ferritin blood test (iron stores) CPT 82728 HC Ferritin | $54.45 | $99.00 | $13.36–$99.00 | 31% below | 45% |
| Ferritin blood test (iron stores) inpatient CPT 82728 HC Ferritin | $54.45 | $99.00 | $13.36–$99.00 | — | 45% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen Activity | $42.90 | $78.00 | $9.53–$78.00 | 24% below | 45% |
| Fibrinogen blood test inpatient CPT 85384 HC Fibrinogen Activity | $42.90 | $78.00 | $9.53–$78.00 | — | 45% |
| Folate (folic acid) blood test CPT 82746 HC Folic Acid | $53.35 | $97.00 | $14.41–$97.00 | 29% below | 45% |
| Folate (folic acid) blood test inpatient CPT 82746 HC Folic Acid | $53.35 | $97.00 | $14.41–$97.00 | — | 45% |
| Free T3 thyroid hormone test CPT 84481 HC T3 (Triiodothyronine) Free | $58.30 | $106.00 | $16.60–$106.00 | 4% below | 45% |
| Free T3 thyroid hormone test inpatient CPT 84481 HC T3 (Triiodothyronine) Free | $58.30 | $106.00 | $16.60–$106.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Warde T4 (Thyroxine) Free | $55.55 | $101.00 | $8.84–$101.00 | 10% below | 45% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 (Thyroxine) Free | $55.55 | $101.00 | $8.84–$101.00 | 10% below | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 (Thyroxine) Free | $55.55 | $101.00 | $8.84–$101.00 | — | 45% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC Warde T4 (Thyroxine) Free | $55.55 | $101.00 | $8.84–$101.00 | — | 45% |
| Free testosterone test CPT 84402 HC Warde Testosterone Free | $86.90 | $158.00 | $24.96–$158.00 | 11% below | 45% |
| Free testosterone test inpatient CPT 84402 HC Warde Testosterone Free | $86.90 | $158.00 | $24.96–$158.00 | — | 45% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Gamma Glutamyltransferase | $28.05 | $51.00 | $7.06–$51.00 | 32% below | 45% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC Gamma Glutamyltransferase | $28.05 | $51.00 | $7.06–$51.00 | — | 45% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $228.25 | $415.00 | $47.28–$415.00 | 56% below | 45% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC General Health Panel | $228.25 | $415.00 | $47.28–$415.00 | — | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC Glucose 1 Hr Post Dose | $18.15 | $33.00 | $4.54–$33.00 | 29% below | 45% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC Glucose 1 Hr Post Dose | $18.15 | $33.00 | $4.54–$33.00 | — | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens | $45.10 | $82.00 | $12.29–$82.00 | at median | 45% |
| Glucose tolerance test, 3 samples CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens | $45.10 | $82.00 | $12.29–$82.00 | at median | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Bundled Glucose Tolerance Test (Gtt) 3 Specimens | $45.10 | $82.00 | $12.29–$82.00 | — | 45% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 HC Glucose Tolerance Test (Gtt) 3 Specimens | $45.10 | $82.00 | $12.29–$82.00 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Mayo Cgrna Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae | $92.95 | $169.00 | $34.39–$201.10 | 14% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae | $99.55 | $181.00 | $34.39–$201.10 | 7% below | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Mayo Cgrna Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae | $92.95 | $169.00 | $34.39–$201.10 | — | 45% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC Infectious Agent Nucleic Acid Amplified Probe Neisseria Gonorrhoeae | $99.55 | $181.00 | $34.39–$201.10 | — | 45% |
| H. pylori stool antigen test CPT 87338 HC Warde Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool | $79.20 | $144.00 | $14.09–$144.00 | at median | 45% |
| H. pylori stool antigen test inpatient CPT 87338 HC Warde Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Helicobacter Pylori Stool | $79.20 | $144.00 | $14.09–$144.00 | — | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Infectious Agent Nucleic Acid Quantification Hiv-1 | $187.55 | $341.00 | $83.40–$488.62 | 46% below | 45% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC Infectious Agent Nucleic Acid Quantification Hiv-1 | $187.55 | $341.00 | $83.40–$488.62 | — | 45% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2 Antibody Single Result | $49.50 | $90.00 | $13.44–$90.00 | 17% above | 45% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC Hiv-1/Hiv-2 Antibody Single Result | $49.50 | $90.00 | $13.44–$90.00 | — | 45% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HC Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result | $113.30 | $206.00 | $34.39–$206.00 | 3% below | 45% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC Infectious Agent Nucleic Acid Human Papillomavirus High-Risk Types Pooled Result | $113.30 | $206.00 | $34.39–$206.00 | — | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Hemoglobin Glycosylated (A1c) | $36.30 | $66.00 | $9.52–$66.00 | 32% below | 45% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC Hemoglobin Glycosylated (A1c) | $36.30 | $66.00 | $9.52–$66.00 | — | 45% |
| Hemoglobin blood test CPT 85018 HC POCT Hemoglobin Co Oximetry | $8.80 | $16.00 | $2.32–$16.00 | 48% below | 45% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin | $12.10 | $22.00 | $2.32–$22.00 | 28% below | 45% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin | $10,695.35 | — | $5,103.38–$16,886.60 | 63224% above | — |
| Hemoglobin blood test inpatient CPT 85018 HC POCT Hemoglobin Co Oximetry | $8.80 | $16.00 | $2.32–$16.00 | — | 45% |
| Hemoglobin blood test inpatient CPT 85018 HC Hemoglobin | $12.10 | $22.00 | $2.32–$22.00 | — | 45% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hepatitis B Core Antibody Total | $43.45 | $79.00 | $11.81–$79.00 | 24% below | 45% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HC Hepatitis B Core Antibody Total | $43.45 | $79.00 | $11.81–$79.00 | — | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hepatitis B Surface Antibody | $41.25 | $75.00 | $10.53–$75.00 | 42% below | 45% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC Hepatitis B Surface Antibody | $41.25 | $75.00 | $10.53–$75.00 | — | 45% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn | $39.60 | $72.00 | $10.12–$72.00 | 33% below | 45% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC Infectious Agent Antigen Immunoassay Ql/Sq Multi Step Hepatitis B Surface Agn | $39.60 | $72.00 | $10.12–$72.00 | — | 45% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Antibody | $58.30 | $106.00 | $13.98–$106.00 | 19% below | 45% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC Hepatitis C Antibody | $58.30 | $106.00 | $13.98–$106.00 | — | 45% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Warde 3041400 Infectious Agent Nucleic Acid Quantification Hepatitis C | $149.60 | $272.00 | $41.98–$272.00 | 18% below | 45% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC Warde 3041400 Infectious Agent Nucleic Acid Quantification Hepatitis C | $149.60 | $272.00 | $41.98–$272.00 | — | 45% |
| Herpes blood test, HSV-1 antibody CPT 86695 HC Warde 3007450 Herpes Simplex Type 1 Antibody Igg | $51.70 | $94.00 | $12.93–$94.00 | at median | 45% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC Warde 3007450 Herpes Simplex Type 1 Antibody Igg | $51.70 | $94.00 | $12.93–$94.00 | — | 45% |
