Hospital Tulsa, OK

Ascension St. John Medical Center

Listed in its price file as “St. John Medical Center, Inc.”.

Ascension St. John Medical Center in Tulsa, OK publishes cash prices for 379 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Oklahoma median for 316 of 378 procedures and above it for 21. By typical cash price it ranks #15 of 64 Oklahoma hospitals and #5 of 18 hospitals in the Tulsa, OK area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1923 S Utica Ave Tulsa OK 74104 Collected Sep 23, 2026 Source price file Check a bill from this hospital (918) 744-2296

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 370114 · CMS hospital register NPI 1154417368

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN COMBINED 74170	$1,093.17	$2,954.50	$88.13–$570.05	18% below	63%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN COMBINED 74170	$1,093.17	$2,954.50	$88.13–$570.05	—	63%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN XRAY 2 VIEWS 74019	$158.73	$429.00	$26.13–$37.95	26% below	63%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN XRAY 2 VIEWS 74019	$158.73	$429.00	$26.13–$37.95	26% below	63%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN XRAY 2 VIEWS 74019	$158.73	$429.00	$26.13–$37.95	—	63%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3V MINIMUM BILAT 73610	$269.73	$729.00	$10.66–$70.21	—	63%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE 3VIEW MIN BILAT 73610	$269.73	$729.00	$10.66–$70.21	—	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V MINIMUM RT 9200	$134.87	$364.50	$10.66–$70.21	24% below	63%
Ankle X-ray, complete, 3 or more views one side CPT 73610 ANKLE 3V MINIMUM LT 9199	$134.87	$364.50	$10.66–$70.21	24% below	63%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3V MINIMUM BILAT 73610	$269.73	$729.00	$10.66–$70.21	—	63%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE 3VIEW MIN BILAT 73610	$269.73	$729.00	$10.66–$70.21	—	63%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3V MINIMUM RT 9200	$134.87	$364.50	$10.66–$70.21	—	63%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 ANKLE 3V MINIMUM LT 9199	$134.87	$364.50	$10.66–$70.21	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/ARM INDEX 40048	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 OXYGEN TENSION SING LEVEL 93922	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/ARM INDEX 93922	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 OXYGEN TENSION SING LEVEL 93922	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/ARM INDEX 93922	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE/ARM INDEX 40048	$194.71	$526.25	$15.50–$352.59	23% below	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 OXYGEN TENSION SING LEVEL 93922	$194.71	$526.25	$15.50–$352.59	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE/ARM INDEX 93922	$194.71	$526.25	$15.50–$352.59	—	63%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE/ARM INDEX 40048	$194.71	$526.25	$15.50–$352.59	—	63%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT EXT UP PLAIN BILAT 73200	$1,587.30	$4,290.00	$68.52–$372.09	—	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UP PLAIN RT 9118	$793.65	$2,145.00	$68.52–$372.09	12% below	63%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXT UP PLAIN LT 9117	$793.65	$2,145.00	$68.52–$372.09	12% below	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT EXT UP PLAIN BILAT 73200	$1,587.30	$4,290.00	$68.52–$372.09	—	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UP PLAIN RT 9118	$793.65	$2,145.00	$68.52–$372.09	—	63%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXT UP PLAIN LT 9117	$793.65	$2,145.00	$68.52–$372.09	—	63%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BA SWALLOW 74220	$221.54	$598.75	$28.93–$188.77	25% below	63%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS BA SWALLOW 74220	$221.54	$598.75	$28.93–$188.77	—	63%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN 78306	$606.15	$1,638.25	$54.25–$449.64	36% below	63%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN 78306	$606.15	$1,638.25	$54.25–$449.64	—	63%
Breast ultrasound, complete, one breast both sides CPT 76641 BREAST SONO CMPL BILAT 76641	$695.23	$1,879.00	$72.22–$185.72	—	63%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE R 15581	$347.62	$939.50	$72.22–$185.72	at median	63%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE L 15580	$347.62	$939.50	$72.22–$185.72	at median	63%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 BREAST SONO CMPL BILAT 76641	$695.23	$1,879.00	$72.22–$185.72	—	63%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE R 15581	$347.62	$939.50	$72.22–$185.72	—	63%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE L 15580	$347.62	$939.50	$72.22–$185.72	—	63%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 BREAST SONO LMTD BILAT 76642	$695.23	$1,879.00	$55.33–$153.06	—	63%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED L 15582	$347.62	$939.50	$55.33–$153.06	4% above	63%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED R 15583	$347.62	$939.50	$55.33–$153.06	4% above	63%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 BREAST SONO LMTD BILAT 76642	$695.23	$1,879.00	$55.33–$153.06	—	63%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED L 15582	$347.62	$939.50	$55.33–$153.06	—	63%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED R 15583	$347.62	$939.50	$55.33–$153.06	—	63%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD PELVIS 74174	$2,483.63	$6,712.50	$265.51–$887.73	10% above	63%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD PELVIS 74174	$2,483.63	$6,712.50	$265.51–$887.73	—	63%
CT angiography (CTA) of the head CPT 70496 CTA HEAD NECK RAPID 43272	$1,328.95	$3,591.75	$110.71–$886.37	at median	63%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD 70496	$1,328.95	$3,591.75	$110.71–$886.37	at median	63%
CT angiography (CTA) of the head inpatient CPT 70496 CTA HEAD NECK RAPID 43272	$1,328.95	$3,591.75	$110.71–$886.37	—	63%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD 70496	$1,328.95	$3,591.75	$110.71–$886.37	—	63%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK 70498	$1,315.72	$3,556.00	$111.11–$915.62	at median	63%
CT angiography (CTA) of the neck CPT 70498 CVI CT ANGIO NECK 70498	$1,315.72	$3,556.00	$111.11–$915.62	at median	63%
CT angiography (CTA) of the neck inpatient CPT 70498 CVI CT ANGIO NECK 70498	$1,315.72	$3,556.00	$111.11–$915.62	—	63%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK 70498	$1,315.72	$3,556.00	$111.11–$915.62	—	63%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CVI CT ANGIO CHEST 18596	$1,499.24	$4,052.00	$121.36–$719.03	at median	63%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST 71275	$1,499.24	$4,052.00	$121.36–$719.03	at median	63%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CVI CT ANGIO CHEST 18596	$1,499.24	$4,052.00	$121.36–$719.03	—	63%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST 71275	$1,499.24	$4,052.00	$121.36–$719.03	—	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE 75574	$1,166.70	$3,153.25	$265.52–$814.94	5% below	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CVI CT CCTA W/WO STR 18589	$1,166.70	$3,153.25	$265.52–$814.94	5% below	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CVI CT CCTA W/WO 18586	$1,166.70	$3,153.25	$265.52–$814.94	5% below	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CVI CT CCTA W/WO STR 18589	$1,166.70	$3,153.25	$265.52–$814.94	—	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CVI CT CCTA W/WO 18586	$1,166.70	$3,153.25	$265.52–$814.94	—	63%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE 75574	$1,166.70	$3,153.25	$265.52–$814.94	—	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CVI CT HEART WO QUAL 18584	$277.50	$750.00	$60.01–$201.36	172% above	63%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HEART QUAL. CA+ 18584	$277.50	$750.00	$60.01–$201.36	172% above	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CVI CT HEART WO QUAL 18584	$277.50	$750.00	$60.01–$201.36	—	63%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT HEART QUAL. CA+ 18584	$277.50	$750.00	$60.01–$201.36	—	63%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN PELVIS WO 74176	$920.93	$2,489.00	$114.61–$413.60	31% below	63%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN PELVIS WO 74176	$920.93	$2,489.00	$114.61–$413.60	—	63%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN PELVIS W CONTR 74177	$1,187.61	$3,209.75	$222.39–$615.63	35% below	63%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PELVIS W 74177	$1,187.61	$3,209.75	$222.39–$615.63	35% below	63%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN PELVIS W CONTR 74177	$1,187.61	$3,209.75	$222.39–$615.63	—	63%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PELVIS W 74177	$1,187.61	$3,209.75	$222.39–$615.63	—	63%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN PELVIS W/WO 74178	$1,216.01	$3,286.50	$255.45–$719.70	43% below	63%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN PELVIS W/WO 74178	$1,216.01	$3,286.50	$255.45–$719.70	—	63%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN INFUSED 74160	$1,019.81	$2,756.25	$80.44–$495.90	7% below	63%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN INFUSED 74160	$1,019.81	$2,756.25	$80.44–$495.90	—	63%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN PLAIN 74150	$954.97	$2,581.00	$74.80–$319.04	4% below	63%
CT scan of the abdomen without contrast CPT 74150 CT PROSTATE 74151	$954.97	$2,581.00	$74.80–$319.04	4% below	63%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN PLAIN 74150	$954.97	$2,581.00	$74.80–$319.04	—	63%
CT scan of the abdomen without contrast inpatient CPT 74150 CT PROSTATE 74151	$954.97	$2,581.00	$74.80–$319.04	—	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT STEALTH SINUS WO 40284	$137.55	$371.75	$71.66–$243.28	86% below	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES 70486	$756.00	$2,043.25	$71.66–$406.79	21% below	63%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES LIMITED 61519	$756.00	$2,043.25	$71.66–$406.79	21% below	63%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT STEALTH SINUS WO 40284	$137.55	$371.75	$71.66–$243.28	—	63%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES LIMITED 61519	$756.00	$2,043.25	$71.66–$406.79	—	63%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES 70486	$756.00	$2,043.25	$71.66–$406.79	—	63%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD RAPID 43267	$891.79	$2,410.25	$53.78–$294.56	10% below	63%
CT scan of the head or brain, no contrast dye CPT 70450 MR/IAC/W/O 30035	$891.79	$2,410.25	$53.78–$294.56	10% below	63%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD PLAIN 70450	$891.79	$2,410.25	$53.78–$294.56	10% below	63%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD PLAIN 70450	$891.79	$2,410.25	$53.78–$294.56	—	63%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 MR/IAC/W/O 30035	$891.79	$2,410.25	$53.78–$294.56	—	63%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD RAPID 43267	$891.79	$2,410.25	$53.78–$294.56	—	63%
CT scan of the head with contrast CPT 70460 CT HEAD INFUSED 70460	$883.28	$2,387.25	$71.19–$386.39	27% below	63%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD INFUSED 70460	$883.28	$2,387.25	$71.19–$386.39	—	63%
CT scan of the head without and with contrast CPT 70470 CT HEAD COMBINED 70470	$1,065.14	$2,878.75	$80.04–$391.14	17% below	63%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD COMBINED 70470	$1,065.14	$2,878.75	$80.04–$391.14	—	63%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR 72131	$843.69	$2,280.25	$73.00–$373.46	19% below	63%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR 72131	$843.69	$2,280.25	$73.00–$373.46	—	63%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL 72125	$826.21	$2,233.00	$73.00–$382.98	23% below	63%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL 72125	$826.21	$2,233.00	$73.00–$382.98	—	63%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS INFUSED 72193	$971.25	$2,625.00	$73.00–$486.38	10% below	63%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS INFUSED 72193	$971.25	$2,625.00	$73.00–$486.38	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILATERAL 93880	$347.52	$939.25	$38.08–$629.30	—	63%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILATERAL 93880	$347.52	$939.25	$38.08–$629.30	—	63%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX 93880	$347.52	$939.25	$38.08–$629.30	28% below	63%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID DUPLEX 93880	$347.52	$939.25	$38.08–$629.30	28% below	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX BILATERAL 93880	$347.52	$939.25	$38.08–$629.30	—	63%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID DUPLEX 93880	$347.52	$939.25	$38.08–$629.30	—	63%
Chest CT scan without and with contrast CPT 71270 CT CHEST COMBINED 71272	$1,043.49	$2,820.25	$86.79–$565.29	16% below	63%
Chest CT scan without and with contrast CPT 71270 CT CHEST COMBINED 71271	$1,043.49	$2,820.25	$86.79–$565.29	16% below	63%
Chest CT scan without and with contrast CPT 71270 CT CHEST COMBINED 71270	$1,043.49	$2,820.25	$86.79–$565.29	16% below	63%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST COMBINED 71272	$1,043.49	$2,820.25	$86.79–$565.29	—	63%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST COMBINED 71270	$1,043.49	$2,820.25	$86.79–$565.29	—	63%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST COMBINED 71271	$1,043.49	$2,820.25	$86.79–$565.29	—	63%
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 VIEWS 71046	$118.40	$320.00	$23.34–$34.44	33% below	63%
Chest X-ray, 2 views CPT 71046 CHEST XRAY 2 VIEWS 71046	$118.40	$320.00	$23.34–$34.44	33% below	63%
Chest X-ray, 2 views inpatient CPT 71046 CHEST XRAY 2 VIEWS 71046	$118.40	$320.00	$23.34–$34.44	—	63%
Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW 71045	$86.03	$232.50	$17.06–$18.98	48% below	63%
Chest X-ray, single view CPT 71045 CHEST XRAY 1 VIEW 71045	$86.03	$232.50	$17.06–$18.98	48% below	63%
Chest X-ray, single view inpatient CPT 71045 CHEST XRAY 1 VIEW 71045	$86.03	$232.50	$17.06–$18.98	—	63%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 CLAVICLE BILAT 73000	$242.35	$655.00	$10.19–$60.06	—	63%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE 1V R 71126	$121.18	$327.50	$10.19–$60.06	32% below	63%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE 1V L 71125	$121.18	$327.50	$10.19–$60.06	32% below	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE RT 9202	$121.18	$327.50	$10.19–$60.06	32% below	63%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE LT 9201	$121.18	$327.50	$10.19–$60.06	32% below	63%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 CLAVICLE BILAT 73000	$242.35	$655.00	$10.19–$60.06	—	63%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE 1V L 71125	$121.18	$327.50	$10.19–$60.06	—	63%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE 1V R 71126	$121.18	$327.50	$10.19–$60.06	—	63%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE LT 9201	$121.18	$327.50	$10.19–$60.06	—	63%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE RT 9202	$121.18	$327.50	$10.19–$60.06	—	63%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RETPERITONEAL CMPLT 76770	$400.16	$1,081.50	$46.34–$238.10	15% below	63%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RETPERITONEAL CMPLT 76770	$400.16	$1,081.50	$46.34–$238.10	—	63%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD BONE DENSITY 77080	$109.34	$295.50	$12.46–$87.75	58% below	63%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD BONE DENSITY 77080	$109.34	$295.50	$12.46–$87.75	—	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD BONE DENSITY PERI 77081	$80.11	$216.50	$13.40–$51.02	26% below	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD BONE DESN PERIH 77081	$80.11	$216.50	$13.40–$51.02	26% below	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD BONE DESN PERIH 77081	$80.11	$216.50	$13.40–$51.02	—	63%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD BONE DENSITY PERI 77081	$80.11	$216.50	$13.40–$51.02	—	63%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US COMPLEX 76811	$479.89	$1,297.00	$87.32–$392.35	13% below	63%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US COMPLEX 76811	$479.89	$1,297.00	$87.32–$392.35	—	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST PLAIN 18593	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST 71250	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX PLAIN 71250	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O 71250	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX HIGH RES 15589	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST PLAIN 71250	$952.66	$2,574.75	$73.00–$374.15	at median	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST PLAIN 71250	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX HIGH RES 15589	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST 71250	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST W/O 71250	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX PLAIN 71250	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST PLAIN 18593	$952.66	$2,574.75	$73.00–$374.15	—	63%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST INFUSED 71260	$1,108.34	$2,995.50	$77.94–$467.33	4% below	63%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST INFUSED 71260	$1,108.34	$2,995.50	$77.94–$467.33	—	63%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIGTL DIAG BILAT 77066	$208.87	$564.50	$121.80–$304.29	—	63%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIGTL DIAG BILAT 77066	$208.87	$564.50	$121.80–$304.29	—	63%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIGTL DIAG LT 77065	$161.69	$437.00	$95.22–$239.64	20% below	63%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIGTL DIAG RT 30111	$161.69	$437.00	$95.22–$239.64	20% below	63%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIGTL DIAG RT 30111	$161.69	$437.00	$95.22–$239.64	—	63%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIGTL DIAG LT 77065	$161.69	$437.00	$95.22–$239.64	—	63%
Duplex ultrasound of the leg arteries, both legs CPT 93925 BIL ART DUPLEX LEGS 40083	$395.99	$1,070.25	$36.34–$717.07	27% below	63%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP ARTERY LEGS2 CMP 93925	$395.99	$1,070.25	$36.34–$717.07	27% below	63%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP ARTERY LEGS2 CMP 93925	$395.99	$1,070.25	$36.34–$717.07	27% below	63%
Duplex ultrasound of the leg arteries, both legs CPT 93925 BIL ART DUPLEX LEGS 40083	$395.99	$1,070.25	$36.34–$717.07	27% below	63%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP ARTERY LEGS2 CMP 93925	$395.99	$1,070.25	$36.34–$717.07	—	63%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 BIL ART DUPLEX LEGS 40083	$395.99	$1,070.25	$36.34–$717.07	—	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX LEGS 40080	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAP LEGS 40086	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX EXTRMS 93970	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 BIL VEN MAP ARMS 40082	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VEIN MAP LEGS 40086	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX ARMS 40081	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX LEGS 40080	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 BIL VEN MAP ARMS 40082	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX EXTRMS 93970	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX ARMS 40081	$407.46	$1,101.25	$42.81–$737.84	36% below	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX ARMS 40081	$407.46	$1,101.25	$42.81–$737.84	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 BIL VEN MAP ARMS 40082	$407.46	$1,101.25	$42.81–$737.84	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX EXTRMS 93970	$407.46	$1,101.25	$42.81–$737.84	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEIN MAP LEGS 40086	$407.46	$1,101.25	$42.81–$737.84	—	63%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX LEGS 40080	$407.46	$1,101.25	$42.81–$737.84	—	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPL 93306	$856.37	$2,314.50	$88.03–$1,550.71	22% below	63%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPL 93306	$856.37	$2,314.50	$88.03–$1,550.71	22% below	63%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/DOPPLER COMPL 93306	$856.37	$2,314.50	$88.03–$1,550.71	—	63%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW 2V BILAT 73070	$225.89	$610.50	$9.32–$59.29	—	63%
Elbow X-ray, 2 views CPT 73070 ELBOW 1V R 71128	$112.94	$305.25	$9.32–$59.29	35% below	63%
Elbow X-ray, 2 views CPT 73070 ELBOW 1V L 71127	$112.94	$305.25	$9.32–$59.29	35% below	63%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2V LT 9203	$112.94	$305.25	$9.32–$59.29	35% below	63%
Elbow X-ray, 2 views one side CPT 73070 ELBOW 2V RT 9204	$112.94	$305.25	$9.32–$59.29	35% below	63%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW 2V BILAT 73070	$225.89	$610.50	$9.32–$59.29	—	63%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 1V R 71128	$112.94	$305.25	$9.32–$59.29	—	63%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW 1V L 71127	$112.94	$305.25	$9.32–$59.29	—	63%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2V LT 9203	$112.94	$305.25	$9.32–$59.29	—	63%
Elbow X-ray, 2 views inpatient one side CPT 73070 ELBOW 2V RT 9204	$112.94	$305.25	$9.32–$59.29	—	63%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW 43049	$238.28	$644.00	$10.66–$70.21	33% above	63%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW MINIMUM BIL 73080	$238.28	$644.00	$10.66–$70.21	33% above	63%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW 3V MINIMUM BIL 73080	$238.28	$644.00	$10.66–$70.21	33% above	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V MINIMUM RT 9206	$119.14	$322.00	$10.66–$70.21	34% below	63%
Elbow X-ray, complete, 3 or more views one side CPT 73080 ELBOW 3V MINIMUM LT 9205	$119.14	$322.00	$10.66–$70.21	34% below	63%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW 3V MINIMUM BIL 73080	$238.28	$644.00	$10.66–$70.21	—	63%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-RAY EXAM OF ELBOW 43049	$238.28	$644.00	$10.66–$70.21	—	63%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW MINIMUM BIL 73080	$238.28	$644.00	$10.66–$70.21	—	63%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3V MINIMUM LT 9205	$119.14	$322.00	$10.66–$70.21	—	63%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 ELBOW 3V MINIMUM RT 9206	$119.14	$322.00	$10.66–$70.21	—	63%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORB SEL PF IAC PL 70480	$790.88	$2,137.50	$80.51–$493.19	14% below	63%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORB SEL PF IAC PL 70480	$790.88	$2,137.50	$80.51–$493.19	—	63%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 3VMIN 70150	$95.18	$257.25	$16.07–$88.92	57% below	63%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 3VMIN 70150	$95.18	$257.25	$16.07–$88.92	—	63%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2 VIEW BILAT 73090	$235.32	$636.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM 2V BILAT 73090	$235.32	$636.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 1V R 71133	$117.66	$318.00	$9.79–$58.50	34% below	63%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM 1V L 71132	$117.66	$318.00	$9.79–$58.50	34% below	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V RT 9216	$117.66	$318.00	$9.79–$58.50	34% below	63%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FOREARM 2V LT 9215	$117.66	$318.00	$9.79–$58.50	34% below	63%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2V BILAT 73090	$235.32	$636.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM 2 VIEW BILAT 73090	$235.32	$636.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 1V R 71133	$117.66	$318.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM 1V L 71132	$117.66	$318.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V RT 9216	$117.66	$318.00	$9.79–$58.50	—	63%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FOREARM 2V LT 9215	$117.66	$318.00	$9.79–$58.50	—	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HIDA SCAN 78226	$528.18	$1,427.50	$310.43–$673.46	54% below	63%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HIDA SCAN 78226	$528.18	$1,427.50	$310.43–$673.46	—	63%
Hand X-ray, 2 views both sides CPT 73120 HAND 2V BILAT 73120	$240.32	$649.50	$9.79–$57.72	—	63%
Hand X-ray, 2 views both sides CPT 73120 HAND 1V BILAT 10515	$240.32	$649.50	$9.79–$57.72	—	63%
Hand X-ray, 2 views CPT 73120 HAND 1V L 71134	$120.16	$324.75	$9.79–$57.72	36% below	63%
Hand X-ray, 2 views CPT 73120 HAND 1V R 71135	$120.16	$324.75	$9.79–$57.72	36% below	63%
Hand X-ray, 2 views one side CPT 73120 HAND 2V RT 9220	$120.16	$324.75	$9.79–$57.72	36% below	63%
Hand X-ray, 2 views one side CPT 73120 HAND 2V LT 9219	$120.16	$324.75	$9.79–$57.72	36% below	63%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND 2V BILAT 73120	$240.32	$649.50	$9.79–$57.72	—	63%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND 1V BILAT 10515	$240.32	$649.50	$9.79–$57.72	—	63%
Hand X-ray, 2 views inpatient CPT 73120 HAND 1V L 71134	$120.16	$324.75	$9.79–$57.72	—	63%
Hand X-ray, 2 views inpatient CPT 73120 HAND 1V R 71135	$120.16	$324.75	$9.79–$57.72	—	63%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2V RT 9220	$120.16	$324.75	$9.79–$57.72	—	63%
Hand X-ray, 2 views inpatient one side CPT 73120 HAND 2V LT 9219	$120.16	$324.75	$9.79–$57.72	—	63%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS 2V MIN BIL 73650	$220.15	$595.00	$9.79–$60.06	36% above	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2V MIN RT 9224	$110.08	$297.50	$9.79–$60.06	32% below	63%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 CALCANEUS 2V MIN LT 9223	$110.08	$297.50	$9.79–$60.06	32% below	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS 2V MIN BIL 73650	$220.15	$595.00	$9.79–$60.06	—	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2V MIN LT 9223	$110.08	$297.50	$9.79–$60.06	—	63%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 CALCANEUS 2V MIN RT 9224	$110.08	$297.50	$9.79–$60.06	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING CPAP 95811	$2,339.60	$6,323.25	$225.64–$4,236.58	24% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING CPAP 95811	$2,339.60	$6,323.25	$225.64–$4,236.58	24% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING CPAP <6HR 62571	$2,339.60	$6,323.25	$225.64–$4,236.58	24% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STAGING CPAP <6HR 62571	$2,339.60	$6,323.25	$225.64–$4,236.58	24% below	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STAGING CPAP <6HR 62571	$2,339.60	$6,323.25	$225.64–$4,236.58	—	63%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 SLEEP STAGING CPAP 95811	$2,339.60	$6,323.25	$225.64–$4,236.58	—	63%
Knee X-ray, 3 views both sides CPT 73562 KNEE 3V BILAT 73562	$243.65	$658.50	$11.52–$78.78	—	63%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V LT 9231	$121.82	$329.25	$11.52–$78.78	37% below	63%
Knee X-ray, 3 views one side CPT 73562 KNEE 3V RT 9232	$121.82	$329.25	$11.52–$78.78	37% below	63%
Knee X-ray, 3 views inpatient both sides CPT 73562 KNEE 3V BILAT 73562	$243.65	$658.50	$11.52–$78.78	—	63%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3V RT 9232	$121.82	$329.25	$11.52–$78.78	—	63%
Knee X-ray, 3 views inpatient one side CPT 73562 KNEE 3V LT 9231	$121.82	$329.25	$11.52–$78.78	—	63%
Knee X-ray, complete, 4 or more views both sides CPT 73564 KNEE 4VIEW MIN BILAT 73564	$303.22	$819.50	$13.80–$91.26	—	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V MINIMUM LT 9233	$151.61	$409.75	$13.80–$91.26	47% below	63%
Knee X-ray, complete, 4 or more views one side CPT 73564 KNEE 4V MINIMUM RT 9234	$151.61	$409.75	$13.80–$91.26	47% below	63%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 KNEE 4VIEW MIN BILAT 73564	$303.22	$819.50	$13.80–$91.26	—	63%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4V MINIMUM LT 9233	$151.61	$409.75	$13.80–$91.26	—	63%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 KNEE 4V MINIMUM RT 9234	$151.61	$409.75	$13.80–$91.26	—	63%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT EXT LOW PLAIN BILAT 73700	$1,646.50	$4,450.00	$68.52–$372.78	—	63%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT EXT LOWER PLAIN BILAT 73700	$1,646.50	$4,450.00	$68.52–$372.78	—	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOW PLAIN LT 9111	$823.25	$2,225.00	$68.52–$372.78	8% below	63%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXT LOW PLAIN RT 9112	$823.25	$2,225.00	$68.52–$372.78	8% below	63%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT EXT LOWER PLAIN BILAT 73700	$1,646.50	$4,450.00	$68.52–$372.78	—	63%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT EXT LOW PLAIN BILAT 73700	$1,646.50	$4,450.00	$68.52–$372.78	—	63%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOW PLAIN RT 9112	$823.25	$2,225.00	$68.52–$372.78	—	63%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXT LOW PLAIN LT 9111	$823.25	$2,225.00	$68.52–$372.78	—	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 UPPER ABD LIMITED 76705	$362.60	$980.00	$37.31–$193.88	7% below	63%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 UPPER ABD LIMITED 76705	$362.60	$980.00	$37.31–$193.88	—	63%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/NONVASC XTR STR 37126	$154.75	$418.25	$11.51–$64.62	40% below	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON DOP LMT LT 5799	$154.75	$418.25	$11.51–$64.62	40% below	63%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT NON DOP LMT RT 5800	$154.75	$418.25	$11.51–$64.62	40% below	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US LMTD JT/NONVASC XTR STR 37126	$154.75	$418.25	$11.51–$64.62	—	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON DOP LMT LT 5799	$154.75	$418.25	$11.51–$64.62	—	63%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT NON DOP LMT RT 5800	$154.75	$418.25	$11.51–$64.62	—	63%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING 71271	$952.66	$2,574.75	$97.66	139% above	63%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIB/FIB 2 VIEW BILAT 73590	$232.18	$627.50	$10.66–$57.72	—	63%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB FIB 1V L 71140	$116.09	$313.75	$10.66–$57.72	31% below	63%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIB FIB 1V R 71141	$116.09	$313.75	$10.66–$57.72	31% below	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2V RT 9250	$116.09	$313.75	$10.66–$57.72	31% below	63%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 TIB/FIB 2V LT 9249	$116.09	$313.75	$10.66–$57.72	31% below	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 TIB/FIB 2 VIEW BILAT 73590	$232.18	$627.50	$10.66–$57.72	—	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIB FIB 1V L 71140	$116.09	$313.75	$10.66–$57.72	—	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIB FIB 1V R 71141	$116.09	$313.75	$10.66–$57.72	—	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2V LT 9249	$116.09	$313.75	$10.66–$57.72	—	63%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 TIB/FIB 2V RT 9250	$116.09	$313.75	$10.66–$57.72	—	63%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O 70544	$599.59	$1,620.50	$75.27–$809.51	44% below	63%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O 70544	$599.59	$1,620.50	$75.27–$809.51	—	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O L 61320	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O R 71011	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O L 61320	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O R 71011	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O BIL 73721	$1,953.60	$5,280.00	$84.59–$1,591.00	45% above	63%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR JT L W/O BIL 73721	$1,953.60	$5,280.00	$84.59–$1,591.00	45% above	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JT U WO LIM LT 23797	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JT U WO LIM LT 23797	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JT U WO LIM RT 23798	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MR JT U WO LIM RT 23798	$976.80	$2,640.00	$84.59–$1,591.00	27% below	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR JT L W/O L 61320	$976.80	$2,640.00	$84.59–$1,591.00	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR JT L W/O R 71011	$976.80	$2,640.00	$84.59–$1,591.00	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR JT L W/O BIL 73721	$1,953.60	$5,280.00	$84.59–$1,591.00	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JT U WO LIM LT 23797	$976.80	$2,640.00	$84.59–$1,591.00	—	63%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MR JT U WO LIM RT 23798	$976.80	$2,640.00	$84.59–$1,591.00	—	63%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JT L W/O&W/ L 71032	$1,070.87	$2,894.25	$135.23–$1,591.00	40% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JT L W/O&W/ R 71033	$1,070.87	$2,894.25	$135.23–$1,591.00	40% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JT L W/O&W/ L 71032	$1,070.87	$2,894.25	$135.23–$1,591.00	40% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR JT L W/O&W/ R 71033	$1,070.87	$2,894.25	$135.23–$1,591.00	40% below	63%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR JT L W/O&W/ R 71033	$1,070.87	$2,894.25	$135.23–$1,591.00	—	63%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR JT L W/O&W/ L 71032	$1,070.87	$2,894.25	$135.23–$1,591.00	—	63%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN W/O 74181	$979.02	$2,646.00	$91.74–$668.01	17% below	63%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO LIM 50414	$979.02	$2,646.00	$91.74–$1,591.00	17% below	63%
MRI of the abdomen without contrast CPT 74181 MR ABDOMEN WO LIM 50414	$979.02	$2,646.00	$91.74–$1,591.00	17% below	63%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN WO LIM 50414	$979.02	$2,646.00	$91.74–$1,591.00	—	63%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABDOMEN W/O 74181	$979.02	$2,646.00	$91.74–$668.01	—	63%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABDOMEN W/O&W/ 74183	$1,188.35	$3,211.75	$141.98–$1,027.19	38% below	63%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABDOMEN W/O&W/ 74183	$1,188.35	$3,211.75	$141.98–$1,027.19	—	63%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LIMITED 13282	$870.98	$2,354.00	$92.97–$1,591.00	25% below	63%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LIMITED 13282	$870.98	$2,354.00	$92.97–$1,591.00	25% below	63%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O CONTR 70551	$870.98	$2,354.00	$92.97–$761.88	25% below	63%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O CONTR 70551	$870.98	$2,354.00	$92.97–$761.88	—	63%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO LIMITED 13282	$870.98	$2,354.00	$92.97–$1,591.00	—	63%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/O&W/CONTR 70553	$1,278.91	$3,456.50	$148.26–$1,000.65	14% below	63%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/O&W/CONTR 70553	$1,278.91	$3,456.50	$148.26–$1,000.65	—	63%
MRI of the lower back, no contrast dye CPT 72148 MRI L SPINE W/O 72148	$924.82	$2,499.50	$92.97–$667.32	25% below	63%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO LIM 50449	$924.82	$2,499.50	$92.97–$1,591.00	25% below	63%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO 50449	$924.82	$2,499.50	$92.97–$1,591.00	25% below	63%
MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO LIM 50449	$924.82	$2,499.50	$92.97–$1,591.00	25% below	63%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR WO 50449	$924.82	$2,499.50	$92.97–$1,591.00	25% below	63%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI L SPINE W/O 72148	$924.82	$2,499.50	$92.97–$667.32	—	63%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO LIM 50449	$924.82	$2,499.50	$92.97–$1,591.00	—	63%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR WO 50449	$924.82	$2,499.50	$92.97–$1,591.00	—	63%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPINE W/O&W/CON 72158	$1,396.84	$3,775.25	$147.87–$980.24	11% below	63%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LSPINE W+WO LIM 71013	$1,396.84	$3,775.25	$147.87–$1,591.00	11% below	63%
MRI of the lower back, without and then with contrast dye CPT 72158 MR LSPINE W+WO LIM 71013	$1,396.84	$3,775.25	$147.87–$1,591.00	11% below	63%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPINE W/O&W/CON 72158	$1,396.84	$3,775.25	$147.87–$980.24	—	63%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR LSPINE W+WO LIM 71013	$1,396.84	$3,775.25	$147.87–$1,591.00	—	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO LIM 50424	$976.62	$2,639.50	$100.59–$1,591.00	12% below	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T SPINE W/O 72146	$976.62	$2,639.50	$100.59–$678.89	12% below	63%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPINE WO LIM 50424	$976.62	$2,639.50	$100.59–$1,591.00	12% below	63%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI T SPINE W/O 72146	$976.62	$2,639.50	$100.59–$678.89	—	63%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPINE WO LIM 50424	$976.62	$2,639.50	$100.59–$1,591.00	—	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CSPINE W+WO LIM 71017	$1,276.04	$3,448.75	$161.19–$1,591.00	22% below	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPINE W/O&W/CON 72156	$1,276.04	$3,448.75	$161.19–$1,003.37	22% below	63%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR CSPINE W+WO LIM 71017	$1,276.04	$3,448.75	$161.19–$1,591.00	22% below	63%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPINE W/O&W/CON 72156	$1,276.04	$3,448.75	$161.19–$1,003.37	—	63%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR CSPINE W+WO LIM 71017	$1,276.04	$3,448.75	$161.19–$1,591.00	—	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CSPINE W/O LIM 71016	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO LIM 50444	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR CSPINE W/O LIM 71016	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO LIMITE 50444	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C SPINE W/O 72141	$963.02	$2,602.75	$100.19–$677.54	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO LIMITE 50444	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPINE WO LIM 50444	$963.02	$2,602.75	$100.19–$1,591.00	17% below	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI C SPINE W/O 72141	$963.02	$2,602.75	$100.19–$677.54	—	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO LIM 50444	$963.02	$2,602.75	$100.19–$1,591.00	—	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPINE WO LIMITE 50444	$963.02	$2,602.75	$100.19–$1,591.00	—	63%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR CSPINE W/O LIM 71016	$963.02	$2,602.75	$100.19–$1,591.00	—	63%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS W/WO CONTR 72197	$1,192.60	$3,223.25	$141.98–$1,023.78	24% below	63%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS W/WO CONTR 72197	$1,192.60	$3,223.25	$141.98–$1,023.78	—	63%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS W/O 72195	$889.67	$2,404.50	$91.34–$753.03	13% below	63%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO LIM 52449	$889.67	$2,404.50	$91.34–$1,591.00	13% below	63%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO LIM 52449	$889.67	$2,404.50	$91.34–$1,591.00	13% below	63%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS W/O 72195	$889.67	$2,404.50	$91.34–$753.03	—	63%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO LIM 52449	$889.67	$2,404.50	$91.34–$1,591.00	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR JT U W/O BILAT 73221	$2,051.28	$5,544.00	$84.59–$1,591.00	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MR JT U W/O BILAT 73221	$2,051.28	$5,544.00	$84.59–$1,591.00	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JT U W/O RT 71009	$1,025.64	$2,772.00	$84.59–$1,591.00	27% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JT U W/O RT 71009	$1,025.64	$2,772.00	$84.59–$1,591.00	27% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JT U W/O LT 71008	$1,025.64	$2,772.00	$84.59–$1,591.00	27% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MR JT U W/O LT 71008	$1,025.64	$2,772.00	$84.59–$1,591.00	27% below	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MR JT U W/O BILAT 73221	$2,051.28	$5,544.00	$84.59–$1,591.00	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JT U W/O RT 71009	$1,025.64	$2,772.00	$84.59–$1,591.00	—	63%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MR JT U W/O LT 71008	$1,025.64	$2,772.00	$84.59–$1,591.00	—	63%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 C SPINE 4V MIN 72050	$184.82	$499.50	$19.21–$100.62	34% below	63%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 C SPINE 4V MIN 72050	$184.82	$499.50	$19.21–$100.62	—	63%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK CONTRAST 70491	$917.14	$2,478.75	$86.79–$478.22	17% below	63%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT NECK CONTRAST 70491	$917.14	$2,478.75	$86.79–$478.22	—	63%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK PLAIN 70490	$725.29	$1,960.25	$80.91–$397.95	15% below	63%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT NECK PLAIN 70490	$725.29	$1,960.25	$80.91–$397.95	—	63%
