Hospital Lubbock, TX

Grace Surgical Hospital

Listed in its price file as “Lubbock Heritage Hospital LLC”.

Grace Surgical Hospital in Lubbock, TX publishes cash prices for 292 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 191 of 289 procedures and above it for 98. By typical cash price it ranks #97 of 299 Texas hospitals and #6 of 8 hospitals in the Lubbock, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

7509 Marsha Sharp Fwy, Lubbock, TX 79407 Collected Nov 4, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,751.40	$4,170.00	—	39% below	58%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W & W/O CONTRAST	$1,751.40	$4,170.00	—	—	58%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$260.82	$621.00	—	31% below	58%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$260.82	$621.00	—	—	58%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$212.52	$506.00	—	40% below	58%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE MIN 3 VIEWS	$212.52	$506.00	—	—	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$959.70	$2,285.00	—	58% above	58%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL	$959.70	$2,285.00	—	—	58%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,015.98	$2,419.00	—	38% below	58%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY WO CONTRAST	$1,015.98	$2,419.00	—	—	58%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR ESOPHAGUS W CONTRAST	$309.12	$736.00	—	38% below	58%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR ESOPHAGUS W CONTRAST	$309.12	$736.00	—	—	58%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,152.48	$2,744.00	—	27% below	58%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE AND OR JOINT IMAGING WHOLE BODY CDM	$1,152.48	$2,744.00	—	—	58%
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI COMPLETE	$349.44	$832.00	—	21% below	58%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI COMPLETE	$349.44	$832.00	—	—	58%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI LIMITED	$349.44	$832.00	—	1% above	58%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI LIMITED	$349.44	$832.00	—	—	58%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN PELVIS	$864.36	$2,058.00	—	79% below	58%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN PELVIS	$864.36	$2,058.00	—	—	58%
CT angiography (CTA) of the head CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,866.48	$4,444.00	—	22% below	58%
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIOGRAPHY HEAD W CONTRAST	$1,866.48	$4,444.00	—	—	58%
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,866.48	$4,444.00	—	22% below	58%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIOGRAPHY NECK W CONTRAST	$1,866.48	$4,444.00	—	—	58%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,772.40	$4,220.00	—	31% below	58%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIOGRAPHY CHEST	$1,772.40	$4,220.00	—	—	58%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CCTA HEART ARTERIES/GRAFTS W/3D IMAGE W/ CONTRAST	$1,344.84	$3,202.00	—	19% below	58%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CCTA HEART ARTERIES/GRAFTS W/3D IMAGE W/ CONTRAST	$1,344.84	$3,202.00	—	—	58%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CCTA HEART W/ CALCIUM SCORING W/O CONTRAST	$325.08	$580.00	—	72% above	44%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CCTA HEART W/ CALCIUM SCORING W/O CONTRAST	$325.08	$580.00	—	—	44%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$310.00	$1,644.00	—	89% below	81%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS WO CONTRAST	$310.00	$1,644.00	—	—	81%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$460.00	$3,136.00	—	88% below	85%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN & PELVIS W CONTRAST	$460.00	$3,136.00	—	—	85%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$500.00	$4,143.00	—	87% below	88%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W & W/O CONTRAST	$500.00	$4,143.00	—	—	88%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W CONTRAST	$1,423.38	$3,389.00	—	43% below	58%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W CONTRAST	$1,423.38	$3,389.00	—	—	58%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN WO CONTRAST	$987.42	$2,351.00	—	51% below	58%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN WO CONTRAST	$987.42	$2,351.00	—	—	58%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,069.32	$2,546.00	—	35% below	58%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,069.32	$2,546.00	—	—	58%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$245.00	$2,037.00	—	85% below	88%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$245.00	$2,037.00	—	—	88%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,108.38	$2,639.00	—	34% below	58%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$1,108.38	$2,639.00	—	—	58%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,365.00	$3,250.00	—	33% below	58%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W & W/O CONTRAST	$1,365.00	$3,250.00	—	—	58%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$295.00	$2,419.00	—	83% below	88%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$295.00	$2,419.00	—	—	88%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT NECK SPINE WO CONTRAST	$310.00	$2,546.00	—	85% below	88%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT NECK SPINE WO CONTRAST	$310.00	$2,546.00	—	—	88%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,244.04	$2,962.00	—	43% below	58%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,244.04	$2,962.00	—	—	58%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,068.06	$2,543.00	—	—	58%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY	$1,068.06	$2,543.00	—	—	58%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,647.66	$3,923.00	—	35% below	58%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX W & W/O CONTRAST	$1,647.66	$3,923.00	—	—	58%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$167.16	$398.00	—	57% below	58%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$167.16	$398.00	—	—	58%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$122.64	$292.00	—	62% below	58%
Chest X-ray, single view CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$122.64	$292.00	—	62% below	58%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST PORTABLE 1 VIEW	$122.64	$292.00	—	—	58%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$122.64	$292.00	—	—	58%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$182.28	$434.00	—	39% below	58%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$182.28	$434.00	—	—	58%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITONEAL COMPLETE	$539.70	$1,285.00	—	22% below	58%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITONEAL COMPLETE	$539.70	$1,285.00	—	—	58%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$634.20	$1,510.00	—	59% above	58%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR DXA BONE DENSITY STUDY AXIAL	$634.20	$1,510.00	—	—	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$167.16	$398.00	—	24% below	58%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC BONE DENSITY PERIPHERAL SKELETON	$167.16	$398.00	—	—	58%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$562.80	$1,340.00	—	18% below	58%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US OB DETAILED SINGLE FETUS CDM	$562.80	$1,340.00	—	—	58%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX WO CONTRAST	$295.00	$2,419.00	—	81% below	88%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$883.26	$2,103.00	—	42% below	58%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX WO CONTRAST	$295.00	$2,419.00	—	—	88%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX W/O DYE F/U LUNG SCREENING	$883.26	$2,103.00	—	—	58%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX W CONTRAST	$1,309.56	$3,118.00	—	35% below	58%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX W CONTRAST	$1,309.56	$3,118.00	—	—	58%
Diagnostic mammogram, both breasts CPT 77066 HC MAMMO DIAG BIL W CAD	$537.18	$1,279.00	—	47% above	58%
Diagnostic mammogram, both breasts inpatient CPT 77066 HC MAMMO DIAG BIL W CAD	$537.18	$1,279.00	—	—	58%
Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIAG UNI W CAD	$420.84	$1,002.00	—	55% above	58%
Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIAG UNI W CAD	$420.84	$1,002.00	—	—	58%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,016.82	$2,421.00	—	—	58%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY	$1,016.82	$2,421.00	—	—	58%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,016.82	$2,421.00	—	—	58%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY	$1,016.82	$2,421.00	—	—	58%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,035.30	$2,465.00	—	46% below	58%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO TTE 2D W DOPPLER COMPLETE	$1,035.30	$2,465.00	—	—	58%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$182.28	$434.00	—	42% below	58%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$182.28	$434.00	—	—	58%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$226.80	$540.00	—	41% below	58%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE MIN 3 VIEWS	$226.80	$540.00	—	—	58%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,069.32	$2,546.00	—	28% below	58%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/EAR/FOSSA WO CONTRAST	$1,069.32	$2,546.00	—	—	58%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$227.64	$542.00	—	42% below	58%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES MIN 3 VIEWS	$227.64	$542.00	—	—	58%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$176.40	$420.00	—	53% below	58%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$176.40	$420.00	—	—	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM	$1,449.84	$3,452.00	—	10% below	58%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM	$1,449.84	$3,452.00	—	—	58%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$173.46	$413.00	—	45% below	58%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$173.46	$413.00	—	—	58%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR HEEL MIN 2 VIEWS	$147.84	$352.00	—	49% below	58%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR HEEL MIN 2 VIEWS	$147.84	$352.00	—	—	58%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$236.04	$562.00	—	37% below	58%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$236.04	$562.00	—	—	58%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE 4/PLUS VIEWS	$268.80	$640.00	—	37% below	58%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE 4/PLUS VIEWS	$268.80	$640.00	—	—	58%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$295.00	$2,419.00	—	82% below	88%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY WO CONTRAST	$295.00	$2,419.00	—	—	88%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$438.48	$1,044.00	—	27% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ED ABDOMEN LIMITED CDM	$584.64	$1,392.00	—	3% below	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$438.48	$1,044.00	—	—	58%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ED ABDOMEN LIMITED CDM	$584.64	$1,392.00	—	—	58%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$224.28	$534.00	—	43% below	58%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$299.04	$712.00	—	23% below	58%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$224.28	$534.00	—	—	58%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US ED LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG CDM	$299.04	$712.00	—	—	58%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$63.84	$152.00	—	73% below	58%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LW DOSE LNG CA SCR WO CONTRAST CDM	$63.84	$152.00	—	—	58%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG LIMITED	$84.42	$201.00	—	76% below	58%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR LOWER LEG 2 VIEWS	$170.52	$406.00	—	51% below	58%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG LIMITED	$84.42	$201.00	—	—	58%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR LOWER LEG 2 VIEWS	$170.52	$406.00	—	—	58%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD WO CONTRAST	$1,546.86	$3,683.00	—	14% below	58%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD WO CONTRAST	$1,546.86	$3,683.00	—	—	58%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$360.00	$2,992.00	—	83% below	88%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT WO CONTRAST	$360.00	$2,992.00	—	—	88%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$1,954.68	$4,654.00	—	35% below	58%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT WO & W CONTRAST	$1,954.68	$4,654.00	—	—	58%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,255.80	$2,990.00	—	39% below	58%
MRI of the abdomen without contrast CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,255.80	$2,990.00	—	39% below	58%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI MRCP ABDOMEN WO CONTRAST	$1,255.80	$2,990.00	—	—	58%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN WO CONTRAST	$1,255.80	$2,990.00	—	—	58%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$1,954.68	$4,654.00	—	36% below	58%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN WO & W CONTRAST	$1,954.68	$4,654.00	—	—	58%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,546.86	$3,683.00	—	16% below	58%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN STEM W/O DYE	$1,546.86	$3,683.00	—	—	58%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W/O & W/DYE	$690.00	$5,729.00	—	76% below	88%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W/O & W/DYE	$690.00	$5,729.00	—	—	88%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$360.00	$2,990.00	—	84% below	88%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O DYE	$360.00	$2,990.00	—	—	88%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$1,954.68	$4,654.00	—	39% below	58%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W/O & W/DYE	$1,954.68	$4,654.00	—	—	58%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,255.80	$2,990.00	—	38% below	58%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O DYE	$1,255.80	$2,990.00	—	—	58%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,406.18	$5,729.00	—	26% below	58%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W/O & W/DYE	$2,406.18	$5,729.00	—	—	58%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$281.18	$1,493.00	—	88% below	81%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O DYE LIMITED	$556.92	$1,326.00	—	75% below	58%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE	$281.18	$1,493.00	—	—	81%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O DYE LIMITED	$556.92	$1,326.00	—	—	58%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WO & W CONTRAST	$1,954.68	$4,654.00	—	37% below	58%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WO & W CONTRAST	$1,954.68	$4,654.00	—	—	58%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS WO CONTRAST	$1,256.64	$2,992.00	—	47% below	58%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS WO CONTRAST	$1,256.64	$2,992.00	—	—	58%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$360.00	$2,992.00	—	80% below	88%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT WO CONTRAST	$360.00	$2,992.00	—	—	88%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$328.44	$782.00	—	40% below	58%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR SPINE CERVICAL 4 OR 5 VIEWS	$328.44	$782.00	—	—	58%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,334.76	$3,178.00	—	33% below	58%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$1,334.76	$3,178.00	—	—	58%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,069.32	$2,546.00	—	31% below	58%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,069.32	$2,546.00	—	—	58%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$186.48	$444.00	—	22% below	58%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$186.48	$444.00	—	—	58%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$2,184.84	$5,202.00	—	47% below	58%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYCARD PERFUS SPECT MULTIPLE	$2,184.84	$5,202.00	—	—	58%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$994.56	$2,368.00	—	39% below	58%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$994.56	$2,368.00	—	—	58%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US EXAM PELVIC LIMITED	$349.44	$832.00	—	28% below	58%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$465.78	$1,109.00	—	4% below	58%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US EXAM PELVIC LIMITED	$349.44	$832.00	—	—	58%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US ED EXAM PELVIC LIMITED CDM	$465.78	$1,109.00	—	—	58%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON-OB COMPLETE	$510.72	$1,216.00	—	33% below	58%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON-OB COMPLETE	$510.72	$1,216.00	—	—	58%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$539.70	$1,285.00	—	11% below	58%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB AFTER 1ST TRIMEST 1/1ST FETUS	$539.70	$1,285.00	—	—	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$459.48	$1,094.00	—	22% below	58%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient one side CPT 76801 HC US OB LT 14 WKS SINGLE FETUS CDM	$459.48	$1,094.00	—	—	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US OB LIMITED FETUS(S) CDM	$337.68	$804.00	—	26% below	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$450.24	$1,072.00	—	2% below	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US OB LIMITED FETUS(S) CDM	$337.68	$804.00	—	—	58%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US ED OB LIMITED FETUS(S) CDM	$450.24	$1,072.00	—	—	58%
Rib X-ray, one side, 2 views CPT 71100 HC XR RIBS UNI 2 VIEWS	$191.10	$455.00	—	36% below	58%
Rib X-ray, one side, 2 views inpatient CPT 71100 HC XR RIBS UNI 2 VIEWS	$191.10	$455.00	—	—	58%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$233.10	$555.00	—	41% below	58%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC XR RIBS/CHEST UNI MIN 3 VIEWS	$233.10	$555.00	—	—	58%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$125.00	$469.00	—	58% below	73%
Screening mammogram, both breasts CPT 77067 HC MAMMO SCREEN BIL W CAD	$200.00	$759.00	—	33% below	74%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN UNIL/BIL W CAD	$125.00	$469.00	—	—	73%
Screening mammogram, both breasts inpatient CPT 77067 HC MAMMO SCREEN BIL W CAD	$200.00	$759.00	—	—	74%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$185.64	$442.00	—	42% below	58%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE MIN 2 VIEWS	$185.64	$442.00	—	—	58%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$236.04	$562.00	—	42% below	58%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES PARANASAL MIN 3 VIEWS	$236.04	$562.00	—	—	58%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL 1-3 VIEWS	$221.34	$527.00	—	31% below	58%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL 1-3 VIEWS	$221.34	$527.00	—	—	58%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$629.16	$1,498.00	—	5% above	58%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$629.16	$1,498.00	—	—	58%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$173.46	$413.00	—	47% below	58%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$173.46	$413.00	—	—	58%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,015.98	$2,419.00	—	46% below	58%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT CHEST SPINE WO CONTRAST	$1,015.98	$2,419.00	—	—	58%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$178.08	$424.00	—	34% below	58%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) MIN 2 VIEWS	$178.08	$424.00	—	—	58%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON-OB	$512.82	$1,221.00	—	15% below	58%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON-OB	$512.82	$1,221.00	—	—	58%