| Herpes blood test, HSV-2 antibody CPT 86696 HC Warde 3007450 Herpes Simplex Type 2 Antibody Igg | $79.75 | $145.00 | $18.96–$145.00 | 23% above | 45% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC Warde 3007450 Herpes Simplex Type 2 Antibody Igg | $79.75 | $145.00 | $18.96–$145.00 | — | 45% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein High Sensitivity | $37.40 | $68.00 | $12.69–$75.20 | 21% below | 45% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-Reactive Protein High Sensitivity | $37.40 | $68.00 | $12.69–$75.20 | — | 45% |
| Homocysteine blood test CPT 83090 HC Homocysteine | $66.00 | $120.00 | $17.56–$120.00 | 6% below | 45% |
| Homocysteine blood test inpatient CPT 83090 HC Homocysteine | $66.00 | $120.00 | $17.56–$120.00 | — | 45% |
| Insulin blood test CPT 83525 HC Insulin Total | $42.35 | $77.00 | $11.20–$77.00 | 39% below | 45% |
| Insulin blood test inpatient CPT 83525 HC Insulin Total | $42.35 | $77.00 | $11.20–$77.00 | — | 45% |
| Iron blood test (serum iron) CPT 83540 HC Iron | $26.40 | $48.00 | $6.34–$48.00 | 25% below | 45% |
| Iron blood test (serum iron) inpatient CPT 83540 HC Iron | $26.40 | $48.00 | $6.34–$48.00 | — | 45% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Binding Capacity | $33.55 | $61.00 | $8.57–$61.00 | 27% below | 45% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 HC Iron Binding Capacity | $33.55 | $61.00 | $8.57–$61.00 | — | 45% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $37.95 | $69.00 | $8.51–$69.00 | 79% below | 45% |
| Kidney function blood test panel inpatient CPT 80069 HC Renal Function Panel | $37.95 | $69.00 | $8.51–$69.00 | — | 45% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh) | $79.20 | $144.00 | $18.15–$144.00 | 20% below | 45% |
| LH (luteinizing hormone) test inpatient CPT 83002 HC Gonadotropin Luteinizing Hormone (Lh) | $79.20 | $144.00 | $18.15–$144.00 | — | 45% |
| Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid | $47.85 | $87.00 | $11.34–$87.00 | 33% below | 45% |
| Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid Venous Whole Blood | $47.85 | $87.00 | $11.34–$87.00 | 33% below | 45% |
| Lactate (lactic acid) blood test CPT 83605 HC Lactic Acid | $436.15 | — | $11.34–$65.78 | 511% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid Venous Whole Blood | $47.85 | $87.00 | $11.34–$87.00 | — | 45% |
| Lactate (lactic acid) blood test inpatient CPT 83605 HC Lactic Acid | $47.85 | $87.00 | $11.34–$87.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Warde 3701810 Lactate Dehydrogenase (Ldh) | $22.00 | $40.00 | $5.92–$40.00 | 49% below | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase (Ldh) | $22.00 | $40.00 | $5.92–$40.00 | 49% below | 45% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase (Ldh) Body Fluid | $22.00 | $40.00 | $5.92–$40.00 | 49% below | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase (Ldh) Body Fluid | $22.00 | $40.00 | $5.92–$40.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Lactate Dehydrogenase (Ldh) | $22.00 | $40.00 | $5.92–$40.00 | — | 45% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC Warde 3701810 Lactate Dehydrogenase (Ldh) | $22.00 | $40.00 | $5.92–$40.00 | — | 45% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Lipase | $27.50 | $50.00 | $6.75–$50.00 | 37% below | 45% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC Lipase | $27.50 | $50.00 | $6.75–$50.00 | — | 45% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $26.40 | $48.00 | $8.01–$48.00 | 84% below | 45% |
| Liver function blood test panel inpatient CPT 80076 HC Hepatic Function Panel | $26.40 | $48.00 | $8.01–$48.00 | — | 45% |
| Lyme disease antibody test CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific | $40.70 | $74.00 | $16.69–$97.70 | 41% below | 45% |
| Lyme disease antibody test CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $53.90 | $98.00 | $16.69–$98.00 | 22% below | 45% |
| Lyme disease antibody test CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $53.90 | $98.00 | $16.69–$98.00 | 22% below | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Nonspecific | $40.70 | $74.00 | $16.69–$97.70 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igm | $53.90 | $98.00 | $16.69–$98.00 | — | 45% |
| Lyme disease antibody test inpatient CPT 86618 HC Borrelia Burgdorferi (Lyme Disease) Antibody Igg | $53.90 | $98.00 | $16.69–$98.00 | — | 45% |
| Magnesium blood test CPT 83735 HC Magnesium | $28.60 | $52.00 | $6.57–$52.00 | 18% below | 45% |
| Magnesium blood test CPT 83735 HC Warde Magnesium RBC | $28.60 | $52.00 | $6.57–$52.00 | 18% below | 45% |
| Magnesium blood test CPT 83735 HC Warde 3426900 Magnesium 24 Hour Urine | $28.60 | $52.00 | $6.57–$52.00 | 18% below | 45% |
| Magnesium blood test CPT 83735 HC Magnesium | $199.65 | — | $6.70–$371.64 | 470% above | — |
| Magnesium blood test inpatient CPT 83735 HC Warde 3426900 Magnesium 24 Hour Urine | $28.60 | $52.00 | $6.57–$52.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC Warde Magnesium RBC | $28.60 | $52.00 | $6.57–$52.00 | — | 45% |
| Magnesium blood test inpatient CPT 83735 HC Magnesium | $28.60 | $52.00 | $6.57–$52.00 | — | 45% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody Igg | $43.45 | $79.00 | $12.62–$79.00 | at median | 45% |
| Measles (rubeola) antibody test CPT 86765 HC Warde Rubeola Antibody Igm | $43.45 | $79.00 | $12.62–$79.00 | at median | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Rubeola Antibody Igg | $43.45 | $79.00 | $12.62–$79.00 | — | 45% |
| Measles (rubeola) antibody test inpatient CPT 86765 HC Warde Rubeola Antibody Igm | $43.45 | $79.00 | $12.62–$79.00 | — | 45% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies Screening | $23.65 | $43.00 | $5.08–$43.00 | 40% below | 45% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC Heterophile Antibodies Screening | $23.65 | $43.00 | $5.08–$43.00 | — | 45% |
| Mumps immunity blood test CPT 86735 HC Mumps Antibody Igg | $67.10 | $122.00 | $12.79–$122.00 | 11% above | 45% |
| Mumps immunity blood test CPT 86735 HC Warde Mumps Antibody Igm | $67.10 | $122.00 | $12.79–$122.00 | 11% above | 45% |
| Mumps immunity blood test inpatient CPT 86735 HC Mumps Antibody Igg | $67.10 | $122.00 | $12.79–$122.00 | — | 45% |
| Mumps immunity blood test inpatient CPT 86735 HC Warde Mumps Antibody Igm | $67.10 | $122.00 | $12.79–$122.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC Warde 1012090 Prostate Specific Antigen Free | $72.05 | $131.00 | $18.02–$131.00 | at median | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC Warde 1012090 Prostate Specific Antigen Free | $72.05 | $131.00 | $18.02–$131.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Warde 1012090 Prostate Specific Antigen Total | $69.30 | $126.00 | $18.02–$126.00 | 17% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Warde Prostate Specific Antigen Total Ultrasensitive | $69.30 | $126.00 | $18.02–$126.00 | 17% below | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC Prostate Specific Antigen Total | $69.30 | $126.00 | $18.02–$126.00 | 17% below | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Warde 1012090 Prostate Specific Antigen Total | $69.30 | $126.00 | $18.02–$126.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Warde Prostate Specific Antigen Total Ultrasensitive | $69.30 | $126.00 | $18.02–$126.00 | — | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC Prostate Specific Antigen Total | $69.30 | $126.00 | $18.02–$126.00 | — | 45% |
