Hospital Kansas City, MO-KS

AdventHealth Shawnee Mission

AdventHealth Shawnee Mission in Shawnee Mission, KS publishes cash prices for 373 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Kansas median for 361 of 367 procedures and below it for 3. By typical cash price it ranks #80 of 85 Kansas hospitals and #15 of 22 hospitals in the Kansas City, MO area, cheapest first. Select a procedure to compare it with other hospitals nearby.

9100 W 74Th Street, Shawnee Mission, KS 66204,7025 College Blvd, Overland Park, KS 66211,16950 W 86th St, Lenexa, KS 66219,23410 Prairie Star Pkwy, Lenexa, KS 66277 Collected Sep 23, 2026 Source price file Check a bill from this hospital (913) 676-2152

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 170104 · CMS hospital register NPI 1023171634

The price file shows no self-pay discount

For 1622 of the 1622 prices listed here, the cash price in AdventHealth Shawnee Mission's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.

Financial assistance

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

AdventHealth Shawnee Mission 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named AdventHealth Shawnee Mission in Shawnee Mission, KS:

Sep 29, 2021 Warning notice
Oct 27, 2022 Corrective action plan requested
Mar 2, 2023 Case closed
Feb 20, 2024 Met requirements
Jul 17, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT	$6,423.56	$6,423.56	—	383% above	—
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT SCAN OF ABDOMEN W/WO CONT	$6,423.56	$6,423.56	—	—	—
Abdominal X-ray, 2 views CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS	$863.22	$863.22	—	246% above	—
Abdominal X-ray, 2 views inpatient CPT 74019 HC RADIOLOGIC EXAM ABDOMEN 2 VIEWS	$863.22	$863.22	—	—	—
Ankle X-ray, complete, 3 or more views CPT 73610 HC X-RAY ANKLE 3+ VW	$412.63	$412.63	—	79% above	—
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC X-RAY ANKLE 3+ VW	$412.63	$412.63	—	—	—
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$1,410.29	$1,410.29	—	136% above	—
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL	$1,410.29	$1,410.29	—	—	—
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST	$4,578.88	$4,578.88	—	341% above	—
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT SCAN,UPPER EXTREMITY,W/O CONTRAST	$4,578.88	$4,578.88	—	—	—
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$976.84	$976.84	—	131% above	—
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY	$976.84	$976.84	—	—	—
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE IMAGING, WHOLE BODY	$4,775.50	$4,775.50	—	395% above	—
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE IMAGING, WHOLE BODY	$4,775.50	$4,775.50	—	—	—
Breast ultrasound, complete, one breast CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE	$1,004.19	$1,004.19	—	222% above	—
Breast ultrasound, complete, one breast inpatient CPT 76641 HC US BREAST UNI REAL TIME WITH IMAGE COMPLETE	$1,004.19	$1,004.19	—	—	—
Breast ultrasound, limited (one breast or one area) CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED	$912.87	$912.87	—	209% above	—
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC US BREAST UNI REAL TIME WITH IMAGE LIMITED	$912.87	$912.87	—	—	—
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	$8,030.75	$8,030.75	—	234% above	—
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES	$8,030.75	$8,030.75	—	—	—
CT angiography (CTA) of the head CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS	$5,257.18	$5,257.18	—	193% above	—
CT angiography (CTA) of the head inpatient CPT 70496 HC CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS	$5,257.18	$5,257.18	—	—	—
CT angiography (CTA) of the neck CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS	$5,257.18	$5,257.18	—	193% above	—
CT angiography (CTA) of the neck inpatient CPT 70498 HC CT ANGIO,NECK COMBO,INCL IMAGE PROCESS	$5,257.18	$5,257.18	—	—	—
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC	$5,356.30	$5,356.30	—	202% above	—
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CT ANGIO, CHEST, COMBO, INCL IMAGE PROC	$5,356.30	$5,356.30	—	—	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$4,946.13	$4,946.13	—	442% above	—
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$4,946.13	$4,946.13	—	—	—
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM	$1,355.75	$1,355.75	—	585% above	—
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM	$1,355.75	$1,355.75	—	—	—
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST	$6,814.94	$6,814.94	—	423% above	—
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT SCAN,ABDOMEN AND PELVIS,W/O CONTRAST	$6,814.94	$6,814.94	—	—	—
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST	$8,865.00	$8,865.00	—	528% above	—
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT SCAN,ABDOMEN AND PELVIS,W CONTRAST	$8,865.00	$8,865.00	—	—	—
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO	$9,436.55	$9,436.55	—	441% above	—
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT SCAN,ABDOMEN AND PELVIS,COMBO	$9,436.55	$9,436.55	—	—	—
CT scan of the abdomen with contrast CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST	$5,089.63	$5,089.63	—	318% above	—
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT SCAN OF ABDOMEN CONTRAST	$5,089.63	$5,089.63	—	—	—
CT scan of the abdomen without contrast CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST	$4,653.76	$4,653.76	—	332% above	—
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT SCAN,ABDOMEN,W/O CONTRAST	$4,653.76	$4,653.76	—	—	—
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST	$4,854.76	$4,854.76	—	410% above	—
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST	$4,854.76	$4,854.76	—	—	—
CT scan of the head or brain, no contrast dye CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL	$4,153.72	$4,153.72	—	305% above	—
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL	$4,153.72	$4,153.72	—	—	—
CT scan of the head with contrast CPT 70460 HC CT SCAN HEAD CONTRAST	$5,549.93	$5,549.93	—	407% above	—
CT scan of the head with contrast inpatient CPT 70460 HC CT SCAN HEAD CONTRAST	$5,549.93	$5,549.93	—	—	—
CT scan of the head without and with contrast CPT 70470 HC CT SCAN HEAD COMBO	$6,248.04	$6,248.04	—	404% above	—
CT scan of the head without and with contrast inpatient CPT 70470 HC CT SCAN HEAD COMBO	$6,248.04	$6,248.04	—	—	—
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST	$4,947.46	$4,947.46	—	344% above	—
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT SCAN,LUMBAR SPINE,W/O CONTRAST	$4,947.46	$4,947.46	—	—	—
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST	$4,804.27	$4,804.27	—	395% above	—
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT SCAN,CERVICAL SPINE,W/O CONTRAST	$4,804.27	$4,804.27	—	—	—
CT scan of the pelvis, with contrast dye CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$3,579.55	$3,579.55	—	233% above	—
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT SCAN OF PELVIS CONTRAST	$3,579.55	$3,579.55	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT	$1,630.10	$1,630.10	—	—	—
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRANIAL,BILAT	$1,630.10	$1,630.10	—	—	—
Chest CT scan without and with contrast CPT 71270 HC CAT SCAN OF CHEST COMBO	$6,202.28	$6,202.28	—	401% above	—
Chest CT scan without and with contrast inpatient CPT 71270 HC CAT SCAN OF CHEST COMBO	$6,202.28	$6,202.28	—	—	—
Chest X-ray, 2 views CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS	$1,005.96	$1,005.96	—	355% above	—
Chest X-ray, 2 views inpatient CPT 71046 HC RADIOLOGIC EXAM CHEST 2 VIEWS	$1,005.96	$1,005.96	—	—	—
Chest X-ray, single view CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW	$767.63	$767.63	—	300% above	—
Chest X-ray, single view inpatient CPT 71045 HC RADIOLOGIC EXAM CHEST SINGLE VIEW	$767.63	$767.63	—	—	—
Collarbone (clavicle) X-ray, complete CPT 73000 HC X-RAY CLAVICLE	$714.69	$714.69	—	258% above	—
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC X-RAY CLAVICLE	$714.69	$714.69	—	—	—
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE	$1,902.31	$1,902.31	—	376% above	—
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE	$1,902.31	$1,902.31	—	—	—
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON	$987.10	$987.10	—	221% above	—
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON	$987.10	$987.10	—	—	—
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN	$644.58	$644.58	—	355% above	—
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN	$644.58	$644.58	—	—	—
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM	$1,298.18	$1,298.18	—	187% above	—
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC US,PREG UTER,FET & MAT,+ DETL FET EXM	$1,298.18	$1,298.18	—	—	—
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST	$3,830.63	$3,830.63	—	290% above	—
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT SCAN,THORAX,W/O CONTRAST	$3,830.63	$3,830.63	—	—	—
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CAT SCAN OF CHEST CONTRAST	$4,212.73	$4,212.73	—	294% above	—
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CAT SCAN OF CHEST CONTRAST	$4,212.73	$4,212.73	—	—	—
Diagnostic mammogram, both breasts both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$712.08	$712.08	—	—	—
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$712.08	$712.08	—	—	—
Diagnostic mammogram, one breast CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$535.14	$535.14	—	165% above	—
Diagnostic mammogram, one breast inpatient CPT 77065 HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$535.14	$535.14	—	—	—
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT	$2,158.46	$2,158.46	—	—	—
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX LO EXTREM ART BILAT	$2,158.46	$2,158.46	—	—	—
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT	$2,033.04	$2,033.04	—	—	—
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX EXTREM VENOUS,BILAT	$2,033.04	$2,033.04	—	—	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER W OR WO FOL W CONTRAST	$3,914.17	$3,914.17	—	107% above	—
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$3,914.17	$3,914.17	—	107% above	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER COMPLETE - TTE COMPLETE	$3,914.17	$3,914.17	—	—	—
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC TTE W/DOPPLER W OR WO FOL W CONTRAST	$3,914.17	$3,914.17	—	—	—
Elbow X-ray, 2 views CPT 73070 HC X-RAY ELBOW 2 VW	$791.14	$791.14	—	303% above	—
Elbow X-ray, 2 views inpatient CPT 73070 HC X-RAY ELBOW 2 VW	$791.14	$791.14	—	—	—
Elbow X-ray, complete, 3 or more views CPT 73080 HC X-RAY ELBOW 3+ VW	$916.37	$916.37	—	282% above	—
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC X-RAY ELBOW 3+ VW	$916.37	$916.37	—	—	—