Neck soft tissue X-ray CPT 70360 SOFT TISSUE NECK 70360	$109.15	$295.00	$10.66–$57.72	32% below	63%
Neck soft tissue X-ray inpatient CPT 70360 SOFT TISSUE NECK 70360	$109.15	$295.00	$10.66–$57.72	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 DOBUTAMINE MYOPERF 59831	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 PERS MYOCARDIAL PERF 59822	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 DOBUTAMINE MYO PERF 59831	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 LEXI MYOCARDINAL PERF 19404	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 LEXI MYOCARDIAL PERF 19404	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 EXER MYOCARDIAL PERF 59823	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 EXER MYOCARDINAL PERF 59823	$2,001.05	$5,408.25	$414.64–$874.80	25% below	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 LEXI MYOCARDINAL PERF 19404	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 DOBUTAMINE MYO PERF 59831	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 EXER MYOCARDIAL PERF 59823	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 LEXI MYOCARDIAL PERF 19404	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 DOBUTAMINE MYOPERF 59831	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 EXER MYOCARDINAL PERF 59823	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 PERS MYOCARDIAL PERF 59822	$2,001.05	$5,408.25	$414.64–$874.80	—	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT DOTATATE GALLIUM 78815	$2,937.43	$7,939.00	$154.30–$1,865.25	26% below	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYE THIGH PI 9554	$2,937.43	$7,939.00	$154.30–$5,835.00	26% below	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYE THIGH PS 9555	$2,937.43	$7,939.00	$154.30–$5,835.00	26% below	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYE THIGH PI 9554	$2,937.43	$7,939.00	$154.30–$5,835.00	26% below	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT EYE THIGH PS 9555	$2,937.43	$7,939.00	$154.30–$5,835.00	26% below	63%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET PROSTATE PSMA PYLARIFY 56714	$2,937.43	$7,939.00	$154.30–$1,865.25	26% below	63%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT EYE THIGH PI 9554	$2,937.43	$7,939.00	$154.30–$5,835.00	—	63%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT DOTATATE GALLIUM 78815	$2,937.43	$7,939.00	$154.30–$1,865.25	—	63%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT EYE THIGH PS 9555	$2,937.43	$7,939.00	$154.30–$5,835.00	—	63%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET PROSTATE PSMA PYLARIFY 56714	$2,937.43	$7,939.00	$154.30–$1,865.25	—	63%
Pelvic CT scan without contrast CPT 72192 CT PELVIS PLAIN 72192	$943.69	$2,550.50	$68.92–$311.55	2% below	63%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS PLAIN 72192	$943.69	$2,550.50	$68.92–$311.55	—	63%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 PELVIS LIMITED 76857	$301.27	$814.25	$23.72–$170.07	at median	63%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 PELVIS LIMITED 76857	$301.27	$814.25	$23.72–$170.07	—	63%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 PELVIS COMPLETE 76856	$485.35	$1,311.75	$43.20–$223.80	1% below	63%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 PELVIS COMPLETE 76856	$485.35	$1,311.75	$43.20–$223.80	—	63%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >14WK 76805	$566.29	$1,530.50	$61.14–$306.56	22% above	63%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >14WK 76805	$566.29	$1,530.50	$61.14–$306.56	—	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US <14WK 76801	$488.77	$1,321.00	$61.54–$263.64	27% above	63%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US <14WK 76801	$488.77	$1,321.00	$61.54–$263.64	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED 76815	$350.02	$946.00	$40.13–$187.20	4% above	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL ULTRASOUND 76815	$350.02	$946.00	$40.13–$187.20	4% above	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FETAL ULTRASOUND 76815	$350.02	$946.00	$40.13–$187.20	—	63%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED 76815	$350.02	$946.00	$40.13–$187.20	—	63%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2V LT W/O CHEST 9239	$172.88	$467.25	$13.80–$67.85	13% below	63%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS 2V RT W/O CHEST 9240	$172.88	$467.25	$13.80–$67.85	13% below	63%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2V RT W/O CHEST 9240	$172.88	$467.25	$13.80–$67.85	—	63%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS 2V LT W/O CHEST 9239	$172.88	$467.25	$13.80–$67.85	—	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS RT 3VMIN W/CXR 9242	$206.74	$558.75	$16.54–$82.68	15% below	63%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS LT 3VMIN W/CXR 9241	$206.74	$558.75	$16.54–$82.68	15% below	63%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS LT 3VMIN W/CXR 9241	$206.74	$558.75	$16.54–$82.68	—	63%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS RT 3VMIN W/CXR 9242	$206.74	$558.75	$16.54–$82.68	—	63%
Screening mammogram, both breasts both sides CPT 77067 MAM DIGTL SCRN BILAT 77067	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts CPT 77067 MAMMO DIG SCREEN BIL 77067	$140.60	$380.00	$100.61–$245.27	22% below	63%
Screening mammogram, both breasts one side CPT 77067 MAM DIG SCRN RT 30110	$140.60	$380.00	$100.61–$245.27	22% below	63%
Screening mammogram, both breasts one side CPT 77067 MAM DIGTL SCRN RT 30110	$140.60	$380.00	$100.61–$245.27	22% below	63%
Screening mammogram, both breasts one side CPT 77067 MAM DIGTL SCRN LT 30106	$140.60	$380.00	$100.61–$245.27	22% below	63%
Screening mammogram, both breasts one side CPT 77067 MAM DIG SCRN LT 30106	$140.60	$380.00	$100.61–$245.27	22% below	63%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAM DIGTL SCRN BILAT 77067	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO DIG SCREEN BIL 77067	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM DIGTL SCRN RT 30110	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM DIG SCRN LT 30106	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM DIG SCRN RT 30110	$140.60	$380.00	$100.61–$245.27	—	63%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM DIGTL SCRN LT 30106	$140.60	$380.00	$100.61–$245.27	—	63%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER 2V MIN BIL 73030	$263.81	$713.00	$11.52–$64.74	36% above	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2V MIN LT 9247	$131.91	$356.50	$11.52–$64.74	32% below	63%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 SHOULDER 2V MIN RT 9248	$131.91	$356.50	$11.52–$64.74	32% below	63%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER 2V MIN BIL 73030	$263.81	$713.00	$11.52–$64.74	—	63%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2V MIN RT 9248	$131.91	$356.50	$11.52–$64.74	—	63%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 SHOULDER 2V MIN LT 9247	$131.91	$356.50	$11.52–$64.74	—	63%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES- PARANASAL 70220	$95.37	$257.75	$15.20–$81.12	54% below	63%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES- PARANASAL 70220	$95.37	$257.75	$15.20–$81.12	—	63%
Skull X-ray, fewer than 4 views CPT 70250 SKULL- 1 3 VIEWS 70250	$95.37	$257.75	$14.74–$78.00	54% below	63%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL- 1 3 VIEWS 70250	$95.37	$257.75	$14.74–$78.00	—	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNGRPH COMPLEX <6HR 62570	$2,163.85	$5,848.25	$209.89–$3,918.33	22% below	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNGRPH COMPLEX 95810	$2,163.85	$5,848.25	$209.89–$3,918.33	22% below	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNGRPH COMPLEX 95810	$2,163.85	$5,848.25	$209.89–$3,918.33	22% below	63%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNGRPH COMPLEX <6HR 62570	$2,163.85	$5,848.25	$209.89–$3,918.33	22% below	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNGRPH COMPLEX 95810	$2,163.85	$5,848.25	$209.89–$3,918.33	—	63%
Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNGRPH COMPLEX <6HR 62570	$2,163.85	$5,848.25	$209.89–$3,918.33	—	63%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPH SWALLOW FUNCT 74230	$240.41	$649.75	$33.41–$164.63	27% below	63%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPH SWALLOW FUNCT 74230	$240.41	$649.75	$33.41–$164.63	—	63%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 FEMUR 2V BILAT 73552	$232.18	$627.50	$23.36–$57.63	—	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2V LT 9209	$116.09	$313.75	$23.36–$57.63	40% below	63%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FEMUR 2V RT 9210	$116.09	$313.75	$23.36–$57.63	40% below	63%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 FEMUR 2V BILAT 73552	$232.18	$627.50	$23.36–$57.63	—	63%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2V RT 9210	$116.09	$313.75	$23.36–$57.63	—	63%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FEMUR 2V LT 9209	$116.09	$313.75	$23.36–$57.63	—	63%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC 72128	$843.69	$2,280.25	$73.00–$374.15	17% below	63%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC 72128	$843.69	$2,280.25	$73.00–$374.15	—	63%
Toe X-ray, 2 or more views both sides CPT 73660 TOES BILATERAL 73660	$200.91	$543.00	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views both sides CPT 73660 TOES >=2V BILAT	$200.91	$543.00	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views one side CPT 73660 TOES >=2V RT 9378	$100.46	$271.50	$7.98–$63.18	38% below	63%
Toe X-ray, 2 or more views one side CPT 73660 TOES LT 9377	$100.46	$271.50	$7.98–$63.18	38% below	63%
Toe X-ray, 2 or more views one side CPT 73660 TOES >= 2V LT 9377	$100.46	$271.50	$7.98–$63.18	38% below	63%
Toe X-ray, 2 or more views one side CPT 73660 TOES RT 9378	$100.46	$271.50	$7.98–$63.18	38% below	63%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOES BILATERAL 73660	$200.91	$543.00	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 TOES >=2V BILAT	$200.91	$543.00	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES RT 9378	$100.46	$271.50	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES LT 9377	$100.46	$271.50	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES >=2V RT 9378	$100.46	$271.50	$7.98–$63.18	—	63%
Toe X-ray, 2 or more views inpatient one side CPT 73660 TOES >= 2V LT 9377	$100.46	$271.50	$7.98–$63.18	—	63%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL SONOGRA 76830	$378.88	$1,024.00	$42.80–$136.73	9% below	63%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL SONOGRA 76830	$378.88	$1,024.00	$42.80–$136.73	—	63%
Transvaginal ultrasound during pregnancy CPT 76817 OB US TRANSVAGINAL 76817	$272.04	$735.25	$46.01–$212.16	15% below	63%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB US TRANSVAGINAL 76817	$272.04	$735.25	$46.01–$212.16	—	63%
Ultrasound of the abdomen, complete CPT 76700 UPPER ABD GENERAL 76700	$526.79	$1,423.75	$50.71–$252.38	1% below	63%
Ultrasound of the abdomen, complete inpatient CPT 76700 UPPER ABD GENERAL 76700	$526.79	$1,423.75	$50.71–$252.38	—	63%
Ultrasound of the scrotum and testicles CPT 76870 SCROTAL 76870	$299.15	$808.50	$36.65–$223.13	16% below	63%
Ultrasound of the scrotum and testicles inpatient CPT 76870 SCROTAL 76870	$299.15	$808.50	$36.65–$223.13	—	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US NECK SOFT TISSUE 76536	$408.02	$1,102.75	$34.42–$219.05	at median	63%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US NECK SOFT TISSUE 76536	$408.02	$1,102.75	$34.42–$219.05	—	63%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UGI (NO AIR) 74240	$299.98	$810.75	$43.60–$206.79	21% below	63%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UGI (NO AIR) 74240	$299.98	$810.75	$43.60–$206.79	—	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V MIN RT 9230	$124.23	$335.75	$10.66–$60.84	29% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 2V MIN LT 9229	$124.23	$335.75	$10.66–$60.84	29% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1V LT 13592	$124.23	$335.75	$10.66–$60.84	29% below	63%
Upper arm X-ray (humerus), 2 views one side CPT 73060 HUMERUS 1V RT 13593	$124.23	$335.75	$10.66–$60.84	29% below	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 1V RT 13593	$124.23	$335.75	$10.66–$60.84	—	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 1V LT 13592	$124.23	$335.75	$10.66–$60.84	—	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V MIN LT 9229	$124.23	$335.75	$10.66–$60.84	—	63%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 HUMERUS 2V MIN RT 9230	$124.23	$335.75	$10.66–$60.84	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US DOP VEN EXT LTD BILAT 43543	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study both sides CPT 93971 US DOP VEN EXT LTD BILAT 43543	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX RT LEG 41232	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX RT ARM 40079	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LT ARM 40078	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP LT LEG 40074	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP RT LEG 40073	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP LT ARM 40072	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP RT ARM 40071	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LT LEG 40055	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 D EXT VEN W/COMP RT 9455	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 D EXT VEN W/COMP LT 9454	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX RT LEG 41232	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX RT ARM 40079	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LT ARM 40078	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP LT LEG 40074	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS MAP RT LEG 40073	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP LT ARM 40072	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEN VEIN MAP RT ARM 40071	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LT LEG 40055	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 D EXT VEN W/COMP RT 9455	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 D EXT VEN W/COMP LT 9454	$385.36	$1,041.50	$28.36–$697.80	16% below	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient both sides CPT 93971 US DOP VEN EXT LTD BILAT 43543	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX LT LEG 40055	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEN VEIN MAP LT ARM 40072	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS MAP RT LEG 40073	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEN VEIN MAP LT LEG 40074	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX LT ARM 40078	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX RT ARM 40079	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX RT LEG 41232	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 D EXT VEN W/COMP LT 9454	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 D EXT VEN W/COMP RT 9455	$385.36	$1,041.50	$28.36–$697.80	—	63%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEN VEIN MAP RT ARM 40071	$385.36	$1,041.50	$28.36–$697.80	—	63%
Wrist X-ray, 2 views both sides CPT 73100 WRIST 2V BILAT 73100	$246.42	$666.00	$10.19–$67.08	—	63%
Wrist X-ray, 2 views CPT 73100 WRIST 1V R 71143	$123.21	$333.00	$10.19–$67.08	25% below	63%
Wrist X-ray, 2 views CPT 73100 WRIST 1V L 71142	$123.21	$333.00	$10.19–$67.08	25% below	63%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2V LT 9251	$123.21	$333.00	$10.19–$67.08	25% below	63%
Wrist X-ray, 2 views one side CPT 73100 WRIST 2V RT 9252	$123.21	$333.00	$10.19–$67.08	25% below	63%
Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST 2V BILAT 73100	$246.42	$666.00	$10.19–$67.08	—	63%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 1V R 71143	$123.21	$333.00	$10.19–$67.08	—	63%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST 1V L 71142	$123.21	$333.00	$10.19–$67.08	—	63%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2V LT 9251	$123.21	$333.00	$10.19–$67.08	—	63%
Wrist X-ray, 2 views inpatient one side CPT 73100 WRIST 2V RT 9252	$123.21	$333.00	$10.19–$67.08	—	63%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST 3V MIN BILAT 73110	$263.81	$713.00	$10.66–$78.78	—	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V MIN LT 9253	$131.91	$356.50	$10.66–$78.78	27% below	63%
Wrist X-ray, complete, 3 or more views one side CPT 73110 WRIST 3V MIN RT 9254	$131.91	$356.50	$10.66–$78.78	27% below	63%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST 3V MIN BILAT 73110	$263.81	$713.00	$10.66–$78.78	—	63%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3V MIN RT 9254	$131.91	$356.50	$10.66–$78.78	—	63%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 WRIST 3V MIN LT 9253	$131.91	$356.50	$10.66–$78.78	—	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V LT 9227	$122.10	$330.00	$30.54–$73.08	36% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP 2V RT 9228	$122.10	$330.00	$30.54–$73.08	36% below	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V RT 9228	$122.10	$330.00	$30.54–$73.08	—	63%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HIP 2V LT 9227	$122.10	$330.00	$30.54–$73.08	—	63%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN XRAY 1 VIEW 74018	$116.83	$315.75	$21.25–$32.33	33% below	63%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN XRAY 1 VIEW 74018	$116.83	$315.75	$21.25–$32.33	33% below	63%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN XRAY 1 VIEW 74018	$116.83	$315.75	$21.25–$32.33	—	63%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 2 VIEW BILAT 73600	$230.51	$623.00	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE 1V BILAT 52549	$230.51	$623.00	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views CPT 73600 ANKLE 1V L 71121	$115.26	$311.50	$9.79–$60.06	36% below	63%
X-ray of the ankle, 2 views CPT 73600 ANKLE 1V R 71122	$115.26	$311.50	$9.79–$60.06	36% below	63%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2V RT 9198	$115.26	$311.50	$9.79–$60.06	36% below	63%
X-ray of the ankle, 2 views one side CPT 73600 ANKLE 2V LT 9197	$115.26	$311.50	$9.79–$60.06	36% below	63%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 1V BILAT 52549	$230.51	$623.00	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE 2 VIEW BILAT 73600	$230.51	$623.00	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 1V L 71121	$115.26	$311.50	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE 1V R 71122	$115.26	$311.50	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2V RT 9198	$115.26	$311.50	$9.79–$60.06	—	63%
X-ray of the ankle, 2 views inpatient one side CPT 73600 ANKLE 2V LT 9197	$115.26	$311.50	$9.79–$60.06	—	63%
X-ray of the finger(s), 2 or more views both sides CPT 73140 FINGERS BILAT 73140	$240.32	$649.50	$8.38–$70.21	—	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS RT 9256	$120.16	$324.75	$8.38–$70.21	26% below	63%
X-ray of the finger(s), 2 or more views one side CPT 73140 FINGERS LT 9255	$120.16	$324.75	$8.38–$70.21	26% below	63%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 FINGERS BILAT 73140	$240.32	$649.50	$8.38–$70.21	—	63%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS RT 9256	$120.16	$324.75	$8.38–$70.21	—	63%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FINGERS LT 9255	$120.16	$324.75	$8.38–$70.21	—	63%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 1V BILAT 10514	$232.18	$627.50	$9.79–$57.72	—	63%
X-ray of the foot, 2 views both sides CPT 73620 FOOT 2V BILAT 73620	$232.18	$627.50	$9.79–$57.72	—	63%
X-ray of the foot, 2 views CPT 73620 FOOT 1V R 71131	$116.09	$313.75	$9.79–$57.72	34% below	63%
X-ray of the foot, 2 views CPT 73620 FOOT 1V L 71129	$116.09	$313.75	$9.79–$57.72	34% below	63%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2V RT 9212	$116.09	$313.75	$9.79–$57.72	34% below	63%
X-ray of the foot, 2 views one side CPT 73620 FOOT 2V LT 9211	$116.09	$313.75	$9.79–$57.72	34% below	63%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 2V BILAT 73620	$232.18	$627.50	$9.79–$57.72	—	63%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT 1V BILAT 10514	$232.18	$627.50	$9.79–$57.72	—	63%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 1V R 71131	$116.09	$313.75	$9.79–$57.72	—	63%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT 1V L 71129	$116.09	$313.75	$9.79–$57.72	—	63%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2V RT 9212	$116.09	$313.75	$9.79–$57.72	—	63%
X-ray of the foot, 2 views inpatient one side CPT 73620 FOOT 2V LT 9211	$116.09	$313.75	$9.79–$57.72	—	63%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT 3 VIEW MIN BILAT 73630	$273.99	$740.50	$10.66–$65.51	—	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V MINIMUM LT 9213	$136.99	$370.25	$10.66–$65.51	30% below	63%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FOOT 3V MINIMUM RT 9214	$136.99	$370.25	$10.66–$65.51	30% below	63%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT 3 VIEW MIN BILAT 73630	$273.99	$740.50	$10.66–$65.51	—	63%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3V MINIMUM LT 9213	$136.99	$370.25	$10.66–$65.51	—	63%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FOOT 3V MINIMUM RT 9214	$136.99	$370.25	$10.66–$65.51	—	63%
X-ray of the hand, 3 or more views both sides CPT 73130 HAND 3V MINIMUM BILATERAL 73130	$262.70	$710.00	$10.66–$67.85	—	63%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V MINIMUM RT 9222	$131.35	$355.00	$10.66–$67.85	33% below	63%
X-ray of the hand, 3 or more views one side CPT 73130 HAND 3V MINIMUM LT 9221	$131.35	$355.00	$10.66–$67.85	33% below	63%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 HAND 3V MINIMUM BILATERAL 73130	$262.70	$710.00	$10.66–$67.85	—	63%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3V MINIMUM LT 9221	$131.35	$355.00	$10.66–$67.85	—	63%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 HAND 3V MINIMUM RT 9222	$131.35	$355.00	$10.66–$67.85	—	63%
X-ray of the knee, 1 or 2 views both sides CPT 73560 KNEE 1 2 VIEW BILAT 73560	$207.20	$560.00	$10.66–$64.74	—	63%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE 1 2 VIEW 53985	$207.20	$560.00	$10.66–$64.74	20% above	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 2V LT 9235	$103.60	$280.00	$10.66–$64.74	40% below	63%
X-ray of the knee, 1 or 2 views one side CPT 73560 KNEE 1 2V RT 9236	$103.60	$280.00	$10.66–$64.74	40% below	63%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 KNEE 1 2 VIEW BILAT 73560	$207.20	$560.00	$10.66–$64.74	—	63%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE 1 2 VIEW 53985	$207.20	$560.00	$10.66–$64.74	—	63%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 2V LT 9235	$103.60	$280.00	$10.66–$64.74	—	63%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 KNEE 1 2V RT 9236	$103.60	$280.00	$10.66–$64.74	—	63%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 L SPINE 2V 72100	$148.46	$401.25	$13.80–$74.89	30% below	63%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 L SPINE 2V 72100	$148.46	$401.25	$13.80–$74.89	—	63%
X-ray of the lower back, 4 or more views CPT 72110 L SPINE 5V 72110	$227.00	$613.50	$19.21–$102.19	28% below	63%
X-ray of the lower back, 4 or more views inpatient CPT 72110 L SPINE 5V 72110	$227.00	$613.50	$19.21–$102.19	—	63%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 T SPINE 2V 72070	$148.46	$401.25	$13.80–$70.21	30% below	63%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 T SPINE 2V 72070	$148.46	$401.25	$13.80–$70.21	—	63%
X-ray of the nasal bones, 3 or more views CPT 70160 NOSE 70160	$95.37	$257.75	$10.66–$70.21	42% below	63%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE 70160	$95.37	$257.75	$10.66–$70.21	—	63%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 C SPINE 2 V 72040	$148.46	$401.25	$13.80–$74.10	27% below	63%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 C SPINE 2 V 72040	$148.46	$401.25	$13.80–$74.10	—	63%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS AP 72170	$116.00	$313.50	$10.66–$60.06	40% below	63%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS AP 72170	$116.00	$313.50	$10.66–$60.06	—	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACROCOCCYGEAL VERT 72220	$124.32	$336.00	$10.66–$60.84	30% below	63%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACROCOCCYGEAL VERT 72220	$124.32	$336.00	$10.66–$60.84	—	63%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
ACTH blood test CPT 82024 ACTH- 46508	$126.45	$341.75	$40.65–$170.88	3% below	63%
ACTH blood test inpatient CPT 82024 ACTH- 46508	$126.45	$341.75	$40.65–$170.88	—	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)- 45906	$31.73	$85.75	$5.47–$85.75	3% below	63%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)- 45906	$31.73	$85.75	$5.47–$85.75	3% below	63%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)- 45906	$31.73	$85.75	$5.47–$85.75	—	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)- 45905	$37.93	$102.50	$5.47–$102.50	1% above	63%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)- 45905	$37.93	$102.50	$5.47–$102.50	1% above	63%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)- 45905	$37.93	$102.50	$5.47–$102.50	—	63%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE- 48349	$125.62	$339.50	$47.95–$339.50	32% below	63%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PROFILE- 48349	$125.62	$339.50	$47.95–$339.50	32% below	63%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PROFILE- 48349	$125.62	$339.50	$47.95–$339.50	—	63%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN 34633	$11.29	$30.50	$5.21–$15.25	64% below	63%
Albumin blood test CPT 82040 ALBUMIN FOR MS PNL 2 56620	$12.10	$32.70	$5.21–$16.35	61% below	63%
Albumin blood test CPT 82040 BO ALBUMIN SERUM 58695	$12.34	$33.36	$5.21–$16.68	60% below	63%
Albumin blood test CPT 82040 ALBUMIN SERUM 58601	$13.25	$35.80	$5.21–$17.90	57% below	63%
Albumin blood test CPT 82040 ALBUMIN- 46097	$28.21	$76.25	$5.21–$38.13	9% below	63%
Albumin blood test inpatient CPT 82040 ASSAY OF SERUM ALBUMIN 34633	$11.29	$30.50	$5.21–$15.25	—	63%
Albumin blood test inpatient CPT 82040 ALBUMIN FOR MS PNL 2 56620	$12.10	$32.70	$5.21–$16.35	—	63%
Albumin blood test inpatient CPT 82040 BO ALBUMIN SERUM 58695	$12.34	$33.36	$5.21–$16.68	—	63%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM 58601	$13.25	$35.80	$5.21–$17.90	—	63%
Albumin blood test inpatient CPT 82040 ALBUMIN- 46097	$28.21	$76.25	$5.21–$38.13	—	63%
Aldosterone blood test CPT 82088 ALDOSTERONE 31870	$41.53	$112.25	$43.00–$99.15	70% below	63%
Aldosterone blood test CPT 82088 ALDOSTERONE 51236	$78.55	$212.30	$43.00–$113.69	44% below	63%
Aldosterone blood test CPT 82088 ALDOSTERONE URINE- 45707	$124.23	$335.75	$43.00–$167.88	11% below	63%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM- 45996	$124.23	$335.75	$43.00–$167.88	11% below	63%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 31870	$41.53	$112.25	$43.00–$99.15	—	63%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 51236	$78.55	$212.30	$43.00–$113.69	—	63%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM- 45996	$124.23	$335.75	$43.00–$167.88	—	63%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE URINE- 45707	$124.23	$335.75	$43.00–$167.88	—	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE- 45708	$27.29	$73.75	$5.47–$73.75	9% below	63%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE- 45708	$27.29	$73.75	$5.47–$73.75	9% below	63%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE- 45708	$27.29	$73.75	$5.47–$73.75	—	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE INL 56638	$11.12	$30.05	$5.47–$30.05	49% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE INL 56638	$11.12	$30.05	$5.47–$30.05	49% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BIPOLARIS SPICIFERA IGE 38814	$11.41	$30.85	$5.47–$30.85	47% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BIPOLARIS SPICIFERA IGE 38814	$11.41	$30.85	$5.47–$30.85	47% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G ALLERGEN 44787	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G ALLERGEN 44787	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGEN 44895	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE (GRASS) ALLG 44894	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW FESCUE (GRASS) ALLG 44894	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT ALLERGEN 44893	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN MEAT ALLERGEN 44893	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SALTWORT, RU THISTLE ALLG 44892	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SALTWORT, RU THISTLE ALLG 44892	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE ALLERGEN 45095	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE ALLERGEN 45095	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME AGN 45094	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM MONILIFORME AGN 45094	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN AND MAIZE ALLERGEN 44888	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN AND MAIZE ALLERGEN 44888	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER ALLERGEN 44887	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DRECHSLERA/HELMINTH IGE 45093	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DRECHSLERA/HELMINTH IGE 45093	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLLANS AGN 45092	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ROUGH MARSHELDER ALLERGEN 44887	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM TREE ALLERGEN 44886	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ELM TREE ALLERGEN 44886	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN, HICKORY TREE ALLRGN 44885	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN, HICKORY TREE ALLRGN 44885	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA ALLG 44884	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALTERNARIA ALTERNATA ALLG 44884	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLERGEN 44883	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLERGEN 44883	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS ALLG 44882	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLUS FUMIGATUS ALLG 44882	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERGEN 44881	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BERMUDA GRASS ALLERGEN 44881	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER ALLERGEN 44880	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDIUM PULLLANS AGN 45092	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CURRY ALLERGEN 45091	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CURRY ALLERGEN 45091	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER C. ANNUUM IGE 45090	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CAT DANDER ALLERGEN 44880	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM ALLG 44879	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLADOSPORIUM HERBARUM ALLG 44879	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COD ALLERGEN 44878	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COD ALLERGEN 44878	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, GERMAN ALLERGEN 44877	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, GERMAN ALLERGEN 44877	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS ALLERGEN 44876	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS ALLERGEN 44876	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW GRASS KY BLUE ALLG 44875	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MEADOW GRASS KY BLUE ALLG 44875	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER ALLERGEN 44874	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DOG DANDER ALLERGEN 44874	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN 44873	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MILK ALLERGEN 44873	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEPPER C. ANNUUM IGE 45090	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE 45089	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE 45089	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM TREE IGE 45088	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET GUM TREE IGE 45088	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI IGE 45085	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ZUCCHINI IGE 45085	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW DOCK IGE 45082	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW DOCK IGE 45082	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW TREE IGE 45081	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WILLOW TREE IGE 45081	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE 45080	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFISH IGE 45080	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE 45079	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE 45079	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE 45074	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE 45074	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE 45073	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE 45073	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HACKBERRY IGE 45072	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HACKBERRY IGE 45072	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TEA IGE 45071	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TEA IGE 45071	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE 45070	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE 45070	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUMMER SQUASH IGE 45066	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUMMER SQUASH IGE 45066	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE 45065	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE 45065	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SARDINE IGE 45064	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SARDINE IGE 45064	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE 45062	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE 45062	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANOLA (RAPESEED) OIL IGE 45061	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANOLA (RAPESEED) OIL IGE 45061	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIUM IGE 45060	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIUM IGE 45060	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE 45059	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUST MITE (D. FARINAE) ALLG44872	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUST MITE (D. FARINAE) ALLG44872	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE 45059	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NAVY BEAN IGE 45058	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE ALLERGEN 44871	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAK TREE ALLERGEN 44871	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN 44870	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEANUT ALLERGEN 44870	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN 44869	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SOYBEAN ALLERGEN 44869	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN 44868	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SHRIMP ALLERGEN 44868	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED COMMON SHORT ALLG 44867	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAGWEED COMMON SHORT ALLG 44867	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT CULTIVATD (FOOD) ALLG44866	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT CULTIVATD (FOOD) ALLG44866	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE ALLERGEN 44865	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE ALLERGEN 44865	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TRAGACANTH GUM ALLERGEN 44864	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TRAGACANTH GUM ALLERGEN 44864	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NAVY BEAN IGE 45058	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE (PINON) NUT IGE 45057	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PINE (PINON) NUT IGE 45057	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PERCH IGE 45056	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PERCH IGE 45056	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPR FRTESCENS IGE 45055	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPR FRTESCENS IGE 45055	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KARAYA GUM ALLERGEN 44863	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KARAYA GUM ALLERGEN 44863	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SNAIL ALLERGEN 44862	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SNAIL ALLERGEN 44862	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED ALLERGEN 44861	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FLAXSEED ALLERGEN 44861	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME ALLERGEN 44860	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 THYME ALLERGEN 44860	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT CULTVTD (GRASS) ALLRGN 44859	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT CULTVTD (GRASS) ALLRGN 44859	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE 45052	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE 45052	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE ALLERGEN 44858	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE ALLERGEN 44858	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMPICILLIN ALLERGEN 44857	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMPICILLIN ALLERGEN 44857	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIUM ALLRGN 44856	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAMSTER EPITHELIUM ALLRGN 44856	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN 44855	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SCALLOP ALLERGEN 44855	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN CHEESE ALLERGEN 44854	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN CHEESE ALLERGEN 44854	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SAFFLOWER ALLERGEN 44853	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE 45051	