| Pap test (liquid-based, automated screening with review) CPT 88175 HC Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review | $108.90 | $198.00 | $26.08–$198.00 | 15% below | 45% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC Cytopathology Cervical/Vaginal Thin Layer Auto Screen/Manual Rescreen/Review | $108.90 | $198.00 | $26.08–$198.00 | — | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC Cytopathology Cervical/Vaginal Thin Layer Manual Screening | $100.10 | $182.00 | $19.85–$182.00 | at median | 45% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC Cytopathology Cervical/Vaginal Thin Layer Manual Screening | $100.10 | $182.00 | $19.85–$182.00 | — | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Quest 8837 Parathormone (Pth) C Terminal | $70.95 | $129.00 | $40.45–$236.81 | 61% below | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact Intraoperative | $130.35 | $237.00 | $40.45–$237.00 | 28% below | 45% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Parathormone (Pth) Intact | $155.10 | $282.00 | $40.45–$282.00 | 14% below | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Quest 8837 Parathormone (Pth) C Terminal | $70.95 | $129.00 | $40.45–$236.81 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact Intraoperative | $130.35 | $237.00 | $40.45–$237.00 | — | 45% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC Parathormone (Pth) Intact | $155.10 | $282.00 | $40.45–$282.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $27.50 | $50.00 | $5.89–$50.00 | 34% below | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplastin Time Partial (Ptt) | $27.50 | $50.00 | $5.89–$50.00 | 34% below | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Warde 2500780 Thromboplastin Time Partial (Ptt) | $27.50 | $50.00 | $5.89–$50.00 | — | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC Thromboplastin Time Partial (Ptt) | $27.50 | $50.00 | $5.89–$50.00 | — | 45% |
| Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus | $17.60 | $32.00 | $4.65–$32.00 | 31% below | 45% |
| Phosphorus (phosphate) blood test CPT 84100 HC Phosphorus | $199.65 | — | $4.74–$371.64 | 680% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 HC Phosphorus | $17.60 | $32.00 | $4.65–$32.00 | — | 45% |
| Potassium blood test CPT 84132 HC Potassium Serum/Plasma/Whole Blood | $17.05 | $31.00 | $4.66–$31.00 | 35% below | 45% |
| Potassium blood test CPT 84132 HC Potassium Serum/Plasma/Whole Blood | $6,998.17 | — | $4.76–$2,868.00 | 26733% above | — |
| Potassium blood test inpatient CPT 84132 HC Potassium Serum/Plasma/Whole Blood | $17.05 | $31.00 | $4.66–$31.00 | — | 45% |
| Progesterone blood test CPT 84144 HC Warde Progesterone | $68.20 | $124.00 | $20.44–$124.00 | 38% below | 45% |
| Progesterone blood test inpatient CPT 84144 HC Warde Progesterone | $68.20 | $124.00 | $20.44–$124.00 | — | 45% |
| Prolactin blood test CPT 84146 HC Prolactin | $67.65 | $123.00 | $18.99–$123.00 | 34% below | 45% |
| Prolactin blood test inpatient CPT 84146 HC Prolactin | $67.65 | $123.00 | $18.99–$123.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $14.85 | $27.00 | $4.20–$27.00 | 44% below | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC POCT Prothrombin Time | $14.85 | $27.00 | $4.20–$27.00 | 44% below | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC Prothrombin Time | $14.85 | $27.00 | $4.20–$27.00 | — | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC POCT Prothrombin Time | $14.85 | $27.00 | $4.20–$27.00 | — | 45% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $19.25 | $35.00 | $11.75–$93.98 | 59% below | 45% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC Infectious Agent Antigen Immunoassay Direct Optical Observation Streptococcus A | $19.25 | $35.00 | $11.75–$93.98 | — | 45% |
| Renin blood test CPT 84244 HC Warde 1003990 Renin | $62.15 | $113.00 | $21.55–$125.91 | 34% below | 45% |
| Renin blood test CPT 84244 HC Warde Renin | $62.15 | $113.00 | $21.55–$125.91 | 34% below | 45% |
| Renin blood test CPT 84244 HC Mayo Renin | $62.15 | $113.00 | $21.55–$125.91 | 34% below | 45% |
| Renin blood test inpatient CPT 84244 HC Mayo Renin | $62.15 | $113.00 | $21.55–$125.91 | — | 45% |
| Renin blood test inpatient CPT 84244 HC Warde Renin | $62.15 | $113.00 | $21.55–$125.91 | — | 45% |
| Renin blood test inpatient CPT 84244 HC Warde 1003990 Renin | $62.15 | $113.00 | $21.55–$125.91 | — | 45% |
| Rh blood typing CPT 86901 HC Blood Typing Rh (D) | $23.65 | $43.00 | $2.99–$104.33 | 1% below | 45% |
| Rh blood typing CPT 86901 HC Blood Typing Rh (D) Reference | $66.55 | $121.00 | $2.99–$121.00 | 177% above | 45% |
| Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D) | $23.65 | $43.00 | $2.99–$104.33 | — | 45% |
| Rh blood typing inpatient CPT 86901 HC Blood Typing Rh (D) Reference | $66.55 | $121.00 | $2.99–$121.00 | — | 45% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $33.00 | $60.00 | $5.56–$60.00 | 30% below | 45% |
| Rheumatoid factor (RF) test inpatient CPT 86431 HC Rheumatoid Factor Quantitative | $33.00 | $60.00 | $5.56–$60.00 | — | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody Igg | $39.60 | $72.00 | $14.10–$82.70 | 35% below | 45% |
| Rubella antibody test (immunity check) CPT 86762 HC Warde Rubella Antibody Igm | $39.60 | $72.00 | $14.10–$82.70 | 35% below | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Warde Rubella Antibody Igm | $39.60 | $72.00 | $14.10–$82.70 | — | 45% |
| Rubella antibody test (immunity check) inpatient CPT 86762 HC Rubella Antibody Igg | $39.60 | $72.00 | $14.10–$82.70 | — | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC Sedimentation Rate Erythrocyte Automated | $15.40 | $28.00 | $2.65–$28.00 | 47% below | 45% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC Sedimentation Rate Erythrocyte Automated | $15.40 | $28.00 | $2.65–$28.00 | — | 45% |
| Sodium blood test CPT 84295 HC Sodium Serum/Plasma/Whole Blood | $25.30 | $46.00 | $4.71–$46.00 | 13% below | 45% |
| Sodium blood test inpatient CPT 84295 HC Sodium Serum/Plasma/Whole Blood | $25.30 | $46.00 | $4.71–$46.00 | — | 45% |
| Stool ova and parasites exam CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID | $37.95 | $69.00 | $8.72–$69.00 | 12% below | 45% |