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O	$4,854.76	$4,854.76	—	361% above	—
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O	$4,854.76	$4,854.76	—	—	—
Facial bones X-ray, complete, 3 or more views CPT 70150 HC X-RAY FACIAL BONES 3+ VW	$1,243.30	$1,243.30	—	308% above	—
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC X-RAY FACIAL BONES 3+ VW	$1,243.30	$1,243.30	—	—	—
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC X-RAY FOREARM 2 VW	$915.63	$915.63	—	341% above	—
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC X-RAY FOREARM 2 VW	$915.63	$915.63	—	—	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$3,787.97	$3,787.97	—	250% above	—
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER	$3,787.97	$3,787.97	—	—	—
Hand X-ray, 2 views CPT 73120 HC X-RAY HAND 2 VW	$347.51	$347.51	—	83% above	—
Hand X-ray, 2 views inpatient CPT 73120 HC X-RAY HAND 2 VW	$347.51	$347.51	—	—	—
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC X-RAY HEEL	$729.53	$729.53	—	273% above	—
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC X-RAY HEEL	$729.53	$729.53	—	—	—
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF	$2,918.59	$2,918.59	—	720% above	—
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF	$2,918.59	$2,918.59	—	—	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$12,991.50	$12,991.50	—	365% above	—
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$12,991.50	$12,991.50	—	—	—
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEW	$966.52	$966.52	—	302% above	—
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEW	$966.52	$966.52	—	—	—
Knee X-ray, complete, 4 or more views CPT 73564 HC X-RAY KNEE 4+ VIEW	$1,219.02	$1,219.02	—	268% above	—
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC X-RAY KNEE 4+ VIEW	$1,219.02	$1,219.02	—	—	—
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST	$4,966.64	$4,966.64	—	384% above	—
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT SCAN,LOWER EXTREMITY,W/O CONTRAST - LOWER EXTREMITY WO IV CONTRAST	$4,966.64	$4,966.64	—	—	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US, ABDOMEN LIMITED	$1,151.56	$1,151.56	—	263% above	—
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US, ABDOMEN LIMITED	$1,151.56	$1,151.56	—	—	—
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG	$2,264.00	$2,264.00	—	650% above	—
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG	$2,264.00	$2,264.00	—	—	—
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LDCT FOR LUNG CA SCREEN	$2,035.75	$2,035.75	—	217% above	—
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LDCT FOR LUNG CA SCREEN	$2,035.75	$2,035.75	—	—	—
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC X-RAY TIB + FIB, 2VW	$885.39	$885.39	—	295% above	—
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC X-RAY TIB + FIB, 2VW	$885.39	$885.39	—	—	—
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$2,324.13	$2,324.13	—	67% above	—
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$2,324.13	$2,324.13	—	—	—
MRI of both breasts, without and then with contrast dye both sides CPT 77049 HC MRI BREAST W/WO CONTRAST W/ CAD BILATERAL	$5,778.42	$5,778.42	—	—	—
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 HC MRI BREAST W/WO CONTRAST W/ CAD BILATERAL	$5,778.42	$5,778.42	—	—	—
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST	$4,032.52	$4,032.52	—	217% above	—
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT, W/O CONTRAST	$4,032.52	$4,032.52	—	—	—
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST	$6,651.40	$6,651.40	—	304% above	—
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI, JOINT OF LEG. COMBO - MR LOWER EXTREMITY W AND WO IV CONTRAST	$6,651.40	$6,651.40	—	—	—
MRI of the abdomen without contrast CPT 74181 HC MRI, ABDOMEN (MRI)	$4,040.07	$4,040.07	—	222% above	—
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI, ABDOMEN (MRI)	$4,040.07	$4,040.07	—	—	—
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI, ABDOMEN, COMBO	$6,046.72	$6,046.72	—	264% above	—
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI, ABDOMEN, COMBO	$6,046.72	$6,046.72	—	—	—
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN	$3,272.76	$3,272.76	—	161% above	—
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN	$3,272.76	$3,272.76	—	—	—
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN COMBO	$4,909.12	$4,909.12	—	182% above	—
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN COMBO	$4,909.12	$4,909.12	—	—	—
MRI of the lower back, no contrast dye CPT 72148 HC MRI, LUMBAR SPINE	$4,032.52	$4,032.52	—	225% above	—
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI, LUMBAR SPINE	$4,032.52	$4,032.52	—	—	—
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI, LUMBAR SPINE COMBO	$6,046.72	$6,046.72	—	249% above	—
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI, LUMBAR SPINE COMBO	$6,046.72	$6,046.72	—	—	—
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI, DORSAL SPINE	$4,032.52	$4,032.52	—	238% above	—
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI, DORSAL SPINE	$4,032.52	$4,032.52	—	—	—
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI, CERV SPINE COMBO	$5,497.01	$5,497.01	—	226% above	—
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI, CERV SPINE COMBO	$5,497.01	$5,497.01	—	—	—
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI, CERV SPINE	$3,665.94	$3,665.94	—	213% above	—
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI, CERV SPINE	$3,665.94	$3,665.94	—	—	—
MRI of the pelvis without and with contrast CPT 72197 HC MRI, PELVIS, COMBO	$6,046.72	$6,046.72	—	266% above	—
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI, PELVIS, COMBO	$6,046.72	$6,046.72	—	—	—
MRI of the pelvis, no contrast dye CPT 72195 HC MRI, PELVIS, W/O CONTRAST	$4,435.77	$4,435.77	—	272% above	—
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI, PELVIS, W/O CONTRAST	$4,435.77	$4,435.77	—	—	—
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI, JOINT UPPER EXTREM	$3,672.79	$3,672.79	—	197% above	—
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI, JOINT UPPER EXTREM	$3,672.79	$3,672.79	—	—	—
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS	$1,472.56	$1,472.56	—	295% above	—
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC RADEX SPINE CERVICAL 4 OR 5 VIEWS	$1,472.56	$1,472.56	—	—	—
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK TISSUE CONTRAST	$4,421.83	$4,421.83	—	311% above	—
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK TISSUE CONTRAST	$4,421.83	$4,421.83	—	—	—
Neck soft tissue CT scan without contrast CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST	$3,495.03	$3,495.03	—	269% above	—
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SCAN,SOFT TISSUE NECK,W/O CONTRAST	$3,495.03	$3,495.03	—	—	—
Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE	$558.71	$558.71	—	178% above	—
Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE	$558.71	$558.71	—	—	—
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$6,430.18	$6,430.18	—	175% above	—
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL SPECT MULTIPLE STUDIES	$6,430.18	$6,430.18	—	—	—
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$7,232.13	$7,232.13	—	90% above	—
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HC PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH	$7,232.13	$7,232.13	—	—	—
Pelvic CT scan without contrast CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST	$3,422.59	$3,422.59	—	224% above	—
Pelvic CT scan without contrast inpatient CPT 72192 HC CT SCAN,PELVIS,W/O CONTRAST	$3,422.59	$3,422.59	—	—	—
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC SONO PELVIS LIMITED	$928.68	$928.68	—	213% above	—
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC SONO PELVIS LIMITED	$928.68	$928.68	—	—	—
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC)	$1,900.37	$1,900.37	—	435% above	—
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC ECHO,PELVIC (NONOBSTETRIC)	$1,900.37	$1,900.37	—	—	—
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS	$1,765.47	$1,765.47	—	379% above	—
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US, OB >/= 14 WKS, SNGL FETUS	$1,765.47	$1,765.47	—	—	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS	$1,187.28	$1,187.28	—	284% above	—
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US, OB < 14 WKS, SINGLE FETUS	$1,187.28	$1,187.28	—	—	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES	$870.03	$870.03	—	243% above	—
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US,PREGNANT UTERUS,LIMITED, 1/> FETUSES	$870.03	$870.03	—	—	—
Rib X-ray, one side, 2 views one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT	$926.42	$926.42	—	303% above	—
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC X-RAY RIBS 2 VW UNILAT	$926.42	$926.42	—	—	—
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW	$1,161.06	$1,161.06	—	290% above	—
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS, CHEST 3+ VW	$1,161.06	$1,161.06	—	—	—
Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$535.14	$535.14	—	—	—
Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$535.14	$535.14	—	—	—
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW	$900.80	$900.80	—	300% above	—
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW	$900.80	$900.80	—	—	—
Sinus X-ray, complete, 3 or more views CPT 70220 HC X-RAY SINUSES 3+ VW	$1,374.11	$1,374.11	—	358% above	—
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC X-RAY SINUSES 3+ VW	$1,374.11	$1,374.11	—	—	—
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW	$819.89	$819.89	—	243% above	—
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW	$819.89	$819.89	—	—	—
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$12,031.04	$12,031.04	—	351% above	—
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$12,031.04	$12,031.04	—	—	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC TTE 2D W/WO M-MODE REST&STRS W/WO CONT ECG	$3,600.21	$3,600.21	—	189% above	—
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$3,600.21	$3,600.21	—	189% above	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC TTE 2D W/WO M-MODE REST&STRS W/WO CONT ECG	$3,600.21	$3,600.21	—	—	—
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG	$3,600.21	$3,600.21	—	—	—
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$1,220.13	$1,220.13	—	125% above	—
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY	$1,220.13	$1,220.13	—	—	—
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	$1,090.93	$1,090.93	—	347% above	—
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	$1,090.93	$1,090.93	—	—	—
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST	$4,800.46	$4,800.46	—	391% above	—
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT SCAN,THORACIC SPINE,W/O CONTRAST	$4,800.46	$4,800.46	—	—	—