Transvaginal ultrasound during pregnancy CPT 76817 HC US OB TRANSVAGINAL CDM	$349.44	$832.00	—	31% below	58%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US OB TRANSVAGINAL CDM	$349.44	$832.00	—	—	58%
Ultrasound of the abdomen, complete CPT 76700 HC US EXAM ABDOMEN COMPLETE	$539.70	$1,285.00	—	31% below	58%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US EXAM ABDOMEN COMPLETE	$539.70	$1,285.00	—	—	58%
Ultrasound of the scrotum and testicles CPT 76870 HC US EXAM SCROTUM & CONTENTS	$518.28	$1,234.00	—	15% below	58%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US EXAM SCROTUM & CONTENTS	$518.28	$1,234.00	—	—	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US EXAM OF HEAD AND NECK	$510.72	$1,216.00	—	19% below	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$681.24	$1,622.00	—	8% above	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US EXAM OF HEAD AND NECK	$510.72	$1,216.00	—	—	58%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US ED EXAM OF HEAD AND NECK CDM	$681.24	$1,622.00	—	—	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$747.18	$1,779.00	—	4% above	58%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY CDM	$747.18	$1,779.00	—	—	58%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$182.28	$434.00	—	48% below	58%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS MIN 2 VIEWS	$182.28	$434.00	—	—	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$640.92	$1,526.00	—	18% below	58%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY	$640.92	$1,526.00	—	—	58%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$194.46	$463.00	—	34% below	58%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$194.46	$463.00	—	—	58%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$244.86	$583.00	—	33% below	58%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE MIN 3 VIEWS	$244.86	$583.00	—	—	58%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$301.98	$719.00	—	18% below	58%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC XR HIPS UNI W PELVIS WHEN PERFORMED 2-3 VIEWS	$301.98	$719.00	—	—	58%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$86.94	$207.00	—	74% below	58%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$86.94	$207.00	—	74% below	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN PORTABLE 1 VIEW	$86.94	$207.00	—	—	58%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$86.94	$207.00	—	—	58%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$179.34	$427.00	—	40% below	58%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$179.34	$427.00	—	—	58%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$173.46	$413.00	—	28% below	58%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGERS(S) MIN 2 VIEWS	$173.46	$413.00	—	—	58%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$173.46	$413.00	—	48% below	58%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$173.46	$413.00	—	—	58%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT MIN 3 VIEWS	$206.22	$491.00	—	45% below	58%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT MIN 3 VIEWS	$206.22	$491.00	—	—	58%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND MIN 3 VIEWS	$209.58	$499.00	—	45% below	58%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND MIN 3 VIEWS	$209.58	$499.00	—	—	58%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1-2 VIEWS	$187.74	$447.00	—	36% below	58%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1-2 VIEWS	$187.74	$447.00	—	—	58%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$256.62	$611.00	—	42% below	58%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR SPINE LUMBOSACRAL 2 OR 3 VIEWS	$256.62	$611.00	—	—	58%
X-ray of the lower back, 4 or more views CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$352.38	$839.00	—	37% below	58%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC SPINE LUMBOSACRAL MIN 4 VIEWS	$352.38	$839.00	—	—	58%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$202.86	$483.00	—	50% below	58%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR SPINE THORACIC 2 VIEWS	$202.86	$483.00	—	—	58%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$217.98	$519.00	—	21% below	58%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES MIN 3 VIEWS	$217.98	$519.00	—	—	58%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$241.92	$576.00	—	34% below	58%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR SPINE CERVICAL 2 OR 3 VIEWS	$241.92	$576.00	—	—	58%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$158.34	$377.00	—	49% below	58%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1-2 VIEWS NO HIP VIEWS	$158.34	$377.00	—	—	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$185.64	$442.00	—	40% below	58%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR TAILBONE MIN 2 VIEWS	$185.64	$442.00	—	—	58%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$330.54	$787.00	—	55% above	58%
ACTH blood test inpatient CPT 82024 HC ADRENOCORTICOTROPIC HORMONE ACTH CDM	$330.54	$787.00	—	—	58%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC SGPT (ALT)	$45.78	$109.00	—	8% below	58%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC SGPT (ALT)	$45.78	$109.00	—	—	58%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC SGOT (AST)	$44.52	$106.00	—	14% below	58%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC SGOT (AST)	$44.52	$106.00	—	—	58%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS ACUTE PANEL	$421.26	$1,003.00	—	10% above	58%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS ACUTE PANEL	$421.26	$1,003.00	—	—	58%
Albumin blood test CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$42.84	$102.00	—	15% above	58%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$42.84	$102.00	—	15% above	58%
Albumin blood test inpatient CPT 82040 HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB	$42.84	$102.00	—	—	58%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$42.84	$102.00	—	—	58%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLD	$349.02	$831.00	—	161% above	58%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA LAB	$349.02	$831.00	—	161% above	58%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLD	$349.02	$831.00	—	—	58%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE PLASMA LAB	$349.02	$831.00	—	—	58%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOS	$44.52	$106.00	—	7% below	58%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$44.52	$106.00	—	7% below	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOS	$44.52	$106.00	—	—	58%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ASSAY OF PHOSPHATASE ALKALINE LAB	$44.52	$106.00	—	—	58%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$143.64	$342.00	—	35% above	58%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM CDM	$143.64	$342.00	—	—	58%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA LAB	$124.74	$297.00	—	12% below	58%
Ammonia blood test CPT 82140 HC ASSAY OF AMMONIA CDM	$124.74	$297.00	—	12% below	58%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA LAB	$124.74	$297.00	—	—	58%
Ammonia blood test inpatient CPT 82140 HC ASSAY OF AMMONIA CDM	$124.74	$297.00	—	—	58%
Amylase blood test CPT 82150 HC AMYLASE	$55.86	$133.00	—	28% below	58%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE	$55.86	$133.00	—	28% below	58%
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE LAB	$55.86	$133.00	—	28% below	58%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE	$55.86	$133.00	—	—	58%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$55.86	$133.00	—	—	58%
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE LAB	$55.86	$133.00	—	—	58%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CCP ANTIBODY	$138.18	$329.00	—	149% above	58%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CCP ANTIBODY	$138.18	$329.00	—	—	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$129.36	$308.00	—	68% above	58%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB	$129.36	$308.00	—	68% above	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES ANA LAB	$129.36	$308.00	—	—	58%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTINUCLEAR ANTIBODIES - ANA	$129.36	$308.00	—	—	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE LAB	$238.98	$569.00	—	53% above	58%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIURETIC PEPTIDE	$238.98	$569.00	—	53% above	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE LAB	$238.98	$569.00	—	—	58%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIURETIC PEPTIDE	$238.98	$569.00	—	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BACTERIA OTHER	$121.80	$290.00	—	82% above	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL LAB	$121.80	$290.00	—	82% above	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL	$121.80	$290.00	—	82% above	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL	$121.80	$290.00	—	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL LAB	$121.80	$290.00	—	—	58%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BACTERIA OTHER	$121.80	$290.00	—	—	58%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL	$76.02	$181.00	—	64% below	58%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL	$76.02	$181.00	—	—	58%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$43.26	$103.00	—	24% below	58%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL LAB	$43.26	$103.00	—	24% below	58%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$43.26	$103.00	—	—	58%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL LAB	$43.26	$103.00	—	—	58%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$381.78	$909.00	—	28% above	58%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM LAB	$381.78	$909.00	—	—	58%