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OREGANO IGE 45051	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG IGE 45050	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG IGE 45050	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD IGE 45048	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD IGE 45048	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE 45046	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSHROOM IGE 45046	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE IGE 45045	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUSE URINE IGE 45045	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON MILLET IGE 45043	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON MILLET IGE 45043	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SAFFLOWER ALLERGEN 44853	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PARMESAN CHEESE ALLERGEN 44852	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO IGE 45042	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PARMESAN CHEESE ALLERGEN 44852	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ROMANO CHEESE ALLERGEN 44851	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ROMANO CHEESE ALLERGEN 44851	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA ALLERGEN 44850	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA ALLERGEN 44850	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SOLE ALLERGEN 44849	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SOLE ALLERGEN 44849	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC ALLERGEN 44848	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC ALLERGEN 44848	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN ALLERGEN 44847	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PUMPKIN ALLERGEN 44847	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY ALLERGEN 44846	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO IGE 45042	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT IGE 45041	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT IGE 45041	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY ALLERGEN 44846	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DATE TREE ALLERGEN 44845	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DATE TREE ALLERGEN 44845	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY ALLERGEN 44844	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY ALLERGEN 44844	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE POLLEN (CULTVATD) ALLG 44843	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE POLLEN (CULTVATD) ALLG 44843	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE 45040	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE 45040	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE 45039	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACADAMIA NUT IGE 45039	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE 45038	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE 45038	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTIL IGE 45037	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LENTIL IGE 45037	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY ALLERGEN 45035	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY ALLERGEN 45035	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE 45034	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LEMON IGE 45034	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI IGE 45033	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KIWI IGE 45033	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN IGE 45032	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN IGE 45032	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT IGE 45027	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT IGE 45027	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK IGE 45025	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HADDOCK IGE 45025	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITHELIUM IGE 45024	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GUINEA PIG EPITHELIUM IGE 45024	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN (STRING) IGE 45020	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN BEAN (STRING) IGE 45020	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE 45019	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE 45019	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD IGE 45018	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD IGE 45018	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK IGE 45017	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT MILK IGE 45017	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GINGER IGE 45016	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GINGER IGE 45016	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GULF FLOUNDER IGE 45014	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GULF FLOUNDER IGE 45014	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN ALLERGEN 45012	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN ALLERGEN 45012	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA TREE IGE 45010	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN ALLERGEN 44842	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMOXICILLIN ALLERGEN 44842	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS ALLRGN 44841	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RHIZOPUS NIGRICANS ALLRGN 44841	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RHUBARB ALLERGEN 44840	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RHUBARB ALLERGEN 44840	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ROUGHY ALLERGEN 44839	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ROUGHY ALLERGEN 44839	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ACACIA TREE IGE 45010	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED DYE (CARMINE) IGE 45009	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED DYE (CARMINE) IGE 45009	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST GREER IGE 45004	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST GREER IGE 45004	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE 45001	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK MEAT ALLERGEN 44838	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK MEAT ALLERGEN 44838	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON ALLERGEN 44837	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MELON ALLERGEN 44837	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE 45001	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON SEED IGE 44999	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTON SEED IGE 44999	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ARTICHOKE ALLERGEN 44836	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ARTICHOKE ALLERGEN 44836	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT ALLERGEN 44835	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT ALLERGEN 44835	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION ALLERGEN 44834	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION ALLERGEN 44834	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT ALLERGEN 44833	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCONUT ALLERGEN 44833	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN 44832	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LETTUCE ALLERGEN 44832	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN 44830	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SESAME SEED ALLERGEN 44830	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PONDEROSA PINE ALLERGEN 44829	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PONDEROSA PINE ALLERGEN 44829	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH ALLERGEN 44828	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH ALLERGEN 44828	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, AMERICAN IGE 44998	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKROACH, AMERICAN IGE 44998	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE 44996	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE 44996	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE ALLERGEN 44827	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE ALLERGEN 44827	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD ALLERGEN 44826	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD ALLERGEN 44826	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE 44995	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER/CILANTRO IGE 44995	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BUMBLE BEE ALLERGEN 44825	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKPEA (GARBANZO) IGE 44994	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKPEA (GARBANZO) IGE 44994	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE 44993	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT IGE 44993	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE 44992	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE 44992	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE 44990	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BUMBLE BEE ALLERGEN 44825	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKJACK OAK ALLERGEN 44824	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKJACK OAK ALLERGEN 44824	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WATER CHESTNUT ALLERGEN 44823	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WATER CHESTNUT ALLERGEN 44823	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE ALLERGEN 44822	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE 44990	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE 44989	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE 44989	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CARAWAY SEED IGE 44987	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CABBAGE ALLERGEN 44822	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAMBOO SHOOT ALLERGEN 44821	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAMBOO SHOOT ALLERGEN 44821	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE ALLERGEN 44820	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE ALLERGEN 44820	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLOVE ALLERGEN 44819	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLOVE ALLERGEN 44819	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY TREE WHITE ALLRGN 44818	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MULBERRY TREE WHITE ALLRGN 44818	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAYBERRY TREE ALLERGEN 44817	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAYBERRY TREE ALLERGEN 44817	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE ALLERGEN 44816	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CARAWAY SEED IGE 44987	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE IGE 44986	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE IGE 44986	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT IGE 44984	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT IGE 44984	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE 44982	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE 44982	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE 44979	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUEBERRY IGE 44979	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL IGE 44977	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLUE MUSSEL IGE 44977	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE 44975	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE 44975	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN IGE 44973	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE ALLERGEN 44816	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON ALLERGEN 44815	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON ALLERGEN 44815	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK BEAN IGE 44973	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BEET ROOT IGE 44972	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BEET ROOT IGE 44972	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAY LEAF IGE 44971	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAY LEAF IGE 44971	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BASS BLACK IGE 44970	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE ALLERGEN 44814	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BASS BLACK IGE 44970	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BASIL IGE 44969	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BASIL IGE 44969	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE 44968	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AVOCADO IGE 44968	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS IGE 44965	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPE ALLERGEN 44814	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE ALLERGEN 44813	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PINEAPPLE ALLERGEN 44813	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER ALLERGEN 44812	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OYSTER ALLERGEN 44812	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BROME GRASS ALLERGEN 44811	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ASPARAGUS IGE 44965	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOVY IGE 44964	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BROME GRASS ALLERGEN 44811	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY TREE ALLERGEN 44810	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ANCHOVY IGE 44964	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY TREE ALLERGEN 44810	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LOMBARDY POPLAR TREE ALLG 44809	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LOMBARDY POPLAR TREE ALLG 44809	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HERRING ALLERGEN 44808	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HERRING ALLERGEN 44808	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA IGE 44963	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA IGE 44963	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALDER TREE IGE 44962	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALDER TREE IGE 44962	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMRE LNDN PLNE TREE AGN 44960	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT TREE ALLERGEN 44807	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMRE LNDN PLNE TREE AGN 44960	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT TREE ALLERGEN 44807	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN BEECH TREE ALLRGN 44806	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE TREE ALLERGEN 44959	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MESQUITE TREE ALLERGEN 44959	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS YST AGN 44958	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CANDIDA ALBICANS YST AGN 44958	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP/BENT GRASS AGN 44957	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED TOP/BENT GRASS AGN 44957	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVR BRCH TREE AGN 44956	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON SILVR BRCH TREE AGN 44956	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT ALLERGEN 44955	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 AMERICAN BEECH TREE ALLRGN 44806	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WINGSCALE, LENSCALE ALLRGN 44805	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WINGSCALE, LENSCALE ALLRGN 44805	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VELVET GRASS ALLERGEN 44804	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VELVET GRASS ALLERGEN 44804	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS ALLRGN 44803	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUGWORT ALLERGEN 44955	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN 44954	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN 44954	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN JUNIPER TREE AGN 44953	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN JUNIPER TREE AGN 44953	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL GRASS ALLRGN 44803	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST BREWERS ALLERGEN 44802	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST BREWERS ALLERGEN 44802	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER (MAPLE) TREE AGN 44950	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BOX ELDER (MAPLE) TREE AGN 44950	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO ALLERGEN 44949	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YOGURT ALLERGEN 44801	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YOGURT ALLERGEN 44801	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE ALLERGEN 44800	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO ALLERGEN 44949	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN ALLERGEN (FOOD) 44948	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN ALLERGEN (FOOD) 44948	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR ALLERGEN 44947	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR ALLERGEN 44947	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CURVULARIA LUNATA ALLERGEN 44946	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CURVULARIA LUNATA ALLERGEN 44946	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN 44945	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAB ALLERGEN 44945	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALLERGEN 44944	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON ALLERGEN 44944	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO ALLERGEN 44942	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PISTACHIO ALLERGEN 44942	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN 44941	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALMOND ALLERGEN 44941	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN 44940	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LOBSTER ALLERGEN 44940	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE ALLERGEN 44939	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE ALLERGEN 44939	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW ALLERGEN 44937	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CASHEW ALLERGEN 44937	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN 44936	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BRAZIL NUT ALLERGEN 44936	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT ALLERGEN 44935	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZELNUT ALLERGEN 44935	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGEN 44934	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CARROT ALLERGEN 44934	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH ALLERGEN 44933	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH ALLERGEN 44933	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST ALLERGEN 44932	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST ALLERGEN 44932	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS ALLERGEN 44931	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS ALLERGEN 44931	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY (FOOD) ALLERGEN 44930	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BARLEY (FOOD) ALLERGEN 44930	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER ALLERGEN 44928	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SAGE ALLERGEN 44800	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HORSE DANDER ALLERGEN 44928	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSEFOOT LAMB'S QUART AGN 44927	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSEFOOT LAMB'S QUART AGN 44927	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR ALLERGEN 44926	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR ALLERGEN 44926	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER ALLERGEN 44925	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COW DANDER ALLERGEN 44925	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL ALLERGEN 44924	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP SORREL ALLERGEN 44924	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN 44923	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA ALLERGEN 44923	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH TREE ALLERGEN 44922	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH TREE ALLERGEN 44922	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA ALLERGEN 44921	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PEA ALLERGEN 44921	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT ALLERGEN 44798	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHESTNUT ALLERGEN 44798	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPYSEED ALLERGEN 44797	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPYSEED ALLERGEN 44797	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACE ALLERGEN 44796	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MACE ALLERGEN 44796	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MARJORAM ALLERGEN 44795	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MARJORAM ALLERGEN 44795	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH ALLERGEN 44794	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWORDFISH ALLERGEN 44794	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET ALLERGEN 44793	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CACAO/COCOA ALLERGEN 44920	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CACAO/COCOA ALLERGEN 44920	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN 44918	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BEEF ALLERGEN 44918	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO ALLERGEN 44917	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 POTATO ALLERGEN 44917	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY ALLERGEN 44916	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY ALLERGEN 44916	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGEN 44912	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW JACKET ALLERGEN 44793	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPERWASP ALLERGEN 44792	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPERWASP ALLERGEN 44792	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RICE ALLERGEN 44912	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK MEAT ALLERGEN 44911	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PORK MEAT ALLERGEN 44911	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN 44909	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK ALLERGEN 44909	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN 44907	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TUNA ALLERGEN 44907	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGEN 44905	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TOMATO ALLERGEN 44905	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGEN 44903	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OAT ALLERGEN 44903	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT ALLERGEN 44901	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY MEAT ALLERGEN 44901	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN (ENG) RIBWORT ALLG44899	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PLANTAIN (ENG) RIBWORT ALLG44899	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITE ALLERGEN 44898	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST MITE ALLERGEN 44898	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE ALLERGEN 44897	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COTTONWOOD TREE ALLERGEN 44897	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FEATHERS ALLERGEN PANEL 44896	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FEATHERS ALLERGEN PANEL 44896	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORANGE ALLERGEN 44895	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE ALLERGEN 44791	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY BEE ALLERGEN 44791	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET ALLERGEN 44790	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YELLOW HORNET ALLERGEN 44790	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFACED HORNET ALLERGEN 44789	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITEFACED HORNET ALLERGEN 44789	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V ALLERGEN 44788	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V ALLERGEN 44788	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB AND MUTTON MEAT ALLG 44764	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMB AND MUTTON MEAT ALLG 44764	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS ALLRGN 44765	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKATIEL FEATHERS ALLRGN 44765	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE TREE ALLERGEN 44766	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE TREE ALLERGEN 44766	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED OAK TREE ALLERGEN 44767	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RED OAK TREE ALLERGEN 44767	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHER ALLERGEN 44769	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHER ALLERGEN 44769	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS ALLERGEN 44770	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GOOSE FEATHERS ALLERGEN 44770	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT ALLERGEN 44771	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT ALLERGEN 44771	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWISS CHEESE ALLERGEN 44772	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SWISS CHEESE ALLERGEN 44772	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINY LOBSTER ALLERGEN 44773	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINY LOBSTER ALLERGEN 44773	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS ALLERGEN 44774	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 OCTOPUS ALLERGEN 44774	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DILL (FOOD ALLERGEN) IGE 44775	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DILL (FOOD ALLERGEN) IGE 44775	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MINT (FOOD ALLERGEN) IGE 44776	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MINT (FOOD ALLERGEN) IGE 44776	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY ALLERGEN 44777	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CRANBERRY ALLERGEN 44777	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT ALLERGEN 44778	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 APRICOT ALLERGEN 44778	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHINESE ELM ALLERGEN 44779	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHINESE ELM ALLERGEN 44779	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUNG BEAN ALLERGEN 44781	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUNG BEAN ALLERGEN 44781	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WILD RICE ALLERGEN 44783	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WILD RICE ALLERGEN 44783	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED ALLERGEN 44784	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED ALLERGEN 44784	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NECTARINE ALLERGEN 44786	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NECTARINE ALLERGEN 44786	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRSS/COCKSFOOT IGE 45132	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ORCHARD GRSS/COCKSFOOT IGE 45132	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POLLOCK IGE 45130	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE POLLOCK IGE 45130	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE 45129	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE 45129	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SEAFOOD MIX SCREEN 45128	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SEAFOOD MIX SCREEN 45128	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE 45126	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE 45126	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLSPICE IGE 45124	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLSPICE IGE 45124	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN SMUT IGE 45123	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CORN SMUT IGE 45123	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CEPHALOSPORIUM IGE 45121	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED ALLERGEN 44891	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED ALLERGEN 44891	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CEPHALOSPORIUM IGE 45121	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ANNATTO SEED IGE 45120	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN 44890	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CLAM ALLERGEN 44890	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN 44889	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG WHITE ALLERGEN 44889	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ANNATTO SEED IGE 45120	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TRICHOPHYTON RUBRUM IGE 45118	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 TRICHOPHYTON RUBRUM IGE 45118	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BOTRYTIS CINEAREA IGE 45115	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BOTRYTIS CINEAREA IGE 45115	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VENISON ALLERGEN 45113	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 VENISON ALLERGEN 45113	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE ALLERGEN 45110	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 NETTLE ALLERGEN 45110	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRATA IGE 45107	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA ROSTRATA IGE 45107	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN CHRYSGENIUM AGN 45104	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN CHRYSGENIUM AGN 45104	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST ALLERGEN 45103	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST ALLERGEN 45103	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS ALLERGEN 45102	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS ALLERGEN 45102	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRYOSUM AGN 45101	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 STEMPHYLIUM BOTRYOSUM AGN 45101	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE ALLERGEN 45099	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PHOMA BETAE ALLERGEN 45099	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD ALLERGEN 45098	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WORMWOOD ALLERGEN 45098	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FALSE RAGWEED ALLERGEN 45097	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FALSE RAGWEED ALLERGEN 45097	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS ALLERGEN 45096	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 BAHIA GRASS ALLERGEN 45096	$11.66	$31.50	$5.47–$31.50	46% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHAETOMIUM GLOBOSUM IGE 44763	$12.03	$32.50	$5.47–$32.50	44% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CHAETOMIUM GLOBOSUM IGE 44763	$12.03	$32.50	$5.47–$32.50	44% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH KOCHIA ALLERGEN 38832	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE TREE IGE 38838	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN PORCINE IGE 38833	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PRIVET TREE ALLERGEN 38837	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON PIGWEED ALLERGEN 38829	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED TREE IGE 38828	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR RED TREE IGE 38828	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS ALLERGAN 38835	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GELATIN PORCINE IGE 38833	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 FIREBUSH KOCHIA ALLERGEN 38832	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN 38834	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PRIVET TREE ALLERGEN 38837	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPUR ALLERGEN 38831	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM PURPUR ALLERGEN 38831	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 MUCOR RACEMOSUS ALLERGAN 38835	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE PINE TREE IGE 38838	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION ALLERGEN 38830	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN ALLERGEN 38834	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 DANDELION ALLERGEN 38830	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 COMMON PIGWEED ALLERGEN 38829	$12.21	$33.00	$5.47–$33.00	43% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 F-245 IGE EGG WHOLE 54384	$14.37	$38.85	$5.47–$38.85	33% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 F-245 IGE EGG WHOLE 54384	$14.37	$38.85	$5.47–$38.85	33% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST IGM SINGLE- 45125	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST IGM SINGLE- 45125	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST SEROLOGY INITIAL-48224	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE 31952	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE 31952	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST SEROLOGY INITIAL-48224	$14.99	$40.50	$5.47–$40.50	31% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER SPEC IGE INITL 17869	$17.39	$47.00	$5.47–$47.00	19% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER SPEC IGE INITL 17869	$17.39	$47.00	$5.47–$47.00	19% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN INITIAL- 79017	$17.48	$47.25	$5.47–$47.25	19% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN INITIAL- 79017	$17.48	$47.25	$5.47–$47.25	19% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ABPA IGE- 48376	$21.46	$58.00	$5.47–$58.00	1% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ABPA IGE- 48376	$21.46	$58.00	$5.47–$58.00	1% below	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST SEROLOGY- 49155	$24.98	$67.50	$5.47–$67.50	16% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST TEST SEROLOGY- 49155	$24.98	$67.50	$5.47–$67.50	16% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GLACTSE IGE- 60940	$36.82	$99.50	$5.47–$99.50	70% above	63%
Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GLACTSE IGE- 60940	$36.82	$99.50	$5.47–$99.50	70% above	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE INL 56638	$11.12	$30.05	$5.47–$30.05	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BIPOLARIS SPICIFERA IGE 38814	$11.41	$30.85	$5.47–$30.85	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKATIEL FEATHERS ALLRGN 44765	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH ALLERGEN 44828	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NETTLE ALLERGEN 45110	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHINESE ELM ALLERGEN 44779	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASHEW ALLERGEN 44937	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SETOMELANOMMA ROSTRATA IGE 45107	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, AMERICAN IGE 44998	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST MITE ALLERGEN 44898	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN CHRYSGENIUM AGN 45104	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILD RICE ALLERGEN 44783	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON IGE 44996	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST ALLERGEN 45103	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BRAZIL NUT ALLERGEN 44936	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE TREE ALLERGEN 44766	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS ALLERGEN 45102	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE ALLERGEN 44827	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTONWOOD TREE ALLERGEN 44897	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STEMPHYLIUM BOTRYOSUM AGN 45101	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOLD ALLERGEN 44826	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PHOMA BETAE ALLERGEN 45099	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WORMWOOD ALLERGEN 45098	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER/CILANTRO IGE 44995	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FALSE RAGWEED ALLERGEN 45097	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAHIA GRASS ALLERGEN 45096	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKPEA (GARBANZO) IGE 44994	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE ALLERGEN 45095	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT IGE 44993	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM MONILIFORME AGN 45094	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN AND MAIZE ALLERGEN 44888	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE 44992	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DRECHSLERA/HELMINTH IGE 45093	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUMBLE BEE ALLERGEN 44825	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDIUM PULLLANS AGN 45092	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROUGH MARSHELDER ALLERGEN 44887	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKJACK OAK ALLERGEN 44824	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ELM TREE ALLERGEN 44886	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON MILLET IGE 45043	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALTWORT, RU THISTLE ALLG 44892	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUNA ALLERGEN 44907	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORCHARD GRSS/COCKSFOOT IGE 45132	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURVULARIA LUNATA ALLERGEN 44946	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MELON ALLERGEN 44837	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE POLLOCK IGE 45130	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE 45129	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAB ALLERGEN 44945	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COTTON SEED IGE 44999	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SEAFOOD MIX SCREEN 45128	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOMATO ALLERGEN 44905	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE 45126	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ARTICHOKE ALLERGEN 44836	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON ALLERGEN 44944	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLSPICE IGE 45124	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT ALLERGEN 44835	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORN SMUT IGE 45123	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT ALLERGEN 44903	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PISTACHIO ALLERGEN 44942	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION ALLERGEN 44834	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED ALLERGEN 44891	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED ALLERGEN 44784	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEPHALOSPORIUM IGE 45121	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMB AND MUTTON MEAT ALLG 44764	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCONUT ALLERGEN 44833	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALMOND ALLERGEN 44941	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLAM ALLERGEN 44890	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY MEAT ALLERGEN 44901	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LETTUCE ALLERGEN 44832	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG WHITE ALLERGEN 44889	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MINT (FOOD ALLERGEN) IGE 44776	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANNATTO SEED IGE 45120	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOBSTER ALLERGEN 44940	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SESAME SEED ALLERGEN 44830	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRICHOPHYTON RUBRUM IGE 45118	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWISS CHEESE ALLERGEN 44772	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLANTAIN (ENG) RIBWORT ALLG44899	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOTRYTIS CINEAREA IGE 45115	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PONDEROSA PINE ALLERGEN 44829	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE ALLERGEN 44939	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VENISON ALLERGEN 45113	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLOVE ALLERGEN 44819	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NECTARINE ALLERGEN 44786	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKROACH, GERMAN ALLERGEN 44877	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MULBERRY TREE WHITE ALLRGN 44818	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS ALLERGEN 44876	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST ALLERGEN 44932	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW GRASS KY BLUE ALLG 44875	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAYBERRY TREE ALLERGEN 44817	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OCTOPUS ALLERGEN 44774	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DOG DANDER ALLERGEN 44874	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS ALLERGEN 44931	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE ALLERGEN 44816	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MILK ALLERGEN 44873	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARAWAY SEED IGE 44987	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY BEE ALLERGEN 44791	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHER ALLERGEN 44769	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE 45089	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUGAR CANE IGE 44986	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BARLEY (FOOD) ALLERGEN 44930	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET GUM TREE IGE 45088	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUNG BEAN ALLERGEN 44781	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT IGE 44984	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN MEAT ALLERGEN 44893	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ZUCCHINI IGE 45085	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW HORNET ALLERGEN 44790	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HORSE DANDER ALLERGEN 44928	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW DOCK IGE 45082	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE 44982	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WILLOW TREE IGE 45081	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUEBERRY IGE 44979	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFISH IGE 45080	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAGE ALLERGEN 44800	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APRICOT ALLERGEN 44778	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE 45079	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLUE MUSSEL IGE 44977	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA IGE 45074	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE 44975	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE 45073	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HACKBERRY IGE 45072	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TEA IGE 45071	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON ALLERGEN 44815	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE 45070	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK BEAN IGE 44973	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSE FEATHERS ALLERGEN 44770	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUMMER SQUASH IGE 45066	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITEFACED HORNET ALLERGEN 44789	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEET ROOT IGE 44972	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE 45065	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOOSEFOOT LAMB'S QUART AGN 44927	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DILL (FOOD ALLERGEN) IGE 44775	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SARDINE IGE 45064	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAY LEAF IGE 44971	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G ALLERGEN 44787	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE 45062	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR ALLERGEN 44926	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V ALLERGEN 44788	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANOLA (RAPESEED) OIL IGE 45061	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPE ALLERGEN 44814	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASS BLACK IGE 44970	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITHELIUM IGE 45060	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT ALLERGEN 44771	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW DANDER ALLERGEN 44925	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BASIL IGE 44969	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUST MITE (D. FARINAE) ALLG44872	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM IGE 45059	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AVOCADO IGE 44968	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP SORREL ALLERGEN 44924	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAK TREE ALLERGEN 44871	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPARAGUS IGE 44965	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEANUT ALLERGEN 44870	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA ALLERGEN 44923	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOYBEAN ALLERGEN 44869	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINEAPPLE ALLERGEN 44813	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHRIMP ALLERGEN 44868	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OYSTER ALLERGEN 44812	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAGWEED COMMON SHORT ALLG 44867	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH TREE ALLERGEN 44922	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT CULTIVATD (FOOD) ALLG44866	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEA ALLERGEN 44921	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE ALLERGEN 44865	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANCHOVY IGE 44964	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROME GRASS ALLERGEN 44811	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TRAGACANTH GUM ALLERGEN 44864	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NAVY BEAN IGE 45058	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY TREE ALLERGEN 44810	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PINE (PINON) NUT IGE 45057	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PERCH IGE 45056	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHESTNUT ALLERGEN 44798	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LOMBARDY POPLAR TREE ALLG 44809	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPR FRTESCENS IGE 45055	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MEADOW FESCUE (GRASS) ALLG 44894	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KARAYA GUM ALLERGEN 44863	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HERRING ALLERGEN 44808	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE ALLERGEN 44895	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPYSEED ALLERGEN 44797	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SNAIL ALLERGEN 44862	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLAXSEED ALLERGEN 44861	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 THYME ALLERGEN 44860	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OAT CULTVTD (GRASS) ALLRGN 44859	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA IGE 44963	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER IGE 45052	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACE ALLERGEN 44796	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE ALLERGEN 44858	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER TREE IGE 44962	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMPICILLIN ALLERGEN 44857	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAMSTER EPITHELIUM ALLRGN 44856	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SCALLOP ALLERGEN 44855	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMERICAN CHEESE ALLERGEN 44854	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OREGANO IGE 45051	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MARJORAM ALLERGEN 44795	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUTMEG IGE 45050	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMRE LNDN PLNE TREE AGN 44960	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT TREE ALLERGEN 44807	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD IGE 45048	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSHROOM IGE 45046	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUSE URINE IGE 45045	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAFFLOWER ALLERGEN 44853	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWORDFISH ALLERGEN 44794	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARMESAN CHEESE ALLERGEN 44852	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMERICAN BEECH TREE ALLRGN 44806	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MESQUITE TREE ALLERGEN 44959	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ROMANO CHEESE ALLERGEN 44851	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAYA ALLERGEN 44850	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANDIDA ALBICANS YST AGN 44958	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CACAO/COCOA ALLERGEN 44920	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SOLE ALLERGEN 44849	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED TOP/BENT GRASS AGN 44957	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC ALLERGEN 44848	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEEF ALLERGEN 44918	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PUMPKIN ALLERGEN 44847	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY ALLERGEN 44846	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO IGE 45042	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT IGE 45041	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DATE TREE ALLERGEN 44845	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY ALLERGEN 44844	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE POLLEN (CULTVATD) ALLG 44843	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL IGE 45040	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACADAMIA NUT IGE 45039	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE 45038	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LENTIL IGE 45037	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY ALLERGEN 45035	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LEMON IGE 45034	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON SILVR BRCH TREE AGN 44956	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIWI IGE 45033	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN IGE 45032	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUGWORT ALLERGEN 44955	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POTATO ALLERGEN 44917	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT IGE 45027	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WINGSCALE, LENSCALE ALLRGN 44805	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HADDOCK IGE 45025	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY ALLERGEN 44916	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUINEA PIG EPITHELIUM IGE 45024	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VELVET GRASS ALLERGEN 44804	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN BEAN (STRING) IGE 45020	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RICE ALLERGEN 44912	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE 45019	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS ALLERGEN 44954	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD IGE 45018	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YELLOW JACKET ALLERGEN 44793	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT MILK IGE 45017	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN JUNIPER TREE AGN 44953	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER IGE 45016	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL GRASS ALLRGN 44803	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GULF FLOUNDER IGE 45014	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPERWASP ALLERGEN 44792	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST BREWERS ALLERGEN 44802	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GELATIN ALLERGEN 45012	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ACACIA TREE IGE 45010	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BOX ELDER (MAPLE) TREE AGN 44950	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AMOXICILLIN ALLERGEN 44842	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHIZOPUS NIGRICANS ALLRGN 44841	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YOGURT ALLERGEN 44801	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RHUBARB ALLERGEN 44840	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PORK MEAT ALLERGEN 44911	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ORANGE ROUGHY ALLERGEN 44839	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO ALLERGEN 44949	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED DYE (CARMINE) IGE 45009	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN ALLERGEN (FOOD) 44948	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK ALLERGEN 44909	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST GREER IGE 45004	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR ALLERGEN 44947	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER IGE 45001	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK MEAT ALLERGEN 44838	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZELNUT ALLERGEN 44935	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN, HICKORY TREE ALLRGN 44885	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATER CHESTNUT ALLERGEN 44823	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALTERNARIA ALTERNATA ALLG 44884	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CABBAGE ALLERGEN 44822	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH TREE ALLERGEN 44883	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE 44990	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ASPERGILLUS FUMIGATUS ALLG 44882	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH IGE 44989	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BERMUDA GRASS ALLERGEN 44881	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINY LOBSTER ALLERGEN 44773	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRANBERRY ALLERGEN 44777	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CURRY ALLERGEN 45091	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAMBOO SHOOT ALLERGEN 44821	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARROT ALLERGEN 44934	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEPPER C. ANNUUM IGE 45090	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAT DANDER ALLERGEN 44880	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FEATHERS ALLERGEN PANEL 44896	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE ALLERGEN 44820	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CLADOSPORIUM HERBARUM ALLG 44879	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED OAK TREE ALLERGEN 44767	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH ALLERGEN 44933	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COD ALLERGEN 44878	$11.66	$31.50	$5.47–$31.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHAETOMIUM GLOBOSUM IGE 44763	$12.03	$32.50	$5.47–$32.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DANDELION ALLERGEN 38830	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN ALLERGEN 38834	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUCOR RACEMOSUS ALLERGAN 38835	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COMMON PIGWEED ALLERGEN 38829	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR RED TREE IGE 38828	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM PURPUR ALLERGEN 38831	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE PINE TREE IGE 38838	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GELATIN PORCINE IGE 38833	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PRIVET TREE ALLERGEN 38837	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIREBUSH KOCHIA ALLERGEN 38832	$12.21	$33.00	$5.47–$33.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F-245 IGE EGG WHOLE 54384	$14.37	$38.85	$5.47–$38.85	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST IGM SINGLE- 45125	$14.99	$40.50	$5.47–$40.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE 31952	$14.99	$40.50	$5.47–$40.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST SEROLOGY INITIAL-48224	$14.99	$40.50	$5.47–$40.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER SPEC IGE INITL 17869	$17.39	$47.00	$5.47–$47.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN INITIAL- 79017	$17.48	$47.25	$5.47–$47.25	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ABPA IGE- 48376	$21.46	$58.00	$5.47–$58.00	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST TEST SEROLOGY- 49155	$24.98	$67.50	$5.47–$67.50	—	63%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GLACTSE IGE- 60940	$36.82	$99.50	$5.47–$99.50	—	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN 44736	$47.18	$127.50	$17.72–$63.75	14% below	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP VALUE MAT SCR- 60923	$49.58	$134.00	$17.72–$67.00	10% below	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM SPINA BIFIDA 44732	$69.84	$188.75	$17.72–$94.38	27% above	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP NON MATERNAL- 45965	$69.84	$188.75	$17.72–$94.38	27% above	63%
Alpha-fetoprotein (AFP) blood test CPT 82105 SRS AFP- 48287	$69.84	$188.75	$17.72–$94.38	27% above	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN 44736	$47.18	$127.50	$17.72–$63.75	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP VALUE MAT SCR- 60923	$49.58	$134.00	$17.72–$67.00	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM SPINA BIFIDA 44732	$69.84	$188.75	$17.72–$94.38	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP NON MATERNAL- 45965	$69.84	$188.75	$17.72–$94.38	—	63%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SRS AFP- 48287	$69.84	$188.75	$17.72–$94.38	—	63%
Ammonia blood test CPT 82140 AMMONIA URINE LITHOLINK 56549	$31.75	$85.80	$15.37–$42.90	54% below	63%
Ammonia blood test CPT 82140 AMMONIA FOR KID STONE SAT 44714	$53.14	$143.63	$15.37–$71.81	24% below	63%
Ammonia blood test CPT 82140 AMMONIA- 45718	$60.31	$163.00	$15.37–$81.50	13% below	63%
Ammonia blood test inpatient CPT 82140 AMMONIA URINE LITHOLINK 56549	$31.75	$85.80	$15.37–$42.90	—	63%
Ammonia blood test inpatient CPT 82140 AMMONIA FOR KID STONE SAT 44714	$53.14	$143.63	$15.37–$71.81	—	63%
Ammonia blood test inpatient CPT 82140 AMMONIA- 45718	$60.31	$163.00	$15.37–$81.50	—	63%
Amylase blood test CPT 82150 AMYLASE URINE- 45721	$30.16	$81.50	$6.78–$40.75	35% below	63%
Amylase blood test CPT 82150 AMYLASE FLD- 46160	$30.16	$81.50	$6.78–$40.75	35% below	63%
Amylase blood test CPT 82150 AMYLASE- 45720	$30.16	$81.50	$6.78–$40.75	35% below	63%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES INITIAL-78924	$30.16	$81.50	$6.78–$40.75	35% below	63%
Amylase blood test inpatient CPT 82150 AMYLASE URINE- 45721	$30.16	$81.50	$6.78–$40.75	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE- 45720	$30.16	$81.50	$6.78–$40.75	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES INITIAL-78924	$30.16	$81.50	$6.78–$40.75	—	63%
Amylase blood test inpatient CPT 82150 AMYLASE FLD- 46160	$30.16	$81.50	$6.78–$40.75	—	63%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULNTD PEPT AB- 60914	$65.68	$177.50	$13.55–$177.50	at median	63%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULNTD PEPT AB- 60914	$65.68	$177.50	$13.55–$177.50	at median	63%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULNTD PEPT AB- 60914	$65.68	$177.50	$13.55–$177.50	—	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY 44637	$25.53	$69.00	$12.77–$69.00	58% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 CENTROMERE B ANTIBODY 44637	$25.53	$69.00	$12.77–$69.00	58% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN- 46240	$43.48	$117.50	$12.77–$117.50	29% below	63%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN- 46240	$43.48	$117.50	$12.77–$117.50	29% below	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 CENTROMERE B ANTIBODY 44637	$25.53	$69.00	$12.77–$69.00	—	63%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN- 46240	$43.48	$117.50	$12.77–$117.50	—	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ISTAT BNP 41688	$44.22	$119.50	$35.70–$119.50	62% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ISTAT BNP 41688	$44.22	$119.50	$35.70–$119.50	62% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRIAN NATRIURETIC PE- 48356	$78.72	$212.75	$35.70–$212.75	33% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BRIAN NATRIURETIC PE- 48356	$78.72	$212.75	$35.70–$212.75	33% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL 41689	$83.62	$226.00	$35.70–$226.00	29% below	63%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP N TERMINAL 41689	$83.62	$226.00	$35.70–$226.00	29% below	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 ISTAT BNP 41688	$44.22	$119.50	$35.70–$119.50	—	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BRIAN NATRIURETIC PE- 48356	$78.72	$212.75	$35.70–$212.75	—	63%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP N TERMINAL 41689	$83.62	$226.00	$35.70–$226.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA PNEUMO 58628	$23.90	$64.60	$9.12–$32.30	46% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOCARDIA CULT AND GRM STN- 17400	$30.16	$81.50	$9.12–$40.75	32% below	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TIP- 45338	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE WOUND AEROBC- 45343	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT- 45337	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE H PYLORI- 45331	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE ENVIRONMENT- 45315	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DIALYSIS- 45330	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE UROGENITAL- 45341	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE NASAL- 45335	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF- 45329	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY- 45336	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EAR- 45332	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EYE- 45333	$55.50	$150.00	$9.12–$75.00	26% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 PERTUSSIS CULTURE- 45309	$60.22	$162.75	$9.12–$81.38	36% above	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE LEGIONELLA PNEUMO 58628	$23.90	$64.60	$9.12–$32.30	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOCARDIA CULT AND GRM STN- 17400	$30.16	$81.50	$9.12–$40.75	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE RESPIRATORY- 45336	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EYE- 45333	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE NASAL- 45335	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF- 45329	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE ENVIRONMENT- 45315	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE UROGENITAL- 45341	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EAR- 45332	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE H PYLORI- 45331	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TIP- 45338	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE DIALYSIS- 45330	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT- 45337	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE WOUND AEROBC- 45343	$55.50	$150.00	$9.12–$75.00	—	63%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 PERTUSSIS CULTURE- 45309	$60.22	$162.75	$9.12–$81.38	—	63%
Basic metabolic panel (blood test) CPT 80048 CHEM 8- 48337	$31.73	$85.75	$8.86–$85.75	37% below	63%
Basic metabolic panel (blood test) CPT 80048 CHEM 8- 48337	$31.73	$85.75	$8.86–$85.75	37% below	63%
Basic metabolic panel (blood test) inpatient CPT 80048 CHEM 8- 48337	$31.73	$85.75	$8.86–$85.75	—	63%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL- 45732	$69.01	$186.50	$5.21–$93.25	77% above	63%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL- 45732	$69.01	$186.50	$5.21–$93.25	—	63%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 AP SURG PATH LVL IV- 60890	$68.45	$185.00	$29.83–$98.49	51% below	63%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 AP SURG PATH LVL IV- 60890	$68.45	$185.00	$29.83–$98.49	—	63%
Blood culture for bacteria CPT 87040 CULTURE BLOOD- 45300	$61.70	$166.75	$10.94–$166.75	16% below	63%
Blood culture for bacteria CPT 87040 CULTURE BLOOD- 45300	$61.70	$166.75	$10.94–$166.75	16% below	63%
Blood culture for bacteria inpatient CPT 87040 CULTURE BLOOD- 45300	$61.70	$166.75	$10.94–$166.75	—	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW FROM VEIN 63535	$8.97	$24.25	$3.40–$24.25	10% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW FROM VEIN 36415	$8.97	$24.25	$3.40–$24.25	10% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW FROM VEIN 63535	$8.97	$24.25	$3.40–$24.25	10% below	63%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW FROM VEIN 36415	$8.97	$24.25	$3.40–$24.25	10% below	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW FROM VEIN 63535	$8.97	$24.25	$3.40–$24.25	—	63%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW FROM VEIN 36415	$8.97	$24.25	$3.40–$24.25	—	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE 41025	$25.35	$68.50	$4.17–$34.25	9% below	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE- 45797	$25.35	$68.50	$4.17–$34.25	9% below	63%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING- 45796	$25.35	$68.50	$4.17–$34.25	9% below	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 41025	$25.35	$68.50	$4.17–$34.25	—	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE- 45797	$25.35	$68.50	$4.17–$34.25	—	63%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING- 45796	$25.35	$68.50	$4.17–$34.25	—	63%
Blood lead test CPT 83655 LEAD BLOOD VENOUS 44685	$24.94	$67.40	$12.77–$67.40	47% below	63%
Blood lead test CPT 83655 LEAD BLOOD VENOUS 44685	$24.94	$67.40	$12.77–$67.40	47% below	63%
Blood lead test CPT 83655 LEAD LEVEL 36579	$32.19	$87.00	$12.77–$87.00	32% below	63%
Blood lead test CPT 83655 LEAD LEVEL 36579	$32.19	$87.00	$12.77–$87.00	32% below	63%
Blood lead test CPT 83655 LEAD RAN U- 48172	$38.76	$104.75	$12.77–$104.75	18% below	63%
Blood lead test CPT 83655 LEAD RAN U- 48172	$38.76	$104.75	$12.77–$104.75	18% below	63%
Blood lead test CPT 83655 LEAD URINE- 48154	$39.04	$105.50	$12.77–$105.50	18% below	63%
Blood lead test CPT 83655 LEAD URINE- 48154	$39.04	$105.50	$12.77–$105.50	18% below	63%
Blood lead test CPT 83655 LEAD 24HR URINE- 46022	$39.41	$106.50	$12.77–$106.50	17% below	63%
Blood lead test CPT 83655 LEAD 24HR URINE- 46022	$39.41	$106.50	$12.77–$106.50	17% below	63%
Blood lead test CPT 83655 LEAD- 45838	$39.87	$107.75	$12.77–$107.75	16% below	63%
Blood lead test CPT 83655 LEAD- 45838	$39.87	$107.75	$12.77–$107.75	16% below	63%
Blood lead test CPT 83655 METAL SCR LEAD U- 44407	$40.24	$108.75	$12.77–$108.75	15% below	63%
Blood lead test CPT 83655 METAL SCR LEAD U- 44407	$40.24	$108.75	$12.77–$108.75	15% below	63%
Blood lead test CPT 83655 LEAD COMP FOR LEAD ZPP-60920	$41.16	$111.25	$12.77–$111.25	13% below	63%
Blood lead test CPT 83655 LEAD COMP FOR LEAD ZPP-60920	$41.16	$111.25	$12.77–$111.25	13% below	63%
Blood lead test inpatient CPT 83655 LEAD BLOOD VENOUS 44685	$24.94	$67.40	$12.77–$67.40	—	63%
Blood lead test inpatient CPT 83655 LEAD LEVEL 36579	$32.19	$87.00	$12.77–$87.00	—	63%
Blood lead test inpatient CPT 83655 LEAD RAN U- 48172	$38.76	$104.75	$12.77–$104.75	—	63%
Blood lead test inpatient CPT 83655 LEAD URINE- 48154	$39.04	$105.50	$12.77–$105.50	—	63%
Blood lead test inpatient CPT 83655 LEAD 24HR URINE- 46022	$39.41	$106.50	$12.77–$106.50	—	63%
Blood lead test inpatient CPT 83655 LEAD- 45838	$39.87	$107.75	$12.77–$107.75	—	63%
Blood lead test inpatient CPT 83655 METAL SCR LEAD U- 44407	$40.24	$108.75	$12.77–$108.75	—	63%
Blood lead test inpatient CPT 83655 LEAD COMP FOR LEAD ZPP-60920	$41.16	$111.25	$12.77–$111.25	—	63%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM- 46124	$33.39	$90.25	$7.82–$45.13	27% below	63%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM- 46124	$33.39	$90.25	$7.82–$45.13	—	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ALLERGY IH- 46836	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP- 45006	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO GROUP- 45006	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ALLERGY IH- 46836	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH WB/RBC FEE- 47047	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/RH WB/RBC FEE- 47047	$37.56	$101.50	$3.13–$101.50	38% below	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/RH WB/RBC FEE- 47047	$37.56	$101.50	$3.13–$101.50	—	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ALLERGY IH- 46836	$37.56	$101.50	$3.13–$101.50	—	63%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO GROUP- 45006	$37.56	$101.50	$3.13–$101.50	—	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN INITIAL- 9562	$17.85	$48.25	$4.17–$48.25	29% below	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN INITIAL- 9562	$17.85	$48.25	$4.17–$48.25	29% below	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN INITIAL- 45738	$20.44	$55.25	$4.17–$55.25	18% below	63%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT POC BUN 60831	$20.44	$55.25	$4.17–$55.25	18% below	63%
Blood urea nitrogen (BUN) test CPT 84520 ISTAT POC BUN 60831	$20.44	$55.25	$4.17–$55.25	18% below	63%
Blood urea nitrogen (BUN) test CPT 84520 BUN INITIAL- 45738	$20.44	$55.25	$4.17–$55.25	18% below	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN INITIAL- 9562	$17.85	$48.25	$4.17–$48.25	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 ISTAT POC BUN 60831	$20.44	$55.25	$4.17–$55.25	—	63%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN INITIAL- 45738	$20.44	$55.25	$4.17–$55.25	—	63%
C-peptide blood test CPT 84681 C PEPTIDE- 47802	$79.64	$215.25	$21.89–$215.25	13% below	63%
C-peptide blood test CPT 84681 C PEPTIDE- 47802	$79.64	$215.25	$21.89–$215.25	13% below	63%
C-peptide blood test inpatient CPT 84681 C PEPTIDE- 47802	$79.64	$215.25	$21.89–$215.25	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN 26337	$15.54	$42.00	$5.47–$42.00	59% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN 26337	$15.54	$42.00	$5.47–$42.00	59% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN- 46212	$36.17	$97.75	$5.47–$97.75	5% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN- 46212	$36.17	$97.75	$5.47–$97.75	5% below	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN 26337	$15.54	$42.00	$5.47–$42.00	—	63%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN- 46212	$36.17	$97.75	$5.47–$97.75	—	63%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF MOLECULAR- 60911	$77.42	$209.25	$54.64–$209.25	19% below	63%
C. difficile toxin gene test (stool PCR) CPT 87493 CDIFF MOLECULAR- 60911	$77.42	$209.25	$54.64–$209.25	19% below	63%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDIFF MOLECULAR- 60911	$77.42	$209.25	$54.64–$209.25	—	63%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9- 48442	$65.95	$178.25	$21.89–$178.25	28% below	63%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9- 48442	$65.95	$178.25	$21.89–$178.25	28% below	63%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9- 48442	$65.95	$178.25	$21.89–$178.25	—	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 SEROUS FLUID 41652	$56.15	$151.75	$21.89–$151.75	39% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 SEROUS FLUID 41652	$56.15	$151.75	$21.89–$151.75	39% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125- 45106	$65.68	$177.50	$21.89–$177.50	29% below	63%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125- 45106	$65.68	$177.50	$21.89–$177.50	29% below	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 SEROUS FLUID 41652	$56.15	$151.75	$21.89–$151.75	—	63%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125- 45106	$65.68	$177.50	$21.89–$177.50	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 BY PCR 41886	$19.98	$54.00	$51.31–$54.00	75% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 BY PCR 41886	$19.98	$54.00	$51.31–$54.00	75% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 BY PCR 54357	$21.00	$56.75	$51.31–$56.75	74% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BO SARS COV2 LTT 41703	$21.00	$56.75	$51.31–$56.75	74% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BO SARS COV2 LTT 41703	$21.00	$56.75	$51.31–$56.75	74% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV2 BY PCR 54357	$21.00	$56.75	$51.31–$56.75	74% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ID NOW COVID 19 41721	$37.46	$101.25	$51.31–$101.25	54% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ID NOW COVID 19 41721	$37.46	$101.25	$51.31–$101.25	54% below	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2 BY PCR 41886	$19.98	$54.00	$51.31–$54.00	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 BO SARS COV2 LTT 41703	$21.00	$56.75	$51.31–$56.75	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-COV2 BY PCR 54357	$21.00	$56.75	$51.31–$56.75	—	63%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ID NOW COVID 19 41721	$37.46	$101.25	$51.31–$101.25	—	63%
Calcium blood test, total CPT 82310 CALCIUM- 45741	$36.35	$98.25	$5.47–$98.25	at median	63%
Calcium blood test, total CPT 82310 CALCIUM- 45741	$36.35	$98.25	$5.47–$98.25	at median	63%
Calcium blood test, total inpatient CPT 82310 CALCIUM- 45741	$36.35	$98.25	$5.47–$98.25	—	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID 41646	$48.10	$130.00	$20.06–$130.00	54% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID 41646	$48.10	$130.00	$20.06–$130.00	54% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA- 44548	$59.48	$160.75	$20.06–$160.75	43% below	63%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA- 44548	$59.48	$160.75	$20.06–$160.75	43% below	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUID 41646	$48.10	$130.00	$20.06–$130.00	—	63%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA- 44548	$59.48	$160.75	$20.06–$160.75	—	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY IGM 52769	$13.68	$36.98	$13.55–$36.98	76% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY IGM 52769	$13.68	$36.98	$13.55–$36.98	76% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY TOTAL 52771	$13.68	$36.98	$13.55–$36.98	76% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ANTIBODY TOTAL 52771	$13.68	$36.98	$13.55–$36.98	76% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB 28805	$18.04	$48.75	$13.55–$48.75	69% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER TOTAL AB 28806	$18.04	$48.75	$13.55–$48.75	69% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER TOTAL AB 28806	$18.04	$48.75	$13.55–$48.75	69% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB 28805	$18.04	$48.75	$13.55–$48.75	69% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM 62944	$24.67	$66.68	$13.55–$66.68	57% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG 62943	$24.67	$66.68	$13.55–$66.68	57% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG 62943	$24.67	$66.68	$13.55–$66.68	57% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGM 62944	$24.67	$66.68	$13.55–$66.68	57% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 BO VZV IGM CSF 24328	$29.60	$80.00	$13.55–$80.00	49% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 BO VZV IGG CSF 24327	$29.60	$80.00	$13.55–$80.00	49% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 BO VZV IGM CSF 24328	$29.60	$80.00	$13.55–$80.00	49% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 BO VZV IGG CSF 24327	$29.60	$80.00	$13.55–$80.00	49% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTR AB INITIAL-78688	$43.38	$117.25	$13.55–$117.25	25% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTR AB INITIAL-78688	$43.38	$117.25	$13.55–$117.25	25% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VAR ZOSTER G/M CSF INTL- 78687	$43.48	$117.50	$13.55–$117.50	25% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VAR ZOSTER G/M CSF INTL- 78687	$43.48	$117.50	$13.55–$117.50	25% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG- 49112	$47.18	$127.50	$13.55–$127.50	18% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG- 49112	$47.18	$127.50	$13.55–$127.50	18% below	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY 48822	$128.11	$346.25	$13.55–$346.25	122% above	63%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER ANTIBODY 48822	$128.11	$346.25	$13.55–$346.25	122% above	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ANTIBODY IGM 52769	$13.68	$36.98	$13.55–$36.98	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ANTIBODY TOTAL 52771	$13.68	$36.98	$13.55–$36.98	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER TOTAL AB 28806	$18.04	$48.75	$13.55–$48.75	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM AB 28805	$18.04	$48.75	$13.55–$48.75	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGM 62944	$24.67	$66.68	$13.55–$66.68	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG 62943	$24.67	$66.68	$13.55–$66.68	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 BO VZV IGM CSF 24328	$29.60	$80.00	$13.55–$80.00	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 BO VZV IGG CSF 24327	$29.60	$80.00	$13.55–$80.00	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTR AB INITIAL-78688	$43.38	$117.25	$13.55–$117.25	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VAR ZOSTER G/M CSF INTL- 78687	$43.48	$117.50	$13.55–$117.50	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG- 49112	$47.18	$127.50	$13.55–$127.50	—	63%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER ANTIBODY 48822	$128.11	$346.25	$13.55–$346.25	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PRB56124	$42.42	$114.66	$37.00–$114.66	47% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PRB56124	$42.42	$114.66	$37.00–$114.66	47% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA PROBE 56057	$44.81	$121.10	$37.00–$121.10	44% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACH AMP PROBE 56114	$44.81	$121.10	$37.00–$121.10	44% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C TRACH AMP PROBE 56114	$44.81	$121.10	$37.00–$121.10	44% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA PROBE 56057	$44.81	$121.10	$37.00–$121.10	44% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PR 31835	$53.00	$143.25	$37.00–$143.25	33% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACH DNA AMP PR 31835	$53.00	$143.25	$37.00–$143.25	33% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, AMP PRB 24367	$61.70	$166.75	$37.00–$166.75	23% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, AMP PRB 24367	$61.70	$166.75	$37.00–$166.75	23% below	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE APTIMA 27236	$92.04	$248.75	$37.00–$248.75	16% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMP PROBE APTIMA 27236	$92.04	$248.75	$37.00–$248.75	16% above	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA AMP PRB56124	$42.42	$114.66	$37.00–$114.66	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C TRACH AMP PROBE 56114	$44.81	$121.10	$37.00–$121.10	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA PROBE 56057	$44.81	$121.10	$37.00–$121.10	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACH DNA AMP PR 31835	$53.00	$143.25	$37.00–$143.25	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH, DNA, AMP PRB 24367	$61.70	$166.75	$37.00–$166.75	—	63%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMP PROBE APTIMA 27236	$92.04	$248.75	$37.00–$248.75	—	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID GRP PHENOTYPING 44752	$27.60	$74.60	$16.94–$74.60	60% below	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID GRP PHENOTYPING 44752	$27.60	$74.60	$16.94–$74.60	60% below	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 GROUP LIPID- 48643	$66.42	$179.50	$16.94–$179.50	5% below	63%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 GROUP LIPID- 48643	$66.42	$179.50	$16.94–$179.50	5% below	63%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID GRP PHENOTYPING 44752	$27.60	$74.60	$16.94–$74.60	—	63%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 GROUP LIPID- 48643	$66.42	$179.50	$16.94–$179.50	—	63%