| Stool ova and parasites exam inpatient CPT 87177 HC Ova & Parasites Direct Smear Concentration and ID | $37.95 | $69.00 | $8.72–$69.00 | — | 45% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative | $13.20 | $24.00 | $3.11–$24.43 | 27% below | 45% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC Blood Occult Feces Colorectal Neoplasm Screening Qualitative | $13.20 | $24.00 | $3.11–$24.43 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Blood Occult Fecal Hemoglobin Immunoassay Qualitative 1-3 Simultaneous Determinations Diagnostic | $25.30 | $46.00 | $15.44–$92.12 | 48% below | 45% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Warde Blood Occult Fecal Hemoglobin Immunoassay Qualitative 1-3 Simultaneous Determinations | $48.40 | $88.00 | $15.60–$92.12 | at median | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Blood Occult Fecal Hemoglobin Immunoassay Qualitative 1-3 Simultaneous Determinations Diagnostic | $25.30 | $46.00 | $15.44–$92.12 | — | 45% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC Warde Blood Occult Fecal Hemoglobin Immunoassay Qualitative 1-3 Simultaneous Determinations | $48.40 | $88.00 | $15.60–$92.12 | — | 45% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 HC Warde Treponema Pallidum Antibody | $52.25 | $95.00 | $12.64–$95.00 | 14% below | 45% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC Warde Treponema Pallidum Antibody | $52.25 | $95.00 | $12.64–$95.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $15.95 | $29.00 | $4.07–$29.00 | 41% below | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative | $15.95 | $29.00 | $4.07–$29.00 | 41% below | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative Rpr | $15.95 | $29.00 | $4.07–$29.00 | — | 45% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC Syphilis Test Non-Treponemal Antibody Qualitative | $15.95 | $29.00 | $4.07–$29.00 | — | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC Warde TB Test Cell Mediated Immunity Antigen Response Gamma Interferon | $172.70 | $314.00 | $60.74–$355.21 | 15% below | 45% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC Warde TB Test Cell Mediated Immunity Antigen Response Gamma Interferon | $172.70 | $314.00 | $60.74–$355.21 | — | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Warde 3000403 Testosterone Total | $97.90 | $178.00 | $25.29–$178.00 | 19% below | 45% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Testosterone Total | $100.65 | $183.00 | $25.29–$183.00 | 17% below | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Warde 3000403 Testosterone Total | $97.90 | $178.00 | $25.29–$178.00 | — | 45% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC Testosterone Total | $100.65 | $183.00 | $25.29–$183.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Warde Microsomal Antibody Thyroid Peroxidase (Tpo) | $90.20 | $164.00 | $14.26–$164.00 | 5% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Warde Microsomal Antibody Liver-Kidney | $90.20 | $164.00 | $14.26–$164.00 | 5% below | 45% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Warde 3007980 Microsomal Antibody Thyroid Peroxidase (Tpo) | $127.05 | $231.00 | $14.26–$231.00 | 34% above | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Warde Microsomal Antibody Liver-Kidney | $90.20 | $164.00 | $14.26–$164.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Warde Microsomal Antibody Thyroid Peroxidase (Tpo) | $90.20 | $164.00 | $14.26–$164.00 | — | 45% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC Warde 3007980 Microsomal Antibody Thyroid Peroxidase (Tpo) | $127.05 | $231.00 | $14.26–$231.00 | — | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Thyroid Stimulating Hormone | $79.20 | $144.00 | $16.46–$144.00 | 12% below | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC Thyroid Stimulating Hormone | $79.20 | $144.00 | $16.46–$144.00 | — | 45% |
| Total IgE blood test CPT 82785 HC Warde 3064062 Gammaglobulin Ige | $46.75 | $85.00 | $16.13–$93.98 | 34% below | 45% |
| Total IgE blood test CPT 82785 HC Warde Gammaglobulin Ige | $46.75 | $85.00 | $16.13–$93.98 | 34% below | 45% |
| Total IgE blood test inpatient CPT 82785 HC Warde 3064062 Gammaglobulin Ige | $46.75 | $85.00 | $16.13–$93.98 | — | 45% |
| Total IgE blood test inpatient CPT 82785 HC Warde Gammaglobulin Ige | $46.75 | $85.00 | $16.13–$93.98 | — | 45% |
| Total cholesterol blood test CPT 82465 HC Cholesterol | $18.15 | $33.00 | $4.15–$33.00 | 30% below | 45% |
| Total cholesterol blood test inpatient CPT 82465 HC Cholesterol | $18.15 | $33.00 | $4.15–$33.00 | — | 45% |
| Total thyroxine (T4) blood test CPT 84436 HC T4 (Thyroxine) Total | $27.50 | $50.00 | $6.73–$50.00 | 19% below | 45% |
| Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 (Thyroxine) Total | $27.50 | $50.00 | $6.73–$50.00 | — | 45% |
| Total triiodothyronine (T3) blood test CPT 84480 HC T3 (Triiodothyronine) Total | $55.00 | $100.00 | $13.90–$100.00 | 28% below | 45% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 (Triiodothyronine) Total | $55.00 | $100.00 | $13.90–$100.00 | — | 45% |
| Transferrin blood test CPT 84466 HC Transferrin | $43.45 | $79.00 | $12.50–$79.00 | 25% below | 45% |
| Transferrin blood test inpatient CPT 84466 HC Transferrin | $43.45 | $79.00 | $12.50–$79.00 | — | 45% |
| Trichomonas test (NAAT) CPT 87661 HC Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis | $132.55 | $241.00 | $34.39–$241.00 | 117% above | 45% |
| Trichomonas test (NAAT) inpatient CPT 87661 HC Infectious Agent Nucleic Acid Amplified Probe Trichomonas Vaginalis | $132.55 | $241.00 | $34.39–$241.00 | — | 45% |
| Triglycerides blood test CPT 84478 HC Warde Triglycerides Pleural Fluid | $12.10 | $22.00 | $5.49–$33.84 | 60% below | 45% |
| Triglycerides blood test CPT 84478 HC Triglycerides | $17.60 | $32.00 | $5.49–$33.84 | 42% below | 45% |
| Triglycerides blood test inpatient CPT 84478 HC Warde Triglycerides Pleural Fluid | $12.10 | $22.00 | $5.49–$33.84 | — | 45% |
| Triglycerides blood test inpatient CPT 84478 HC Triglycerides | $17.60 | $32.00 | $5.49–$33.84 | — | 45% |
| Troponin test, quantitative CPT 84484 HC Troponin Quantitative | $41.25 | $75.00 | $12.22–$75.00 | 54% below | 45% |
| Troponin test, quantitative CPT 84484 HC Warde Troponin Quantitative | $41.25 | $75.00 | $12.22–$75.00 | 54% below | 45% |
| Troponin test, quantitative inpatient CPT 84484 HC Troponin Quantitative | $41.25 | $75.00 | $12.22–$75.00 | — | 45% |
| Troponin test, quantitative inpatient CPT 84484 HC Warde Troponin Quantitative | $41.25 | $75.00 | $12.22–$75.00 | — | 45% |
| Uric acid blood test CPT 84550 HC Uric Acid Blood | $20.90 | $38.00 | $4.43–$38.00 | 24% below | 45% |
| Uric acid blood test inpatient CPT 84550 HC Uric Acid Blood | $20.90 | $38.00 | $4.43–$38.00 | — | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $7.70 | $14.00 | $3.11–$18.79 | 43% below | 45% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis With Microscopy Automated | $205.70 | — | $3.11–$18.79 | 1415% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC Urinalysis With Microscopy Automated | $7.70 | $14.00 | $3.11–$18.79 | — | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $11.00 | $20.00 | $2.21–$20.00 | 40% below | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC POCT Urinalysis Without Microscopy Automated | $11.00 | $20.00 | $2.21–$20.00 | 40% below | 45% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Without Microscopy Automated | $304.15 | — | $2.21–$13.14 | 1552% above | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC POCT Urinalysis Without Microscopy Automated | $11.00 | $20.00 | $2.21–$20.00 | — | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC Urinalysis Without Microscopy Automated | $11.00 | $20.00 | $2.21–$20.00 | — | 45% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Without Microscopy Nonautomated | $18.70 | $34.00 | $3.41–$34.00 | 13% below | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC Urinalysis Without Microscopy Nonautomated | $18.70 | $34.00 | $3.41–$34.00 | — | 45% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Colony Count Urine | $26.40 | $48.00 | $7.91–$48.00 | 44% below | 45% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 HC Culture Colony Count Urine | $26.40 | $48.00 | $7.91–$48.00 | — | 45% |