Toe X-ray, 2 or more views CPT 73660 HC X-RAY TOE(S)	$547.49	$547.49	—	202% above	—
Toe X-ray, 2 or more views inpatient CPT 73660 HC X-RAY TOE(S)	$547.49	$547.49	—	—	—
Transvaginal pelvic ultrasound CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL	$1,775.23	$1,775.23	—	489% above	—
Transvaginal pelvic ultrasound inpatient CPT 76830 HC ECHOGRAPHY,TRANSVAGINAL	$1,775.23	$1,775.23	—	—	—
Transvaginal ultrasound during pregnancy CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL	$1,343.62	$1,343.62	—	283% above	—
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US,PREGNANT UTERUS,TRANSVAGINAL	$1,343.62	$1,343.62	—	—	—
Ultrasound of the abdomen, complete CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE	$2,361.79	$2,361.79	—	448% above	—
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE	$2,361.79	$2,361.79	—	—	—
Ultrasound of the scrotum and testicles CPT 76870 HC ECHO,SCROTUM & CONTENTS	$2,445.85	$2,445.85	—	619% above	—
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC ECHO,SCROTUM & CONTENTS	$2,445.85	$2,445.85	—	—	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME	$2,361.79	$2,361.79	—	285% above	—
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US, HEAD/NECK TISSUES,REAL TIME	$2,361.79	$2,361.79	—	—	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$1,731.89	$1,731.89	—	218% above	—
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY	$1,731.89	$1,731.89	—	—	—
Upper arm X-ray (humerus), 2 views CPT 73060 HC X-RAY HUMERUS	$486.72	$486.72	—	113% above	—
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC X-RAY HUMERUS	$486.72	$486.72	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - LOWER EXTREM SUPERFICIAL VEIN MAP	$1,366.80	$1,366.80	—	105% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG	$1,366.80	$1,366.80	—	105% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM	$1,366.80	$1,366.80	—	105% above	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - LOWER EXTREM SUPERFICIAL VEIN MAP	$1,366.80	$1,366.80	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - US DOPPLER VENOUS ARM	$1,366.80	$1,366.80	—	—	—
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC DUPLEX EXTREM VENOUS,UNI OR LTD - CV US DOPPLER VENOUS LEG	$1,366.80	$1,366.80	—	—	—
Wrist X-ray, 2 views CPT 73100 HC X-RAY WRIST 2 VW	$541.20	$541.20	—	195% above	—
Wrist X-ray, 2 views inpatient CPT 73100 HC X-RAY WRIST 2 VW	$541.20	$541.20	—	—	—
Wrist X-ray, complete, 3 or more views CPT 73110 HC X-RAY WRIST 3+ VW	$912.93	$912.93	—	294% above	—
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC X-RAY WRIST 3+ VW	$912.93	$912.93	—	—	—
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$982.32	$982.32	—	287% above	—
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$982.32	$982.32	—	—	—
X-ray of the abdomen, 1 view CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW	$701.37	$701.37	—	238% above	—
X-ray of the abdomen, 1 view inpatient CPT 74018 HC RADIOLOGIC EXAM ABDOMEN 1 VIEW	$701.37	$701.37	—	—	—
X-ray of the ankle, 2 views CPT 73600 HC X-RAY ANKLE 2 VW	$374.88	$374.88	—	97% above	—
X-ray of the ankle, 2 views inpatient CPT 73600 HC X-RAY ANKLE 2 VW	$374.88	$374.88	—	—	—
X-ray of the finger(s), 2 or more views CPT 73140 HC X-RAY EXAM OF FINGER(S)	$608.16	$608.16	—	248% above	—
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC X-RAY EXAM OF FINGER(S)	$608.16	$608.16	—	—	—
X-ray of the foot, 2 views CPT 73620 HC X-RAY FOOT 2 VW	$785.98	$785.98	—	314% above	—
X-ray of the foot, 2 views inpatient CPT 73620 HC X-RAY FOOT 2 VW	$785.98	$785.98	—	—	—
X-ray of the foot, complete, 3 or more views CPT 73630 HC X-RAY FOOT 3+ VW	$965.52	$965.52	—	326% above	—
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC X-RAY FOOT 3+ VW	$965.52	$965.52	—	—	—
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW	$926.42	$926.42	—	320% above	—
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW	$926.42	$926.42	—	—	—
X-ray of the knee, 1 or 2 views CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW	$928.35	$928.35	—	387% above	—
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC X-RAY KNEE 1 OR 2 VIEW	$928.35	$928.35	—	—	—
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW	$920.62	$920.62	—	239% above	—
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBAR SPINE 2/3 VW	$920.62	$920.62	—	—	—
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBAR SPINE 4 VW	$1,064.47	$1,064.47	—	172% above	—
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBAR SPINE 4 VW	$1,064.47	$1,064.47	—	—	—
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW	$591.99	$591.99	—	164% above	—
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW	$591.99	$591.99	—	—	—
X-ray of the nasal bones, 3 or more views CPT 70160 HC X-RAY NASAL BONES	$890.01	$890.01	—	270% above	—
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC X-RAY NASAL BONES	$890.01	$890.01	—	—	—
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$680.98	$680.98	—	177% above	—
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC RADEX SPINE CERVICAL 2 OR 3 VIEWS	$680.98	$680.98	—	—	—
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW	$663.45	$663.45	—	232% above	—
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW	$663.45	$663.45	—	—	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW	$790.22	$790.22	—	250% above	—
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW	$790.22	$790.22	—	—	—

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
ACTH blood test CPT 82024 HC ASSAY OF ACTH - ACTH	$522.05	$522.05	—	193% above	—
ACTH blood test CPT 82024 HC ACTH LEVEL - ARUP	$522.05	$522.05	—	193% above	—
ACTH blood test inpatient CPT 82024 HC ACTH LEVEL - ARUP	$522.05	$522.05	—	—	—
ACTH blood test inpatient CPT 82024 HC ASSAY OF ACTH - ACTH	$522.05	$522.05	—	—	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT	$146.48	$146.48	—	330% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$146.48	$146.48	—	330% above	—
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT (SPGT) SERUM/PLASMA	$146.48	$146.48	—	330% above	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$146.48	$146.48	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - ALT	$146.48	$146.48	—	—	—
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT (SPGT) SERUM/PLASMA	$146.48	$146.48	—	—	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$146.48	$146.48	—	309% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST	$146.48	$146.48	—	309% above	—
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST (SGOT) SERUM/PLASMA	$146.48	$146.48	—	309% above	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST (SGOT) SERUM/PLASMA	$146.48	$146.48	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - AST	$146.48	$146.48	—	—	—
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$146.48	$146.48	—	—	—
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$809.14	$809.14	—	289% above	—
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL,ACUTE - BUNDLED CHARGE	$809.14	$809.14	—	—	—
Albumin blood test CPT 82040 HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP	$178.58	$178.58	—	459% above	—
Albumin blood test CPT 82040 HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND	$178.58	$178.58	—	459% above	—
Albumin blood test CPT 82040 HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP	$178.58	$178.58	—	459% above	—
Albumin blood test CPT 82040 HC ALBUMIN LEVEL	$178.58	$178.58	—	459% above	—
Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL SERUM - IMMUNOGLOBULIN G (IGG) CSF INDEX - ARUP	$178.58	$178.58	—	—	—
Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL	$178.58	$178.58	—	—	—
Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL SERUM - OLIGOCLONAL BAND PROFILE - ARUP	$178.58	$178.58	—	—	—
Albumin blood test inpatient CPT 82040 HC ALBUMIN LEVEL ARUP OLIGOCLONAL BAND	$178.58	$178.58	—	—	—
Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP	$492.73	$492.73	—	174% above	—
Aldosterone blood test CPT 82088 HC ALDOSTERONE LEVEL - ARUP	$492.73	$492.73	—	174% above	—
Aldosterone blood test CPT 82088 HC ALDOSTERONE INTERNAL SAMPLING - ARUP	$544.37	$544.37	—	202% above	—
Aldosterone blood test CPT 82088 HC ALDOSTERONE 24 HOUR URINE - ARUP	$544.37	$544.37	—	202% above	—
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE	$544.37	$544.37	—	202% above	—
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ARUP	$492.73	$492.73	—	—	—
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE LEVEL - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP	$492.73	$492.73	—	—	—
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE - ALDOSTERONE,24HR URINE	$544.37	$544.37	—	—	—
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE 24 HOUR URINE - ARUP	$544.37	$544.37	—	—	—
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE INTERNAL SAMPLING - ARUP	$544.37	$544.37	—	—	—
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE LEVEL	$166.10	$166.10	—	365% above	—
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE - ARUP	$166.10	$166.10	—	365% above	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE LEVEL	$166.10	$166.10	—	—	—
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE - ARUP	$166.10	$166.10	—	—	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP	$46.46	$46.46	—	58% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EACH	$46.46	$46.46	—	58% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DOG DANDER IGE	$141.50	$141.50	—	382% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEANUT IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WESTERN WATER HEMP (AMARANTHUS SPP) IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CARELESS WEED IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COW MILK IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CANDIDA ALBICANS IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CULTIVATED WHEAT POLLEN IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BROME GRASS IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALMONDS IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ALMONDS IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG WHOLE IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CORN SMUT IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CLAMS IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEEF IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EGG WHITE IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CLAMS IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HACKBERRY IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TOMATO IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OLIVE TREE IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHRIMP IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GIANT RAGWEED IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CORN IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHICKEN IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CHOCOLATE IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHRIMP IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PEANUT IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BEEF IGE	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MAPLE SUGAR TREE IGE - ARUP	$144.95	$144.95	—	393% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE	$165.28	$165.28	—	463% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE	$165.28	$165.28	—	463% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ELM TREE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CRAB IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CRAB IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CASHEW IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SWEET CHESTNUT IGE- ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CATFISH IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TILAPIA IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PISTACHIO IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CODFISH IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CODFISH IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COCONUT IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST ORANGE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MALT IGE - TEST	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SESAME SEED IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SCALLOP IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SCALLOP IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LOBSTER IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LOBSTER IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BIRCH TREE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BIRCH TREE IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SALMON IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST AVOCADO IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SALMON IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OYSTER IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CRANBERRY IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BLUEBERRY IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TROUT IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST NETTLE WEED IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST GERMAN COCKROACH IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MUSSEL IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MACADAMIA NUT IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST COCONUT IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CASHEW IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN NUT IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BAHIA GRASS IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN NUT IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST POTATO, WHITE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PECAN TREE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST JOHNSON GRASS IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST BRAZIL NUT IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE	$170.78	$170.78	—	481% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PORK IGE	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WHEAT IGE	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAT IGE - ARUP	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST OAT IGE	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST WALNUT IGE	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST SOYBEAN IGE	$179.32	$179.32	—	510% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE	$187.83	$187.83	—	539% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TUNA IGE	$187.83	$187.83	—	539% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST TUNA IGE - ARUP	$187.83	$187.83	—	539% above	—
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGY TEST STRAWBERRY IGE - ARUP	$187.83	$187.83	—	539% above	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EACH	$46.46	$46.46	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WALNUT JUGLANS REGIA IGE - ARUP	$46.46	$46.46	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DOG DANDER IGE	$141.50	$141.50	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEEF IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHRIMP IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CAT HAIR DANDER IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CLAMS IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MAPLE SUGAR TREE IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CULTIVATED WHEAT POLLEN IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG WHOLE IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEANUT IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LAMB IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BARLEY IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PEPPER, GREEN BELL IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TOMATO IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HACKBERRY IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EGG WHITE IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CORN SMUT IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ASPERGILLUS FUMAGATUS IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CLAMS IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BROME GRASS IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BEEF IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST FOOD HAZELNUT (FILBERT) IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALMONDS IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OLIVE TREE IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHRIMP IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CANDIDA ALBICANS IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CARELESS WEED IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHICKEN IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CHOCOLATE IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COW MILK IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WESTERN WATER HEMP (AMARANTHUS SPP) IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GIANT RAGWEED IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CORN IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PEANUT IGE	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ALMONDS IGE - ARUP	$144.95	$144.95	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES FARINAE (HOUSE DUST MITE) IGE	$165.28	$165.28	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST DERMATOPHAGOIDES PTERONYSSINUS (HOUSE DUST MITE) IGE	$165.28	$165.28	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST AVOCADO IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST RAGWEED SHORT/COMMON IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, YELLOW IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORNET, WHITE FACE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN OYSTER IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MARSHELDER, ROUGH IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MICROORGANISM: ALTERNARIA ALTERNATA	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MAPLE TREE BOX ELDER IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MUCOR RACEMOSUS IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SHEEP SORREL (DOCK) IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ORANGE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MALT IGE - TEST	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN WALNUT TREE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SESAME SEED IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SCALLOP IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SCALLOP IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MACADAMIA NUT IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YEAST, BAKER'S IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LOBSTER IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LOBSTER IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PIGWEED ROUGH IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SALMON IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SALMON IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN LETTUCE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TROUT IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAK, LIVE/VIRGINIA IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN PHOMA BETAE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RYE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST NETTLE WEED IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST LAMB'S QUARTER IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MUSSEL IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN THISTLE, RUSSIAN IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN RICE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN MUSSEL IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN GRAPE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN YELLOW JACKET IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN KOCHIA IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN NUT IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN NUT IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TIMOTHY GRASS IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN SYCAMORE, AMERICAN IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MOUSE EPITHELIUM IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST POTATO, WHITE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PECAN TREE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN NUTS PANEL	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST JOHNSON GRASS IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HORMODENDRUM (CLADOSPORIUM) IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN HORMODENDRUM HORDEI	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HELMINTHOSPORIUM SETOMELANOMMA ROSTRATA IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FLOUNDER IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CEDAR, MOUNTAIN IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CHEESE MOLD IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BAHIA GRASS IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WEED ENGLISH PLANTAIN IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN EPICOCCUM PURPURASCEN IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST ELM TREE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CRAB IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CRAB IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN TREE: MULBERRY (MORUS ALBA) IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: SWEET CHESTNUT	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PINE