Complete blood count (CBC) with differential CPT 85025 CBC- 47048	$45.33	$122.50	$8.08–$61.25	at median	63%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC- 47048	$45.33	$122.50	$8.08–$61.25	—	63%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF- 46545	$29.60	$80.00	$6.78–$40.00	33% below	63%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFF- 46545	$29.60	$80.00	$6.78–$40.00	—	63%
Comprehensive metabolic panel (blood test) CPT 80053 CHEM 14- 48338	$40.79	$110.25	$11.20–$110.25	43% below	63%
Comprehensive metabolic panel (blood test) CPT 80053 CHEM 14- 48338	$40.79	$110.25	$11.20–$110.25	43% below	63%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CHEM 14- 48338	$40.79	$110.25	$11.20–$110.25	—	63%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA 95721	$31.45	$85.00	$17.20–$85.00	59% below	63%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA 95721	$31.45	$85.00	$17.20–$85.00	59% below	63%
Cortisol blood test, total CPT 82533 CORTISOL MORNING 38821	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION 38822	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 DEXAMETHASONE SUPPRESSION 38822	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 CORTISOL MORNING 38821	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 CORTISOL EVENING 38820	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 CORTISOL EVENING 38820	$44.59	$120.50	$17.20–$120.50	42% below	63%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 3 CORTISOL 54360	$55.41	$149.75	$17.20–$149.75	28% below	63%
Cortisol blood test, total CPT 82533 ACTH STIMULATION 3 CORTISOL 54360	$55.41	$149.75	$17.20–$149.75	28% below	63%
Cortisol blood test, total CPT 82533 CORTISOL- 44547	$61.70	$166.75	$17.20–$166.75	19% below	63%
Cortisol blood test, total CPT 82533 CORTISOL- 44547	$61.70	$166.75	$17.20–$166.75	19% below	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA 95721	$31.45	$85.00	$17.20–$85.00	—	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL EVENING 38820	$44.59	$120.50	$17.20–$120.50	—	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL MORNING 38821	$44.59	$120.50	$17.20–$120.50	—	63%
Cortisol blood test, total inpatient CPT 82533 DEXAMETHASONE SUPPRESSION 38822	$44.59	$120.50	$17.20–$120.50	—	63%
Cortisol blood test, total inpatient CPT 82533 ACTH STIMULATION 3 CORTISOL 54360	$55.41	$149.75	$17.20–$149.75	—	63%
Cortisol blood test, total inpatient CPT 82533 CORTISOL- 44547	$61.70	$166.75	$17.20–$166.75	—	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK- 45765	$29.60	$80.00	$6.78–$80.00	23% below	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK- 45765	$29.60	$80.00	$6.78–$80.00	23% below	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL ISOENZYM- 46384	$44.22	$119.50	$6.78–$119.50	16% above	63%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL ISOENZYM- 46384	$44.22	$119.50	$6.78–$119.50	16% above	63%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK- 45765	$29.60	$80.00	$6.78–$80.00	—	63%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL ISOENZYM- 46384	$44.22	$119.50	$6.78–$119.50	—	63%
Creatinine blood test CPT 82565 ISTAT POC CREATININE 60832	$19.70	$53.25	$5.47–$53.25	33% below	63%
Creatinine blood test CPT 82565 CREATININE- 45767	$19.70	$53.25	$5.47–$53.25	33% below	63%
Creatinine blood test CPT 82565 CREATININE- 45767	$19.70	$53.25	$5.47–$53.25	33% below	63%
Creatinine blood test CPT 82565 ISTAT POC CREATININE 60832	$19.70	$53.25	$5.47–$53.25	33% below	63%
Creatinine blood test inpatient CPT 82565 ISTAT POC CREATININE 60832	$19.70	$53.25	$5.47–$53.25	—	63%
Creatinine blood test inpatient CPT 82565 CREATININE- 45767	$19.70	$53.25	$5.47–$53.25	—	63%
Cytomegalovirus (CMV) antibody test CPT 86644 CSF CMV IGG- 48917	$36.26	$98.00	$15.11–$49.00	52% below	63%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG EIA- 49005	$49.03	$132.50	$15.11–$66.25	35% below	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CSF CMV IGG- 48917	$36.26	$98.00	$15.11–$49.00	—	63%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG EIA- 49005	$49.03	$132.50	$15.11–$66.25	—	63%
D-dimer blood test (blood clot marker) CPT 85379 DDIMR QUAN- 45405	$58.28	$157.50	$10.68–$157.50	41% below	63%
D-dimer blood test (blood clot marker) CPT 85379 DDIMR QUAN- 45405	$58.28	$157.50	$10.68–$157.50	41% below	63%
D-dimer blood test (blood clot marker) inpatient CPT 85379 DDIMR QUAN- 45405	$58.28	$157.50	$10.68–$157.50	—	63%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE- 46190	$75.48	$204.00	$23.45–$204.00	at median	63%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE- 46190	$75.48	$204.00	$23.45–$204.00	at median	63%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE- 46190	$75.48	$204.00	$23.45–$204.00	—	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN 41739	$36.82	$99.50	$90.58–$99.50	62% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE SCREEN 41739	$36.82	$99.50	$90.58–$99.50	62% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG C ETH 28783	$38.67	$104.50	$90.58–$104.50	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG C ETH 28783	$38.67	$104.50	$90.58–$104.50	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR COTININE CORDBLD 95802	$38.76	$104.75	$90.58–$104.75	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR COTININE CORDBLD 95802	$38.76	$104.75	$90.58–$104.75	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL SCREEN 41679	$38.85	$105.00	$90.58–$105.00	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL SCREEN 41679	$38.85	$105.00	$90.58–$105.00	60% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG SCR U/BL 48103	$48.56	$131.25	$90.58–$131.25	50% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE SCREEN URINE 44360	$48.56	$131.25	$90.58–$131.25	50% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGLE DRUG SCR U/BL 48103	$48.56	$131.25	$90.58–$131.25	50% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE SCREEN URINE 44360	$48.56	$131.25	$90.58–$131.25	50% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR BATHSALT CORDBLD 95803	$60.68	$164.00	$90.58–$164.00	37% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR BATHSALT CORDBLD 95803	$60.68	$164.00	$90.58–$164.00	37% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN URINE 58692	$68.38	$184.80	$90.58–$184.80	30% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL SCREEN URINE 58692	$68.38	$184.80	$90.58–$184.80	30% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD QUALITATIVE URINE 41901	$72.43	$195.75	$90.58–$195.75	25% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD QUALITATIVE URINE 41901	$72.43	$195.75	$90.58–$195.75	25% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE WITH REFLEXT 22735	$72.43	$195.75	$90.58–$195.75	25% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FENTANYL URINE WITH REFLEXT 22735	$72.43	$195.75	$90.58–$195.75	25% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM ROHYPNOL UA 51120	$81.31	$219.75	$90.58–$219.75	16% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM ROHYPNOL UA 51120	$81.31	$219.75	$90.58–$219.75	16% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN PANEL 10 19570	$86.49	$233.75	$90.58–$233.75	11% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN PANEL 10 19570	$86.49	$233.75	$90.58–$233.75	11% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG SCREEN 12 MEDTOX 44618	$91.21	$246.50	$90.58–$246.50	6% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG SCREEN 12 MEDTOX 44618	$91.21	$246.50	$90.58–$246.50	6% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP NOT OPT 19571	$95.09	$257.00	$90.58–$257.00	2% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESUMP NOT OPT 19571	$95.09	$257.00	$90.58–$257.00	2% below	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URDRG SCR INFNT/MAT 14776	$99.25	$268.25	$90.58–$268.25	2% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URDRG SCR INFNT/MAT 14776	$99.25	$268.25	$90.58–$268.25	2% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MEPHEDRONE MDPV METHYLONE 51089	$99.90	$270.00	$90.58–$270.00	3% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MEPHEDRONE MDPV METHYLONE 51089	$99.90	$270.00	$90.58–$270.00	3% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG TEST CHEM 36646	$102.77	$277.75	$90.58–$277.75	6% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG TEST CHEM 36646	$102.77	$277.75	$90.58–$277.75	6% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE II 60886	$112.57	$304.25	$90.58–$304.25	16% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ABUSE II 60886	$112.57	$304.25	$90.58–$304.25	16% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 79021	$120.34	$325.25	$90.58–$325.25	24% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 79021	$120.34	$325.25	$90.58–$325.25	24% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS CLINICAL 12 DRUG 14774	$121.45	$328.25	$90.58–$328.25	25% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS CLINICAL 12 DRUG 14774	$121.45	$328.25	$90.58–$328.25	25% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR 13 CORDBLD 95801	$126.54	$342.00	$90.58–$342.00	30% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR 13 CORDBLD 95801	$126.54	$342.00	$90.58–$342.00	30% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR FECAL MECON- 48085	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS SCREEN- 48055	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD FIVE- 78627	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES URINE SCR- 44344	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES URINE SCR- 44344	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR FECAL MECON- 48085	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS SCREEN- 48055	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR MULTI CLASS- 95739	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR BRST MILK- 60790`	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD FIVE- 78627	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD SIX 44332	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN BLOOD SIX 44332	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR BRST MILK- 60790`	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR MULTI CLASS- 95739	$127.10	$343.50	$90.58–$343.50	31% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DIURETIC SCR URINE- 95790	$128.48	$347.25	$90.58–$347.25	32% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DIURETIC SCR URINE- 95790	$128.48	$347.25	$90.58–$347.25	32% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG 10 FLUID SCREEN 44606	$153.00	$413.50	$90.58–$413.50	58% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO DRUG 10 FLUID SCREEN 44606	$153.00	$413.50	$90.58–$413.50	58% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR 11 W/CONF MECONUM 51112	$159.10	$430.00	$90.58–$430.00	64% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCR 11 W/CONF MECONUM 51112	$159.10	$430.00	$90.58–$430.00	64% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO UCT 17 44668	$186.28	$503.45	$90.58–$503.45	92% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BO UCT 17 44668	$186.28	$503.45	$90.58–$503.45	92% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB URINE- 48363	$222.74	$602.00	$90.58–$602.00	130% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB URINE- 48363	$222.74	$602.00	$90.58–$602.00	130% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB SERUM- 48362	$222.74	$602.00	$90.58–$602.00	130% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB SERUM- 48362	$222.74	$602.00	$90.58–$602.00	130% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PNLX10 14688	$268.90	$726.75	$90.58–$726.75	177% above	63%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PNLX10 14688	$268.90	$726.75	$90.58–$726.75	177% above	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE SCREEN 41739	$36.82	$99.50	$90.58–$99.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG C ETH 28783	$38.67	$104.50	$90.58–$104.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR COTININE CORDBLD 95802	$38.76	$104.75	$90.58–$104.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL SCREEN 41679	$38.85	$105.00	$90.58–$105.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGLE DRUG SCR U/BL 48103	$48.56	$131.25	$90.58–$131.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE SCREEN URINE 44360	$48.56	$131.25	$90.58–$131.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR BATHSALT CORDBLD 95803	$60.68	$164.00	$90.58–$164.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL SCREEN URINE 58692	$68.38	$184.80	$90.58–$184.80	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FENTANYL URINE WITH REFLEXT 22735	$72.43	$195.75	$90.58–$195.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD QUALITATIVE URINE 41901	$72.43	$195.75	$90.58–$195.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM ROHYPNOL UA 51120	$81.31	$219.75	$90.58–$219.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN PANEL 10 19570	$86.49	$233.75	$90.58–$233.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BO DRUG SCREEN 12 MEDTOX 44618	$91.21	$246.50	$90.58–$246.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESUMP NOT OPT 19571	$95.09	$257.00	$90.58–$257.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URDRG SCR INFNT/MAT 14776	$99.25	$268.25	$90.58–$268.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MEPHEDRONE MDPV METHYLONE 51089	$99.90	$270.00	$90.58–$270.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BO DRUG TEST CHEM 36646	$102.77	$277.75	$90.58–$277.75	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ABUSE II 60886	$112.57	$304.25	$90.58–$304.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 79021	$120.34	$325.25	$90.58–$325.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS CLINICAL 12 DRUG 14774	$121.45	$328.25	$90.58–$328.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR 13 CORDBLD 95801	$126.54	$342.00	$90.58–$342.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD SIX 44332	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLICS SCREEN- 48055	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES URINE SCR- 44344	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR BRST MILK- 60790`	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN BLOOD FIVE- 78627	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR MULTI CLASS- 95739	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR FECAL MECON- 48085	$127.10	$343.50	$90.58–$343.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DIURETIC SCR URINE- 95790	$128.48	$347.25	$90.58–$347.25	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BO DRUG 10 FLUID SCREEN 44606	$153.00	$413.50	$90.58–$413.50	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCR 11 W/CONF MECONUM 51112	$159.10	$430.00	$90.58–$430.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BO UCT 17 44668	$186.28	$503.45	$90.58–$503.45	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB SERUM- 48362	$222.74	$602.00	$90.58–$602.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB URINE- 48363	$222.74	$602.00	$90.58–$602.00	—	63%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG PNLX10 14688	$268.90	$726.75	$90.58–$726.75	—	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 PANEL ELELTROLYTE- 48116	$27.75	$75.00	$7.30–$75.00	54% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 PANEL ELELTROLYTE- 48116	$27.75	$75.00	$7.30–$75.00	54% below	63%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 PANEL ELELTROLYTE- 48116	$27.75	$75.00	$7.30–$75.00	—	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRUS VCA IGG 31910	$23.40	$63.25	$19.02–$50.62	66% below	63%
Epstein-Barr virus (EBV) antibody test CPT 86665 EB VIRUS VCA AB GM INITIAL-78699	$43.38	$117.25	$19.02–$58.63	37% below	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRUS VCA IGG 31910	$23.40	$63.25	$19.02–$50.62	—	63%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EB VIRUS VCA AB GM INITIAL-78699	$43.38	$117.25	$19.02–$58.63	—	63%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL 28836	$67.62	$182.75	$29.45–$182.75	26% below	63%
Estradiol blood test CPT 82670 ESTRADIOL TOTAL 28836	$67.62	$182.75	$29.45–$182.75	26% below	63%
Estradiol blood test CPT 82670 ESTRADIOL SERUM- 47800	$88.43	$239.00	$29.45–$239.00	3% below	63%
Estradiol blood test CPT 82670 ESTRADIOL SERUM- 47800	$88.43	$239.00	$29.45–$239.00	3% below	63%
Estradiol blood test inpatient CPT 82670 ESTRADIOL TOTAL 28836	$67.62	$182.75	$29.45–$182.75	—	63%
Estradiol blood test inpatient CPT 82670 ESTRADIOL SERUM- 47800	$88.43	$239.00	$29.45–$239.00	—	63%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM- 45957	$60.68	$164.00	$19.54–$164.00	14% below	63%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM- 45957	$60.68	$164.00	$19.54–$164.00	14% below	63%
FSH (follicle-stimulating hormone) test CPT 83001 ULTRA FSH- 44514	$61.33	$165.75	$19.54–$165.75	13% below	63%
FSH (follicle-stimulating hormone) test CPT 83001 ULTRA FSH- 44514	$61.33	$165.75	$19.54–$165.75	13% below	63%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM- 45957	$60.68	$164.00	$19.54–$164.00	—	63%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 ULTRA FSH- 44514	$61.33	$165.75	$19.54–$165.75	—	63%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL- 60983	$102.77	$277.75	$20.59–$277.75	29% below	63%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL- 60983	$102.77	$277.75	$20.59–$277.75	29% below	63%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL- 60983	$102.77	$277.75	$20.59–$277.75	—	63%
Ferritin blood test (iron stores) CPT 82728 FERRITIN- 47050	$44.40	$120.00	$14.33–$120.00	31% below	63%
Ferritin blood test (iron stores) CPT 82728 FERRITIN- 47050	$44.40	$120.00	$14.33–$120.00	31% below	63%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN- 47050	$44.40	$120.00	$14.33–$120.00	—	63%
Fibrinogen blood test CPT 85384 FIBRINOGEN- 46746	$31.17	$84.25	$8.86–$84.25	56% below	63%
Fibrinogen blood test CPT 85384 FIBRINOGEN- 46746	$31.17	$84.25	$8.86–$84.25	56% below	63%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN- 46746	$31.17	$84.25	$8.86–$84.25	—	63%
Folate (folic acid) blood test CPT 82746 FOLIC ACID- 48503	$58.28	$157.50	$15.63–$157.50	11% below	63%
Folate (folic acid) blood test CPT 82746 FOLIC ACID- 45654	$58.28	$157.50	$15.63–$157.50	11% below	63%
Folate (folic acid) blood test CPT 82746 FOLIC ACID- 48503	$58.28	$157.50	$15.63–$157.50	11% below	63%
Folate (folic acid) blood test CPT 82746 FOLIC ACID- 45654	$58.28	$157.50	$15.63–$157.50	11% below	63%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID- 45654	$58.28	$157.50	$15.63–$157.50	—	63%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID- 48503	$58.28	$157.50	$15.63–$157.50	—	63%
Free T3 thyroid hormone test CPT 84481 T3 FREE- 47855	$89.82	$242.75	$17.98–$242.75	at median	63%
Free T3 thyroid hormone test CPT 84481 T3 FREE- 47855	$89.82	$242.75	$17.98–$242.75	at median	63%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE- 47855	$89.82	$242.75	$17.98–$242.75	—	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE REFERRED- 46145	$61.33	$165.75	$9.64–$165.75	at median	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE REFERRED- 46145	$61.33	$165.75	$9.64–$165.75	at median	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 RATIO DD- 48672	$61.33	$165.75	$9.64–$165.75	at median	63%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 RATIO DD- 48672	$61.33	$165.75	$9.64–$165.75	at median	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 RATIO DD- 48672	$61.33	$165.75	$9.64–$165.75	—	63%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE REFERRED- 46145	$61.33	$165.75	$9.64–$165.75	—	63%
Free testosterone test CPT 84402 TESTOSTERONE FREE- 46177	$49.58	$134.00	$26.84–$134.00	43% below	63%
Free testosterone test CPT 84402 TESTOSTERONE FREE- 46177	$49.58	$134.00	$26.84–$134.00	43% below	63%
Free testosterone test CPT 84402 FREE TESTOSTERONE M- 95758	$83.81	$226.50	$26.84–$226.50	3% below	63%
Free testosterone test CPT 84402 FREE TESTOSTERONE M- 95758	$83.81	$226.50	$26.84–$226.50	3% below	63%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE- 46177	$49.58	$134.00	$26.84–$134.00	—	63%
Free testosterone test inpatient CPT 84402 FREE TESTOSTERONE M- 95758	$83.81	$226.50	$26.84–$226.50	—	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT- 46010	$49.03	$132.50	$7.56–$132.50	at median	63%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT- 46010	$49.03	$132.50	$7.56–$132.50	at median	63%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT- 46010	$49.03	$132.50	$7.56–$132.50	—	63%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HLTH PNL- 48355	$161.14	$435.50	$29.19–$435.50	18% below	63%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GEN HLTH PNL- 48355	$161.14	$435.50	$29.19–$435.50	18% below	63%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GEN HLTH PNL- 48355	$161.14	$435.50	$29.19–$435.50	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HR W LOAD- 48377	$22.85	$61.75	$4.95–$30.88	25% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2 HR- 44522	$22.85	$61.75	$4.95–$30.88	25% below	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1 HR W LOAD- 48377	$22.85	$61.75	$4.95–$30.88	—	63%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2 HR- 44522	$22.85	$61.75	$4.95–$30.88	—	63%
Glucose tolerance test, 3 samples CPT 82951 GTT 3 SPECIMENS- 48506	$46.25	$125.00	$13.55–$62.50	31% below	63%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3 SPECIMENS- 48506	$46.25	$125.00	$13.55–$62.50	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONO DNA 56125	$42.42	$114.66	$37.00–$114.66	49% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONO DNA 56125	$42.42	$114.66	$37.00–$114.66	49% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE 56115	$44.81	$121.10	$37.00–$121.10	46% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE 56115	$44.81	$121.10	$37.00–$121.10	46% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE 56055	$44.81	$121.10	$37.00–$121.10	46% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE AMP PROBE 56055	$44.81	$121.10	$37.00–$121.10	46% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PR 31850	$53.00	$143.25	$37.00–$143.25	36% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOEAE DNA AMP PR 31850	$53.00	$143.25	$37.00–$143.25	36% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOE, DNA, AMP PRB 24368	$61.70	$166.75	$37.00–$166.75	26% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONORRHOE, DNA, AMP PRB 24368	$61.70	$166.75	$37.00–$166.75	26% below	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRH AMP PROBE APTIMA 27235	$92.04	$248.75	$37.00–$248.75	11% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRH AMP PROBE APTIMA 27235	$92.04	$248.75	$37.00–$248.75	11% above	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONO DNA 56125	$42.42	$114.66	$37.00–$114.66	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMP PROBE 56115	$44.81	$121.10	$37.00–$121.10	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE AMP PROBE 56055	$44.81	$121.10	$37.00–$121.10	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOEAE DNA AMP PR 31850	$53.00	$143.25	$37.00–$143.25	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONORRHOE, DNA, AMP PRB 24368	$61.70	$166.75	$37.00–$166.75	—	63%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRH AMP PROBE APTIMA 27235	$92.04	$248.75	$37.00–$248.75	—	63%
H. pylori antibody blood test CPT 86677 H PYLORI AB INITIAL- 61667	$60.59	$163.75	$15.37–$81.88	19% below	63%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGM- 44471	$65.49	$177.00	$15.37–$88.50	13% below	63%
H. pylori antibody blood test CPT 86677 H PYLORI AB- 48956	$65.49	$177.00	$15.37–$88.50	13% below	63%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB INITIAL- 61667	$60.59	$163.75	$15.37–$81.88	—	63%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB- 48956	$65.49	$177.00	$15.37–$88.50	—	63%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM- 44471	$65.49	$177.00	$15.37–$88.50	—	63%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN- 45377	$112.85	$305.00	$14.93–$305.00	at median	63%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN- 45377	$112.85	$305.00	$14.93–$305.00	at median	63%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN- 45377	$112.85	$305.00	$14.93–$305.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QN RNA PCR 51654	$173.90	$470.00	$89.64–$470.00	14% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV QN RNA PCR 51654	$173.90	$470.00	$89.64–$470.00	14% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNAQ- 49071	$200.08	$540.75	$89.64–$540.75	1% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 RNAQ- 49071	$200.08	$540.75	$89.64–$540.75	1% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 PCRQ- 49106	$200.08	$540.75	$89.64–$540.75	1% below	63%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 PCRQ- 49106	$200.08	$540.75	$89.64–$540.75	1% below	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV QN RNA PCR 51654	$173.90	$470.00	$89.64–$470.00	—	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 PCRQ- 49106	$200.08	$540.75	$89.64–$540.75	—	63%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 RNAQ- 49071	$200.08	$540.75	$89.64–$540.75	—	63%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV- 48319	$40.98	$110.75	$14.59–$55.38	22% below	63%
HIV-1 and HIV-2 antibody test CPT 86703 EPIDEMIOLOGY HIV AB 11180	$44.96	$121.50	$14.59–$60.75	14% below	63%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID HIV- 48319	$40.98	$110.75	$14.59–$55.38	—	63%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 EPIDEMIOLOGY HIV AB 11180	$44.96	$121.50	$14.59–$60.75	—	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB SCREEN 4TH GEN 21498	$32.28	$87.25	$37.49–$87.25	32% below	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AG/AB SCREEN 4TH GEN 21498	$32.28	$87.25	$37.49–$87.25	32% below	63%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AG/AB SCREEN 4TH GEN 21498	$32.28	$87.25	$37.49–$87.25	—	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES 24371	$73.45	$198.50	$54.64–$198.50	20% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH-RISK TYPES 24371	$73.45	$198.50	$54.64–$198.50	20% below	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV TYPING HIGH RES- 44432	$136.25	$368.25	$54.64–$368.25	48% above	63%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV TYPING HIGH RES- 44432	$136.25	$368.25	$54.64–$368.25	48% above	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH-RISK TYPES 24371	$73.45	$198.50	$54.64–$198.50	—	63%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV TYPING HIGH RES- 44432	$136.25	$368.25	$54.64–$368.25	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHGB BY HPLC- 46116	$33.02	$89.25	$10.16–$89.25	23% below	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHGB BY HPLC- 46116	$33.02	$89.25	$10.16–$89.25	23% below	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 BO AMPHUDIL 11145	$137.09	$370.50	$10.16–$370.50	219% above	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 BO AMPHUDIL 11145	$137.09	$370.50	$10.16–$370.50	219% above	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHGB BY HPLC- 46116	$33.02	$89.25	$10.16–$89.25	—	63%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 BO AMPHUDIL 11145	$137.09	$370.50	$10.16–$370.50	—	63%
Hemoglobin blood test CPT 85018 HEMOGLOBIN- 44489	$10.45	$28.25	$2.61–$14.13	48% below	63%
Hemoglobin blood test CPT 85018 HEMOGLOBIN 45533	$19.61	$53.00	$2.61–$26.50	2% below	63%
Hemoglobin blood test CPT 85018 ISTAT POC HEMOGLOBIN 60833	$19.61	$53.00	$2.61–$26.50	2% below	63%
Hemoglobin blood test CPT 85018 HEMOGLOBIN- 45533	$19.61	$53.00	$2.61–$26.50	2% below	63%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN- 44489	$10.45	$28.25	$2.61–$14.13	—	63%
Hemoglobin blood test inpatient CPT 85018 ISTAT POC HEMOGLOBIN 60833	$19.61	$53.00	$2.61–$26.50	—	63%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN- 45533	$19.61	$53.00	$2.61–$26.50	—	63%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN 45533	$19.61	$53.00	$2.61–$26.50	—	63%
Hepatitis B core antibody test (total) CPT 86704 HEPDIAGPNL B CORE T 66090	$31.49	$85.10	$12.77–$42.55	36% below	63%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE IGG- 44574	$46.25	$125.00	$12.77–$62.50	6% below	63%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPDIAGPNL B CORE T 66090	$31.49	$85.10	$12.77–$42.55	—	63%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE IGG- 44574	$46.25	$125.00	$12.77–$62.50	—	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPDIAGPNL B SURF AB 66091	$28.42	$76.80	$11.20–$38.40	40% below	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF ANTIBODY- 44573	$41.26	$111.50	$11.20–$55.75	12% below	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPDIAGPNL B SURF AB 66091	$28.42	$76.80	$11.20–$38.40	—	63%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF ANTIBODY- 44573	$41.26	$111.50	$11.20–$55.75	—	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPDIAGPNL B SURF AG 66092	$25.36	$68.55	$10.94–$68.55	44% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPDIAGPNL B SURF AG 66092	$25.36	$68.55	$10.94–$68.55	44% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN- 44530	$35.52	$96.00	$10.94–$96.00	22% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN- 44530	$35.52	$96.00	$10.94–$96.00	22% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN- 11179	$35.80	$96.75	$10.94–$96.75	21% below	63%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURF ANTIGEN- 11179	$35.80	$96.75	$10.94–$96.75	21% below	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPDIAGPNL B SURF AG 66092	$25.36	$68.55	$10.94–$68.55	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF ANTIGEN- 44530	$35.52	$96.00	$10.94–$96.00	—	63%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURF ANTIGEN- 11179	$35.80	$96.75	$10.94–$96.75	—	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPDIAGPNL C AB 66093	$33.28	$89.95	$15.11–$89.95	41% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPDIAGPNL C AB 66093	$33.28	$89.95	$15.11–$89.95	41% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB- 11181	$49.40	$133.50	$15.11–$133.50	12% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB- 11181	$49.40	$133.50	$15.11–$133.50	12% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB- 48864	$53.10	$143.50	$15.11–$143.50	5% below	63%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB- 48864	$53.10	$143.50	$15.11–$143.50	5% below	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPDIAGPNL C AB 66093	$33.28	$89.95	$15.11–$89.95	—	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB- 11181	$49.40	$133.50	$15.11–$133.50	—	63%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB- 48864	$53.10	$143.50	$15.11–$143.50	—	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C BDNA QUANT- 49000	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIR RNA QT TMA- 44475	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C VIR RNA QT TMA- 44475	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QUANT- 48250	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QUANT- 48250	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C BDNA QUANT- 49000	$222.28	$600.75	$45.08–$600.75	at median	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C VIR RNA QT TMA- 44475	$222.28	$600.75	$45.08–$600.75	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C BDNA QUANT- 49000	$222.28	$600.75	$45.08–$600.75	—	63%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR QUANT- 48250	$222.28	$600.75	$45.08–$600.75	—	63%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1 IGM 28796	$18.50	$50.00	$13.81–$36.79	71% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMP TYPE 1 IGG 28795	$18.50	$50.00	$13.81–$36.79	71% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 HSV1 36628	$36.82	$99.50	$13.81–$49.75	42% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 RFLX HSV 1 GP G AB IGG 65973	$37.74	$102.00	$13.81–$51.00	41% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 REFLEX HSV 1 IGM TITER CSF 26426	$39.87	$107.75	$13.81–$53.88	38% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 G/M- 46307	$45.23	$122.25	$13.81–$61.13	29% below	63%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES 1 IGG AB- 46381	$60.68	$164.00	$13.81–$82.00	5% below	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1 IGG 28795	$18.50	$50.00	$13.81–$36.79	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMP TYPE 1 IGM 28796	$18.50	$50.00	$13.81–$36.79	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV1 36628	$36.82	$99.50	$13.81–$49.75	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 RFLX HSV 1 GP G AB IGG 65973	$37.74	$102.00	$13.81–$51.00	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 REFLEX HSV 1 IGM TITER CSF 26426	$39.87	$107.75	$13.81–$53.88	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 G/M- 46307	$45.23	$122.25	$13.81–$61.13	—	63%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES 1 IGG AB- 46381	$60.68	$164.00	$13.81–$82.00	—	63%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2 IGG 28797	$27.10	$73.25	$20.33–$53.99	54% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMP TYPE 2 IGM 28798	$27.10	$73.25	$20.33–$53.99	54% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 HSV2 36629	$36.82	$99.50	$20.33–$53.99	38% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 RFLX HSV 2 GP G AB IGG 65974	$37.74	$102.00	$20.33–$53.99	36% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 REFLEX HSV 2 IGG TITER CSF 26427	$39.87	$107.75	$20.33–$53.99	33% below	63%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 G/M- 45644	$66.42	$179.50	$20.33–$89.75	12% above	63%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG AB- 46382	$77.52	$209.50	$20.33–$104.75	31% above	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2 IGG 28797	$27.10	$73.25	$20.33–$53.99	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMP TYPE 2 IGM 28798	$27.10	$73.25	$20.33–$53.99	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV2 36629	$36.82	$99.50	$20.33–$53.99	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 RFLX HSV 2 GP G AB IGG 65974	$37.74	$102.00	$20.33–$53.99	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 REFLEX HSV 2 IGG TITER CSF 26427	$39.87	$107.75	$20.33–$53.99	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 G/M- 45644	$66.42	$179.50	$20.33–$89.75	—	63%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGG AB- 46382	$77.52	$209.50	$20.33–$104.75	—	63%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO- 48342	$43.48	$117.50	$13.55–$117.50	21% below	63%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP CARDIO- 48342	$43.48	$117.50	$13.55–$117.50	21% below	63%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP CARDIO- 48342	$43.48	$117.50	$13.55–$117.50	—	63%
Homocysteine blood test CPT 83090 HOMOCYSTEINE- 48465	$142.54	$385.25	$17.72–$385.25	22% above	63%
Homocysteine blood test CPT 83090 HOMOCYSTEINE- 48465	$142.54	$385.25	$17.72–$385.25	22% above	63%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE- 48465	$142.54	$385.25	$17.72–$385.25	—	63%
Insulin blood test CPT 83525 INSULIN- 60813	$39.41	$106.50	$11.99–$106.50	23% below	63%
Insulin blood test CPT 83525 INSULIN- 60813	$39.41	$106.50	$11.99–$106.50	23% below	63%
Insulin blood test CPT 83525 INSULIN- 44523	$48.66	$131.50	$11.99–$131.50	5% below	63%
Insulin blood test CPT 83525 INSULIN- 44523	$48.66	$131.50	$11.99–$131.50	5% below	63%
Insulin blood test inpatient CPT 83525 INSULIN- 60813	$39.41	$106.50	$11.99–$106.50	—	63%
Insulin blood test inpatient CPT 83525 INSULIN- 44523	$48.66	$131.50	$11.99–$131.50	—	63%
Iron blood test (serum iron) CPT 83540 IRON- 48504	$22.57	$61.00	$6.78–$61.00	39% below	63%
Iron blood test (serum iron) CPT 83540 IRON- 48504	$22.57	$61.00	$6.78–$61.00	39% below	63%
Iron blood test (serum iron) CPT 83540 IRON URINE- 47891	$70.67	$191.00	$6.78–$191.00	92% above	63%
Iron blood test (serum iron) CPT 83540 IRON URINE- 47891	$70.67	$191.00	$6.78–$191.00	92% above	63%
Iron blood test (serum iron) inpatient CPT 83540 IRON- 48504	$22.57	$61.00	$6.78–$61.00	—	63%
Iron blood test (serum iron) inpatient CPT 83540 IRON URINE- 47891	$70.67	$191.00	$6.78–$191.00	—	63%
Iron-binding capacity (TIBC) test CPT 83550 TIBC/% SATURATION- 44561	$24.14	$65.25	$9.12–$65.25	49% below	63%
Iron-binding capacity (TIBC) test CPT 83550 TIBC/% SATURATION- 44561	$24.14	$65.25	$9.12–$65.25	49% below	63%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC/% SATURATION- 44561	$24.14	$65.25	$9.12–$65.25	—	63%
Kidney function blood test panel CPT 80069 RENAL PR- 48340	$26.55	$71.75	$9.12–$71.75	65% below	63%
Kidney function blood test panel CPT 80069 RENAL PR- 48340	$26.55	$71.75	$9.12–$71.75	65% below	63%
Kidney function blood test panel inpatient CPT 80069 RENAL PR- 48340	$26.55	$71.75	$9.12–$71.75	—	63%
LH (luteinizing hormone) test CPT 83002 LH SERUM- 45940	$59.48	$160.75	$19.54–$160.75	19% below	63%
LH (luteinizing hormone) test CPT 83002 LH SERUM- 45940	$59.48	$160.75	$19.54–$160.75	19% below	63%
LH (luteinizing hormone) test inpatient CPT 83002 LH SERUM- 45940	$59.48	$160.75	$19.54–$160.75	—	63%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FLUID 24336	$21.18	$57.25	$11.20–$57.25	64% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BODY FLUID 24336	$21.18	$57.25	$11.20–$57.25	64% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	6% below	63%
Lactate (lactic acid) blood test CPT 83605 LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	6% below	63%
Lactate (lactic acid) blood test CPT 83605 ISTAT POC LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	6% below	63%
Lactate (lactic acid) blood test CPT 83605 ISTAT POC LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	6% below	63%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID 27211	$163.91	$443.00	$11.20–$443.00	178% above	63%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID 27211	$163.91	$443.00	$11.20–$443.00	178% above	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BODY FLUID 24336	$21.18	$57.25	$11.20–$57.25	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 ISTAT POC LACTATE- 45829	$55.50	$150.00	$11.20–$150.00	—	63%