Blood culture for bacteria CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES LAB	$146.16	$348.00	—	28% below	58%
Blood culture for bacteria CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$146.16	$348.00	—	28% below	58%
Blood culture for bacteria inpatient CPT 87040 HC BLOOD CULTURE FOR BACTERIA	$146.16	$348.00	—	—	58%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES LAB	$146.16	$348.00	—	—	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$20.58	$49.00	—	14% above	58%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$20.58	$49.00	—	14% above	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC BLOOD DRAW VENIPUNCTURE CDM	$20.58	$49.00	—	—	58%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD CDM	$20.58	$49.00	—	—	58%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$34.02	$81.00	—	18% below	58%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE QUANTITATIVE BLOOD (EXCEPT REAGENT STRIP)	$34.02	$81.00	—	—	58%
Blood lead test CPT 83655 HC LEAD BLOOD	$104.16	$248.00	—	124% above	58%
Blood lead test CPT 83655 HC ASSAY OF LEAD LAB	$104.16	$248.00	—	124% above	58%
Blood lead test inpatient CPT 83655 HC LEAD BLOOD	$104.16	$248.00	—	—	58%
Blood lead test inpatient CPT 83655 HC ASSAY OF LEAD LAB	$104.16	$248.00	—	—	58%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE LAB	$65.10	$155.00	—	53% below	58%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$65.10	$155.00	—	53% below	58%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE LAB	$65.10	$155.00	—	—	58%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC GONADOTROPIN CHORIONIC QUALITATIVE CDM	$65.10	$155.00	—	—	58%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO CDM	$200.76	$478.00	—	127% above	58%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$200.76	$478.00	—	127% above	58%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$200.76	$478.00	—	127% above	58%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$200.76	$478.00	—	—	58%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO CDM	$200.76	$478.00	—	—	58%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO LAB	$200.76	$478.00	—	—	58%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN	$34.02	$81.00	—	36% below	58%
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE LAB	$34.02	$81.00	—	36% below	58%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY OF UREA NITROGEN QUANTITATIVE LAB	$34.02	$81.00	—	—	58%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN	$34.02	$81.00	—	—	58%
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$178.50	$425.00	—	145% above	58%
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE CDM	$178.50	$425.00	—	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$55.86	$133.00	—	7% above	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN LAB	$55.86	$133.00	—	7% above	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN LAB	$55.86	$133.00	—	—	58%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$55.86	$133.00	—	—	58%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$475.86	$1,133.00	—	171% above	58%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM DIFFICILE TOXINS AMPLIFIED PROBE	$475.86	$1,133.00	—	—	58%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$222.60	$530.00	—	47% above	58%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 CDM	$222.60	$530.00	—	—	58%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$84.42	$201.00	—	9% below	58%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$84.42	$201.00	—	9% below	58%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ LAB	$84.42	$201.00	—	—	58%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ CDM	$84.42	$201.00	—	—	58%
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LAB	$44.10	$105.00	—	24% below	58%
Calcium blood test, total CPT 82310 HC CALCIUM SERUM	$44.10	$105.00	—	24% below	58%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LAB	$44.10	$105.00	—	—	58%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM SERUM	$44.10	$105.00	—	—	58%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$162.54	$387.00	—	22% above	58%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN CEA CDM	$162.54	$387.00	—	—	58%
Chickenpox (varicella) immunity blood test CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM	$137.76	$328.00	—	125% above	58%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC ANTIBODY VARICELLA-ZOSTER CDM	$137.76	$328.00	—	—	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$149.94	$357.00	—	21% above	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$149.94	$357.00	—	21% above	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS PCR	$149.94	$357.00	—	—	58%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ LAB	$149.94	$357.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE	$119.28	$284.00	—	20% below	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$119.28	$284.00	—	20% below	58%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL LAB	$119.28	$284.00	—	20% below	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL LAB	$119.28	$284.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE	$119.28	$284.00	—	—	58%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$119.28	$284.00	—	—	58%
Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$66.36	$158.00	—	27% below	58%
Complete blood count (CBC) with differential CPT 85025 HC CBC WITH DIFF AUTO	$66.36	$158.00	—	27% below	58%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC WITH DIFF AUTO	$66.36	$158.00	—	—	58%
Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC	$66.36	$158.00	—	—	58%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$55.02	$131.00	—	41% below	58%
Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$55.02	$131.00	—	41% below	58%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED LAB	$55.02	$131.00	—	—	58%
Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMPLETE AUTOMATED	$55.02	$131.00	—	—	58%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHEN METABOLIC PANEL	$94.08	$224.00	—	62% below	58%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHEN METABOLIC PANEL	$94.08	$224.00	—	—	58%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL LAB	$120.96	$288.00	—	48% above	58%
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL	$120.96	$288.00	—	48% above	58%
Cortisol blood test, total CPT 82533 HC CORTISOL	$120.96	$288.00	—	48% above	58%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL	$120.96	$288.00	—	—	58%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL	$120.96	$288.00	—	—	58%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL LAB	$120.96	$288.00	—	—	58%
Creatine kinase (CK) blood test, total CPT 82550 HC CK TOTAL	$56.28	$134.00	—	12% below	58%
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE TOTAL LAB	$56.28	$134.00	—	12% below	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK TOTAL	$56.28	$134.00	—	—	58%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE TOTAL LAB	$56.28	$134.00	—	—	58%
Creatinine blood test CPT 82565 HC ASSAY CREATININE	$44.10	$105.00	—	18% below	58%
Creatinine blood test CPT 82565 HC CREATININE BLOOD	$44.10	$105.00	—	18% below	58%
Creatinine blood test inpatient CPT 82565 HC CREATININE BLOOD	$44.10	$105.00	—	—	58%
Creatinine blood test inpatient CPT 82565 HC ASSAY CREATININE	$44.10	$105.00	—	—	58%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY	$126.84	$302.00	—	79% above	58%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY	$126.84	$302.00	—	—	58%
D-dimer blood test (blood clot marker) CPT 85379 HC DDIMER QUANT	$86.94	$207.00	—	49% below	58%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DDIMER QUANT	$86.94	$207.00	—	—	58%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$190.68	$454.00	—	27% above	58%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE CDM	$190.68	$454.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE LAB	$260.82	$621.00	—	320% above	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR ALCOHOL PER DOS	$260.82	$621.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR PER DOS	$260.82	$621.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE	$260.82	$621.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR SALICYLATE PER DOS LAB	$260.82	$621.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE CDM	$260.82	$621.00	—	—	58%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE LAB	$260.82	$621.00	—	—	58%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$63.00	$150.00	—	61% below	58%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$63.00	$150.00	—	—	58%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$97.44	$232.00	—	13% above	58%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA LAB	$97.44	$232.00	—	13% above	58%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA LAB	$97.44	$232.00	—	—	58%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR ANTIBODY - VIRAL CAPSID	$97.44	$232.00	—	—	58%