NUT, PIGNOLES	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: PISTACHIO	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COTTONWOOD TREE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CODFISH IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COCONUT IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CODFISH IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST EPICOCCUM PURPURASCEN IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: CATFISH	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PINE NUT, PIGNOLES IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PISTACHIO IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TILAPIA IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CATFISH IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SWEET CHESTNUT IGE- ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CASHEW IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CARROT IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST HICKORY TREE WHITE (SHAGBARK) IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BRAZIL NUT IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN CABBAGE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN FOOD: RJUG R 1 WALNUT	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OYSTER IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN BRAZIL NUT IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BIRCH TREE IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BIRCH TREE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BERMUDA GRASS IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CASHEW IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST COCONUT IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST MACADAMIA NUT IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST GERMAN COCKROACH IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASPERGILLUS NIGER IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST BLUEBERRY IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST CRANBERRY IGE - ARUP	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SPEC IGE - ALLERGEN ASH, WHITE IGE	$170.78	$170.78	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PORK IGE	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAT IGE	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST SOYBEAN IGE	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST OAT IGE - ARUP	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WHEAT IGE	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST WALNUT IGE	$179.32	$179.32	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TUNA IGE - ARUP	$187.83	$187.83	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST PENICILLIUM NOTATUM IGE	$187.83	$187.83	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST STRAWBERRY IGE - ARUP	$187.83	$187.83	—	—	—
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGY TEST TUNA IGE	$187.83	$187.83	—	—	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER	$277.77	$277.77	—	184% above	—
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP	$277.77	$277.77	—	184% above	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER SERUM - ARUP	$277.77	$277.77	—	—	—
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA FETOPROTEIN (AFP) TUMOR MARKER	$277.77	$277.77	—	—	—
Ammonia blood test CPT 82140 HC AMMONIA LEVEL	$181.16	$181.16	—	113% above	—
Ammonia blood test inpatient CPT 82140 HC AMMONIA LEVEL	$181.16	$181.16	—	—	—
Amylase blood test CPT 82150 HC AMYLASE LEVEL	$265.95	$265.95	—	385% above	—
Amylase blood test CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID	$265.95	$265.95	—	385% above	—
Amylase blood test inpatient CPT 82150 HC ASSAY OF AMYLASE - AMYLASE BODY FLUID	$265.95	$265.95	—	—	—
Amylase blood test inpatient CPT 82150 HC AMYLASE LEVEL	$265.95	$265.95	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$280.76	$280.76	—	200% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP	$280.76	$280.76	—	200% above	—
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP	$280.76	$280.76	—	200% above	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRUL PEPTIDE (CCP) IGG & IGA - ARUP	$280.76	$280.76	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE IGG/A - RHEUMATOID ARTHRITIS PANEL - ARUP	$280.76	$280.76	—	—	—
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CIRULLINATED PEPTIDE ANTIBODY - CYCLIC CITRUL PEPTIDE ANTIBDY	$280.76	$280.76	—	—	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP	$459.22	$459.22	—	575% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP	$459.22	$459.22	—	575% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA REFLEXIVE PROFILE - ARUP	$459.22	$459.22	—	575% above	—
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES)	$459.22	$459.22	—	575% above	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA REFLEXIVE PROFILE - ARUP	$459.22	$459.22	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP	$459.22	$459.22	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA - ANTINUCLEAR ANTIBODY WRFLX TITER - ARUP	$459.22	$459.22	—	—	—
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA (ANTINUCLEAR ANTIBODIES)	$459.22	$459.22	—	—	—
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC N-TERMINAL PRO-BNP	$377.74	$377.74	—	192% above	—
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC N-TERMINAL PRO-BNP	$377.74	$377.74	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CSF CULTURE WITH GRAM STAIN	$269.03	$269.03	—	382% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CATH TIP CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC MICROBIOLOGY - CULTURE AEROBIC	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EYE CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC GENITAL CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC EAR CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC HELICOBACTER PYLORI CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SURGICAL CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC NOSE OR NP CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BONE CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BRONCHIAL LAVAGE CULTURE	$513.18	$513.18	—	820% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC SPUTUM CULTURE	$520.91	$520.91	—	834% above	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CSF CULTURE WITH GRAM STAIN	$269.03	$269.03	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BONE CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SURGICAL CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC GENITAL CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC MICROBIOLOGY - CULTURE AEROBIC	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC HELICOBACTER PYLORI CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CATH TIP CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BRONCHIAL LAVAGE CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC EYE CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC NOSE OR NP CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC EAR CULTURE	$513.18	$513.18	—	—	—
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC SPUTUM CULTURE	$520.91	$520.91	—	—	—
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$280.43	$280.43	—	298% above	—
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PANEL CALCIUM TOTAL	$280.43	$280.43	—	—	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL	$160.61	$160.61	—	341% above	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID	$160.61	$160.61	—	341% above	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL BODY FLUID - ARUP	$160.61	$160.61	—	341% above	—
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$160.61	$160.61	—	341% above	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN BODY FLUID	$160.61	$160.61	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$160.61	$160.61	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL - BILIRUBIN NEONATAL	$160.61	$160.61	—	—	—
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL BODY FLUID - ARUP	$160.61	$160.61	—	—	—
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV	$1,431.87	$1,431.87	—	556% above	—
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC SURGICAL PATHOLOGY LEVEL IV	$1,431.87	$1,431.87	—	—	—
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$652.72	$652.72	—	734% above	—
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$652.72	$652.72	—	—	—
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$50.79	$50.79	—	183% above	—
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC CHG COLLECTION VENOUS BLOOD,VENIPUNCTURE - DRAW CHARGE	$50.79	$50.79	—	—	—
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE	$152.88	$152.88	—	488% above	—
Blood glucose (sugar) test CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER	$152.88	$152.88	—	488% above	—
Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL	$152.88	$152.88	—	488% above	—
Blood glucose (sugar) test CPT 82947 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE	$152.88	$152.88	—	488% above	—
Blood glucose (sugar) test CPT 82947 HC GLUCOSE LEVEL FASTING	$152.88	$152.88	—	488% above	—
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL FASTING	$152.88	$152.88	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - GLUCOSE	$152.88	$152.88	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC NON ALCOHOLIC FATTY LIVER DISEASE PANEL - GLUCOSE	$152.88	$152.88	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE LEVEL	$152.88	$152.88	—	—	—
Blood glucose (sugar) test inpatient CPT 82947 HC ASSAY QUANTITATIVE,BLOOD GLUCOSE - POCT GLUCOMETER	$152.88	$152.88	—	—	—
Blood lead test CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP	$185.65	$185.65	—	256% above	—
Blood lead test CPT 83655 HC LEAD CAPILLARY - ARUP	$185.65	$185.65	—	256% above	—
Blood lead test CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP	$185.65	$185.65	—	256% above	—
Blood lead test CPT 83655 HC LEAD VENOUS - ARUP	$185.65	$185.65	—	256% above	—
Blood lead test CPT 83655 HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP	$309.88	$309.88	—	494% above	—
Blood lead test CPT 83655 HC LEAD URINE HEAVY METALS PANEL 3- ARUP	$309.88	$309.88	—	494% above	—
Blood lead test inpatient CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 4 - ARUP	$185.65	$185.65	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD VENOUS - ARUP	$185.65	$185.65	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD BLOOD HEAVY METALS PANEL 3- ARUP	$185.65	$185.65	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD CAPILLARY - ARUP	$185.65	$185.65	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD URINE - HEAVY METALS PANEL 3 - ARUP	$309.88	$309.88	—	—	—
Blood lead test inpatient CPT 83655 HC LEAD URINE HEAVY METALS PANEL 3- ARUP	$309.88	$309.88	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA	$244.10	$244.10	—	319% above	—