| Urine microalbumin (albumin) test CPT 82043 HC Albumin (Microalbumin) Urine Quantitative | $30.80 | $56.00 | $5.66–$56.00 | 40% below | 45% |
| Urine microalbumin (albumin) test inpatient CPT 82043 HC Albumin (Microalbumin) Urine Quantitative | $30.80 | $56.00 | $5.66–$56.00 | — | 45% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test | $44.55 | $81.00 | $8.44–$81.00 | 6% above | 45% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HC Urine Pregnancy Test | $44.55 | $81.00 | $8.44–$81.00 | — | 45% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 | $61.05 | $111.00 | $14.78–$111.00 | 31% below | 45% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC Vitamin B-12 | $61.05 | $111.00 | $14.78–$111.00 | — | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25-Hydroxy | $100.65 | $183.00 | $29.01–$183.00 | 9% below | 45% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC Vitamin D 25-Hydroxy | $100.65 | $183.00 | $29.01–$183.00 | — | 45% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Warde Vitamin D (1 25 Dihydroxy) | $119.90 | $218.00 | $37.73–$221.75 | 17% below | 45% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC Warde Vitamin D (1 25 Dihydroxy) | $119.90 | $218.00 | $37.73–$221.75 | — | 45% |
| Zinc blood test CPT 84630 HC Warde Zinc RBC | $33.55 | $61.00 | $11.16–$65.78 | 37% below | 45% |
| Zinc blood test CPT 84630 HC Warde Zinc | $33.55 | $61.00 | $11.16–$65.78 | 37% below | 45% |
| Zinc blood test inpatient CPT 84630 HC Warde Zinc | $33.55 | $61.00 | $11.16–$65.78 | — | 45% |
| Zinc blood test inpatient CPT 84630 HC Warde Zinc RBC | $33.55 | $61.00 | $11.16–$65.78 | — | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Hcg Quantitative | $47.30 | $86.00 | $14.75–$86.48 | 38% below | 45% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC Hcg Quantitative | $47.30 | $86.00 | $14.75–$86.48 | — | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl | $4,899.95 | $8,909.00 | $1,828.67–$8,909.00 | 9% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt | $3,266.45 | $5,939.00 | $1,828.67–$6,585.00 | 39% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt | $3,266.45 | $5,939.00 | $1,828.67–$6,585.00 | 39% below | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Bl | $4,899.95 | $8,909.00 | $1,828.67–$8,909.00 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Rt | $3,266.45 | $5,939.00 | $1,828.67–$6,585.00 | — | 45% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 HC Biopsy Breast Placement Localization Device(S) Percutaneous Stereotactic Guidance 1st Lesion Lt | $3,266.45 | $5,939.00 | $1,828.67–$6,585.00 | — | 45% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External | $1,028.50 | $1,870.00 | $536.00–$1,870.00 | 27% below | 45% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC Cardioversion Elective Electrical Conversion Arrhythmia External | $1,028.50 | $1,870.00 | $536.00–$1,870.00 | — | 45% |
| Carpal tunnel release, open surgery one side CPT 64721 HC Neuroplasty Median Nerve Carpal Rt | $4,601.08 | — | $2,162.08–$6,585.00 | 10% below | — |
| D&C (dilation and curettage), not related to pregnancy CPT 58120 HC Dilation & Curettage Dx and/or Therapeutic Nonobstetric | $5,039.92 | — | $3,584.18–$9,042.07 | 3% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance | $2,180.20 | $3,964.00 | $781.56–$6,585.00 | 36% below | 45% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance | $2,535.39 | — | $781.56–$6,585.00 | 26% below | — |
| Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC Injection(S) Epidural/Subarachnoid Cervical/Thoracic Needle Placement W/Guidance | $2,180.20 | $3,964.00 | $781.56–$6,585.00 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | 8% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl | $3,595.35 | $6,537.00 | $979.30–$6,585.00 | 37% above | 45% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl | $4,298.85 | — | $979.30–$6,585.00 | 64% above | — |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | 8% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | 8% below | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Bl | $3,595.35 | $6,537.00 | $979.30–$6,585.00 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Lt | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | — | 45% |
| Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 HC Injection(S) Diagnostic/Therapeutic Agent Facet Lumbar/Sacral Single Level Rt | $2,396.90 | $4,358.00 | $979.30–$6,585.00 | — | 45% |
| Incision and drainage of a simple or single skin abscess CPT 10060 HC Incision & Drainage Abscess Simple/Single | $313.50 | $570.00 | $222.14–$6,585.00 | 25% below | 45% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC Incision & Drainage Abscess Simple/Single | $313.50 | $570.00 | $222.14–$6,585.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl | $1,172.60 | $2,132.00 | $339.86–$6,585.00 | 80% above | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt | $781.00 | $1,420.00 | $339.86–$6,585.00 | 20% above | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt | $781.00 | $1,420.00 | $339.86–$6,585.00 | 20% above | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Bl | $1,172.60 | $2,132.00 | $339.86–$6,585.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Lt | $781.00 | $1,420.00 | $339.86–$6,585.00 | — | 45% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 HC Arthrocentesis/Aspiration/Inj Major Joint/Bursa W/O US Guidance Rt | $781.00 | $1,420.00 | $339.86–$6,585.00 | — | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance | $2,242.35 | $4,077.00 | $781.56–$6,585.00 | 22% below | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance | $2,605.81 | — | $781.56–$6,585.00 | 10% below | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC Injection(S) Epidural/Subarachnoid Lumbar/Sacral Needle Placement W/Guidance | $2,242.35 | $4,077.00 | $781.56–$6,585.00 | — | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC Injection(S) Epidural Lumbar Needle Placement W/O Guidance | $1,861.75 | $3,385.00 | $2,200.25–$6,585.00 | at median | 45% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC Injection(S) Epidural Lumbar Needle Placement W/O Guidance | $1,861.75 | $3,385.00 | $2,200.25–$6,585.00 | — | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl | $2,774.38 | — | $979.30–$6,585.00 | 13% above | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl | $3,618.45 | $6,579.00 | $979.30–$6,585.00 | 47% above | 45% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt | $2,412.30 | $4,386.00 | $979.30–$6,585.00 | 2% below | 45% |
| Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt | $2,412.30 | $4,386.00 | $979.30–$6,585.00 | 2% below | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Bl | $3,618.45 | $6,579.00 | $979.30–$6,585.00 | — | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Rt | $2,412.30 | $4,386.00 | $979.30–$6,585.00 | — | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 HC Injection(S) Anesthetic Agent(S)/Steroid Lumb/S Transforaminal Epidural W/Img Single Lt | $2,412.30 | $4,386.00 | $979.30–$6,585.00 | — | 45% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC Excision Benign Lesion Trunk/Arms/Legs <= 0.5 Cm | $5,531.90 | — | $784.05–$6,585.00 | 275% above | — |