Lactate (lactic acid) blood test inpatient CPT 83605 ASSAY OF LACTIC ACID 27211	$163.91	$443.00	$11.20–$443.00	—	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH- 45833	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF- 45834	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLD- 46163	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF- 45834	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLD- 46163	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH- 45833	$26.92	$72.75	$6.25–$72.75	23% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL- 17411	$27.84	$75.25	$6.25–$75.25	21% below	63%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH TOTAL- 17411	$27.84	$75.25	$6.25–$75.25	21% below	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH- 45833	$26.92	$72.75	$6.25–$72.75	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLD- 46163	$26.92	$72.75	$6.25–$72.75	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF- 45834	$26.92	$72.75	$6.25–$72.75	—	63%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH TOTAL- 17411	$27.84	$75.25	$6.25–$75.25	—	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL BODY FLUID 41655	$20.81	$56.25	$7.30–$56.25	61% below	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL BODY FLUID 41655	$20.81	$56.25	$7.30–$56.25	61% below	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE- 45840	$44.68	$120.75	$7.30–$120.75	17% below	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE- 45839	$44.68	$120.75	$7.30–$120.75	17% below	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE- 45839	$44.68	$120.75	$7.30–$120.75	17% below	63%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE URINE- 45840	$44.68	$120.75	$7.30–$120.75	17% below	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL BODY FLUID 41655	$20.81	$56.25	$7.30–$56.25	—	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE URINE- 45840	$44.68	$120.75	$7.30–$120.75	—	63%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE- 45839	$44.68	$120.75	$7.30–$120.75	—	63%
Liver function blood test panel CPT 80076 LIVER PNL- 48339	$44.31	$119.75	$8.60–$119.75	23% below	63%
Liver function blood test panel CPT 80076 LIVER PNL- 48339	$44.31	$119.75	$8.60–$119.75	23% below	63%
Liver function blood test panel inpatient CPT 80076 LIVER PNL- 48339	$44.31	$119.75	$8.60–$119.75	—	63%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI 51658	$24.05	$65.00	$17.98–$47.51	70% below	63%
Lyme disease antibody test CPT 86618 LYME AB EIA- 49006	$64.75	$175.00	$17.98–$87.50	20% below	63%
Lyme disease antibody test CPT 86618 LYM AB G/M IFA CSF INITIAL-78788	$64.75	$175.00	$17.98–$87.50	20% below	63%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI 51658	$24.05	$65.00	$17.98–$47.51	—	63%
Lyme disease antibody test inpatient CPT 86618 LYM AB G/M IFA CSF INITIAL-78788	$64.75	$175.00	$17.98–$87.50	—	63%
Lyme disease antibody test inpatient CPT 86618 LYME AB EIA- 49006	$64.75	$175.00	$17.98–$87.50	—	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE LITHOLINK 56525	$13.88	$37.50	$7.04–$37.50	63% below	63%
Magnesium blood test CPT 83735 MAGNESIUM URINE LITHOLINK 56525	$13.88	$37.50	$7.04–$37.50	63% below	63%
Magnesium blood test CPT 83735 MAGNESIUM KID STONE SAT 44720	$24.16	$65.30	$7.04–$65.30	35% below	63%
Magnesium blood test CPT 83735 MAGNESIUM KID STONE SAT 44720	$24.16	$65.30	$7.04–$65.30	35% below	63%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM 34624	$47.36	$128.00	$7.04–$128.00	27% above	63%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM 34624	$47.36	$128.00	$7.04–$128.00	27% above	63%
Magnesium blood test CPT 83735 MAGNESIUM- 45847	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM UR- 49158	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 MAGNESIUM RANDOM UR- 49158	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 RBC MAGNESIUM- 48122	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 RBC MAGNESIUM- 48122	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 MAGNESIUM UR- 47826	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 MAGNESIUM UR- 47826	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test CPT 83735 MAGNESIUM- 45847	$51.06	$138.00	$7.04–$138.00	37% above	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE LITHOLINK 56525	$13.88	$37.50	$7.04–$37.50	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM KID STONE SAT 44720	$24.16	$65.30	$7.04–$65.30	—	63%
Magnesium blood test inpatient CPT 83735 ASSAY OF MAGNESIUM 34624	$47.36	$128.00	$7.04–$128.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM- 45847	$51.06	$138.00	$7.04–$138.00	—	63%
Magnesium blood test inpatient CPT 83735 RBC MAGNESIUM- 48122	$51.06	$138.00	$7.04–$138.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM UR- 47826	$51.06	$138.00	$7.04–$138.00	—	63%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDOM UR- 49158	$51.06	$138.00	$7.04–$138.00	—	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG 51799	$13.68	$36.98	$13.55–$36.98	69% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGM 51801	$13.68	$36.98	$13.55–$36.98	69% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGM 51801	$13.68	$36.98	$13.55–$36.98	69% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY IGG 51799	$13.68	$36.98	$13.55–$36.98	69% below	63%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGM AB 28802	$18.04	$48.75	$13.55–$48.75	59% below	63%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGM AB 28802	$18.04	$48.75	$13.55–$48.75	59% below	63%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGG AB 28801	$18.04	$48.75	$13.55–$48.75	59% below	63%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGG AB 28801	$18.04	$48.75	$13.55–$48.75	59% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM 62942	$24.67	$66.68	$13.55–$66.68	44% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG 62941	$24.67	$66.68	$13.55–$66.68	44% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGM 62942	$24.67	$66.68	$13.55–$66.68	44% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA AB IGG 62941	$24.67	$66.68	$13.55–$66.68	44% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM CONFIRM IFA 38802	$41.38	$111.85	$13.55–$111.85	6% below	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM CONFIRM IFA 38802	$41.38	$111.85	$13.55–$111.85	6% below	63%
Measles (rubeola) antibody test CPT 86765 HS RUBEOLA- 46554	$50.23	$135.75	$13.55–$135.75	15% above	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG/IGM INITIAL- 78819	$50.23	$135.75	$13.55–$135.75	15% above	63%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG/IGM INITIAL- 78819	$50.23	$135.75	$13.55–$135.75	15% above	63%
Measles (rubeola) antibody test CPT 86765 HS RUBEOLA- 46554	$50.23	$135.75	$13.55–$135.75	15% above	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGM 51801	$13.68	$36.98	$13.55–$36.98	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODY IGG 51799	$13.68	$36.98	$13.55–$36.98	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IGG AB 28801	$18.04	$48.75	$13.55–$48.75	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IGM AB 28802	$18.04	$48.75	$13.55–$48.75	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGG 62941	$24.67	$66.68	$13.55–$66.68	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA AB IGM 62942	$24.67	$66.68	$13.55–$66.68	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM CONFIRM IFA 38802	$41.38	$111.85	$13.55–$111.85	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG/IGM INITIAL- 78819	$50.23	$135.75	$13.55–$135.75	—	63%
Measles (rubeola) antibody test inpatient CPT 86765 HS RUBEOLA- 46554	$50.23	$135.75	$13.55–$135.75	—	63%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST- 46219	$24.14	$65.25	$5.47–$32.63	41% below	63%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST- 46219	$24.14	$65.25	$5.47–$32.63	—	63%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM 52763	$15.05	$40.68	$13.81–$40.68	74% below	63%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGG 52762	$15.05	$40.68	$13.81–$40.68	74% below	63%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGG 52762	$15.05	$40.68	$13.81–$40.68	74% below	63%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY IGM 52763	$15.05	$40.68	$13.81–$40.68	74% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGM AB 28804	$18.22	$49.25	$13.81–$49.25	69% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGM AB 28804	$18.22	$49.25	$13.81–$49.25	69% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGG AB 28803	$18.22	$49.25	$13.81–$49.25	69% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGG AB 28803	$18.22	$49.25	$13.81–$49.25	69% below	63%
Mumps immunity blood test CPT 86735 IGM MUMPS 38803	$24.33	$65.75	$13.81–$65.75	59% below	63%
Mumps immunity blood test CPT 86735 IGM MUMPS 38803	$24.33	$65.75	$13.81–$65.75	59% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB IGM 62940	$27.14	$73.34	$13.81–$73.34	54% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB IGG 62939	$27.14	$73.34	$13.81–$73.34	54% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB IGG 62939	$27.14	$73.34	$13.81–$73.34	54% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB IGM 62940	$27.14	$73.34	$13.81–$73.34	54% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB INITIAL- 78781	$34.23	$92.50	$13.81–$92.50	42% below	63%
Mumps immunity blood test CPT 86735 MUMPS AB INITIAL- 78781	$34.23	$92.50	$13.81–$92.50	42% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGM- 60841	$36.35	$98.25	$13.81–$98.25	38% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGM- 60841	$36.35	$98.25	$13.81–$98.25	38% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGG 60878	$44.59	$120.50	$13.81–$120.50	24% below	63%
Mumps immunity blood test CPT 86735 MUMPS IGG 60878	$44.59	$120.50	$13.81–$120.50	24% below	63%
Mumps immunity blood test CPT 86735 HS MUMPS IGG- 49184	$45.23	$122.25	$13.81–$122.25	23% below	63%
Mumps immunity blood test CPT 86735 HS MUMPS IGG- 49184	$45.23	$122.25	$13.81–$122.25	23% below	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGM 52763	$15.05	$40.68	$13.81–$40.68	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODY IGG 52762	$15.05	$40.68	$13.81–$40.68	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG AB 28803	$18.22	$49.25	$13.81–$49.25	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM AB 28804	$18.22	$49.25	$13.81–$49.25	—	63%
Mumps immunity blood test inpatient CPT 86735 IGM MUMPS 38803	$24.33	$65.75	$13.81–$65.75	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG 62939	$27.14	$73.34	$13.81–$73.34	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGM 62940	$27.14	$73.34	$13.81–$73.34	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB INITIAL- 78781	$34.23	$92.50	$13.81–$92.50	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGM- 60841	$36.35	$98.25	$13.81–$98.25	—	63%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG 60878	$44.59	$120.50	$13.81–$120.50	—	63%
Mumps immunity blood test inpatient CPT 86735 HS MUMPS IGG- 49184	$45.23	$122.25	$13.81–$122.25	—	63%
Obstetric blood test panel CPT 80055 PREN80055- 45629	$76.04	$205.50	$42.47–$205.50	57% below	63%
Obstetric blood test panel CPT 80055 PREN80055- 45629	$76.04	$205.50	$42.47–$205.50	57% below	63%
Obstetric blood test panel inpatient CPT 80055 PREN80055- 45629	$76.04	$205.50	$42.47–$205.50	—	63%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA- 48625	$100.64	$272.00	$19.28–$272.00	12% above	63%
PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA- 48625	$100.64	$272.00	$19.28–$272.00	12% above	63%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA- 48625	$100.64	$272.00	$19.28–$272.00	—	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA- 48514	$76.96	$208.00	$19.28–$208.00	at median	63%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA- 48514	$76.96	$208.00	$19.28–$208.00	at median	63%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA- 48514	$76.96	$208.00	$19.28–$208.00	—	63%
Parathyroid hormone (PTH) blood test CPT 83970 PTH- 48459	$139.49	$377.00	$43.52–$377.00	at median	63%
Parathyroid hormone (PTH) blood test CPT 83970 PTH- 48459	$139.49	$377.00	$43.52–$377.00	at median	63%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH- 48459	$139.49	$377.00	$43.52–$377.00	—	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT- 46733	$22.11	$59.75	$6.25–$29.88	32% below	63%
Partial thromboplastin time (PTT) clotting test CPT 85730 APTT 46733	$22.11	$59.75	$6.25–$29.88	32% below	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT 46733	$22.11	$59.75	$6.25–$29.88	—	63%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT- 46733	$22.11	$59.75	$6.25–$29.88	—	63%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS- 45872	$25.53	$69.00	$4.95–$69.00	22% below	63%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS- 45872	$25.53	$69.00	$4.95–$69.00	22% below	63%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS 34625	$32.93	$89.00	$4.95–$89.00	at median	63%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS 34625	$32.93	$89.00	$4.95–$89.00	at median	63%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS- 45872	$25.53	$69.00	$4.95–$69.00	—	63%
Phosphorus (phosphate) blood test inpatient CPT 84100 ASSAY OF PHOSPHORUS 34625	$32.93	$89.00	$4.95–$89.00	—	63%
Potassium blood test CPT 84132 ISTAT POC POTASSIUM 60828	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test CPT 84132 POTASSIUM- 48646	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test CPT 84132 POTASSIUM- 48646	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test CPT 84132 POTASSIUM 41024	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test CPT 84132 POTASSIUM 41024	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test CPT 84132 ISTAT POC POTASSIUM 60828	$24.79	$67.00	$4.95–$67.00	26% below	63%
Potassium blood test inpatient CPT 84132 ISTAT POC POTASSIUM 60828	$24.79	$67.00	$4.95–$67.00	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM 41024	$24.79	$67.00	$4.95–$67.00	—	63%
Potassium blood test inpatient CPT 84132 POTASSIUM- 48646	$24.79	$67.00	$4.95–$67.00	—	63%
Progesterone blood test CPT 84144 PROGESTERONE- 47847	$66.14	$178.75	$21.89–$178.75	14% below	63%
Progesterone blood test CPT 84144 PROGESTERONE- 47847	$66.14	$178.75	$21.89–$178.75	14% below	63%
Progesterone blood test inpatient CPT 84144 PROGESTERONE- 47847	$66.14	$178.75	$21.89–$178.75	—	63%
Prolactin blood test CPT 84146 BETA2 GLYCO IGG 28847	$52.36	$141.50	$20.33–$141.50	44% below	63%
Prolactin blood test CPT 84146 BETA2 GLYCO IGG 28847	$52.36	$141.50	$20.33–$141.50	44% below	63%
Prolactin blood test CPT 84146 PROLACTIN- 46033	$67.16	$181.50	$20.33–$181.50	28% below	63%
Prolactin blood test CPT 84146 PROLACTIN- 46033	$67.16	$181.50	$20.33–$181.50	28% below	63%
Prolactin blood test CPT 84146 BETA2 GLYCO IGM 28848	$101.75	$275.00	$20.33–$275.00	8% above	63%
Prolactin blood test CPT 84146 BETA2 GLYCO IGM 28848	$101.75	$275.00	$20.33–$275.00	8% above	63%
Prolactin blood test inpatient CPT 84146 BETA2 GLYCO IGG 28847	$52.36	$141.50	$20.33–$141.50	—	63%
Prolactin blood test inpatient CPT 84146 PROLACTIN- 46033	$67.16	$181.50	$20.33–$181.50	—	63%
Prolactin blood test inpatient CPT 84146 BETA2 GLYCO IGM 28848	$101.75	$275.00	$20.33–$275.00	—	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PT WITH INR 41795	$12.49	$33.75	$4.17–$16.88	62% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 ISTAT POC PT/INR- 46742	$29.60	$80.00	$4.17–$40.00	9% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME- 46742	$29.60	$80.00	$4.17–$40.00	9% below	63%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME 46742	$29.60	$80.00	$4.17–$40.00	9% below	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT WITH INR 41795	$12.49	$33.75	$4.17–$16.88	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME- 46742	$29.60	$80.00	$4.17–$40.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME 46742	$29.60	$80.00	$4.17–$40.00	—	63%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ISTAT POC PT/INR- 46742	$29.60	$80.00	$4.17–$40.00	—	63%
Rapid flu test (influenza antigen) CPT 87804 FLU A&B POC TEST 48996	$65.58	$177.25	$12.77–$88.63	20% above	63%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A VIRUS SC- 48996	$65.58	$177.25	$12.77–$88.63	20% above	63%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B VIRUS SC- 45384	$65.58	$177.25	$12.77–$88.63	20% above	63%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B VIRUS SC- 45384	$65.58	$177.25	$12.77–$88.63	—	63%
Rapid flu test (influenza antigen) inpatient CPT 87804 FLU A&B POC TEST 48996	$65.58	$177.25	$12.77–$88.63	—	63%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A VIRUS SC- 48996	$65.58	$177.25	$12.77–$88.63	—	63%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A THROAT- 45316	$48.56	$131.25	$12.77–$65.63	at median	63%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP A THROAT-45316	$48.56	$131.25	$12.77–$65.63	at median	63%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A THROAT-45316	$48.56	$131.25	$12.77–$65.63	—	63%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP A THROAT- 45316	$48.56	$131.25	$12.77–$65.63	—	63%
Renin blood test CPT 84244 RENIN 31872	$22.48	$60.75	$23.19–$60.75	78% below	63%
Renin blood test CPT 84244 RENIN 31872	$22.48	$60.75	$23.19–$60.75	78% below	63%
Renin blood test CPT 84244 RENIN 51237	$42.29	$114.30	$23.19–$114.30	60% below	63%
Renin blood test CPT 84244 RENIN 51237	$42.29	$114.30	$23.19–$114.30	60% below	63%
Renin blood test CPT 84244 RENIN- 44527	$80.38	$217.25	$23.19–$217.25	23% below	63%
Renin blood test CPT 84244 RENIN- 44527	$80.38	$217.25	$23.19–$217.25	23% below	63%
Renin blood test inpatient CPT 84244 RENIN 31872	$22.48	$60.75	$23.19–$60.75	—	63%
Renin blood test inpatient CPT 84244 RENIN 51237	$42.29	$114.30	$23.19–$114.30	—	63%
Renin blood test inpatient CPT 84244 RENIN- 44527	$80.38	$217.25	$23.19–$217.25	—	63%
Rh blood typing CPT 86901 ED RH TYPING 41798	$11.93	$32.25	$3.13–$32.25	74% below	63%
Rh blood typing CPT 86901 RH TYPING 41799	$11.93	$32.25	$3.13–$32.25	74% below	63%
Rh blood typing CPT 86901 RH TYPING 41799	$11.93	$32.25	$3.13–$32.25	74% below	63%
Rh blood typing CPT 86901 ED RH TYPING 41798	$11.93	$32.25	$3.13–$32.25	74% below	63%
Rh blood typing CPT 86901 RH TYPE- 45029	$35.98	$97.25	$3.13–$97.25	20% below	63%
Rh blood typing CPT 86901 RH TYPE- 45029	$35.98	$97.25	$3.13–$97.25	20% below	63%
Rh blood typing inpatient CPT 86901 RH TYPING 41799	$11.93	$32.25	$3.13–$32.25	—	63%
Rh blood typing inpatient CPT 86901 ED RH TYPING 41798	$11.93	$32.25	$3.13–$32.25	—	63%
Rh blood typing inpatient CPT 86901 RH TYPE- 45029	$35.98	$97.25	$3.13–$97.25	—	63%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR- 46217	$26.36	$71.25	$5.99–$71.25	15% below	63%
Rheumatoid factor (RF) test CPT 86431 RA FACTOR- 46217	$26.36	$71.25	$5.99–$71.25	15% below	63%
Rheumatoid factor (RF) test inpatient CPT 86431 RA FACTOR- 46217	$26.36	$71.25	$5.99–$71.25	—	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA G/M EIA INITIAL- 78753	$28.03	$75.75	$15.11–$75.75	47% below	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA G/M EIA INITIAL- 78753	$28.03	$75.75	$15.11–$75.75	47% below	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM 28781	$44.86	$121.25	$15.11–$121.25	15% below	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM 28781	$44.86	$121.25	$15.11–$121.25	15% below	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB- 46222	$60.40	$163.25	$15.11–$163.25	15% above	63%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB- 46222	$60.40	$163.25	$15.11–$163.25	15% above	63%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA G/M EIA INITIAL- 78753	$28.03	$75.75	$15.11–$75.75	—	63%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM 28781	$44.86	$121.25	$15.11–$121.25	—	63%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB- 46222	$60.40	$163.25	$15.11–$163.25	—	63%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR- 45519	$20.81	$56.25	$2.87–$28.13	15% below	63%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR- 45519	$20.81	$56.25	$2.87–$28.13	—	63%
Sodium blood test CPT 84295 ISTAT POC SODIUM 60827	$24.88	$67.25	$4.95–$67.25	24% below	63%
Sodium blood test CPT 84295 ISTAT POC SODIUM 60827	$24.88	$67.25	$4.95–$67.25	24% below	63%
Sodium blood test CPT 84295 SODIUM- 45895	$24.88	$67.25	$4.95–$67.25	24% below	63%
Sodium blood test CPT 84295 SODIUM- 45895	$24.88	$67.25	$4.95–$67.25	24% below	63%
Sodium blood test inpatient CPT 84295 ISTAT POC SODIUM 60827	$24.88	$67.25	$4.95–$67.25	—	63%
Sodium blood test inpatient CPT 84295 SODIUM- 45895	$24.88	$67.25	$4.95–$67.25	—	63%
Stool ova and parasites exam CPT 87177 OVA & PARASITE SMEAR 54404	$11.56	$31.25	$9.38–$24.39	82% below	63%
Stool ova and parasites exam CPT 87177 BO OVA PARASITE EXAM URINE 65987	$36.13	$97.65	$9.38–$48.83	43% below	63%
Stool ova and parasites exam CPT 87177 PARASITOLOGY EXAM- 45276	$58.46	$158.00	$9.38–$79.00	7% below	63%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITE SMEAR 54404	$11.56	$31.25	$9.38–$24.39	—	63%
Stool ova and parasites exam inpatient CPT 87177 BO OVA PARASITE EXAM URINE 65987	$36.13	$97.65	$9.38–$48.83	—	63%
Stool ova and parasites exam inpatient CPT 87177 PARASITOLOGY EXAM- 45276	$58.46	$158.00	$9.38–$79.00	—	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT ICT- 44461	$58.28	$157.50	$16.68–$157.50	at median	63%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT ICT- 44461	$58.28	$157.50	$16.68–$157.50	at median	63%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HEMOCCULT ICT- 44461	$58.28	$157.50	$16.68–$157.50	—	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDIUM AB 27229	$24.51	$66.25	$20.61–$66.25	41% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDIUM AB 27229	$24.51	$66.25	$20.61–$66.25	41% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 BO TREPONEMA PALLIDUM 44661	$25.53	$69.00	$20.61–$69.00	38% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 BO TREPONEMA PALLIDUM 44661	$25.53	$69.00	$20.61–$69.00	38% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL AB TREPSURE 51793	$32.52	$87.90	$20.61–$87.90	22% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL AB TREPSURE 51793	$32.52	$87.90	$20.61–$87.90	22% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AGG 58613	$38.07	$102.90	$20.61–$102.90	8% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AGG 58613	$38.07	$102.90	$20.61–$102.90	8% below	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS- 46210	$59.02	$159.50	$20.61–$159.50	42% above	63%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA ABS- 46210	$59.02	$159.50	$20.61–$159.50	42% above	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDIUM AB 27229	$24.51	$66.25	$20.61–$66.25	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 BO TREPONEMA PALLIDUM 44661	$25.53	$69.00	$20.61–$69.00	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL AB TREPSURE 51793	$32.52	$87.90	$20.61–$87.90	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AGG 58613	$38.07	$102.90	$20.61–$102.90	—	63%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA ABS- 46210	$59.02	$159.50	$20.61–$159.50	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF- 46251	$25.62	$69.25	$4.43–$34.63	18% below	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILLIS SEROLOGY- 46207	$25.62	$69.25	$4.43–$34.63	18% below	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF- 46251	$25.62	$69.25	$4.43–$34.63	—	63%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILLIS SEROLOGY- 46207	$25.62	$69.25	$4.43–$34.63	—	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD QUANTIFERON 36662	$77.52	$209.50	$65.41–$209.50	56% below	63%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB GOLD QUANTIFERON 36662	$77.52	$209.50	$65.41–$209.50	56% below	63%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB GOLD QUANTIFERON 36662	$77.52	$209.50	$65.41–$209.50	—	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE BIO 41864	$64.75	$175.00	$27.36–$175.00	30% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 41867	$64.75	$175.00	$27.36–$175.00	30% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL 41867	$64.75	$175.00	$27.36–$175.00	30% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FREE BIO 41864	$64.75	$175.00	$27.36–$175.00	30% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LCMS 26441	$74.83	$202.25	$27.36–$202.25	19% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL LCMS 26441	$74.83	$202.25	$27.36–$202.25	19% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE MALE- 95759	$85.10	$230.00	$27.36–$230.00	8% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE MALE- 95759	$85.10	$230.00	$27.36–$230.00	8% below	63%
Testosterone blood test, total (not free testosterone) CPT 84403 ULTRA TEST- 45638	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOT SER- 45900	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOT SER- 45900	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 ULTRA TEST- 45638	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE- 48557	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE- 48557	$93.70	$253.25	$27.36–$253.25	2% above	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL 41867	$64.75	$175.00	$27.36–$175.00	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FREE BIO 41864	$64.75	$175.00	$27.36–$175.00	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL LCMS 26441	$74.83	$202.25	$27.36–$202.25	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE MALE- 95759	$85.10	$230.00	$27.36–$230.00	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE- 48557	$93.70	$253.25	$27.36–$253.25	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 ULTRA TEST- 45638	$93.70	$253.25	$27.36–$253.25	—	63%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOT SER- 45900	$93.70	$253.25	$27.36–$253.25	—	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICR AB- 48950	$55.22	$149.25	$15.37–$149.25	9% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYRO PERX- 45637	$55.22	$149.25	$15.37–$149.25	9% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYRO PERX- 45637	$55.22	$149.25	$15.37–$149.25	9% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER KIDNEY MICR AB- 48950	$55.22	$149.25	$15.37–$149.25	9% below	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER ANTIBODIES INITIAL- 14682	$62.72	$169.50	$15.37–$169.50	3% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER ANTIBODIES INITIAL- 14682	$62.72	$169.50	$15.37–$169.50	3% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 SOLUBLE LIVER AG AB- 49055	$66.69	$180.25	$15.37–$180.25	10% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 SOLUBLE LIVER AG AB- 49055	$66.69	$180.25	$15.37–$180.25	10% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL TYPE 1 ABS 51230	$82.33	$222.50	$15.37–$222.50	35% above	63%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER CYTOSOL TYPE 1 ABS 51230	$82.33	$222.50	$15.37–$222.50	35% above	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYRO PERX- 45637	$55.22	$149.25	$15.37–$149.25	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER KIDNEY MICR AB- 48950	$55.22	$149.25	$15.37–$149.25	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER ANTIBODIES INITIAL- 14682	$62.72	$169.50	$15.37–$169.50	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 SOLUBLE LIVER AG AB- 49055	$66.69	$180.25	$15.37–$180.25	—	63%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER CYTOSOL TYPE 1 ABS 51230	$82.33	$222.50	$15.37–$222.50	—	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS TSH SCREEN 41872	$22.29	$60.25	$17.72–$60.25	59% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 NBS TSH SCREEN 41872	$22.29	$60.25	$17.72–$60.25	59% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID ANALYZER 38819	$40.89	$110.50	$17.72–$110.50	24% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID ANALYZER 38819	$40.89	$110.50	$17.72–$110.50	24% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF TSH STIM HORMONE 41736	$41.26	$111.50	$17.72–$111.50	24% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY OF TSH STIM HORMONE 41736	$41.26	$111.50	$17.72–$111.50	24% below	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SERUM RIA- 44544	$83.07	$224.50	$17.72–$224.50	54% above	63%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH SERUM RIA- 44544	$83.07	$224.50	$17.72–$224.50	54% above	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NBS TSH SCREEN 41872	$22.29	$60.25	$17.72–$60.25	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID ANALYZER 38819	$40.89	$110.50	$17.72–$110.50	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY OF TSH STIM HORMONE 41736	$41.26	$111.50	$17.72–$111.50	—	63%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH SERUM RIA- 44544	$83.07	$224.50	$17.72–$224.50	—	63%
Total IgE blood test CPT 82785 IGE 56680	$24.12	$65.20	$17.46–$65.20	53% below	63%
Total IgE blood test CPT 82785 IGE 56680	$24.12	$65.20	$17.46–$65.20	53% below	63%
Total IgE blood test CPT 82785 ALLER BRONC ASPERGIL- 48371	$58.18	$157.25	$17.46–$157.25	13% above	63%
Total IgE blood test CPT 82785 IGE- 44550	$58.18	$157.25	$17.46–$157.25	13% above	63%
Total IgE blood test CPT 82785 ALLER BRONC ASPERGIL- 48371	$58.18	$157.25	$17.46–$157.25	13% above	63%
Total IgE blood test CPT 82785 IGE- 44550	$58.18	$157.25	$17.46–$157.25	13% above	63%
Total IgE blood test inpatient CPT 82785 IGE 56680	$24.12	$65.20	$17.46–$65.20	—	63%
Total IgE blood test inpatient CPT 82785 IGE- 44550	$58.18	$157.25	$17.46–$157.25	—	63%
Total IgE blood test inpatient CPT 82785 ALLER BRONC ASPERGIL- 48371	$58.18	$157.25	$17.46–$157.25	—	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL 44635	$10.21	$27.60	$4.69–$27.60	69% below	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL 44635	$10.21	$27.60	$4.69–$27.60	69% below	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL- 48125	$18.32	$49.50	$4.69–$49.50	45% below	63%
Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL- 48125	$18.32	$49.50	$4.69–$49.50	45% below	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL 44635	$10.21	$27.60	$4.69–$27.60	—	63%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL TOTAL- 48125	$18.32	$49.50	$4.69–$49.50	—	63%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF THYROXINE TOTAL 41735	$16.93	$45.75	$7.30–$45.75	61% below	63%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF THYROXINE TOTAL 41735	$16.93	$45.75	$7.30–$45.75	61% below	63%
Total thyroxine (T4) blood test CPT 84436 T4- 44560	$41.26	$111.50	$7.30–$111.50	5% below	63%
Total thyroxine (T4) blood test CPT 84436 T4- 44560	$41.26	$111.50	$7.30–$111.50	5% below	63%
Total thyroxine (T4) blood test inpatient CPT 84436 ASSAY OF THYROXINE TOTAL 41735	$16.93	$45.75	$7.30–$45.75	—	63%
Total thyroxine (T4) blood test inpatient CPT 84436 T4- 44560	$41.26	$111.50	$7.30–$111.50	—	63%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA- 44533	$59.02	$159.50	$14.85–$159.50	at median	63%
Total triiodothyronine (T3) blood test CPT 84480 T3 RIA- 44533	$59.02	$159.50	$14.85–$159.50	at median	63%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 RIA- 44533	$59.02	$159.50	$14.85–$159.50	—	63%
Transferrin blood test CPT 84466 TRANSFERRIN- 45063	$53.47	$144.50	$13.55–$144.50	7% below	63%
Transferrin blood test CPT 84466 TRANSFERRIN- 45063	$53.47	$144.50	$13.55–$144.50	7% below	63%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN- 45063	$53.47	$144.50	$13.55–$144.50	—	63%
Trichomonas test (NAAT) CPT 87661 TRICH VAG DNA AMP PR 31851	$53.00	$143.25	$54.64–$143.25	40% below	63%
Trichomonas test (NAAT) CPT 87661 TRICH VAG DNA AMP PR 31851	$53.00	$143.25	$54.64–$143.25	40% below	63%
Trichomonas test (NAAT) CPT 87661 TRICH VAGIN AMPLI PROBE 41797	$56.52	$152.75	$54.64–$152.75	36% below	63%
Trichomonas test (NAAT) CPT 87661 TRICH VAGIN AMPLI PROBE 41797	$56.52	$152.75	$54.64–$152.75	36% below	63%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGI, AMP PRB 24369	$58.74	$158.75	$54.64–$158.75	33% below	63%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGI, AMP PRB 24369	$58.74	$158.75	$54.64–$158.75	33% below	63%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAG DNA AMP PR 31851	$53.00	$143.25	$54.64–$143.25	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 TRICH VAGIN AMPLI PROBE 41797	$56.52	$152.75	$54.64–$152.75	—	63%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGI, AMP PRB 24369	$58.74	$158.75	$54.64–$158.75	—	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES 44636	$13.80	$37.30	$5.99–$37.30	60% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES 44636	$13.80	$37.30	$5.99–$37.30	60% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES- 45908	$19.80	$53.50	$5.99–$53.50	42% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES- 48126	$19.80	$53.50	$5.99–$53.50	42% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES- 48126	$19.80	$53.50	$5.99–$53.50	42% below	63%
Triglycerides blood test CPT 84478 TRIGLYCERIDES- 45908	$19.80	$53.50	$5.99–$53.50	42% below	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES 44636	$13.80	$37.30	$5.99–$37.30	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES- 45908	$19.80	$53.50	$5.99–$53.50	—	63%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES- 48126	$19.80	$53.50	$5.99–$53.50	—	63%
Troponin test, quantitative CPT 84484 TROPONIN 60885	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 TROPONIN 60885	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 ISTAT POC TROPONIN 84484	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 ISTAT POC TROPONIN 84484	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 TROPONIN- 48660	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 TROPONIN- 48660	$69.38	$187.50	$10.42–$187.50	2% below	63%
Troponin test, quantitative CPT 84484 HIGH SENSITIVTY TROPONIN T 34647	$119.05	$321.75	$10.42–$321.75	68% above	63%
Troponin test, quantitative CPT 84484 HIGH SENSITIVTY TROPONIN T 34647	$119.05	$321.75	$10.42–$321.75	68% above	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN- 48660	$69.38	$187.50	$10.42–$187.50	—	63%
Troponin test, quantitative inpatient CPT 84484 TROPONIN 60885	$69.38	$187.50	$10.42–$187.50	—	63%
Troponin test, quantitative inpatient CPT 84484 ISTAT POC TROPONIN 84484	$69.38	$187.50	$10.42–$187.50	—	63%
Troponin test, quantitative inpatient CPT 84484 HIGH SENSITIVTY TROPONIN T 34647	$119.05	$321.75	$10.42–$321.75	—	63%
Uric acid blood test CPT 84550 URIC ACID- 45911	$25.25	$68.25	$4.69–$68.25	6% below	63%
Uric acid blood test CPT 84550 URIC ACID- 45911	$25.25	$68.25	$4.69–$68.25	6% below	63%
Uric acid blood test inpatient CPT 84550 URIC ACID- 45911	$25.25	$68.25	$4.69–$68.25	—	63%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS COMPLETE- 46480	$33.02	$89.25	$3.39–$44.63	3% above	63%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS COMPLETE- 46480	$33.02	$89.25	$3.39–$44.63	—	63%
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK KID STONE SAT 44712	$9.66	$26.12	$2.35–$26.12	33% below	63%
Urinalysis without microscope exam, automated CPT 81003 UA DIPSTICK KID STONE SAT 44712	$9.66	$26.12	$2.35–$26.12	33% below	63%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY UR- 46471	$21.46	$58.00	$2.35–$58.00	50% above	63%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC- 46514	$21.46	$58.00	$2.35–$58.00	50% above	63%
Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY UR- 46471	$21.46	$58.00	$2.35–$58.00	50% above	63%
Urinalysis without microscope exam, automated CPT 81003 UA W/O MICROSCOPIC- 46514	$21.46	$58.00	$2.35–$58.00	50% above	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA DIPSTICK KID STONE SAT 44712	$9.66	$26.12	$2.35–$26.12	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY UR- 46471	$21.46	$58.00	$2.35–$58.00	—	63%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA W/O MICROSCOPIC- 46514	$21.46	$58.00	$2.35–$58.00	—	63%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP 81002	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES- 46465	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP 81002	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual CPT 81002 BILIRUBIN ICTOTEST- 46517	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCES- 46465	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual CPT 81002 BILIRUBIN ICTOTEST- 46517	$18.59	$50.25	$2.61–$50.25	10% above	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 REDUCING SUBSTANCES- 46465	$18.59	$50.25	$2.61–$50.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP 81002	$18.59	$50.25	$2.61–$50.25	—	63%
Urinalysis without microscope exam, manual inpatient CPT 81002 BILIRUBIN ICTOTEST- 46517	$18.59	$50.25	$2.61–$50.25	—	63%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE- 45340	$47.82	$129.25	$8.60–$64.63	1% below	63%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE- 45340	$47.82	$129.25	$8.60–$64.63	—	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UR 48624	$38.30	$103.50	$5.99–$51.75	at median	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN UR- 48624	$38.30	$103.50	$5.99–$51.75	at median	63%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR UR- 48220	$38.30	$103.50	$5.99–$51.75	at median	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UR 48624	$38.30	$103.50	$5.99–$51.75	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN UR- 48624	$38.30	$103.50	$5.99–$51.75	—	63%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR UR- 48220	$38.30	$103.50	$5.99–$51.75	—	63%
Urine pregnancy test, read by color change CPT 81025 PREG TEST URINE- 46523	$27.01	$73.00	$6.78–$36.50	3% below	63%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TEST URINE- 46523	$27.01	$73.00	$6.78–$36.50	—	63%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 DEFICIENCY CASCADE 51223	$42.75	$115.55	$15.90–$115.55	34% below	63%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 DEFICIENCY CASCADE 51223	$42.75	$115.55	$15.90–$115.55	34% below	63%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12- 44557	$49.67	$134.25	$15.90–$134.25	24% below	63%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12- 44557	$49.67	$134.25	$15.90–$134.25	24% below	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 DEFICIENCY CASCADE 51223	$42.75	$115.55	$15.90–$115.55	—	63%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12- 44557	$49.67	$134.25	$15.90–$134.25	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D FRACT TOT 27228	$131.17	$354.50	$31.27–$354.50	at median	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D FRACT TOT 27228	$131.17	$354.50	$31.27–$354.50	at median	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25HYDROXY- 46170	$131.17	$354.50	$31.27–$354.50	at median	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25HYDROXY- 46170	$131.17	$354.50	$31.27–$354.50	at median	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25HYDROXY- 46170	$131.17	$354.50	$31.27–$354.50	—	63%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D FRACT TOT 27228	$131.17	$354.50	$31.27–$354.50	—	63%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25HYDROX- 46171	$140.32	$379.25	$40.65–$379.25	8% below	63%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D 1 25HYDROX- 46171	$140.32	$379.25	$40.65–$379.25	8% below	63%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D 1 25HYDROX- 46171	$140.32	$379.25	$40.65–$379.25	—	63%
Zinc blood test CPT 84630 ZINC SERUM- 46120	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test CPT 84630 ZINC RBC- 60993	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test CPT 84630 ZINC RBC- 60993	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test CPT 84630 ZINC PLASMA- 44353	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test CPT 84630 ZINC PLASMA- 44353	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test CPT 84630 ZINC SERUM- 46120	$57.81	$156.25	$11.99–$156.25	at median	63%