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG PREGNANCY URINE QUAL	$244.10	$244.10	—	319% above	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC CHORIONIC GONADOTROPIN, QUAL - HCG QUALITATIVE SERUM PLASMA	$244.10	$244.10	—	—	—
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG PREGNANCY URINE QUAL	$244.10	$244.10	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD GROUP	$210.00	$210.00	—	118% above	—
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$210.00	$210.00	—	118% above	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - BLOOD GROUP	$210.00	$210.00	—	—	—
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO - ABO/RH TYPE	$210.00	$210.00	—	—	—
Blood urea nitrogen (BUN) test CPT 84520 HC BLOOD UREA NITROGEN - BUN	$12.08	$12.08	—	58% below	—
Blood urea nitrogen (BUN) test CPT 84520 HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$12.08	$12.08	—	58% below	—
Blood urea nitrogen (BUN) test CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN)	$60.39	$60.39	—	108% above	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$12.08	$12.08	—	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BLOOD UREA NITROGEN - BUN	$12.08	$12.08	—	—	—
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC ASSAY UREA NITROGEN, QUAN - POCT UREA (BUN)	$60.39	$60.39	—	—	—
C-peptide blood test CPT 84681 HC C PEPTIDE LEVEL - ARUP	$367.11	$367.11	—	250% above	—
C-peptide blood test CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE	$367.11	$367.11	—	250% above	—
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE LEVEL - ARUP	$367.11	$367.11	—	—	—
C-peptide blood test inpatient CPT 84681 HC ASSAY OF C-PEPTIDE - C-PEPTIDE	$367.11	$367.11	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY	$172.40	$172.40	—	259% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN LEVEL MG/L INFLAMMATORY	$172.40	$172.40	—	259% above	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN LEVEL MG/L INFLAMMATORY	$172.40	$172.40	—	—	—
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC CRP (C-REACTIVE PROTEIN) INFLAMMATORY	$172.40	$172.40	—	—	—
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR	$390.70	$390.70	—	249% above	—
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIOIDES DIFFICILE TOXIN TCBD GENE PCR	$390.70	$390.70	—	—	—
CA 19-9 blood test (tumor marker) CPT 86301 HC CANCER ANTIGEN 19-9	$343.89	$343.89	—	244% above	—
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CANCER ANTIGEN 19-9	$343.89	$343.89	—	—	—
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125	$295.63	$295.63	—	214% above	—
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125	$295.63	$295.63	—	—	—
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE	$548.91	$548.91	—	304% above	—
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC COVID-19 SARS-COV-2 AMPLIFIED PROBE	$548.91	$548.91	—	—	—
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL - PTH INTACT AND CALCIUM	$152.88	$152.88	—	362% above	—
Calcium blood test, total CPT 82310 HC CALCIUM TOTAL LEVEL	$152.88	$152.88	—	362% above	—
Calcium blood test, total CPT 82310 HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE	$152.88	$152.88	—	362% above	—
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL LEVEL	$152.88	$152.88	—	—	—
Calcium blood test, total inpatient CPT 82310 HC ASSAY OF CALCIUM, TOTAL - ADDITIONAL CHARGE	$152.88	$152.88	—	—	—
Calcium blood test, total inpatient CPT 82310 HC CALCIUM TOTAL - PTH INTACT AND CALCIUM	$152.88	$152.88	—	—	—
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP	$206.85	$206.85	—	90% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN FLUID	$206.85	$206.85	—	90% above	—
Carcinoembryonic antigen (CEA) test CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$424.69	$424.69	—	290% above	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA) FLUID - ARUP	$206.85	$206.85	—	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN FLUID	$206.85	$206.85	—	—	—
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CARCINOEMBRYONIC ANTIGEN (CEA)	$424.69	$424.69	—	—	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - ARUP	$214.83	$214.83	—	136% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP	$214.83	$214.83	—	136% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG	$214.83	$214.83	—	136% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP	$214.83	$214.83	—	136% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM	$277.63	$277.63	—	205% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM - ARUP	$277.63	$277.63	—	205% above	—
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP	$277.63	$277.63	—	205% above	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG	$214.83	$214.83	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER ANTIBODY, IGG - ARUP	$214.83	$214.83	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - ARUP	$214.83	$214.83	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG - VZ IGG AND IGM - ARUP	$214.83	$214.83	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA-ZOSTER - VARICELLA ZOSTER IGM	$277.63	$277.63	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM - VARICELLA ZOSTER IGG AND IGM - ARUP	$277.63	$277.63	—	—	—
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM - ARUP	$277.63	$277.63	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID	$666.64	$666.64	—	497% above	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA - ARUP	$666.64	$666.64	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA UROGENITAL - QDID	$666.64	$666.64	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS DNA PROBE AMPLIFIED	$666.64	$666.64	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS - C TRACHOMATIS & N GONNORRHOEAE BY TMA - ARUP	$666.64	$666.64	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHYLMD TRACH, DNA, AMP PROBE - CHLAMYDIA DNA PCR TMA	$666.64	$666.64	—	—	—
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID	$666.64	$666.64	—	—	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CARDIO IQ	$412.60	$412.60	—	369% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$412.60	$412.60	—	369% above	—
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP	$412.60	$412.60	—	369% above	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CARDIO IQ	$412.60	$412.60	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL - BUNDLED CHARGE	$412.60	$412.60	—	—	—
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE BY NMR - NMR LIPOMED PROFILE - ARUP	$412.60	$412.60	—	—	—
Complete blood count (CBC) with differential CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF	$318.20	$318.20	—	684% above	—
Complete blood count (CBC) with differential inpatient CPT 85025 HC COMPLETE CBC & AUTO WBC DIFF	$318.20	$318.20	—	—	—
Complete blood count (CBC), no differential CPT 85027 HC CBC	$162.46	$162.46	—	278% above	—
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC	$162.46	$162.46	—	—	—
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP	$335.79	$335.79	—	253% above	—
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PANEL - CMP	$335.79	$335.79	—	—	—
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC CORTISOL INTERNAL SAMPLING - ARUP	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC CORTISOL SALIVARY - ARUP	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - CORTISOL PM	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL AM - QWDL	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC CORTISOL TOTAL	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE	$357.18	$357.18	—	263% above	—
Cortisol blood test, total CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES	$357.18	$357.18	—	263% above	—
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION BASELINE	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL SALIVARY - ARUP	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 1 HOUR	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL INTERNAL SAMPLING - ARUP	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL TOTAL	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - CORTISOL PM	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL - ACTH STIMULATION 30 MINUTES	$357.18	$357.18	—	—	—
Cortisol blood test, total inpatient CPT 82533 HC TOTAL CORTISOL AM - QWDL	$357.18	$357.18	—	—	—
Creatine kinase (CK) blood test, total CPT 82550 HC CK (CPK) TOTAL	$181.16	$181.16	—	294% above	—
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CK) TOTAL	$181.16	$181.16	—	294% above	—
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP	$181.16	$181.16	—	294% above	—
Creatine kinase (CK) blood test, total CPT 82550 HC CK (CPK) TOTAL - ARUP	$181.16	$181.16	—	294% above	—
Creatine kinase (CK) blood test, total CPT 82550 HC CREATINE KINASE (CPK) TOTAL W/ REFLEX CKMB	$181.16	$181.16	—	294% above	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK (CPK) TOTAL	$181.16	$181.16	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK (CPK) TOTAL - ARUP	$181.16	$181.16	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL W/ REFLEX CKMB	$181.16	$181.16	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CK) TOTAL	$181.16	$181.16	—	—	—
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CREATINE KINASE (CPK) TOTAL - CK ISOENZYMES - ARUP	$181.16	$181.16	—	—	—
Creatinine blood test CPT 82565 HC CREATININE LEVEL	$160.61	$160.61	—	383% above	—
Creatinine blood test CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP	$160.61	$160.61	—	383% above	—
Creatinine blood test inpatient CPT 82565 HC CREATININE, EGFR - CYSTATIN, CREATININE, EGFR - ARUP	$160.61	$160.61	—	—	—
Creatinine blood test inpatient CPT 82565 HC CREATININE LEVEL	$160.61	$160.61	—	—	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ANTIBODY - CMV IGG	$331.33	$331.33	—	204% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP	$331.33	$331.33	—	204% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - ARUP	$331.33	$331.33	—	204% above	—
Cytomegalovirus (CMV) antibody test CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP	$331.33	$331.33	—	204% above	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - ARUP	$331.33	$331.33	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ANTIBODY - CMV IGG	$331.33	$331.33	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - CMV ANTIBODIES IGG IGM - ARUP	$331.33	$331.33	—	—	—
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CYTOMEGALOVIRUS (CMV) IGG - TORCH ANTIBODIES IGG - ARUP	$331.33	$331.33	—	—	—
D-dimer blood test (blood clot marker) CPT 85379 HC D-DIMER QUANTITATIVE	$248.63	$248.63	—	119% above	—
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC D-DIMER QUANTITATIVE	$248.63	$248.63	—	—	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$277.78	$277.78	—	117% above	—