Estradiol blood test CPT 82670 HC ESTRADIOL	$238.98	$569.00	—	92% above	58%
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL LAB	$238.98	$569.00	—	92% above	58%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL	$238.98	$569.00	—	—	58%
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL LAB	$238.98	$569.00	—	—	58%
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$159.60	$380.00	—	2% above	58%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN FOLLICLE STIMULATING HORMONE CDM	$159.60	$380.00	—	—	58%
Ferritin blood test (iron stores) CPT 82728 HC ASSAY OF FERRITIN CDM	$117.18	$279.00	—	40% above	58%
Ferritin blood test (iron stores) inpatient CPT 82728 HC ASSAY OF FERRITIN CDM	$117.18	$279.00	—	—	58%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$72.24	$172.00	—	17% below	58%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$72.24	$172.00	—	—	58%
Folate (folic acid) blood test CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$126.42	$301.00	—	58% above	58%
Folate (folic acid) blood test inpatient CPT 82746 HC ASSAY OF FOLIC ACID SERUM CDM	$126.42	$301.00	—	—	58%
Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE LAB	$145.74	$347.00	—	4% above	58%
Free T3 thyroid hormone test CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$145.74	$347.00	—	4% above	58%
Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE LAB	$145.74	$347.00	—	—	58%
Free T3 thyroid hormone test inpatient CPT 84481 HC ASSAY OF TRIIODOTHYRONINE T3 FREE CDM	$145.74	$347.00	—	—	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$77.28	$184.00	—	4% above	58%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$77.28	$184.00	—	4% above	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE LAB	$77.28	$184.00	—	—	58%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC ASSAY OF FREE THYROXINE CDM	$77.28	$184.00	—	—	58%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$217.98	$519.00	—	106% above	58%
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE FREE LAB	$217.98	$519.00	—	106% above	58%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$217.98	$519.00	—	—	58%
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE FREE LAB	$217.98	$519.00	—	—	58%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT TOTAL	$62.16	$148.00	—	6% above	58%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT TOTAL	$62.16	$148.00	—	—	58%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$313.32	$746.00	—	27% below	58%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$313.32	$746.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$41.16	$98.00	—	47% below	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE POST GLUCOSE DOSE LAB	$41.16	$98.00	—	47% below	58%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$41.16	$98.00	—	47% below	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE	$41.16	$98.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GESTATIONAL GLUCOSE 1 HOUR	$41.16	$98.00	—	—	58%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE POST GLUCOSE DOSE LAB	$41.16	$98.00	—	—	58%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$110.46	$263.00	—	27% below	58%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE(3 SPEC)	$110.46	$263.00	—	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$149.94	$357.00	—	14% above	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ LAB	$149.94	$357.00	—	14% above	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ LAB	$149.94	$357.00	—	—	58%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ	$149.94	$357.00	—	—	58%
H. pylori antibody blood test CPT 86677 HC ANTIBODY HELICOBACTER PYLORI CDM	$87.36	$208.00	—	31% below	58%
H. pylori antibody blood test inpatient CPT 86677 HC ANTIBODY HELICOBACTER PYLORI CDM	$87.36	$208.00	—	—	58%
H. pylori stool antigen test CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$106.68	$254.00	—	31% above	58%
H. pylori stool antigen test inpatient CPT 87338 HC IAAD IA HPYLORI STOOL CDM	$106.68	$254.00	—	—	58%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV ULTRA SENSITIVE PCR	$1,202.04	$2,862.00	—	296% above	58%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION LAB	$1,202.04	$2,862.00	—	296% above	58%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION LAB	$1,202.04	$2,862.00	—	—	58%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV ULTRA SENSITIVE PCR	$1,202.04	$2,862.00	—	—	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$249.06	$593.00	—	83% above	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE	$249.06	$593.00	—	83% above	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE	$249.06	$593.00	—	—	58%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1 & HIV-2 AB	$249.06	$593.00	—	—	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$83.58	$199.00	—	at median	58%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HEMOGLOBIN GLYCOSYLATED A1C CDM	$83.58	$199.00	—	—	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$20.58	$49.00	—	53% below	58%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN (HGB)	$20.58	$49.00	—	53% below	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$20.58	$49.00	—	53% below	58%
Hemoglobin blood test CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$20.58	$49.00	—	53% below	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN	$20.58	$49.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN LAB	$20.58	$49.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC BLOOD COUNT HEMOGLOBIN CDM	$20.58	$49.00	—	—	58%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN (HGB)	$20.58	$49.00	—	—	58%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$128.94	$307.00	—	77% above	58%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$128.94	$307.00	—	77% above	58%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL CDM	$128.94	$307.00	—	—	58%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL LAB	$128.94	$307.00	—	—	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$115.08	$274.00	—	80% above	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$115.08	$274.00	—	80% above	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB CDM	$115.08	$274.00	—	—	58%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURF ANTIBODY HBSAB LAB	$115.08	$274.00	—	—	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$143.64	$342.00	—	105% above	58%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN LAB	$143.64	$342.00	—	105% above	58%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN CDM	$143.64	$342.00	—	—	58%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC IAAD IA HEPATITIS B SURFACE ANTIGEN LAB	$143.64	$342.00	—	—	58%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY LAB	$152.88	$364.00	—	79% above	58%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$152.88	$364.00	—	79% above	58%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY CDM	$152.88	$364.00	—	79% above	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY CDM	$152.88	$364.00	—	—	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$152.88	$364.00	—	—	58%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY LAB	$152.88	$364.00	—	—	58%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$605.22	$1,441.00	—	156% above	58%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION CDM	$605.22	$1,441.00	—	—	58%
Herpes blood test, HSV-1 antibody CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 IGG/IGM LAB	$141.54	$337.00	—	97% above	58%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$141.54	$337.00	—	97% above	58%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TEST - TYPE 1 IGG	$141.54	$337.00	—	—	58%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC ANTIBODY HERPES SMPLX TYPE 1 IGG/IGM LAB	$141.54	$337.00	—	—	58%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2	$207.06	$493.00	—	145% above	58%
Herpes blood test, HSV-2 antibody CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 CDM	$207.06	$493.00	—	145% above	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC ANTIBODY HERPES SMPLX TYPE 2 CDM	$207.06	$493.00	—	—	58%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2	$207.06	$493.00	—	—	58%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$138.18	$329.00	—	83% above	58%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C-REACTIVE PROTEIN HIGH SENSITIVITY CDM	$138.18	$329.00	—	—	58%
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTEINE LAB	$144.06	$343.00	—	4% below	58%
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTEINE LAB	$144.06	$343.00	—	—	58%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL LAB	$98.28	$234.00	—	43% above	58%
Insulin blood test CPT 83525 HC INSULIN LEVEL ASSAY	$98.28	$234.00	—	43% above	58%
Insulin blood test CPT 83525 HC ASSAY OF INSULIN TOTAL CDM	$98.28	$234.00	—	43% above	58%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL ASSAY	$98.28	$234.00	—	—	58%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL CDM	$98.28	$234.00	—	—	58%
Insulin blood test inpatient CPT 83525 HC ASSAY OF INSULIN TOTAL LAB	$98.28	$234.00	—	—	58%
Iron blood test (serum iron) CPT 83540 HC IRON	$55.86	$133.00	—	21% below	58%
Iron blood test (serum iron) CPT 83540 HC ASSAY OF IRON CDM	$55.86	$133.00	—	21% below	58%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$55.86	$133.00	—	—	58%
Iron blood test (serum iron) inpatient CPT 83540 HC ASSAY OF IRON CDM	$55.86	$133.00	—	—	58%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON BINDING CAPACITY CDM	$75.18	$179.00	—	16% below	58%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON BINDING CAPACITY CDM	$75.18	$179.00	—	—	58%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL CDM	$77.28	$184.00	—	56% below	58%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL CDM	$77.28	$184.00	—	—	58%