Zinc blood test inpatient CPT 84630 ZINC PLASMA- 44353	$57.81	$156.25	$11.99–$156.25	—	63%
Zinc blood test inpatient CPT 84630 ZINC SERUM- 46120	$57.81	$156.25	$11.99–$156.25	—	63%
Zinc blood test inpatient CPT 84630 ZINC RBC- 60993	$57.81	$156.25	$11.99–$156.25	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN 44735	$40.33	$109.00	$15.90–$109.00	35% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN 44735	$40.33	$109.00	$15.90–$109.00	35% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 MAT AFP HCG- 48562	$42.37	$114.50	$15.90–$114.50	32% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 MAT AFP HCG- 48562	$42.37	$114.50	$15.90–$114.50	32% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM- 46506	$56.33	$152.25	$15.90–$152.25	9% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT SERUM- 46506	$56.33	$152.25	$15.90–$152.25	9% below	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN 31808	$64.47	$174.25	$15.90–$174.25	4% above	63%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN 31808	$64.47	$174.25	$15.90–$174.25	4% above	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN 44735	$40.33	$109.00	$15.90–$109.00	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 MAT AFP HCG- 48562	$42.37	$114.50	$15.90–$114.50	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT SERUM- 46506	$56.33	$152.25	$15.90–$152.25	—	63%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN 31808	$64.47	$174.25	$15.90–$174.25	—	63%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 BX BREAST BILAT 19081	$3,598.62	$9,726.00	$191.77–$324.48	—	63%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST LEFT 9589	$1,799.31	$4,863.00	$191.77–$324.48	10% below	63%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST RIGHT 9590	$1,799.31	$4,863.00	$191.77–$324.48	10% below	63%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 BX BREAST BILAT 19081	$3,598.62	$9,726.00	$191.77–$324.48	—	63%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST LEFT 9589	$1,799.31	$4,863.00	$191.77–$324.48	—	63%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 BX BREAST RIGHT 9590	$1,799.31	$4,863.00	$191.77–$324.48	—	63%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT DIST FIBUL 5129	$255.21	$689.75	$285.86–$528.56	at median	63%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TX ANKLE FX 52 5188	$255.21	$689.75	$285.86–$528.56	at median	63%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CL TX FIB FX WO MAN BIL 27786	$382.86	$1,034.75	$285.86–$528.56	50% above	63%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MNP RT 6539	$255.21	$689.75	$285.86–$528.56	at median	63%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CL TX DSTL FIB FX WO MNP LT 6540	$255.21	$689.75	$285.86–$528.56	at median	63%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TX ANKLE FX 52 5188	$255.21	$689.75	$285.86–$528.56	—	63%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 TREATMENT DIST FIBUL 5129	$255.21	$689.75	$285.86–$528.56	—	63%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CL TX FIB FX WO MAN BIL 27786	$382.86	$1,034.75	$285.86–$528.56	—	63%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MNP LT 6540	$255.21	$689.75	$285.86–$528.56	—	63%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient one side CPT 27786 CL TX DSTL FIB FX WO MNP RT 6539	$255.21	$689.75	$285.86–$528.56	—	63%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 CL TX MTT FX WO MANIP BIL 28470	$267.51	$723.00	$196.58–$380.94	33% above	63%
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CL TX MTT FX WO MANIP RT 31253	$178.34	$482.00	$196.58–$380.94	12% below	63%
Broken foot (metatarsal) treatment without surgery or setting one side CPT 28470 CL TX MTT FX WO MANIP LT 31250	$178.34	$482.00	$196.58–$380.94	12% below	63%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 CL TX MTT FX WO MANIP BIL 28470	$267.51	$723.00	$196.58–$380.94	—	63%
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 CL TX MTT FX WO MANIP RT 31253	$178.34	$482.00	$196.58–$380.94	—	63%
Broken foot (metatarsal) treatment without surgery or setting inpatient one side CPT 28470 CL TX MTT FX WO MANIP LT 31250	$178.34	$482.00	$196.58–$380.94	—	63%
Cardiac catheterization with coronary angiogram one side CPT 93458 CORON ANGIO LT HT 93458	$5,032.46	$13,601.25	$715.70–$1,948.92	23% below	63%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CORON ANGIO LT HT 93458	$5,032.46	$13,601.25	$715.70–$1,948.92	—	63%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXT 124	$163.17	$441.00	$122.52–$225.84	83% below	63%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - EXT 92960	$551.12	$1,489.50	$122.52–$225.84	43% below	63%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXT 92960	$551.12	$1,489.50	$122.52–$225.84	43% below	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXT 124	$163.17	$441.00	$122.52–$225.84	—	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION EXT 92960	$551.12	$1,489.50	$122.52–$225.84	—	63%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - EXT 92960	$551.12	$1,489.50	$122.52–$225.84	—	63%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIALFIB PULM VEIN ISOL93656	$17,899.12	$48,376.00	$1,273.90–$11,285.00	16% above	63%
Catheter ablation for atrial fibrillation CPT 93656 TX ATRIALFIB PULM VEIN ISOL93656	$17,899.12	$48,376.00	$1,273.90–$11,285.00	16% above	63%
Catheter ablation for atrial fibrillation inpatient CPT 93656 TX ATRIALFIB PULM VEIN ISOL93656	$17,899.12	$48,376.00	$1,273.90–$11,285.00	—	63%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION 51200	$176.49	$477.00	$110.98–$182.99	62% below	63%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 CIRCUMCISION 51200	$176.49	$477.00	$110.98–$182.99	—	63%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 C T DISTAL RADIAL FX 5055	$262.61	$709.75	$263.21–$569.37	at median	63%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CL TX DIST RAD/ULN FX BILT 25600	$393.96	$1,064.75	$263.21–$569.37	50% above	63%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CL TX DISTAL RAD/ULNA FX RT 6425	$262.61	$709.75	$263.21–$569.37	at median	63%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CL TX DISTAL RAD/ULNA FX LT 6426	$262.61	$709.75	$263.21–$569.37	at median	63%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 C T DISTAL RADIAL FX 5055	$262.61	$709.75	$263.21–$569.37	—	63%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CL TX DIST RAD/ULN FX BILT 25600	$393.96	$1,064.75	$263.21–$569.37	—	63%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CL TX DISTAL RAD/ULNA FX RT 6425	$262.61	$709.75	$263.21–$569.37	—	63%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient one side CPT 25600 CL TX DISTAL RAD/ULNA FX LT 6426	$262.61	$709.75	$263.21–$569.37	—	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LM 18194	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LD 18193	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LC18192	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LC18192	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL RI 18196	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 PRQ CARDSTENT W/ANGIO 1 VSL92928	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LM 18194	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL LD 18193	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL RC 18195	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 PRQ CARDSTENT W/ANGIO 1 VSL92928	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL RI 18196	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery CPT 92928 COR STENT W/ANG 1 VSL RC 18195	$8,878.24	$23,995.25	$673.91–$21,711.00	10% below	63%
Coronary stent placement, one artery inpatient CPT 92928 COR STENT W/ANG 1 VSL LM 18194	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Coronary stent placement, one artery inpatient CPT 92928 PRQ CARDSTENT W/ANGIO 1 VSL92928	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Coronary stent placement, one artery inpatient CPT 92928 COR STENT W/ANG 1 VSL RI 18196	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Coronary stent placement, one artery inpatient CPT 92928 COR STENT W/ANG 1 VSL RC 18195	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Coronary stent placement, one artery inpatient CPT 92928 COR STENT W/ANG 1 VSL LD 18193	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Coronary stent placement, one artery inpatient CPT 92928 COR STENT W/ANG 1 VSL LC18192	$8,878.24	$23,995.25	$673.91–$21,711.00	—	63%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY 52000	$154.29	$417.00	$113.10–$233.33	77% below	63%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY PROCEDURE 52000	$605.78	$1,637.25	$113.10–$233.33	9% below	63%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOURETHROSCOPY 52000	$154.29	$417.00	$113.10–$233.33	—	63%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY PROCEDURE 52000	$605.78	$1,637.25	$113.10–$233.33	—	63%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 17000	$64.84	$175.25	$57.60–$103.40	35% below	63%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 LESION DESTRUCTION 17000	$79.64	$215.25	$57.60–$103.40	20% below	63%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION DESTRUCTION 17000	$64.84	$175.25	$57.60–$103.40	—	63%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 LESION DESTRUCTION 17000	$79.64	$215.25	$57.60–$103.40	—	63%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REM IMP EAR WAX IRR/LAV BIL69209	$63.55	$171.75	$12.94–$21.78	3% above	63%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM IMP EAR WAX IRR/LAV LT 18438	$42.37	$114.50	$12.94–$21.78	31% below	63%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REM IMP EAR WAX IRR/LAV RT 18438	$42.37	$114.50	$12.94–$21.78	31% below	63%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 REM IMP EAR WAX IRR/LAV BIL69209	$63.55	$171.75	$12.94–$21.78	—	63%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM IMP EAR WAX IRR/LAV LT 18438	$42.37	$114.50	$12.94–$21.78	—	63%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 REM IMP EAR WAX IRR/LAV RT 18438	$42.37	$114.50	$12.94–$21.78	—	63%
Earwax removal with instruments, one ear CPT 69210 REM IMPACTED CERUMEN 5080	$42.37	$114.50	$36.75–$70.21	44% below	63%
Earwax removal with instruments, one ear CPT 69210 REM. IMPACT CERUMEN UNIL 11470	$42.37	$114.50	$36.75–$70.21	44% below	63%
Earwax removal with instruments, one ear CPT 69210 REM IMPACT EAR CANAL 5183	$42.37	$114.50	$36.75–$70.21	44% below	63%
Earwax removal with instruments, one ear CPT 69210 IMPACTED EAR WAX REM UNIL 11470	$56.98	$154.00	$36.75–$146.29	24% below	63%
Earwax removal with instruments, one ear CPT 69210 REM IMP EAR WAX INSTR BIL 69210	$63.55	$171.75	$36.75–$146.29	15% below	63%
Earwax removal with instruments, one ear one side CPT 69210 REM IMP EAR WAX INSTR LT 11447	$42.37	$114.50	$36.75–$70.21	44% below	63%
Earwax removal with instruments, one ear one side CPT 69210 REM IMP EAR WAX INSTR RT 11448	$42.37	$114.50	$36.75–$70.21	44% below	63%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACT EAR CANAL 5183	$42.37	$114.50	$36.75–$70.21	—	63%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMPACTED CERUMEN 5080	$42.37	$114.50	$36.75–$70.21	—	63%
Earwax removal with instruments, one ear inpatient CPT 69210 REM. IMPACT CERUMEN UNIL 11470	$42.37	$114.50	$36.75–$70.21	—	63%
Earwax removal with instruments, one ear inpatient CPT 69210 IMPACTED EAR WAX REM UNIL 11470	$56.98	$154.00	$36.75–$146.29	—	63%
Earwax removal with instruments, one ear inpatient CPT 69210 REM IMP EAR WAX INSTR BIL 69210	$63.55	$171.75	$36.75–$146.29	—	63%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMP EAR WAX INSTR RT 11448	$42.37	$114.50	$36.75–$70.21	—	63%
Earwax removal with instruments, one ear inpatient one side CPT 69210 REM IMP EAR WAX INSTR LT 11447	$42.37	$114.50	$36.75–$70.21	—	63%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL BIOPSY 58100	$85.84	$232.00	$97.31–$190.32	69% below	63%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL BIOPSY 58100	$85.84	$232.00	$97.31–$190.32	—	63%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 SC EPIDURL STEROID INJ CERV62321	$660.73	$1,785.75	$123.44–$212.94	at median	63%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 SC EPIDURL STEROID INJ CERV62321	$660.73	$1,785.75	$123.44–$212.94	—	63%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ FAC JT L/S 1ST W/IMG RT 7675	$992.80	$2,683.25	$100.81–$174.15	12% below	63%
Facet joint injection, lower back, one level, with imaging guidance one side CPT 64493 INJ FAC JT L/S 1ST W/IMG LT 4913	$992.80	$2,683.25	$100.81–$174.15	12% below	63%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ FAC JT L/S 1ST W/IMG RT 7675	$992.80	$2,683.25	$100.81–$174.15	—	63%
Facet joint injection, lower back, one level, with imaging guidance inpatient one side CPT 64493 INJ FAC JT L/S 1ST W/IMG LT 4913	$992.80	$2,683.25	$100.81–$174.15	—	63%
Hemorrhoid banding (rubber band ligation) CPT 46221 LIGATION HEMORRHOIDS 46221	$596.72	$1,612.75	$208.50–$358.49	39% below	63%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 LIGATION HEMORRHOIDS 46221	$596.72	$1,612.75	$208.50–$358.49	—	63%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEREOSALPINO 58340	$139.31	$376.50	$63.95–$108.17	27% below	63%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGO 58340	$139.31	$376.50	$63.95–$108.17	27% below	63%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEREOSALPINO 58340	$139.31	$376.50	$63.95–$108.17	—	63%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ HYSTEROSALPINGO 58340	$139.31	$376.50	$63.95–$108.17	—	63%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE54 99	$93.24	$252.00	$100.77–$178.23	65% below	63%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE 97	$93.24	$252.00	$100.77–$178.23	65% below	63%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE52 98	$93.24	$252.00	$100.77–$178.23	65% below	63%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAIN ST ABSCESS 13594	$238.65	$645.00	$105.84–$178.23	9% below	63%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SMPL OR SINGLE 10060	$238.65	$645.00	$105.84–$178.23	9% below	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE 97	$93.24	$252.00	$100.77–$178.23	—	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE52 98	$93.24	$252.00	$100.77–$178.23	—	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SIMPLE54 99	$93.24	$252.00	$100.77–$178.23	—	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAIN ST ABSCESS 13594	$238.65	$645.00	$105.84–$178.23	—	63%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SMPL OR SINGLE 10060	$238.65	$645.00	$105.84–$178.23	—	63%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ SGL TEND SHTH/LIG BILA 20550	$70.49	$190.50	$44.27–$76.88	70% below	63%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ SGL TEND SHTH/LIG RT 64950	$46.99	$127.00	$44.27–$76.88	80% below	63%
Injection into a tendon sheath or ligament (for example trigger finger) one side CPT 20550 INJ SGL TEND SHTH/LIG LEFT 7686	$46.99	$127.00	$44.27–$76.88	80% below	63%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJ SGL TEND SHTH/LIG BILA 20550	$70.49	$190.50	$44.27–$76.88	—	63%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ SGL TEND SHTH/LIG LEFT 7686	$46.99	$127.00	$44.27–$76.88	—	63%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient one side CPT 20550 INJ SGL TEND SHTH/LIG RT 64950	$46.99	$127.00	$44.27–$76.88	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRN/INJ MAJ JT/BURSA WO US 20610	$49.30	$133.25	$51.67–$85.04	87% below	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN-INJECT JOINT 5177	$49.30	$133.25	$51.67–$85.04	87% below	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT 52 5318	$49.30	$133.25	$51.67–$85.04	87% below	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCEN MAJOR JT WO US 20610	$382.30	$1,033.25	$51.67–$85.04	at median	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN-INJECT JOINT 5177	$49.30	$133.25	$51.67–$85.04	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRN/INJ MAJ JT/BURSA WO US 20610	$49.30	$133.25	$51.67–$85.04	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 DRAIN/INJ JOINT 52 5318	$49.30	$133.25	$51.67–$85.04	—	63%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCEN MAJOR JT WO US 20610	$382.30	$1,033.25	$51.67–$85.04	—	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRN/INJ INT JT/BURSA WO US 20605	$269.82	$729.25	$41.77–$98.64	at median	63%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 DRN/INJ INT JT/BURSA WO US 20605	$269.82	$729.25	$41.77–$98.64	—	63%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRN/INJ SML JT/BURSA WO US 20600	$39.22	$106.00	$39.87–$65.99	84% below	63%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRN/INJ SML JT/BURSA WO US 20600	$39.22	$106.00	$39.87–$65.99	—	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE 2.5CM 12031	$190.37	$514.50	$168.28–$285.03	43% below	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLOSURE 2.5CM 101	$190.37	$514.50	$168.28–$285.03	43% below	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INT RPR S/A/T/E 2.5CM/LESS 12031	$216.27	$584.50	$168.28–$285.03	36% below	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE 2.5CM 101	$190.37	$514.50	$168.28–$285.03	—	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLOSURE 2.5CM 12031	$190.37	$514.50	$168.28–$285.03	—	63%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INT RPR S/A/T/E 2.5CM/LESS 12031	$216.27	$584.50	$168.28–$285.03	—	63%
Left heart catheterization, diagnostic CPT 93452 LT HEART CATH W ANGIO 93452	$3,830.24	$10,352.00	$591.02–$1,588.38	19% below	63%
Left heart catheterization, diagnostic inpatient CPT 93452 LT HEART CATH W ANGIO 93452	$3,830.24	$10,352.00	$591.02–$1,588.38	—	63%
Lower-back epidural injection, with imaging guidance CPT 62323 SC EPIDURL STEROID INJ LUMB 62323	$660.73	$1,785.75	$112.63–$193.97	10% below	63%
Lower-back epidural injection, with imaging guidance CPT 62323 SC EPIDURL STEROID INJ LUMB62323	$660.73	$1,785.75	$112.63–$193.97	10% below	63%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SC EPIDURL STEROID INJ LUMB 62323	$660.73	$1,785.75	$112.63–$193.97	—	63%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SC EPIDURL STEROID INJ LUMB62323	$660.73	$1,785.75	$112.63–$193.97	—	63%
Lower-back epidural injection, without imaging guidance CPT 62322 EPID LUMB/CAUDAL 62322	$520.31	$1,406.25	$98.47–$170.07	17% below	63%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 EPID LUMB/CAUDAL 62322	$520.31	$1,406.25	$98.47–$170.07	—	63%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 INJ LUMB/SAC EPID SGL LEV BILAT	$1,285.20	$3,473.50	$123.80–$214.97	—	63%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 L/S TRANS EPI UNILAT RT 45133	$642.60	$1,736.75	$123.80–$214.97	33% below	63%
Lower-back nerve root steroid injection, with imaging guidance one side CPT 64483 L/S TRANS EPI UNILAT LT 6545	$642.60	$1,736.75	$123.80–$214.97	33% below	63%
Lower-back nerve root steroid injection, with imaging guidance inpatient both sides CPT 64483 INJ LUMB/SAC EPID SGL LEV BILAT	$1,285.20	$3,473.50	$123.80–$214.97	—	63%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 L/S TRANS EPI UNILAT LT 6545	$642.60	$1,736.75	$123.80–$214.97	—	63%
Lower-back nerve root steroid injection, with imaging guidance inpatient one side CPT 64483 L/S TRANS EPI UNILAT RT 45133	$642.60	$1,736.75	$123.80–$214.97	—	63%
Miscarriage treatment with D&C, first trimester CPT 59820 SURG TX MISSEDABORT 1ST TRI59820	$2,005.86	$5,421.25	$393.49–$664.61	53% below	63%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 SURG TX MISSEDABORT 1ST TRI59820	$2,005.86	$5,421.25	$393.49–$664.61	—	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN 0.5 OR < 11400	$98.70	$266.75	$87.42–$146.94	66% below	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN <0.6 M54 82	$98.70	$266.75	$79.62–$146.94	66% below	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC BENIGN 0.5 OR < 11400	$289.06	$781.25	$87.42–$146.94	at median	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN <0.6 M54 82	$98.70	$266.75	$79.62–$146.94	—	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN 0.5 OR < 11400	$98.70	$266.75	$87.42–$146.94	—	63%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EXC BENIGN 0.5 OR < 11400	$289.06	$781.25	$87.42–$146.94	—	63%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE .5<CM 11440	$108.41	$293.00	$110.76–$191.15	72% below	63%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE .5<CM 11440	$108.41	$293.00	$110.76–$191.15	—	63%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE 11730	$79.27	$214.25	$62.23–$95.91	64% below	63%
Nail removal (partial or complete), one nail CPT 11730 AVULSTION NAIL PLATE 106	$79.27	$214.25	$62.23–$95.91	64% below	63%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSTION NAIL PLATE 106	$79.27	$214.25	$62.23–$95.91	—	63%
Nail removal (partial or complete), one nail inpatient CPT 11730 AVULSION OF NAIL PLATE 11730	$79.27	$214.25	$62.23–$95.91	—	63%
Occipital nerve block (injection for headaches) both sides CPT 64405 OCCIPITAL NERVE BLK BILAT 64405	$163.54	$442.00	$69.69–$117.00	—	63%
Occipital nerve block (injection for headaches) one side CPT 64405 ER OCCIPITAL NERVE BLCK LT 6611	$81.77	$221.00	$69.69–$117.00	79% below	63%
Occipital nerve block (injection for headaches) one side CPT 64405 ER OCCIPITAL NERVE BLCK RT 6612	$81.77	$221.00	$69.69–$117.00	79% below	63%
Occipital nerve block (injection for headaches) inpatient both sides CPT 64405 OCCIPITAL NERVE BLK BILAT 64405	$163.54	$442.00	$69.69–$117.00	—	63%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 ER OCCIPITAL NERVE BLCK RT 6612	$81.77	$221.00	$69.69–$117.00	—	63%
Occipital nerve block (injection for headaches) inpatient one side CPT 64405 ER OCCIPITAL NERVE BLCK LT 6611	$81.77	$221.00	$69.69–$117.00	—	63%
Pacemaker implant (dual chamber) CPT 33208 PP I/R A V C LEADS 13638	$5,083.62	$13,739.50	$586.33–$969.36	44% below	63%
Pacemaker implant (dual chamber) inpatient CPT 33208 PP I/R A V C LEADS 13638	$5,083.62	$13,739.50	$586.33–$969.36	—	63%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABD W IMAG 54 8487	$251.79	$680.50	$122.92–$209.52	73% below	63%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS ABD W IMAGING 49083	$251.79	$680.50	$122.92–$209.52	73% below	63%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGING 49083	$1,165.69	$3,150.50	$122.92–$209.52	25% above	63%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABD W IMAGING 49083	$251.79	$680.50	$122.92–$209.52	—	63%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS ABD W IMAG 54 8487	$251.79	$680.50	$122.92–$209.52	—	63%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W IMAGING 49083	$1,165.69	$3,150.50	$122.92–$209.52	—	63%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/COMP 5022	$179.45	$485.00	$124.09–$322.44	58% below	63%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL PART/COMP 11750	$179.45	$485.00	$124.09–$322.44	58% below	63%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL MATRIX EXCISION 11750	$503.29	$1,360.25	$124.09–$322.44	18% above	63%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL PART/COMP 11750	$179.45	$485.00	$124.09–$322.44	—	63%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/COMP 5022	$179.45	$485.00	$124.09–$322.44	—	63%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 NAIL MATRIX EXCISION 11750	$503.29	$1,360.25	$124.09–$322.44	—	63%
Prostate biopsy CPT 55700 BX PROSTATE PERCU 55700	$2,412.22	$6,519.50	$148.39–$257.82	26% below	63%
Prostate biopsy inpatient CPT 55700 BX PROSTATE PERCU 55700	$2,412.22	$6,519.50	$148.39–$257.82	—	63%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 RF DEST LMB/SAC FAC JT BIL 64635	$2,998.30	$8,103.50	$247.60–$408.83	69% above	63%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 RF DEST LUMB/SAC FAC JT LT 8518	$1,499.15	$4,051.75	$247.60–$408.83	16% below	63%
Radiofrequency ablation of facet joint nerves, lower back, one level one side CPT 64635 RF DEST LUMB/SAC FAC JT RT 8519	$1,499.15	$4,051.75	$247.60–$408.83	16% below	63%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 RF DEST LMB/SAC FAC JT BIL 64635	$2,998.30	$8,103.50	$247.60–$408.83	—	63%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 RF DEST LUMB/SAC FAC JT RT 8519	$1,499.15	$4,051.75	$247.60–$408.83	—	63%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient one side CPT 64635 RF DEST LUMB/SAC FAC JT LT 8518	$1,499.15	$4,051.75	$247.60–$408.83	—	63%
Removal of a foreign object under the skin, simple CPT 10120 REM FRN BODY SIMPLE 54 5108	$121.64	$328.75	$99.06–$191.15	67% below	63%
Removal of a foreign object under the skin, simple CPT 10120 REM FRN BODY SIMPLE53 91411	$121.64	$328.75	$99.06–$191.15	67% below	63%
Removal of a foreign object under the skin, simple CPT 10120 INC&REM FB SMPL 10120	$429.94	$1,162.00	$111.96–$191.15	18% above	63%
Removal of a foreign object under the skin, simple CPT 10120 INC&REM FB SMPL 64344	$429.94	$1,162.00	$111.96–$191.15	18% above	63%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FRN BODY SIMPLE 54 5108	$121.64	$328.75	$99.06–$191.15	—	63%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REM FRN BODY SIMPLE53 91411	$121.64	$328.75	$99.06–$191.15	—	63%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&REM FB SMPL 64344	$429.94	$1,162.00	$111.96–$191.15	—	63%
Removal of a foreign object under the skin, simple inpatient CPT 10120 INC&REM FB SMPL 10120	$429.94	$1,162.00	$111.96–$191.15	—	63%
Short arm cast (elbow to hand) both sides CPT 29075 APPLI SHORT ARM CAST BILAT 29075	$104.90	$283.50	$66.63–$114.96	—	63%
Short arm cast (elbow to hand) CPT 29075 APPLY ELBOW TO FINGE 5166	$69.93	$189.00	$66.63–$114.96	72% below	63%
Short arm cast (elbow to hand) one side CPT 29075 APPL SHORT ARM CAST LT 8085	$69.93	$189.00	$66.63–$114.96	72% below	63%
Short arm cast (elbow to hand) one side CPT 29075 APPL SHORT ARM CAST RT 8086	$69.93	$189.00	$66.63–$114.96	72% below	63%
Short arm cast (elbow to hand) inpatient both sides CPT 29075 APPLI SHORT ARM CAST BILAT 29075	$104.90	$283.50	$66.63–$114.96	—	63%
Short arm cast (elbow to hand) inpatient CPT 29075 APPLY ELBOW TO FINGE 5166	$69.93	$189.00	$66.63–$114.96	—	63%
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPL SHORT ARM CAST LT 8085	$69.93	$189.00	$66.63–$114.96	—	63%
Short arm cast (elbow to hand) inpatient one side CPT 29075 APPL SHORT ARM CAST RT 8086	$69.93	$189.00	$66.63–$114.96	—	63%
Short arm splint (forearm and hand) CPT 29125 APPLY LONG ARM SPLNT 5168	$52.45	$141.75	$43.05–$73.47	61% below	63%
Short arm splint (forearm and hand) CPT 29125 SPLINT APPLY SHORT ARM BIL 29125	$78.72	$212.75	$43.05–$73.47	42% below	63%
Short arm splint (forearm and hand) one side CPT 29125 SPLINT APPLY SHORT ARM LT 6590	$52.45	$141.75	$43.05–$73.47	61% below	63%
Short arm splint (forearm and hand) one side CPT 29125 SPLINT APPLY SHORT ARM RT 6589	$52.45	$141.75	$43.05–$73.47	61% below	63%
Short arm splint (forearm and hand) one side CPT 29125 SPLIN APP SHRT ARM DR RT 20677	$52.45	$141.75	$43.05–$73.47	61% below	63%
Short arm splint (forearm and hand) one side CPT 29125 SPLIN APP SHRT ARM DR LT 20672	$52.45	$141.75	$43.05–$73.47	61% below	63%
Short arm splint (forearm and hand) inpatient CPT 29125 APPLY LONG ARM SPLNT 5168	$52.45	$141.75	$43.05–$73.47	—	63%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT APPLY SHORT ARM BIL 29125	$78.72	$212.75	$43.05–$73.47	—	63%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SPLIN APP SHRT ARM DR LT 20672	$52.45	$141.75	$43.05–$73.47	—	63%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SPLINT APPLY SHORT ARM RT 6589	$52.45	$141.75	$43.05–$73.47	—	63%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SPLINT APPLY SHORT ARM LT 6590	$52.45	$141.75	$43.05–$73.47	—	63%
Short arm splint (forearm and hand) inpatient one side CPT 29125 SPLIN APP SHRT ARM DR RT 20677	$52.45	$141.75	$43.05–$73.47	—	63%
Short leg cast (below the knee) both sides CPT 29405 APPLI SHORT LEG CAST BILAT 29405	$99.07	$267.75	$66.09–$110.88	—	63%
Short leg cast (below the knee) CPT 29405 CAST SHORT LEG 5163	$66.05	$178.50	$66.09–$110.88	62% below	63%
Short leg cast (below the knee) one side CPT 29405 APPL SHORT LEG CAST RIGHT 8092	$66.05	$178.50	$66.09–$110.88	62% below	63%
Short leg cast (below the knee) one side CPT 29405 APPL SHORT LEG CAST LEFT 8091	$66.05	$178.50	$66.09–$110.88	62% below	63%
Short leg cast (below the knee) inpatient both sides CPT 29405 APPLI SHORT LEG CAST BILAT 29405	$99.07	$267.75	$66.09–$110.88	—	63%
Short leg cast (below the knee) inpatient CPT 29405 CAST SHORT LEG 5163	$66.05	$178.50	$66.09–$110.88	—	63%
Short leg cast (below the knee) inpatient one side CPT 29405 APPL SHORT LEG CAST RIGHT 8092	$66.05	$178.50	$66.09–$110.88	—	63%
Short leg cast (below the knee) inpatient one side CPT 29405 APPL SHORT LEG CAST LEFT 8091	$66.05	$178.50	$66.09–$110.88	—	63%
Short leg splint (calf to foot) both sides CPT 29515 SPLINT SHORT LEG BILAT 29515	$87.41	$236.25	$54.95–$93.20	—	63%
Short leg splint (calf to foot) CPT 29515 APPLY SHORT LEG SPLT 5154	$58.28	$157.50	$54.95–$93.20	70% below	63%
Short leg splint (calf to foot) one side CPT 29515 SPLINT SHORT LEG RT 63788	$58.28	$157.50	$54.95–$93.20	70% below	63%
Short leg splint (calf to foot) one side CPT 29515 SPLINT SHORT LEG LT 29516	$58.28	$157.50	$54.95–$93.20	70% below	63%
Short leg splint (calf to foot) inpatient both sides CPT 29515 SPLINT SHORT LEG BILAT 29515	$87.41	$236.25	$54.95–$93.20	—	63%
Short leg splint (calf to foot) inpatient CPT 29515 APPLY SHORT LEG SPLT 5154	$58.28	$157.50	$54.95–$93.20	—	63%
Short leg splint (calf to foot) inpatient one side CPT 29515 SPLINT SHORT LEG RT 63788	$58.28	$157.50	$54.95–$93.20	—	63%
Short leg splint (calf to foot) inpatient one side CPT 29515 SPLINT SHORT LEG LT 29516	$58.28	$157.50	$54.95–$93.20	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPER 2.5CM 5112	$116.18	$314.00	$49.75–$114.55	41% below	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPER W 51 5113	$116.18	$314.00	$49.75–$114.55	41% below	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPAIR SUPERFICIAL W 12001	$116.18	$314.00	$49.75–$83.67	41% below	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SUTURE CLOSURE 12001	$129.50	$350.00	$49.75–$83.67	34% below	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC REPR 2.5CM OR < 12001	$129.50	$350.00	$49.75–$83.67	34% below	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPERFICIAL W 12001	$116.18	$314.00	$49.75–$83.67	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPER 2.5CM 5112	$116.18	$314.00	$49.75–$114.55	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPAIR SUPER W 51 5113	$116.18	$314.00	$49.75–$114.55	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 LAC REPR 2.5CM OR < 12001	$129.50	$350.00	$49.75–$83.67	—	63%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 SUTURE CLOSURE 12001	$129.50	$350.00	$49.75–$83.67	—	63%
Skin tag removal, up to 15 tags CPT 11200 REM SKIN TAG UPTO 15 11200	$138.66	$374.75	$79.82–$134.69	11% below	63%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG 1 15 11200	$155.49	$420.25	$79.82–$134.69	at median	63%
Skin tag removal, up to 15 tags inpatient CPT 11200 REM SKIN TAG UPTO 15 11200	$138.66	$374.75	$79.82–$134.69	—	63%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAG 1 15 11200	$155.49	$420.25	$79.82–$134.69	—	63%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE 5118	$127.84	$345.50	$87.57–$146.94	79% below	63%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE REDU 5124	$127.84	$345.50	$87.57–$146.94	79% below	63%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE 77 91406	$127.84	$345.50	$87.57–$146.94	79% below	63%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE LUMBAR DX 62270	$507.55	$1,371.75	$87.57–$146.94	19% below	63%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE 5118	$127.84	$345.50	$87.57–$146.94	—	63%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE REDU 5124	$127.84	$345.50	$87.57–$146.94	—	63%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE 77 91406	$127.84	$345.50	$87.57–$146.94	—	63%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTURE LUMBAR DX 62270	$507.55	$1,371.75	$87.57–$146.94	—	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUP WOUND 51 5311	$121.64	$328.75	$65.94–$127.02	43% below	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPERFICIAL W 12002	$121.64	$328.75	$65.94–$111.56	43% below	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPAIR SUPER 2.6CM< 5111	$121.64	$328.75	$65.94–$127.02	43% below	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC RPR SIMPLE 2.6-7.5CM 12002	$146.43	$395.75	$65.94–$111.56	32% below	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUP WOUND 51 5311	$121.64	$328.75	$65.94–$127.02	—	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPER 2.6CM< 5111	$121.64	$328.75	$65.94–$127.02	—	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPAIR SUPERFICIAL W 12002	$121.64	$328.75	$65.94–$111.56	—	63%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 LAC RPR SIMPLE 2.6-7.5CM 12002	$146.43	$395.75	$65.94–$111.56	—	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC REPR 2.6CM OR < 12011	$107.30	$290.00	$62.02–$105.44	42% below	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL W 5159	$120.81	$326.50	$62.02–$118.45	35% below	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPAIR SUPERFICIAL W 12011	$120.81	$326.50	$62.02–$105.44	35% below	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 LAC REPR 2.6CM OR < 12011	$107.30	$290.00	$62.02–$105.44	—	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SUPERFICIAL W 12011	$120.81	$326.50	$62.02–$105.44	—	63%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPAIR SUPERFICIAL W 5159	$120.81	$326.50	$62.02–$118.45	—	63%
Thoracentesis with imaging guidance both sides CPT 32555 ASPIRATE PLEURA W/IMAGE BI 32555	$747.12	$2,019.25	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance both sides CPT 32555 ASPIRATE PLEURA W IMAGE BI 32555	$967.18	$2,614.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W IMAGE LT 61487	$483.59	$1,307.00	$127.81–$212.24	29% below	63%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W IMAGE RT 61493	$483.59	$1,307.00	$127.81–$212.24	29% below	63%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W IMAG RT 61027	$483.59	$1,307.00	$127.81–$212.24	29% below	63%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/IMAG RT 61027	$498.02	$1,346.00	$127.81–$212.24	27% below	63%
Thoracentesis with imaging guidance one side CPT 32555 ASPIRATE PLEURA W/IMAG LT 61451	$498.02	$1,346.00	$127.81–$212.24	27% below	63%
Thoracentesis with imaging guidance inpatient both sides CPT 32555 ASPIRATE PLEURA W/IMAGE BI 32555	$747.12	$2,019.25	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient both sides CPT 32555 ASPIRATE PLEURA W IMAGE BI 32555	$967.18	$2,614.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W IMAG RT 61027	$483.59	$1,307.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W IMAGE LT 61487	$483.59	$1,307.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W IMAGE RT 61493	$483.59	$1,307.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/IMAG RT 61027	$498.02	$1,346.00	$127.81–$212.24	—	63%
Thoracentesis with imaging guidance inpatient one side CPT 32555 ASPIRATE PLEURA W/IMAG LT 61451	$498.02	$1,346.00	$127.81–$212.24	—	63%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGR PTS 1 2 MUSC54 5103	$44.68	$120.75	$41.98–$71.43	83% below	63%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGR PTS 1 2 MUSC 20552	$44.68	$120.75	$42.38–$71.43	83% below	63%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIG 1 2 MUSC GRP 20552	$263.90	$713.25	$42.38–$71.43	at median	63%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGR PTS 1 2 MUSC54 5103	$44.68	$120.75	$41.98–$71.43	—	63%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIGR PTS 1 2 MUSC 20552	$44.68	$120.75	$42.38–$71.43	—	63%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 TRIG 1 2 MUSC GRP 20552	$263.90	$713.25	$42.38–$71.43	—	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US BX BREAST BILAT 19083	$3,598.62	$9,726.00	$180.42–$304.07	—	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BX BREAST RIGHT 9588	$1,799.31	$4,863.00	$180.42–$304.07	at median	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US BX BREAST LEFT 9587	$1,799.31	$4,863.00	$180.42–$304.07	at median	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 US BX BREAST BILAT 19083	$3,598.62	$9,726.00	$180.42–$304.07	—	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BX BREAST RIGHT 9588	$1,799.31	$4,863.00	$180.42–$304.07	—	63%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US BX BREAST LEFT 9587	$1,799.31	$4,863.00	$180.42–$304.07	—	63%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY 43239	$948.77	$2,564.25	$158.31–$323.12	11% below	63%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD W/BIOPSY 43239	$948.77	$2,564.25	$158.31–$323.12	—	63%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD COMPLEX 43235	$948.77	$2,564.25	$139.96–$273.47	17% below	63%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 EGD COMPLEX 43235	$948.77	$2,564.25	$139.96–$273.47	—	63%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION <15 17110	$88.62	$239.50	$75.28–$128.57	46% below	63%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRUCT B9 LESION <15 17110	$88.62	$239.50	$75.28–$128.57	—	63%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN SUBCOTA 5019	$93.98	$254.00	$53.29–$115.65	80% below	63%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQTISS 1ST 20 SQCM/< 11042	$406.35	$1,098.25	$68.53–$115.65	14% below	63%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN SUBCOTA 5019	$93.98	$254.00	$53.29–$115.65	—	63%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEB SUBQTISS 1ST 20 SQCM/< 11042	$406.35	$1,098.25	$68.53–$115.65	—	63%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLD TRANSFUSION ADM 36430	$393.40	$1,063.25	$35.58–$59.18	48% below	63%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLD TRANSFUSION ADM 36430	$393.40	$1,063.25	$35.58–$59.18	—	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 NEBULIZER TREATMENT < 1 HR 94640	$29.88	$80.75	$18.69–$33.33	77% below	63%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 NEBULIZER TREATMENT < 1 HR 94640	$29.88	$80.75	$18.69–$33.33	—	63%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSE 1ST HR 63552	$246.51	$666.25	$141.16–$446.39	33% below	63%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSE 1ST HR 63552	$246.51	$666.25	$141.16–$446.39	33% below	63%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSE 1ST HR 96413	$246.51	$666.25	$141.16–$446.39	33% below	63%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSE 1ST HR 96413	$246.51	$666.25	$141.16–$446.39	33% below	63%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSE 1ST HR 63552	$246.51	$666.25	$141.16–$446.39	—	63%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSE 1ST HR 96413	$246.51	$666.25	$141.16–$446.39	—	63%
Critical care, first 30 to 74 minutes CPT 99291 LVL CRIT CARE 1ST 30 74M(25)4466	$241.61	$653.00	$248.97–$500.00	80% below	63%
Critical care, first 30 to 74 minutes CPT 99291 LVL CRIT CARE 1ST 30 74M(25)5308	$253.73	$685.75	$248.97–$500.00	79% below	63%
Critical care, first 30 to 74 minutes CPT 99291 LVL CRIT CARE 1ST 30 74M(57)5331	$253.73	$685.75	$248.97–$500.00	79% below	63%