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP	$277.78	$277.78	—	117% above	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE-SULFATE - DHEA-SULFATE	$277.78	$277.78	—	—	—
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DEHYDROEPIANDROSTERONE SULFATE (DHEA) SULFATE - ARUP	$277.78	$277.78	—	—	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC BENZODIAZEPINE LEVEL URINE QUAL	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC CANNABINOID SCREEN URINE	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE FENTANYL SCREEN	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE LEVEL URINE - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE DRUG SCREEN WITH ALCOHOL	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE BARBITURATES SCREEN	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC COTININE URINE SCREEN - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC FENTANYL SCREEN WITH REFLEX, URINE - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC OXYCODONE SCREEN URINE	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP	$504.98	$504.98	—	246% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE	$659.99	$659.99	—	352% above	—
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP	$659.99	$659.99	—	352% above	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE FENTANYL SCREEN	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE LEVEL URINE - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC FENTANYL SCREEN WITH REFLEX, URINE - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PANEL 9 WITH REFLEX CONFIRMATION SERUM OR PLASMA - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DOA ALCOHOL URINE SCREEN WITH REFLEX TO CONFIRM - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC CANNABINOID SCREEN URINE	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC BENZODIAZEPINE LEVEL URINE QUAL	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7 WITH REFLEX CONFIRMATION URINE - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC OXYCODONE SCREEN URINE	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL, EMERGENCY	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - ALCOHOL LEVEL	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL CHAIN OF CUSTODY	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - NICOTINE SCREEN URINE	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 TARGETS WITH CONFIRMATION/QUANTITATION URINE - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL URINE	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL SERUM AND CONFIRM	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYXR - FENTANYL QUALITATIVE URINE	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC COTININE URINE SCREEN - ARUP	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE BARBITURATES SCREEN	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE DRUG SCREEN WITH ALCOHOL	$504.98	$504.98	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANLYZR - DRUG SCREEN PANEL COMPREHENSIVE	$659.99	$659.99	—	—	—
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 WITH REFLEX CONFIRMATION URINE - ARUP	$659.99	$659.99	—	—	—
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE	$282.92	$282.92	—	409% above	—
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL - BUNDLED CHARGE	$282.92	$282.92	—	—	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test CPT 86665 HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP	$262.57	$262.57	—	163% above	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGG	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM - ARUP	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGM-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN-BARR CAPSID VCA, IGM	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS CAPSID VCA IGG-EPSTEIN BARR VIRUS ANTIBODY PNL 1-ARUP	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC VCA IGM - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRUS AB TO VIRAL CAPSID AG, IGM - ARUP	$262.57	$262.57	—	—	—
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC VCA IGG - EPSTEIN-BARR VIRUS ANTIBODY PANEL 1 - ARUP	$262.57	$262.57	—	—	—
Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP	$450.96	$450.96	—	166% above	—
Estradiol blood test CPT 82670 HC ESTRADIOL LEVEL PEDIATRICS	$450.96	$450.96	—	166% above	—
Estradiol blood test CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$450.96	$450.96	—	166% above	—
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL PEDIATRICS	$450.96	$450.96	—	—	—
Estradiol blood test inpatient CPT 82670 HC ASSAY OF ESTRADIOL - ESTRADIOL	$450.96	$450.96	—	—	—
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL LEVEL - FEMALE ADULT PREMENOPAUSE - ARUP	$450.96	$450.96	—	—	—
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP	$290.37	$290.37	—	153% above	—
FSH (follicle-stimulating hormone) test CPT 83001 HC GONADOTROPIN (FSH) - FSH	$290.37	$290.37	—	153% above	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE (FSH) - ARUP	$290.37	$290.37	—	—	—
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC GONADOTROPIN (FSH) - FSH	$290.37	$290.37	—	—	—
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN STOOL - ARUP	$341.97	$341.97	—	57% above	—
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL - ARUP	$341.97	$341.97	—	57% above	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL - ARUP	$341.97	$341.97	—	—	—
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN STOOL - ARUP	$341.97	$341.97	—	—	—
Ferritin blood test (iron stores) CPT 82728 HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN	$227.41	$227.41	—	166% above	—
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN LEVEL	$227.41	$227.41	—	166% above	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN LEVEL	$227.41	$227.41	—	—	—
Ferritin blood test (iron stores) inpatient CPT 82728 HC NON-ALCOHOLIC FATTY LIVER DISEASE PANEL - FERRITIN	$227.41	$227.41	—	—	—
Fibrinogen blood test CPT 85384 HC FIBRINOGEN QUANTITATIVE	$251.77	$251.77	—	338% above	—
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN QUANTITATIVE	$251.77	$251.77	—	—	—
Folate (folic acid) blood test CPT 82746 HC FOLATE LEVEL SERUM	$244.10	$244.10	—	149% above	—
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE LEVEL SERUM	$244.10	$244.10	—	—	—
Free T3 thyroid hormone test CPT 84481 HC T3 FREE	$399.58	$399.58	—	212% above	—
Free T3 thyroid hormone test CPT 84481 HC T3, FREE - ARUP	$399.58	$399.58	—	212% above	—
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE	$399.58	$399.58	—	—	—
Free T3 thyroid hormone test inpatient CPT 84481 HC T3, FREE - ARUP	$399.58	$399.58	—	—	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE BY DIALYSIS - ARUP	$163.17	$163.17	—	161% above	—
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC T4 FREE - THYROXINE FREE	$163.17	$163.17	—	161% above	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE - THYROXINE FREE	$163.17	$163.17	—	—	—
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC T4 FREE BY DIALYSIS - ARUP	$163.17	$163.17	—	—	—
Free testosterone test CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$388.05	$388.05	—	170% above	—
Free testosterone test inpatient CPT 84402 HC ASSAY OF TESTOSTERONE - TESTOSTERONE TOTAL FREE	$388.05	$388.05	—	—	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$140.97	$140.97	—	232% above	—
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GAMMA GT LEVEL	$140.97	$140.97	—	232% above	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT - LIVER FIBROSIS CHRONIC VIRAL HEPATITIS FIBROMETER PANEL - ARUP	$140.97	$140.97	—	—	—
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GAMMA GT LEVEL	$140.97	$140.97	—	—	—
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE	$477.44	$477.44	—	174% above	—
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL - BUNDLED CHARGE	$477.44	$477.44	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN	$194.02	$194.02	—	317% above	—
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE TEST - POST GLUCOSE DOSE	$194.02	$194.02	—	317% above	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TOLERANCE TEST (GTT) 1 HOUR SPECIMEN	$194.02	$194.02	—	—	—
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE TEST - POST GLUCOSE DOSE	$194.02	$194.02	—	—	—
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT	$166.10	$166.10	—	87% above	—
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS	$166.10	$166.10	—	87% above	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS	$166.10	$166.10	—	—	—
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOLERANCE TEST (GTT) FIRST 3 SPECIMENS, 2 HOUR GTT	$166.10	$166.10	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEAE RNA BY TMA 10120	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP	$606.05	$606.05	—	487% above	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE BY TMA - ARUP	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONNORRHOEAE - CHLAMYDIA T & N GONNORRHOEAE BY TMA - ARUP	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEAE RNA BY TMA 10120	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N.GONORRHOEAE, DNA, AMP PROB - GC DNA PCR REFER	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA RECTAL - QDID	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA GONORRHOEA DNA PROBE	$606.05	$606.05	—	—	—
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE - C TRACHOMATIS, N GONORRHOEAE, RNA TMA THROAT - QDID	$606.05	$606.05	—	—	—
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP	$460.46	$460.46	—	314% above	—
H. pylori stool antigen test CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL	$460.46	$460.46	—	314% above	—
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL	$460.46	$460.46	—	—	—
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTER PYLORI ANTIGEN STOOL - ARUP	$460.46	$460.46	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 RNA QUANT PCR - QDID	$615.50	$615.50	—	115% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR	$615.50	$615.50	—	115% above	—
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP)	$615.50	$615.50	—	115% above	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 BY QUANTITATIVE NAAT, PLASMA (ARUP)	$615.50	$615.50	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV-1 QUANT&REVRSE TRNSCRPJ - HIV-1 RNA, ULTRASENSITIVE QUANT, PCR	$615.50	$615.50	—	—	—
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIV 1 RNA QUANT PCR - QDID	$615.50	$615.50	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP	$319.39	$319.39	—	242% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN	$319.39	$319.39	—	242% above	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV 1 & 2 ANTIGEN/ANTIBODY WITH REFLEX CIA - ARUP	$319.39	$319.39	—	—	—
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV1/2 ANTIBODY/ANTIGEN SCREEN	$319.39	$319.39	—	—	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT	$431.01	$431.01	—	230% above	—