LH (luteinizing hormone) test CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$158.76	$378.00	—	14% above	58%
LH (luteinizing hormone) test inpatient CPT 83002 HC GONADOTROPIN LUTEINIZING HORMONE CDM	$158.76	$378.00	—	—	58%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE	$23.10	$55.00	—	76% below	58%
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTATE LAB	$23.10	$55.00	—	76% below	58%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE LAB	$23.10	$55.00	—	—	58%
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTATE	$23.10	$55.00	—	—	58%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH SERUM	$52.08	$124.00	—	27% above	58%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH SERUM	$52.08	$124.00	—	—	58%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE CDM	$59.22	$141.00	—	12% below	58%
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE LAB	$59.22	$141.00	—	12% below	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE CDM	$59.22	$141.00	—	—	58%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE LAB	$59.22	$141.00	—	—	58%
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$73.08	$174.00	—	62% below	58%
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL CDM	$73.08	$174.00	—	—	58%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$181.86	$433.00	—	120% above	58%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$181.86	$433.00	—	—	58%
Magnesium blood test CPT 83735 HC MAGNESIUM QUANT URINE	$57.54	$137.00	—	25% above	58%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM CDM	$57.54	$137.00	—	25% above	58%
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM LAB	$57.54	$137.00	—	25% above	58%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM QUANT URINE	$57.54	$137.00	—	—	58%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM CDM	$57.54	$137.00	—	—	58%
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM LAB	$57.54	$137.00	—	—	58%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY - IGG	$137.76	$328.00	—	276% above	58%
Measles (rubeola) antibody test CPT 86765 HC ANTIBODY RUBEOLA CDM	$137.76	$328.00	—	276% above	58%
Measles (rubeola) antibody test inpatient CPT 86765 HC ANTIBODY RUBEOLA CDM	$137.76	$328.00	—	—	58%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY - IGG	$137.76	$328.00	—	—	58%
Mono test (heterophile antibody, Monospot) CPT 86308 HC HETEROPHILE ANTIBODIES	$55.86	$133.00	—	34% below	58%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC HETEROPHILE ANTIBODIES	$55.86	$133.00	—	—	58%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS LAB	$139.86	$333.00	—	137% above	58%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS CDM	$139.86	$333.00	—	137% above	58%
Mumps immunity blood test CPT 86735 HC ANTIBODY MUMPS	$139.86	$333.00	—	137% above	58%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS LAB	$139.86	$333.00	—	—	58%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS CDM	$139.86	$333.00	—	—	58%
Mumps immunity blood test inpatient CPT 86735 HC ANTIBODY MUMPS	$139.86	$333.00	—	—	58%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB	$157.50	$375.00	—	40% above	58%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$157.50	$375.00	—	40% above	58%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$157.50	$375.00	—	—	58%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE LAB	$157.50	$375.00	—	—	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$157.50	$375.00	—	84% above	58%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$157.50	$375.00	—	84% above	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL LAB	$157.50	$375.00	—	—	58%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL CDM	$157.50	$375.00	—	—	58%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$352.80	$840.00	—	74% above	58%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHORMONE (PARATHYROID HORMONE)	$352.80	$840.00	—	—	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$51.24	$122.00	—	2% above	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$51.24	$122.00	—	2% above	58%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$51.24	$122.00	—	2% above	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL	$51.24	$122.00	—	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD LAB	$51.24	$122.00	—	—	58%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD CDM	$51.24	$122.00	—	—	58%
Phosphorus (phosphate) blood test CPT 84100 HC ASSAY PHOSPHORUS	$41.16	$98.00	—	34% below	58%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC ASSAY PHOSPHORUS	$41.16	$98.00	—	—	58%
Potassium blood test CPT 84132 HC POTASSIUM	$11.76	$28.00	—	80% below	58%
Potassium blood test CPT 84132 HC POTASSIUM SERUM PLASMA/WHOLE BLOOD	$11.76	$28.00	—	80% below	58%
Potassium blood test inpatient CPT 84132 HC POTASSIUM SERUM PLASMA/WHOLE BLOOD	$11.76	$28.00	—	—	58%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$11.76	$28.00	—	—	58%
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE CDM	$178.92	$426.00	—	77% above	58%
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE CDM	$178.92	$426.00	—	—	58%
Prolactin blood test CPT 84146 HC ASSAY OF PROLACTIN CDM	$165.90	$395.00	—	50% above	58%
Prolactin blood test inpatient CPT 84146 HC ASSAY OF PROLACTIN CDM	$165.90	$395.00	—	—	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$33.18	$79.00	—	27% below	58%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME LAB	$33.18	$79.00	—	27% below	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$33.18	$79.00	—	—	58%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME LAB	$33.18	$79.00	—	—	58%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$84.00	$200.00	—	21% below	58%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HC DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE	$84.00	$200.00	—	—	58%
Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA CDM	$170.10	$405.00	—	83% above	58%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA B SCREEN	$170.10	$405.00	—	83% above	58%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A SCREEN	$170.10	$405.00	—	83% above	58%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA CDM	$170.10	$405.00	—	—	58%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA B SCREEN	$170.10	$405.00	—	—	58%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A SCREEN	$170.10	$405.00	—	—	58%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$170.10	$405.00	—	74% above	58%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC IAADIADOO STREPTOCOCCUS GROUP A LAB	$170.10	$405.00	—	—	58%
Renin blood test CPT 84244 HC RENIN	$188.58	$449.00	—	85% above	58%
Renin blood test CPT 84244 HC ASSAY OF RENIN CDM	$188.58	$449.00	—	85% above	58%
Renin blood test inpatient CPT 84244 HC RENIN	$188.58	$449.00	—	—	58%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN CDM	$188.58	$449.00	—	—	58%
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$181.44	$432.00	—	183% above	58%
Rh blood typing CPT 86901 HC RH TYPE	$181.44	$432.00	—	183% above	58%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$181.44	$432.00	—	—	58%
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) LAB	$181.44	$432.00	—	—	58%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANT	$60.90	$145.00	—	33% above	58%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE LAB	$60.90	$145.00	—	33% above	58%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANT	$60.90	$145.00	—	—	58%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR QUANTITATIVE LAB	$60.90	$145.00	—	—	58%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA ANTIBODY	$154.14	$367.00	—	204% above	58%
Rubella antibody test (immunity check) CPT 86762 HC ANTIBODY RUBELLA CDM	$154.14	$367.00	—	204% above	58%
Rubella antibody test (immunity check) inpatient CPT 86762 HC ANTIBODY RUBELLA CDM	$154.14	$367.00	—	—	58%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA ANTIBODY	$154.14	$367.00	—	—	58%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE AUTOMATED	$23.52	$56.00	—	62% below	58%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE AUTOMATED	$23.52	$56.00	—	—	58%
Sodium blood test CPT 84295 HC SODIUM	$11.76	$28.00	—	81% below	58%
Sodium blood test CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD CDM	$11.76	$28.00	—	81% below	58%
Sodium blood test inpatient CPT 84295 HC SODIUM	$11.76	$28.00	—	—	58%
Sodium blood test inpatient CPT 84295 HC SODIUM SERUM PLASMA OR WHOLE BLOOD CDM	$11.76	$28.00	—	—	58%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS	$125.58	$299.00	—	87% above	58%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS	$125.58	$299.00	—	—	58%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$28.14	$67.00	—	25% below	58%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER CDM	$28.14	$67.00	—	—	58%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$25.62	$61.00	—	62% below	58%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 CDM	$25.62	$61.00	—	—	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$141.96	$338.00	—	221% above	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM - AB	$141.96	$338.00	—	221% above	58%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM LAB	$141.96	$338.00	—	221% above	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM - AB	$141.96	$338.00	—	—	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM CDM	$141.96	$338.00	—	—	58%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM LAB	$141.96	$338.00	—	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB	$45.78	$109.00	—	7% above	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$45.78	$109.00	—	7% above	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$45.78	$109.00	—	—	58%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL LAB	$45.78	$109.00	—	—	58%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD	$636.30	$1,515.00	—	211% above	58%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON LAB	$636.30	$1,515.00	—	211% above	58%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON	$636.30	$1,515.00	—	211% above	58%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON LAB	$636.30	$1,515.00	—	—	58%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON	$636.30	$1,515.00	—	—	58%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD	$636.30	$1,515.00	—	—	58%