| Occipital nerve block (injection for headaches) CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl | $1,206.15 | $2,193.00 | $339.86–$6,585.00 | 50% above | 45% |
| Occipital nerve block (injection for headaches) one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt | $804.10 | $1,462.00 | $339.86–$6,585.00 | at median | 45% |
| Occipital nerve block (injection for headaches) one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt | $804.10 | $1,462.00 | $339.86–$6,585.00 | at median | 45% |
| Occipital nerve block (injection for headaches) inpatient CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Bl | $1,206.15 | $2,193.00 | $339.86–$6,585.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Rt | $804.10 | $1,462.00 | $339.86–$6,585.00 | — | 45% |
| Occipital nerve block (injection for headaches) inpatient one side CPT 64405 HC Injection(S) Anesthetic Agent(S) and/or Steroid Greater Occipital Nerve Lt | $804.10 | $1,462.00 | $339.86–$6,585.00 | — | 45% |
| Paracentesis with imaging guidance CPT 49083 HC Abdominal Paracentesis W/Image Guidance | $1,710.50 | $3,110.00 | $1,004.22–$6,585.00 | 27% below | 45% |
| Paracentesis with imaging guidance inpatient CPT 49083 HC Abdominal Paracentesis W/Image Guidance | $1,710.50 | $3,110.00 | $1,004.22–$6,585.00 | — | 45% |
| Skin biopsy, punch, one lesion CPT 11104 HC Biopsy Skin Punch Single Lesion | $256.85 | $467.00 | $303.55–$6,585.00 | 39% below | 45% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 HC Biopsy Skin Punch Single Lesion | $256.85 | $467.00 | $303.55–$6,585.00 | — | 45% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HC Excision Malignant Lesion Trunk/Arms/Legs <= 0.5 Cm | $7,190.20 | — | $784.05–$6,585.00 | 693% above | — |
| Skin tag removal, up to 15 tags CPT 11200 HC Removal Skin Tags Fibrocutaneous Any Area <= 15 Lesions | $10,055.91 | — | $1,828.67–$6,585.00 | 3436% above | — |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC Biopsy Skin Tangential Single Lesion | $256.85 | $467.00 | $303.55–$6,585.00 | 36% below | 45% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC Biopsy Skin Tangential Single Lesion | $256.85 | $467.00 | $303.55–$6,585.00 | — | 45% |
| Thoracentesis with imaging guidance CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl | $1,828.75 | $3,325.00 | $694.56–$6,585.00 | 46% above | 45% |
| Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt | $1,219.35 | $2,217.00 | $694.56–$6,585.00 | 3% below | 45% |
| Thoracentesis with imaging guidance one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt | $1,219.35 | $2,217.00 | $694.56–$6,585.00 | 3% below | 45% |
| Thoracentesis with imaging guidance inpatient CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Bl | $1,828.75 | $3,325.00 | $694.56–$6,585.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Rt | $1,219.35 | $2,217.00 | $694.56–$6,585.00 | — | 45% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 HC Thoracentesis Pleural Space Needle/Catheter Aspiration W/ Imaging Guidance Lt | $1,219.35 | $2,217.00 | $694.56–$6,585.00 | — | 45% |
| Trigger finger release surgery CPT 26055 HC Incision Tendon Sheath | $4,495.75 | — | $1,780.39–$6,585.00 | 29% below | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Injection(S) Trigger Point(S) Single/Multiple 1 or 2 Muscle(S) | $2,338.14 | — | $339.86–$6,585.00 | 265% above | — |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl | $4,208.05 | $7,651.00 | $1,828.67–$7,651.00 | 24% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt | $2,805.55 | $5,101.00 | $1,828.67–$6,585.00 | 49% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt | $2,805.55 | $5,101.00 | $1,828.67–$6,585.00 | 49% below | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Bl | $4,208.05 | $7,651.00 | $1,828.67–$7,651.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Rt | $2,805.55 | $5,101.00 | $1,828.67–$6,585.00 | — | 45% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 HC Biopsy Breast Placement Localization Device(S) Percutaneous Ultrasound Guidance 1st Lesion Lt | $2,805.55 | $5,101.00 | $1,828.67–$6,585.00 | — | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm | $756.80 | $1,376.00 | $450.09–$1,376.00 | 13% below | 45% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm | $756.80 | — | $450.09–$6,585.00 | 13% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC Debridement Subcutaneous Tissue <= 20 Sq Cm | $756.80 | $1,376.00 | $450.09–$1,376.00 | — | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S) | $1,327.15 | $2,413.00 | $488.47–$2,413.00 | 11% above | 45% |
| Blood transfusion (giving blood or blood components) CPT 36430 HC Transfusion Blood/Blood Component(S) | $10,555.35 | — | $488.47–$1,232.31 | 779% above | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC Transfusion Blood/Blood Component(S) | $1,327.15 | $2,413.00 | $488.47–$2,413.00 | — | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction | $91.85 | $167.00 | $104.21–$611.66 | 57% below | 45% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction | $1,892.00 | — | $413.16–$1,042.32 | 779% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC Treatment Inhalation Pressurized/Nonpressurized Acute Airway Obstruction | $91.85 | $167.00 | $104.21–$611.66 | — | 45% |
| Chemotherapy IV infusion, first hour CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug | $745.80 | $1,356.00 | $365.72–$1,356.00 | 32% below | 45% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 HC Administration Chemotherapy IV Infusion Up to 1 Hour Single/Initial Substance/Drug | $745.80 | $1,356.00 | $365.72–$1,356.00 | — | 45% |
| Critical care, first 30 to 74 minutes CPT 99291 HC Critical Care 30-74 Minutes | $1,299.10 | $2,362.00 | $527.00–$3,105.00 | 44% below | 45% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 HC Critical Care 30-74 Minutes | $1,299.10 | $2,362.00 | $527.00–$3,105.00 | — | 45% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 HC Eeg Recording Awake and Drowsy | $705.10 | $1,282.00 | $239.08–$1,752.19 | 44% below | 45% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC Eeg Recording Awake and Drowsy | $705.10 | $1,282.00 | $239.08–$1,752.19 | — | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only | $150.70 | — | $43.19–$538.00 | 26% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC Ecg 12 Lead Tracing Only | $150.70 | $274.00 | $43.19–$538.00 | 26% below | 45% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC Ecg 12 Lead Tracing Only | $150.70 | $274.00 | $43.19–$538.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 Sane_Safe | $150.15 | $273.00 | $93.36–$1,280.00 | 73% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 | $155.10 | $282.00 | $93.36–$1,280.00 | 72% below | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED Type a Level 1 | $155.10 | — | $93.36–$1,280.00 | 72% below | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 Sane_Safe | $150.15 | $273.00 | $93.36–$1,280.00 | — | 45% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED Type a Level 1 | $155.10 | $282.00 | $93.36–$1,280.