Critical care, first 30 to 74 minutes CPT 99291 LVL CRIT CARE 1ST 30 74MIN 99291	$253.73	$685.75	$248.97–$432.43	79% below	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LVL CRIT CARE 1ST 30 74M(25)4466	$241.61	$653.00	$248.97–$500.00	—	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LVL CRIT CARE 1ST 30 74M(25)5308	$253.73	$685.75	$248.97–$500.00	—	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LVL CRIT CARE 1ST 30 74M(57)5331	$253.73	$685.75	$248.97–$500.00	—	63%
Critical care, first 30 to 74 minutes inpatient CPT 99291 LVL CRIT CARE 1ST 30 74MIN 99291	$253.73	$685.75	$248.97–$432.43	—	63%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY 95816	$245.31	$663.00	$66.35–$616.99	54% below	63%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG AWAKE AND DROWSY 95816	$245.31	$663.00	$66.35–$616.99	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG PRE POST HRTCATH 41829	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 COMPTR ECG W/OVEREAD 41828	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG CARDIAC REHAB PT 28619	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG PRE POST HRTCATH 41829	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 COMPTR ECG W/OVEREAD 41828	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG CARDIAC REHAB PT 28619	$68.82	$186.00	$8.63–$151.63	46% below	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 COMPTR ECG W/OVEREAD 41828	$68.82	$186.00	$8.63–$151.63	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG PRE POST HRTCATH 41829	$68.82	$186.00	$8.63–$151.63	—	63%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG CARDIAC REHAB PT 28619	$68.82	$186.00	$8.63–$151.63	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 LEVEL 1 99281	$141.62	$382.75	$23.74–$40.54	13% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 L&D ED LEVEL 1 99281	$141.62	$382.75	$23.74–$40.54	13% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 L&D ED LEVEL I 4461	$141.62	$382.75	$23.74–$40.54	13% below	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 L&D ED LEVEL I 4461	$141.62	$382.75	$23.74–$40.54	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 L&D ED LEVEL 1 99281	$141.62	$382.75	$23.74–$40.54	—	63%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 LEVEL 1 99281	$141.62	$382.75	$23.74–$40.54	—	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 L&D ED LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 L&D ED LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 L&D ED LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 L&D ED LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	at median	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	—	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 L&D ED LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	—	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 LEVEL 2 99282	$314.96	$851.25	$46.32–$849.00	—	63%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 L&D ED LEVEL II 4462	$314.96	$851.25	$46.32–$849.00	—	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 L&D ED LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 L&D ED LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 L&D ED LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 L&D ED LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	at median	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	—	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 L&D ED LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	—	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 LEVEL III 4463	$529.47	$1,431.00	$69.41–$1,061.00	—	63%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 L&D ED LEVEL 3 99283	$529.47	$1,431.00	$69.41–$1,061.00	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 L&D ED LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 L&D ED LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 L&D ED LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 L&D ED LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	at median	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 L&D ED LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL 4 99284	$757.95	$2,048.50	$131.75–$1,591.00	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 L&D ED LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	—	63%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 LEVEL IV 4464	$757.95	$2,048.50	$131.75–$1,591.00	—	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 LEVEL 5 99285	$1,152.46	$3,114.75	$194.56–$336.41	at median	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 L&D ED LEVEL 5 99285	$1,152.46	$3,114.75	$194.56–$336.41	at median	63%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 L&D ED LEVEL V 4465	$1,152.46	$3,114.75	$194.56–$500.00	at median	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 LEVEL 5 99285	$1,152.46	$3,114.75	$194.56–$336.41	—	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 L&D ED LEVEL 5 99285	$1,152.46	$3,114.75	$194.56–$336.41	—	63%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 L&D ED LEVEL V 4465	$1,152.46	$3,114.75	$194.56–$500.00	—	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 ETT NUCLEAR 41830	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 ETT & ECHO 41826	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TOLERANCE 41801	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 ETT & ECHO 41826	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE TOLERANCE 41801	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge CPT 93017 ETT NUCLEAR 41830	$365.84	$988.75	$39.88–$662.46	5% below	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ETT NUCLEAR 41830	$365.84	$988.75	$39.88–$662.46	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 ETT & ECHO 41826	$365.84	$988.75	$39.88–$662.46	—	63%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EXERCISE TOLERANCE 41801	$365.84	$988.75	$39.88–$662.46	—	63%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY W/PT 50 MIN 54342	$210.44	$568.75	$118.79–$178.91	35% below	63%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY W/PT 50 MIN 54342	$210.44	$568.75	$118.79–$178.91	—	63%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY THERPY W/O PT 50MIN 57449	$210.44	$568.75	$114.35–$151.02	29% below	63%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAMILY THERPY W/O PT 50MIN 57449	$210.44	$568.75	$114.35–$151.02	—	63%
Group psychotherapy session CPT 90853 GROUP THERAPY 54514	$210.44	$568.75	$28.36–$47.63	9% above	63%
Group psychotherapy session inpatient CPT 90853 GROUP THERAPY 54514	$210.44	$568.75	$28.36–$47.63	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATION 1ST HR 17575	$42.55	$115.00	$59.41–$101.36	77% below	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATION 1ST HR 63577	$144.67	$391.00	$59.41–$101.36	21% below	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATION 1ST HR 57712	$144.67	$391.00	$59.41–$101.36	21% below	63%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATION 1ST HR 96360	$144.67	$391.00	$59.41–$101.36	21% below	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE HYDRATION 1ST HR 17575	$42.55	$115.00	$59.41–$101.36	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE HYDRATION 1ST HR 96360	$144.67	$391.00	$59.41–$101.36	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE HYDRATION 1ST HR 57712	$144.67	$391.00	$59.41–$101.36	—	63%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSE HYDRATION 1ST HR 63577	$144.67	$391.00	$59.41–$101.36	—	63%
IV infusion of a medicine, first hour CPT 96365 INF/THER/PRO/DX 1ST HOUR 96365	$54.76	$148.00	$71.10–$131.30	77% below	63%
IV infusion of a medicine, first hour CPT 96365 INF/THER/PRO/DX 1ST HR 17548	$54.76	$148.00	$71.10–$131.30	77% below	63%
IV infusion of a medicine, first hour CPT 96365 INF/THER/PRO/DX 1ST HR 63596	$229.40	$620.00	$71.10–$131.30	2% below	63%
IV infusion of a medicine, first hour CPT 96365 INF/THER/PRO/DX 1ST HR 96365	$229.40	$620.00	$71.10–$131.30	2% below	63%
IV infusion of a medicine, first hour CPT 96365 INF/THER/PRO/DX 1ST HR 57711	$229.40	$620.00	$71.10–$131.30	2% below	63%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/THER/PRO/DX 1ST HOUR 96365	$54.76	$148.00	$71.10–$131.30	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/THER/PRO/DX 1ST HR 17548	$54.76	$148.00	$71.10–$131.30	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/THER/PRO/DX 1ST HR 96365	$229.40	$620.00	$71.10–$131.30	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/THER/PRO/DX 1ST HR 57711	$229.40	$620.00	$71.10–$131.30	—	63%
IV infusion of a medicine, first hour inpatient CPT 96365 INF/THER/PRO/DX 1ST HR 63596	$229.40	$620.00	$71.10–$131.30	—	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON CHEMO 17571	$41.81	$113.00	$59.10–$99.99	72% below	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON-CHEMO 96374	$41.81	$113.00	$59.10–$99.99	72% below	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON CHEMO 6810	$84.55	$228.50	$59.10–$114.66	43% below	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON CHEMO 63581	$84.55	$228.50	$59.10–$114.66	43% below	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON CHEMO 96374	$84.55	$228.50	$59.10–$114.66	43% below	63%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL NON CHEMO 57713	$84.55	$228.50	$59.10–$114.66	43% below	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON CHEMO 17571	$41.81	$113.00	$59.10–$99.99	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON-CHEMO 96374	$41.81	$113.00	$59.10–$99.99	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON CHEMO 63581	$84.55	$228.50	$59.10–$114.66	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON CHEMO 57713	$84.55	$228.50	$59.10–$114.66	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON CHEMO 6810	$84.55	$228.50	$59.10–$114.66	—	63%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL NON CHEMO 96374	$84.55	$228.50	$59.10–$114.66	—	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM 17574	$19.24	$52.00	$24.21–$45.57	71% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/ IM 96372	$19.24	$52.00	$26.70–$45.57	71% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM 63576	$61.14	$165.25	$26.70–$52.25	8% below	63%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SUBQ/IM 96372	$61.14	$165.25	$26.70–$52.25	8% below	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/ IM 96372	$19.24	$52.00	$26.70–$45.57	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/IM 17574	$19.24	$52.00	$24.21–$45.57	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/IM 96372	$61.14	$165.25	$26.70–$52.25	—	63%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SUBQ/IM 63576	$61.14	$165.25	$26.70–$52.25	—	63%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL 90791	$118.77	$321.00	$142.40–$226.53	36% below	63%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL 90791	$118.77	$321.00	$142.40–$226.53	—	63%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCT 7 8 STUDIES-95910	$476.56	$1,288.00	$90.54–$333.33	at median	63%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NERVE CONDUCT 7 8 STUDIES-95910	$476.56	$1,288.00	$90.54–$333.33	—	63%
Neuromuscular re-education, 15 minutes CPT 97112 TELEH NEUROMUSC RE ED 15M 40928	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 38116	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 TELEH NEUROMUSC RE-ED 15M 40935	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 38118	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 39795	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 39796	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 TELEH NEUROMUSC RE ED 15M 40928	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 38118	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 38116	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 TELEH NEUROMUSC RE-ED 15M 40935	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 38118	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 39795	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 15M 39796	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC RE ED 38118	$31.17	$84.25	$34.94–$61.23	55% below	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED 15M 38116	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED 15M 38118	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELEH NEUROMUSC RE-ED 15M 40935	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED 39795	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED 15M 39796	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TELEH NEUROMUSC RE ED 15M 40928	$31.17	$84.25	$34.94–$61.23	—	63%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC RE ED 38118	$31.17	$84.25	$34.94–$61.23	—	63%
New patient office visit, about 30 minutes CPT 99203 NEW VISIT 30 MIN 99203	$165.39	$447.00	$84.90–$147.94	at median	63%
New patient office visit, about 30 minutes CPT 99203 NEW PT 30 MIN MOD 25 12626	$165.39	$447.00	$83.81–$147.94	at median	63%
New patient office visit, about 30 minutes CPT 99203 NEW VISIT<10HRS MOBS 99203	$165.39	$447.00	$84.90–$147.94	at median	63%
New patient office visit, about 30 minutes CPT 99203 NEW PT/INIT LACT 30 MIN 34268	$165.39	$447.00	$84.90–$147.94	at median	63%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT/INIT LACT 30 MIN 34268	$165.39	$447.00	$84.90–$147.94	—	63%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW PT 30 MIN MOD 25 12626	$165.39	$447.00	$83.81–$147.94	—	63%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW VISIT<10HRS MOBS 99203	$165.39	$447.00	$84.90–$147.94	—	63%
New patient office visit, about 30 minutes inpatient CPT 99203 NEW VISIT 30 MIN 99203	$165.39	$447.00	$84.90–$147.94	—	63%
New patient office visit, about 45 minutes CPT 99204 NEWVISIT 11 24HR MOB 99204	$126.54	$342.00	$143.69–$252.48	45% below	63%
New patient office visit, about 45 minutes CPT 99204 NEW PT 45 MIN MOD 25 12625	$228.20	$616.75	$140.86–$252.48	at median	63%
New patient office visit, about 45 minutes CPT 99204 NEW VISIT 45 MIN 99204	$228.20	$616.75	$143.69–$252.48	at median	63%
New patient office visit, about 45 minutes CPT 99204 NEW PT/INIT LACT 45 MIN 34278	$228.20	$616.75	$143.69–$252.48	at median	63%
New patient office visit, about 45 minutes CPT 99204 NEW VISIT 45-59 MIN 99204	$228.20	$616.75	$143.69–$252.48	at median	63%
New patient office visit, about 45 minutes inpatient CPT 99204 NEWVISIT 11 24HR MOB 99204	$126.54	$342.00	$143.69–$252.48	—	63%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW VISIT 45-59 MIN 99204	$228.20	$616.75	$143.69–$252.48	—	63%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW VISIT 45 MIN 99204	$228.20	$616.75	$143.69–$252.48	—	63%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT 45 MIN MOD 25 12625	$228.20	$616.75	$140.86–$252.48	—	63%
New patient office visit, about 45 minutes inpatient CPT 99204 NEW PT/INIT LACT 45 MIN 34278	$228.20	$616.75	$143.69–$252.48	—	63%
New patient office visit, about 60 minutes CPT 99205 NEW VISIT>24HRS MOBS 99205	$157.25	$425.00	$187.18–$325.03	43% below	63%
New patient office visit, about 60 minutes CPT 99205 NEW PT 60 MIN MOD 25 12624	$277.69	$750.50	$183.33–$325.03	at median	63%
New patient office visit, about 60 minutes CPT 99205 NEW VISIT 60 MIN 99205	$277.69	$750.50	$187.18–$325.03	at median	63%
New patient office visit, about 60 minutes CPT 99205 NEW PT INIT LACT 60 MIN 34296	$277.69	$750.50	$187.18–$325.03	at median	63%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW VISIT>24HRS MOBS 99205	$157.25	$425.00	$187.18–$325.03	—	63%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT 60 MIN MOD 25 12624	$277.69	$750.50	$183.33–$325.03	—	63%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW PT INIT LACT 60 MIN 34296	$277.69	$750.50	$187.18–$325.03	—	63%
New patient office visit, about 60 minutes inpatient CPT 99205 NEW VISIT 60 MIN 99205	$277.69	$750.50	$187.18–$325.03	—	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT 15 MIN MOD 25 12627	$131.07	$354.25	$55.48–$96.73	at median	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT>11HRS OBS 99202	$131.07	$354.25	$55.91–$96.73	at median	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT 15 MIN 99202	$131.07	$354.25	$55.91–$96.73	at median	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT/INIT LACT 15 MIN 34237	$131.07	$354.25	$55.91–$96.73	at median	63%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW VISIT >11HRS OBS 99202	$131.07	$354.25	$55.91–$96.73	at median	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT>11HRS OBS 99202	$131.07	$354.25	$55.91–$96.73	—	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT 15 MIN MOD 25 12627	$131.07	$354.25	$55.48–$96.73	—	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT 15 MIN 99202	$131.07	$354.25	$55.91–$96.73	—	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW PT/INIT LACT 15 MIN 34237	$131.07	$354.25	$55.91–$96.73	—	63%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 NEW VISIT >11HRS OBS 99202	$131.07	$354.25	$55.91–$96.73	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELE MNT INTL ASSMT EA 15M 48644	$48.29	$130.50	$33.91–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INTL ASSESS PER 15MIN 97802	$48.29	$130.50	$35.62–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MWL TELE MNT INTL PER 15MIN 62223	$48.29	$130.50	$33.91–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 SURG MNT INTL PER 15MIN 62235	$48.29	$130.50	$35.62–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MWL MNT INTL PER 15MIN 62226	$48.29	$130.50	$35.62–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 SURG TELE MNT INTL/ 15MIN 62231	$48.29	$130.50	$33.91–$60.54	at median	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MWL TELE MNT INTL PER 15MIN 62223	$48.29	$130.50	$33.91–$60.54	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MWL MNT INTL PER 15MIN 62226	$48.29	$130.50	$35.62–$60.54	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INTL ASSESS PER 15MIN 97802	$48.29	$130.50	$35.62–$60.54	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELE MNT INTL ASSMT EA 15M 48644	$48.29	$130.50	$33.91–$60.54	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 SURG MNT INTL PER 15MIN 62235	$48.29	$130.50	$35.62–$60.54	—	63%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 SURG TELE MNT INTL/ 15MIN 62231	$48.29	$130.50	$33.91–$60.54	—	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25708	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 97165	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25724	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25711	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25710	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25709	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25708	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 97165	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25709	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25710	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25711	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL 25724	$74.56	$201.50	$85.24–$146.88	33% below	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 25709	$74.56	$201.50	$85.24–$146.88	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 97165	$74.56	$201.50	$85.24–$146.88	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 25724	$74.56	$201.50	$85.24–$146.88	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 25708	$74.56	$201.50	$85.24–$146.88	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 25711	$74.56	$201.50	$85.24–$146.88	—	63%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL 25710	$74.56	$201.50	$85.24–$146.88	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 24495	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 24496	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25705	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 24495	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25706	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 24496	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25706	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25707	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 97163	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25705	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 25707	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL 97163	$74.56	$201.50	$87.76–$151.10	54% below	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 25707	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 24495	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 24496	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 25705	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 97163	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL 25706	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25698	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 24494	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 24494	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25697	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25696	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25699	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 97161	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25698	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 97161	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25697	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25696	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL 25699	$74.56	$201.50	$87.76–$151.10	34% below	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 24494	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 97161	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 25699	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 25698	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 25697	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL 25696	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25700	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25704	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 97162	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 97162	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25703	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25702	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25700	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25701	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25702	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25701	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25703	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL 25704	$74.56	$201.50	$87.76–$151.10	45% below	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 25702	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 25703	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 25704	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 97162	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 25700	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL 25701	$74.56	$201.50	$87.76–$151.10	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 39815	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M39814	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 59952	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 59952	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M39814	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 39815	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 9979	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 15M 9979	$33.95	$91.75	$31.61–$61.47	51% below	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M 59952	$33.95	$91.75	$31.61–$61.47	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M39814	$33.95	$91.75	$31.61–$61.47	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M 9979	$33.95	$91.75	$31.61–$61.47	—	63%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY 15M 39815	$33.95	$91.75	$31.61–$61.47	—	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROCEDURE 15M 38113	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELEH THER PROCEDURE 15M 40927	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELEH THERAPEUTIC EXER 15M 40932	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER 15M 62962	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROCEDURE 15M 39789	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER 15M 39790	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELEH THERAPEUTIC EXER 15M 40932	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TELEH THER PROCEDURE 15M 40927	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER 15M 39790	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROCEDURE 15M 39789	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER PROCEDURE 15M 38113	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER 15M 62962	$33.02	$89.25	$34.04–$59.80	52% below	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROCEDURE 15M 38113	$33.02	$89.25	$34.04–$59.80	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEH THER PROCEDURE 15M 40927	$33.02	$89.25	$34.04–$59.80	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXER 15M 39790	$33.02	$89.25	$34.04–$59.80	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER PROCEDURE 15M 39789	$33.02	$89.25	$34.04–$59.80	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TELEH THERAPEUTIC EXER 15M 40932	$33.02	$89.25	$34.04–$59.80	—	63%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXER 15M 62962	$33.02	$89.25	$34.04–$59.80	—	63%
Psychotherapy session, 30 minutes CPT 90832 THERAPY W PT 30 MINUTES 51260	$210.44	$568.75	$70.84	3% below	63%
Psychotherapy session, 30 minutes inpatient CPT 90832 THERAPY W PT 30 MINUTES 51260	$210.44	$568.75	$70.84	—	63%
Psychotherapy session, 45 minutes CPT 90834 THERAPY W PT 45 MINUTES 90834	$210.44	$568.75	$94.45	24% below	63%
Psychotherapy session, 45 minutes inpatient CPT 90834 THERAPY W PT 45 MINUTES 90834	$210.44	$568.75	$94.45	—	63%
Psychotherapy session, 60 minutes CPT 90837 THERAPY W PT 60 MINUTES 51261	$210.44	$568.75	$142.05	33% below	63%
Psychotherapy session, 60 minutes inpatient CPT 90837 THERAPY W PT 60 MINUTES 51261	$210.44	$568.75	$142.05	—	63%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 TOBACCO COUNSEL 3 10 MIN 99406	$11.10	$30.00	$13.74–$23.48	71% below	63%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 TOBACCO COUNSEL 3 10 MIN 99406	$11.10	$30.00	$13.74–$23.48	—	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 EST PT 40 MIN MOD 25 12629	$264.46	$714.75	$122.03–$213.37	17% above	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB PT/LACT VISIT 40 MIN 34380	$264.46	$714.75	$123.07–$213.37	17% above	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB VISIT 40 MIN MOD 25 45785	$264.46	$714.75	$122.03–$213.37	17% above	63%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTAB VISIT 40 MIN 99215	$264.46	$714.75	$123.07–$213.37	17% above	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB PT/LACT VISIT 40 MIN 34380	$264.46	$714.75	$123.07–$213.37	—	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB VISIT 40 MIN 99215	$264.46	$714.75	$123.07–$213.37	—	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 EST PT 40 MIN MOD 25 12629	$264.46	$714.75	$122.03–$213.37	—	63%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ESTAB VISIT 40 MIN MOD 25 45785	$264.46	$714.75	$122.03–$213.37	—	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB VISIT 20 MIN 99213	$165.39	$447.00	$56.44–$98.14	24% above	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT 20 MIN MOD 25 12631	$165.39	$447.00	$55.58–$98.14	24% above	63%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTAB PT/LACT VISIT 20 MIN 34225	$165.39	$447.00	$56.44–$98.14	24% above	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB VISIT 20 MIN 99213	$165.39	$447.00	$56.44–$98.14	—	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ESTAB PT/LACT VISIT 20 MIN 34225	$165.39	$447.00	$56.44–$98.14	—	63%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT 20 MIN MOD 25 12631	$165.39	$447.00	$55.58–$98.14	—	63%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB PT/LACT VISIT 30 MIN 34307	$213.21	$576.25	$87.04–$151.50	22% above	63%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTAB VISIT 30 MIN 99214	$213.21	$576.25	$87.04–$151.50	22% above	63%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT 30 MIN MOD 25 12630	$213.21	$576.25	$85.98–$151.50	22% above	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB VISIT 30 MIN 99214	$213.21	$576.25	$87.04–$151.50	—	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ESTAB PT/LACT VISIT 30 MIN 34307	$213.21	$576.25	$87.04–$151.50	—	63%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT 30 MIN MOD 25 12630	$213.21	$576.25	$85.98–$151.50	—	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB VISIT 10 MIN 99212	$131.07	$354.25	$28.20–$48.37	7% above	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT 10 MIN MOD 25 12633	$131.07	$354.25	$28.20–$48.37	7% above	63%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTAB PT/LACT VISIT 10 MIN 34224	$131.07	$354.25	$28.20–$48.37	7% above	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB PT/LACT VISIT 10 MIN 34224	$131.07	$354.25	$28.20–$48.37	—	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT 10 MIN MOD 25 12633	$131.07	$354.25	$28.20–$48.37	—	63%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ESTAB VISIT 10 MIN 99212	$131.07	$354.25	$28.20–$48.37	—	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10574	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10571	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 REHAB ST EVAL UNIT 8073	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10574	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10573	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10570	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10572	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10572	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 TELEH SPEECH EVAL SND LANG 40921	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10573	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10570	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 REHAB ST EVAL UNIT 8073	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 92523	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 92523	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 SPEECH EVAL SOUND LANG 10571	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation CPT 92523 TELEH SPEECH EVAL SND LANG 40921	$142.36	$384.75	$213.90–$334.68	24% below	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 10570	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 TELEH SPEECH EVAL SND LANG 40921	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 REHAB ST EVAL UNIT 8073	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 10572	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 92523	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 10574	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 10573	$142.36	$384.75	$213.90–$334.68	—	63%
Speech and language evaluation inpatient CPT 92523 SPEECH EVAL SOUND LANG 10571	$142.36	$384.75	$213.90–$334.68	—	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 64984	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 TELEH SPEECH THER INDIV 40917	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 53059	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH TREAT INDIVID 53059	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 1103	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 53263	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 64984	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 64985	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 TELEH SPEECH THER INDIV 40917	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 53059	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH TREAT INDIVID 53059	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 1103	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 53263	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual CPT 92507 SPEECH THER INDIV 64985	$66.05	$178.50	$32.14–$134.01	47% below	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH THER INDIV 64985	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 TELEH SPEECH THER INDIV 40917	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH THER INDIV 53059	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH TREAT INDIVID 53059	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH THER INDIV 1103	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH THER INDIV 53263	$66.05	$178.50	$32.14–$134.01	—	63%
Speech therapy session, individual inpatient CPT 92507 SPEECH THER INDIV 64984	$66.05	$178.50	$32.14–$134.01	—	63%
Spirometry (breathing test) CPT 94010 SPIROMETRY 94010	$99.16	$268.00	$10.26–$74.89	54% below	63%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY 94010	$99.16	$268.00	$10.26–$74.89	—	63%
Spirometry before and after a bronchodilator CPT 94060 SPIRO B AND A BD 94060	$159.01	$429.75	$18.02–$128.71	60% below	63%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIRO B AND A BD 94060	$159.01	$429.75	$18.02–$128.71	—	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 39855	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 39858	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 TELEH THER ACTIVITY 15M 40929	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 53257	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 TELEH THER ACTIVITY 15M 40934	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 53223	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 39855	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 39858	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 TELEH THER ACTIVITY 15M 40929	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 TELEH THER ACTIVITY 15M 40934	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 53223	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIVITY 15M 53257	$34.50	$93.25	$35.67–$63.95	43% below	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITY 15M 39855	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELEH THER ACTIVITY 15M 40929	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITY 15M 53257	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITY 15M 53223	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TELEH THER ACTIVITY 15M 40934	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIVITY 15M 39858	$34.50	$93.25	$35.67–$63.95	—	63%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUT 40295	$74.83	$202.25	$101.72–$175.50	39% below	63%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUT 40295	$74.83	$202.25	$101.72–$175.50	—	63%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Oklahoma	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM 33087	$40.79	$110.25	$28.63	40% below	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPH-TET-PERT ACEL PED IM 90296	$51.45	$139.05	$28.63	24% below	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DTAP VACCINE < 7 YRS IM 33087	$40.79	$110.25	$28.63	—	63%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPH-TET-PERT ACEL PED IM 90296	$51.45	$139.05	$28.63	—	63%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP HEPB IPV INACTIV IM 14272	$128.52	$347.35	$97.49	at median	63%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP HEPB IPV INACTIV IM 14272	$128.52	$347.35	$97.49	—	63%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 IM HEPB HEPA PER ML 33232	$166.00	$448.65	$128.31	at median	63%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 IM HEPB HEPA PER ML 33232	$166.00	$448.65	$128.31	—	63%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B VACC ADULT 3 DOSE IM 31384	$88.52	$239.25	$65.17	8% below	63%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B VACC ADULT 3 DOSE IM 31384	$88.52	$239.25	$65.17	—	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACCINE PED IM 90077	$31.88	$86.15	$29.55	47% below	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPB VACC PED/ADOL 3DOSE IM31313	$35.61	$96.25	$29.55	41% below	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACCINE PED IM 90077	$31.88	$86.15	$29.55	—	63%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPB VACC PED/ADOL 3DOSE IM31313	$35.61	$96.25	$29.55	—	63%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB INJ 33417	$50.17	$135.60	$36.28	9% above	63%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB INJ 33417	$50.17	$135.60	$36.28	—	63%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M M R VAX II 34421	$115.29	$311.60	$77.56	30% below	63%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M M R VAX II 34421	$115.29	$311.60	$77.56	—	63%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCCAL CONJ VAC3959	$160.73	$434.40	$156.89	at median	63%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCCAL CONJ VAC3959	$160.73	$434.40	$156.89	—	63%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM13975	$270.03	$729.80	$187.84	at median	63%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL VACC 13 VAL IM13975	$270.03	$729.80	$187.84	—	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAC23 VALENT >=2 YRS 34573	$150.79	$407.55	$94.96	9% below	63%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAC23 VALENT >=2 YRS 34573	$150.79	$407.55	$94.96	—	63%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE(IPOL) 31205	$54.70	$147.85	$37.99	14% below	63%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE(IPOL) 31205	$54.70	$147.85	$37.99	—	63%
Rabies vaccine, one dose CPT 90675 IM RABIES VACCINE 33314	$494.75	$1,337.15	$154.89–$669.46	19% below	63%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE 2.5U/ML 26738	$595.40	$1,609.20	$154.89–$669.46	3% below	63%
Rabies vaccine, one dose inpatient CPT 90675 IM RABIES VACCINE 33314	$494.75	$1,337.15	$154.89–$669.46	—	63%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE 2.5U/ML 26738	$595.40	$1,609.20	$154.89–$669.46	—	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TD VACCINE NO PRSRV >= 7 IM31005	$53.22	$143.85	$25.89	37% below	63%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TD VACCINE NO PRSRV >= 7 IM31005	$53.22	$143.85	$25.89	—	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DPTTI BOOSTRIX >7 IM 0.5ML 10039	$59.66	$161.25	$51.70	30% below	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE >7 IM 33732	$61.66	$166.65	$51.70	28% below	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 DPTTI BOOSTRIX >7 IM 0.5ML 10039	$59.66	$161.25	$51.70	—	63%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP VACCINE >7 IM 33732	$61.66	$166.65	$51.70	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN 90471	$29.05	$78.50	$26.70–$52.25	49% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION SINGLE 90471	$29.05	$78.50	$26.70–$52.25	49% below	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN 90471	$29.05	$78.50	$26.70–$52.25	—	63%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION SINGLE 90471	$29.05	$78.50	$26.70–$52.25	—	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADDITIO 90472	$27.66	$74.75	$13.67–$26.52	7% below	63%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION EA ADDT 90472	$27.66	$74.75	$13.67–$26.52	7% below	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION EA ADDT 90472	$27.66	$74.75	$13.67–$26.52	—	63%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADDITIO 90472	$27.66	$74.75	$13.67–$26.52	—	63%

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

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

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

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

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

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

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

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

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

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ok-csv/730579286_st-john-medical-center-inc_standardcharges.csv