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL LAB	$220.92	$526.00	—	121% above	58%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$220.92	$526.00	—	121% above	58%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE	$220.92	$526.00	—	121% above	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TESTOSTERONE TOTAL LAB	$220.92	$526.00	—	—	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$220.92	$526.00	—	—	58%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE	$220.92	$526.00	—	—	58%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$155.82	$371.00	—	87% above	58%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB	$155.82	$371.00	—	87% above	58%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH CDM	$155.82	$371.00	—	—	58%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODIES EACH LAB	$155.82	$371.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH REFLEX TO FT4	$143.64	$342.00	—	37% above	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$143.64	$342.00	—	37% above	58%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH	$143.64	$342.00	—	37% above	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC ASSAY OF THYROID STIMULATING HORMONE TSH LAB	$143.64	$342.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH REFLEX TO FT4	$143.64	$342.00	—	—	58%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH	$143.64	$342.00	—	—	58%
Total IgE blood test CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$141.12	$336.00	—	78% above	58%
Total IgE blood test inpatient CPT 82785 HC ASSAY OF GAMMAGLOBULIN IGE CDM	$141.12	$336.00	—	—	58%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL	$37.80	$90.00	—	32% below	58%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL	$37.80	$90.00	—	32% below	58%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL	$37.80	$90.00	—	—	58%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL	$37.80	$90.00	—	—	58%
Total thyroxine (T4) blood test CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$59.22	$141.00	—	26% below	58%
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4	$59.22	$141.00	—	26% below	58%
Total thyroxine (T4) blood test inpatient CPT 84436 HC ASSAY OF THYROXINE TOTAL LAB	$59.22	$141.00	—	—	58%
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4	$59.22	$141.00	—	—	58%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3	$121.80	$290.00	—	2% below	58%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 LAB	$121.80	$290.00	—	2% below	58%
Total triiodothyronine (T3) blood test CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$121.80	$290.00	—	2% below	58%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3	$121.80	$290.00	—	—	58%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 LAB	$121.80	$290.00	—	—	58%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 CDM	$121.80	$290.00	—	—	58%
Transferrin blood test CPT 84466 HC ASSAY TRANSFERRIN	$109.20	$260.00	—	8% below	58%
Transferrin blood test inpatient CPT 84466 HC ASSAY TRANSFERRIN	$109.20	$260.00	—	—	58%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$397.32	$946.00	—	354% above	58%
Trichomonas test (NAAT) CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$397.32	$946.00	—	354% above	58%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH LAB	$397.32	$946.00	—	—	58%
Trichomonas test (NAAT) inpatient CPT 87661 HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH CDM	$397.32	$946.00	—	—	58%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$49.56	$118.00	—	27% below	58%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES	$49.56	$118.00	—	27% below	58%
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$49.56	$118.00	—	27% below	58%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$49.56	$118.00	—	—	58%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES LAB	$49.56	$118.00	—	—	58%
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES	$49.56	$118.00	—	—	58%
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE LAB	$84.84	$202.00	—	26% below	58%
Troponin test, quantitative CPT 84484 HC TROPONIN QUANTITATIVE	$84.84	$202.00	—	26% below	58%
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN QUANTITATIVE LAB	$84.84	$202.00	—	—	58%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUANTITATIVE	$84.84	$202.00	—	—	58%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$38.64	$92.00	—	51% below	58%
Uric acid blood test CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$38.64	$92.00	—	51% below	58%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID CDM	$38.64	$92.00	—	—	58%
Uric acid blood test inpatient CPT 84550 HC ASSAY OF BLOOD/URIC ACID LAB	$38.64	$92.00	—	—	58%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$41.58	$99.00	—	56% below	58%
Urinalysis with microscope exam, automated CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$41.58	$99.00	—	56% below	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY LAB	$41.58	$99.00	—	—	58%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY CDM	$41.58	$99.00	—	—	58%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$27.72	$66.00	—	42% below	58%
Urinalysis without microscope exam, automated CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$27.72	$66.00	—	42% below	58%
Urinalysis without microscope exam, automated CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$27.72	$66.00	—	42% below	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY LAB	$27.72	$66.00	—	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O SCOPE	$27.72	$66.00	—	—	58%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC PH URINE DIPSTICK AUTO W/O MICROSCOPY LAB	$27.72	$66.00	—	—	58%
Urinalysis without microscope exam, manual CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$27.72	$66.00	—	6% below	58%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP CDM	$27.72	$66.00	—	—	58%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$99.96	$238.00	—	23% below	58%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE/COLONY COUNT	$99.96	$238.00	—	23% below	58%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE LAB	$99.96	$238.00	—	23% below	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE	$99.96	$238.00	—	—	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE LAB	$99.96	$238.00	—	—	58%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE/COLONY COUNT	$99.96	$238.00	—	—	58%
Urine microalbumin (albumin) test CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$49.56	$118.00	—	3% below	58%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE	$49.56	$118.00	—	3% below	58%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE	$49.56	$118.00	—	—	58%
Urine microalbumin (albumin) test inpatient CPT 82043 HC URINE ALBUMIN QUANTITATIVE LAB	$49.56	$118.00	—	—	58%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST	$82.74	$197.00	—	3% below	58%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST	$82.74	$197.00	—	—	58%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN-B12	$129.36	$308.00	—	43% above	58%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN-B12	$129.36	$308.00	—	—	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$253.26	$603.00	—	112% above	58%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$253.26	$603.00	—	—	58%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$329.28	$784.00	—	109% above	58%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM	$329.28	$784.00	—	—	58%
Zinc blood test CPT 84630 HC ASSAY OF ZINC CDM	$97.86	$233.00	—	44% above	58%
Zinc blood test CPT 84630 HC ASSAY OF ZINC LAB	$97.86	$233.00	—	44% above	58%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC LAB	$97.86	$233.00	—	—	58%
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC CDM	$97.86	$233.00	—	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$60.06	$143.00	—	47% below	58%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) QUANTITATIVE	$60.06	$143.00	—	47% below	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC (HCG) QUANTITATIVE	$60.06	$143.00	—	—	58%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC GONADOTROPIN CHORIONIC QUANTITATIVE LAB	$60.06	$143.00	—	—	58%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST 1ST LESION STEREO	$2,485.56	$5,918.00	—	29% below	58%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST 1ST LESION STEREO	$2,485.56	$5,918.00	—	—	58%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$2,414.16	$5,748.00	—	81% above	58%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL	$2,414.16	$5,748.00	—	—	58%
Incision and drainage of a simple or single skin abscess CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$233.10	$555.00	—	46% below	58%
Incision and drainage of a simple or single skin abscess CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$267.96	$638.00	—	38% below	58%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC ED DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE CDM	$233.10	$555.00	—	—	58%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE	$267.96	$638.00	—	—	58%