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 Sane_Safe | $269.50 | $490.00 | $170.00–$1,280.00 | 68% below | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 | $277.75 | $505.00 | $170.00–$1,280.00 | 67% below | 45% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED Type a Level 2 | $278.30 | — | $170.00–$1,280.00 | 67% below | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 Sane_Safe | $269.50 | $490.00 | $170.00–$1,280.00 | — | 45% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED Type a Level 2 | $277.75 | $505.00 | $170.00–$1,280.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 Sane_Safe | $779.35 | $1,417.00 | $302.24–$6,550.00 | 47% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 | $803.00 | $1,460.00 | $302.24–$6,550.00 | 46% below | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED Type a Level 3 | $1,035.10 | — | $302.24–$6,550.00 | 30% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 Sane_Safe | $779.35 | $1,417.00 | $302.24–$6,550.00 | — | 45% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED Type a Level 3 | $803.00 | $1,460.00 | $302.24–$6,550.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 Sane_Safe | $1,008.70 | $1,834.00 | $462.00–$6,550.00 | 58% below | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 | $1,038.95 | $1,889.00 | $462.00–$6,550.00 | 56% below | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED Type a Level 4 | $1,841.84 | — | $462.00–$6,550.00 | 23% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 Sane_Safe | $1,008.70 | $1,834.00 | $462.00–$6,550.00 | — | 45% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED Type a Level 4 | $1,038.95 | $1,889.00 | $462.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 Sane_Safe | $1,080.20 | $1,964.00 | $527.00–$6,550.00 | 72% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 | $1,113.20 | $2,024.00 | $527.00–$6,550.00 | 71% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Partial Trauma W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | 66% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Full Trauma W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | 66% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | 66% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC Critical Care 30-74 Minutes - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | 66% below | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED Type a Level 5 | $2,445.93 | — | $527.00–$6,550.00 | 36% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 Sane_Safe | $1,080.20 | $1,964.00 | $527.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED Type a Level 5 | $1,113.20 | $2,024.00 | $527.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Trauma Evaluation W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Critical Care 30-74 Minutes - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Partial Trauma W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | — | 45% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC Full Trauma W/O Pre Notification Critical Care - Downgrade | $1,299.10 | $2,362.00 | $527.00–$6,550.00 | — | 45% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 HC Test Stress Cardiovascular Tracing Only | $915.20 | $1,664.00 | $173.85–$1,664.00 | 16% below | 45% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC Test Stress Cardiovascular Tracing Only | $915.20 | $1,664.00 | $173.85–$1,664.00 | — | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour | $410.85 | $747.00 | $235.51–$927.00 | 17% below | 45% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour | $4,893.29 | — | $235.51–$927.00 | 886% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC Hydration IV Infusion Initial 31minutes - 1 Hour | $410.85 | $747.00 | $235.51–$927.00 | — | 45% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour | $408.65 | $743.00 | $235.51–$927.00 | 39% below | 45% |
| IV infusion of a medicine, first hour CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour | $4,514.62 | — | $235.51–$927.00 | 573% above | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 HC IV Infusion Therapy/Prophylaxis/Diagnosis Initial Up to 1 Hour | $408.65 | $743.00 | $235.51–$927.00 | — | 45% |
| IV push of a medicine, first drug CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug | $206.80 | $376.00 | $234.62–$927.00 | 65% below | 45% |
| IV push of a medicine, first drug CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug | $893.56 | — | $235.51–$4,615.50 | 52% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 HC Injection Therapeutic/Prophylactic/Diagnostic IV Push Single/Initial Substance/Drug | $206.80 | $376.00 | $234.62–$927.00 | — | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im | $202.40 | $368.00 | $79.72–$927.00 | 1% below | 45% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im | $2,313.16 | — | $79.72–$927.00 | 1030% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC Injection Therapeutic/Prophylactic/Diagnostic Subcutaneous/Im | $202.40 | $368.00 | $79.72–$927.00 | — | 45% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Evaluation Psychiatric Diagnostic | $350.90 | $638.00 | $196.53–$707.00 | 4% above | 45% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC Evaluation Psychiatric Diagnostic | $350.90 | $638.00 | $196.53–$707.00 | — | 45% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes | $87.45 | $159.00 | $33.83–$369.00 | 35% below | 45% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC Pt Therapeutic Procedure Neuromuscular Reeducate Each 15 Minutes | $87.45 | $159.00 | $33.83–$369.00 | — | 45% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Evaluation Low Complexity Patient/Family | $181.50 | $330.00 | $103.80–$369.00 | 54% below | 45% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC Ot Evaluation Low Complexity Patient/Family | $181.50 | $330.00 | $103.80–$369.00 | — | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Evaluation High Complexity Patient/Family | $215.60 | $392.00 | $95.69–$392.00 | 48% below | 45% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC Pt Evaluation High Complexity Patient/Family | $215.60 | $392.00 | $95.69–$392.00 | — | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Evaluation Low Complexity Patient/Family | $188.10 | $342.00 | $95.69–$369.00 | 53% below | 45% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC Pt Evaluation Low Complexity Patient/Family | $188.10 | $342.00 | $95.69–$369.00 | — | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family | $201.30 | $366.00 | $95.69–$369.00 | 50% below | 45% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC Pt Evaluation Moderate Complexity Patient/Family | $201.30 | $366.00 | $95.69–$369.00 | — | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes | $130.35 | $237.00 | $28.65–$369.00 | 6% above | 45% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC Pt Manual Therpy Techniques >=1 Region Each 15 Minutes | $130.35 | $237.00 | $28.65–$369.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $89.65 | $163.00 | $30.03–$369.00 | 27% below | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $96.25 | $175.00 | $30.03–$369.00 | 22% below | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Ot Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $89.65 | $163.00 | $30.03–$369.00 | — | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC Pt Therapeutic Procedure >=1 Area Therapeutic Exercise Each 15 Minutes | $96.25 | $175.00 | $30.03–$369.00 | — | 45% |