Short arm splint (forearm and hand) CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$389.76	$928.00	—	72% above	58%
Short arm splint (forearm and hand) inpatient CPT 29125 HC ED SHORT ARM SPLINT APPLICATION CDM	$389.76	$928.00	—	—	58%
Short leg splint (calf to foot) CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$198.66	$473.00	—	24% below	58%
Short leg splint (calf to foot) inpatient CPT 29515 HC ED SHORT LEG SPLINT APPLICATION CDM	$198.66	$473.00	—	—	58%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$178.50	$425.00	—	47% below	58%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC ED REPAIR SUPERFIC WOUND(S)LT/2.5CM SLP NK AX EXGEN TRNK EXTR HND FT CDM	$178.50	$425.00	—	—	58%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$716.52	$1,706.00	—	31% below	58%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC ED SPINAL PUNCTURE LUMBAR DIAGNOSTIC CDM	$716.52	$1,706.00	—	—	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$219.24	$522.00	—	44% below	58%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC ED REPAIR SUPERFICIAL WND(S) 2.6-7.5CM SLP NK AX EXGEN TRNK E CDM	$219.24	$522.00	—	—	58%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$513.66	$1,223.00	—	32% above	58%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient one side CPT 12011 HC ED REPAIR SUPERFICIAL WOUND(S) LT/2.5 FACE ERS EYLD NSE LPS MUC CDM	$513.66	$1,223.00	—	—	58%
Trigger point injections, 1 or 2 muscles CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$319.20	$760.00	—	28% below	58%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC ED INJ TRIGGER POINT 1/2 MUSCL CDM	$319.20	$760.00	—	—	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$2,016.84	$4,802.00	—	27% below	58%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$2,016.84	$4,802.00	—	—	58%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$434.70	$1,035.00	—	43% below	58%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION EA UNIT CDM	$434.70	$1,035.00	—	—	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHALATION TREATMENT DAILY	$241.08	$574.00	—	19% above	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC ED INHALATION TREATMENT CDM	$241.08	$574.00	—	19% above	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC ED INHALATION TREATMENT CDM	$241.08	$574.00	—	—	58%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHALATION TREATMENT DAILY	$241.08	$574.00	—	—	58%
Critical care, first 30 to 74 minutes CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$3,179.82	$7,571.00	—	25% above	58%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC ED CRITICAL CARE FIRST HOUR CDM	$3,179.82	$7,571.00	—	—	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG 12 LEAD TRACING ONLY	$161.70	$385.00	—	41% below	58%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG 12 LEAD TRACING ONLY	$161.70	$385.00	—	—	58%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$226.80	$540.00	—	3% below	58%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED FAC E&M VISIT LEVEL 1 CDM	$226.80	$540.00	—	—	58%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$530.04	$1,262.00	—	22% above	58%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED FAC E&M VISIT LEVEL 2 CDM	$530.04	$1,262.00	—	—	58%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$724.50	$1,725.00	—	6% below	58%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED FAC E&M VISIT LEVEL 3 CDM	$724.50	$1,725.00	—	—	58%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$997.92	$2,376.00	—	23% below	58%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED FAC E&M VISIT LEVEL 4 CDM	$997.92	$2,376.00	—	—	58%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$1,740.06	$4,143.00	—	2% below	58%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED FAC E&M VISIT LEVEL 5 CDM	$1,740.06	$4,143.00	—	—	58%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$1,356.18	$3,229.00	—	8% above	58%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY	$1,356.18	$3,229.00	—	—	58%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$352.80	$840.00	—	19% below	58%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INITIAL HR CDM	$405.72	$966.00	—	7% below	58%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC ED IV HYDRATION INITIAL HR CDM	$352.80	$840.00	—	—	58%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INITIAL HR CDM	$405.72	$966.00	—	—	58%
IV infusion of a medicine, first hour CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$412.86	$983.00	—	8% below	58%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION INITIAL HR CDM	$474.60	$1,130.00	—	6% above	58%
IV infusion of a medicine, first hour inpatient CPT 96365 HC ED IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR CDM	$412.86	$983.00	—	—	58%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION INITIAL HR CDM	$474.60	$1,130.00	—	—	58%
IV push of a medicine, first drug CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$204.12	$486.00	—	11% below	58%
IV push of a medicine, first drug CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$234.78	$559.00	—	3% above	58%
IV push of a medicine, first drug inpatient CPT 96374 HC ED IV INJECTION THERAPEUTIC PROPH/DX PUSH SINGLE/1ST SBST/DRUG CDM	$204.12	$486.00	—	—	58%
IV push of a medicine, first drug inpatient CPT 96374 HC INJ IV PUSH INITIAL DRUG CDM	$234.78	$559.00	—	—	58%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$192.36	$458.00	—	31% above	58%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ SQ OR IM CDM	$221.34	$527.00	—	51% above	58%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC ED THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM CDM	$192.36	$458.00	—	—	58%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ SQ OR IM CDM	$221.34	$527.00	—	—	58%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION LOW COMPLEX	$157.92	$376.00	—	35% below	58%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION LOW COMPLEX	$157.92	$376.00	—	—	58%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION HIGH COMPLEX	$288.96	$688.00	—	at median	58%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION HIGH COMPLEX	$288.96	$688.00	—	—	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$128.94	$307.00	—	37% below	58%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION LOW COMPLEX CDM	$128.94	$307.00	—	—	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$192.78	$459.00	—	22% below	58%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION MOD COMPLEX CDM	$192.78	$459.00	—	—	58%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$32.76	$78.00	—	70% below	58%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY TQS 1 OR MORE REGIONS EACH 15 MINUTES	$32.76	$78.00	—	—	58%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$71.82	$171.00	—	36% below	58%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THER EXERCISES PX 1 OR MORE AREAS EACH 15 MIN	$71.82	$171.00	—	—	58%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$81.06	$193.00	—	28% below	58%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$81.06	$193.00	—	—	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$190.26	$453.00	—	17% below	58%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPUTIC PHLEBOTOMY	$190.26	$453.00	—	17% below	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE	$190.26	$453.00	—	—	58%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPUTIC PHLEBOTOMY	$190.26	$453.00	—	—	58%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$122.64	$292.00	—	at median	58%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HC PR RX COVID-19 VACCINE SINGLE DOSE (MODERNA) PF IM 50 MCG/0.5 ML	$122.64	$292.00	—	—	58%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$110.04	$262.00	—	34% below	58%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HC PR RX COVID-19 VACCINE SINGLE DOSE (PFIZER) PF TRIS-SUC IM 30 MCG/0.3 ML	$110.04	$262.00	—	—	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML	$162.08	$385.91	—	60% above	58%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS (TD) INJ 2-2 LF/0.5ML	$162.08	$385.91	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN CDM	$75.60	$180.00	—	2% above	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$75.60	$180.00	—	2% above	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$75.60	$180.00	—	2% above	58%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$75.60	$180.00	—	2% above	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN PNEUMOCOCCAL VACCINE CDM	$75.60	$180.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN CDM	$75.60	$180.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN INFLUENZA VIRUS VAC CDM	$75.60	$180.00	—	—	58%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC ADMIN HEPATITIS B VACCINE CDM	$75.60	$180.00	—	—	58%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$75.60	$180.00	—	61% above	58%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EACH ADD CDM	$75.60	$180.00	—	—	58%

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

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

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

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

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

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

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

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

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

Source file: https://pricetransparency.providence.org/txnm/live/264021016_grace-surgical-hospital_standardcharges.json