| Psychotherapy session, 30 minutes CPT 90832 HC Psychotherapy Patient Individual Therapy 30 Minutes | $316.80 | $576.00 | $151.00–$576.00 | 67% above | 45% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC Psychotherapy Patient Individual Therapy 30 Minutes | $316.80 | $576.00 | $151.00–$576.00 | — | 45% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC Counseling Smoke/Tobacco Intermediate 3 - 10 Minutes | $57.20 | $104.00 | $41.48–$144.00 | 12% above | 45% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC Counseling Smoke/Tobacco Intermediate 3 - 10 Minutes | $57.20 | $104.00 | $41.48–$144.00 | — | 45% |
| Speech and language evaluation CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive 30 Minutes Restricted (Mdpl Gtpl) | $315.15 | $573.00 | $233.05–$619.41 | 54% below | 45% |
| Speech and language evaluation CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive | $337.70 | $614.00 | $233.05–$619.41 | 50% below | 45% |
| Speech and language evaluation inpatient CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive 30 Minutes Restricted (Mdpl Gtpl) | $315.15 | $573.00 | $233.05–$619.41 | — | 45% |
| Speech and language evaluation inpatient CPT 92523 HC St Evaluate Speech Sound Production Comprehensive/Expressive | $337.70 | $614.00 | $233.05–$619.41 | — | 45% |
| Speech therapy session, individual CPT 92507 HC St Treatment Speech Individual | $223.30 | $406.00 | $78.38–$406.00 | 1% above | 45% |
| Speech therapy session, individual inpatient CPT 92507 HC St Treatment Speech Individual | $223.30 | $406.00 | $78.38–$406.00 | — | 45% |
| Spirometry (breathing test) CPT 94010 HC Spirometry | $286.55 | $521.00 | $239.08–$2,722.00 | 10% below | 45% |
| Spirometry (breathing test) inpatient CPT 94010 HC Spirometry | $286.55 | $521.00 | $239.08–$2,722.00 | — | 45% |
| Spirometry before and after a bronchodilator CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration | $381.15 | $693.00 | $413.16–$2,722.00 | 35% below | 45% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 HC Spirometry Bronchodilation Responsiveness Pre/Post Bronchodilator Administration | $381.15 | $693.00 | $413.16–$2,722.00 | — | 45% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes | $108.90 | $198.00 | $36.42–$369.00 | 11% below | 45% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC Pt Therapeutic Activities Direct Patient Contact Each 15 Minutes | $108.90 | $198.00 | $36.42–$369.00 | — | 45% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC Phlebotomy Therapeutic | $188.65 | $343.00 | $147.32–$371.64 | 27% below | 45% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC Phlebotomy Therapeutic | $188.65 | $343.00 | $147.32–$371.64 | — | 45% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Connecticut | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $303.40 | $303.40 | $27.83–$303.40 | 157% above | — |
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLU VACC 2025-26(65YR UP)-MF59C(PF) 45 MCG(15 MCGX3)/0.5 ML IM SYRINGE | $303.40 | $303.40 | $27.83–$303.40 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $102.45 | $102.45 | $9.24–$102.45 | 67% above | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLU VACCINE TS 2025-26(6MOS UP)(PF) 45 MCG(15MCG X3)/0.5 ML IM SYRINGE | $102.45 | $102.45 | $9.24–$102.45 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER) | $345.70 | $345.70 | $36.71–$345.70 | 224% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VIRUS VACCINE RECOMB (PF) 20 MCG/ML IM (WRAPPER) | $345.70 | $345.70 | $36.71–$345.70 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE (WRAPPER) | $138.80 | $138.80 | $16.05–$138.80 | 67% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VIRUS VACCINE RECOMB (PF) 10 MCG/0.5 ML IM SYRINGE (WRAPPER) | $138.80 | $138.80 | $16.05–$138.80 | — | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $64.30 | $64.30 | $16.67–$64.30 | 65% above | — |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSACCHARID CONJ-TETANUS TOX(PF) 10 MCG/0.5 ML IM SOLN | $64.30 | $64.30 | $16.67–$64.30 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $466.05 | $466.05 | $120.48–$466.05 | 147% above | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES,MUMPS,RUBELLA VACCINE LIVE(PF)1,000-12,500TCID50/0.5 ML SUBCUT | $466.05 | $466.05 | $120.48–$466.05 | — | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $1,156.10 | $1,156.10 | $300.12–$1,156.10 | 155% above | — |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B VAC,4-CMP 50 MCG-50 MCG-50 MCG-25 MCG/0.5ML IM SYRINGE | $1,156.10 | $1,156.10 | $300.12–$1,156.10 | — | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,419.70 | $1,419.70 | $155.48–$1,419.70 | 191% above | — |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VALENT CONJ VACCINE-DIP CRM (PF) 0.5 ML IM SYRINGE | $1,419.70 | $1,419.70 | $155.48–$1,419.70 | — | — |
| Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $220.20 | $220.20 | $60.51–$220.20 | 65% above | — |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE 40 UNIT-8 UNIT-32 UNIT/0.5 ML INJECTION SUSPENSION | $220.20 | $220.20 | $60.51–$220.20 | — | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,998.80 | $1,998.80 | $146.66–$1,998.80 | 353% above | — |
| Rabies vaccine, one dose CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $2,157.90 | $2,157.90 | $146.66–$2,157.90 | 389% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PURIFIED CHICKEN EMBRYO CELL (PF) 2.5 UNIT IM SUSP | $1,998.80 | $1,998.80 | $146.66–$1,998.80 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE,HUMAN DIPLOID (PF) 2.5 UNIT INTRAMUSCULAR SOLUTION | $2,157.90 | $2,157.90 | $146.66–$2,157.90 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER) | $211.80 | $211.80 | $17.47–$211.80 | 68% above | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS AND DIPHTHERIA TOX (PF) 5 LF UNIT-2 LF UNIT/0.5 ML IM (WRAPPER) | $211.80 | $211.80 | $17.47–$211.80 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (ACEL) VACCINE (PF) 2 LF-(2.5-5-3-5 MCG)-5 LF/0.5 ML IM (WRAPPER) | $235.85 | $235.85 | $18.61–$235.85 | 76% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTHERIA-PERTUSSIS (ACEL) VACCINE (PF) 2 LF-(2.5-5-3-5 MCG)-5 LF/0.5 ML IM (WRAPPER) | $235.85 | $235.85 | $18.61–$235.85 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Administration Immunization 1 Vaccine | $64.90 | $118.00 | $2.28–$201.11 | 22% below | 45% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC Administration Immunization 1 Vaccine | $64.90 | $118.00 | $2.28–$201.11 | — | 45% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Administration Immunization Each Additional Vaccine | $52.80 | $96.00 | $2.28–$96.00 | 134% above | 45% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC Administration Immunization Each Additional Vaccine | $52.80 | $96.00 | $2.28–$96.00 | — | 45% |
Source file: https://hpt.trinity-health.org/475676956_johnson-memorial-hospital_standardcharges.zip