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP	$431.01	$431.01	—	230% above	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES - HPV DNA PROBE, DIRECT	$431.01	$431.01	—	—	—
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK SCREEN BY TMA, THIN PREP, WITH REFLEX - ARUP	$431.01	$431.01	—	—	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$276.23	$276.23	—	371% above	—
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HEMOGLOBIN TEST - HEMOGLOBIN A1C	$276.23	$276.23	—	—	—
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$87.07	$87.07	—	306% above	—
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$87.07	$87.07	—	—	—
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$472.63	$472.63	—	596% above	—
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS B CORE ANTIBODY TOTAL	$472.63	$472.63	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP	$308.33	$308.33	—	297% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$308.33	$308.33	—	297% above	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY - ARUP	$308.33	$308.33	—	—	—
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBODY	$308.33	$308.33	—	—	—
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$254.99	$254.99	—	331% above	—
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$254.99	$254.99	—	—	—
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE	$394.33	$394.33	—	420% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP	$394.33	$394.33	—	420% above	—
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP	$394.33	$394.33	—	420% above	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY WITH REFLEX HCV PCR- ARUP	$394.33	$394.33	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY - HEPATITIS PANEL ACUTE	$394.33	$394.33	—	—	—
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY BY CIA WITH REFLEX - ARUP	$394.33	$394.33	—	—	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP	$655.82	$655.82	—	150% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C QUANT NAAT - ARUP	$655.82	$655.82	—	150% above	—
Hepatitis C viral load (HCV RNA) test CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$655.82	$655.82	—	150% above	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C QUANT NAAT - ARUP	$655.82	$655.82	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C BY QUANT NAAT WITH REFLEX GENOTYPE - ARUP	$655.82	$655.82	—	—	—
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION - HCV QUANT PCR	$655.82	$655.82	—	—	—
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP	$284.60	$284.60	—	201% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP	$284.60	$284.60	—	201% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG	$313.08	$313.08	—	232% above	—
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP	$313.08	$313.08	—	232% above	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV 1 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP	$284.60	$284.60	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC TYPE 1 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP	$284.60	$284.60	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE 1 IGG - HSV 1 GLYCOPROTEIN G IGG - ARUP	$313.08	$313.08	—	—	—
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX 1 GLYCOPROTEIN G AB IGG	$313.08	$313.08	—	—	—
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP	$43.66	$43.66	—	52% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP	$43.66	$43.66	—	52% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV 2 GLYCOPROTEIN G IGG - ARUP	$43.66	$43.66	—	52% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP	$43.66	$43.66	—	52% below	—
Herpes blood test, HSV-2 antibody CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP	$43.66	$43.66	—	52% below	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE 2 IGG - HSV 2 GLYCOPROTEIN G IGG - ARUP	$43.66	$43.66	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G-SPECIFIC IGG - HSV 1&2 GLYCOPROTEIN G IGG AB - ARUP	$43.66	$43.66	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV 2 GLYCOPROTEIN G IGG - ARUP	$43.66	$43.66	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX 1/2 GLYCOPROTEIN G IGG AB - ARUP	$43.66	$43.66	—	—	—
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC TYPE 2 IGG - HERPES SIMPLEX VIRUS 2 GLYCOPROTEIN G AB IGG - ARUP	$43.66	$43.66	—	—	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L	$385.82	$385.82	—	337% above	—
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC	$385.82	$385.82	—	337% above	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP (C-REACTIVE PROTEIN) HIGH SENSITIVITY - CARDIAC	$385.82	$385.82	—	—	—
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC C REACTIVE PROTEIN HIGH SENSITIVITY CARDIAC MG/L	$385.82	$385.82	—	—	—
Homocysteine blood test CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL	$682.57	$682.57	—	203% above	—
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL	$682.57	$682.57	—	203% above	—
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP	$682.57	$682.57	—	203% above	—
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL - ARUP	$682.57	$682.57	—	—	—
Homocysteine blood test inpatient CPT 83090 HC ASSAY OF HOMOCYSTINE - HOMOCYSTEINE TOTAL	$682.57	$682.57	—	—	—
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE LEVEL	$682.57	$682.57	—	—	—
Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL	$184.25	$184.25	—	127% above	—
Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL (FASTING) - ARUP	$184.25	$184.25	—	127% above	—
Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP	$184.25	$184.25	—	127% above	—
Insulin blood test CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP	$184.25	$184.25	—	127% above	—
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL	$184.25	$184.25	—	—	—
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL (FASTING) - ARUP	$184.25	$184.25	—	—	—
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL RANDOM - ARUP	$184.25	$184.25	—	—	—
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL TOTAL - INSULIN LEVEL FREE AND TOTAL - ARUP	$184.25	$184.25	—	—	—
Iron blood test (serum iron) CPT 83540 HC IRON LEVEL	$237.69	$237.69	—	457% above	—
Iron blood test (serum iron) CPT 83540 HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP	$237.69	$237.69	—	457% above	—
Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL	$237.69	$237.69	—	—	—
Iron blood test (serum iron) inpatient CPT 83540 HC IRON LEVEL TOTAL - IRON AND TIBC - ARUP	$237.69	$237.69	—	—	—
Iron-binding capacity (TIBC) test CPT 83550 HC TOTAL IRON BINDING CAPACITY	$228.34	$228.34	—	257% above	—
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC TOTAL IRON BINDING CAPACITY	$228.34	$228.34	—	—	—
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$305.44	$305.44	—	336% above	—
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL - BUNDLED CHARGE	$305.44	$305.44	—	—	—
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP	$290.37	$290.37	—	163% above	—
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE LEVEL	$290.37	$290.37	—	163% above	—
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL - ARUP	$290.37	$290.37	—	—	—
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE LEVEL	$290.37	$290.37	—	—	—
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL CSF	$247.98	$247.98	—	213% above	—
Lactate (lactic acid) blood test CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF	$247.98	$247.98	—	213% above	—
Lactate (lactic acid) blood test CPT 83605 HC POC LACTATE LEVEL VENOUS	$255.68	$255.68	—	222% above	—
Lactate (lactic acid) blood test CPT 83605 HC POC LACTATE LEVEL ARTERIAL	$255.68	$255.68	—	222% above	—
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL REFLEX	$255.68	$255.68	—	222% above	—
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID LEVEL	$255.68	$255.68	—	222% above	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC ASSAY OF LACTIC ACID - LACTATE CSF	$247.98	$247.98	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL CSF	$247.98	$247.98	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC POC LACTATE LEVEL ARTERIAL	$255.68	$255.68	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL REFLEX	$255.68	$255.68	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC POC LACTATE LEVEL VENOUS	$255.68	$255.68	—	—	—
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID LEVEL	$255.68	$255.68	—	—	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE TOTAL	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE (LDH) FLUID	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LD (LDH) TOTAL - ARUP	$176.01	$176.01	—	360% above	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE (LDH) FLUID	$176.01	$176.01	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD 1 - LACTATE DEHYDROGENASE ISOENZYMES - ARUP	$176.01	$176.01	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL - LACTATE DEHYDROGENASE ISOENZYMES - ARUP	$176.01	$176.01	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE TOTAL	$176.01	$176.01	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL - ARUP	$176.01	$176.01	—	—	—
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LD (LDH) TOTAL	$176.01	$176.01	—	—	—
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE LEVEL	$220.99	$220.99	—	256% above	—
Lipase blood test (pancreas enzyme) CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID	$220.99	$220.99	—	256% above	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE LEVEL	$220.99	$220.99	—	—	—
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC ASSAY OF LIPASE - LIPASE BODY FLUID	$220.99	$220.99	—	—	—
Liver function blood test panel CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$260.78	$260.78	—	241% above	—
Liver function blood test panel inpatient CPT 80076 HC HEPATIC FUNCTION PANEL - BUNDLED CHARGE	$260.78	$260.78	—	—	—
Lyme disease antibody test CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP	$321.98	$321.98	—	167% above	—
Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI ANTIBODY - LYME STANDARD 2-TIER, 1ST TIER - ARUP	$321.98	$321.98	—	—	—
Magnesium blood test CPT 83735 HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC MAGNESIUM, URINE - ARUP	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC MAGNESIUM URINE RANDOM	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC MAGNESIUM LEVEL	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC MAGNESIUM - SUPERSATURATION PROFILE, URINE - ARUP	$185.01	$185.01	—	257% above	—
Magnesium blood test CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	$222.26	$222.26	—	329% above	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM - SUPERSATURATION PROFILE, URINE - ARUP	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE CALCULI RISK ASSESSMENT - ARUP	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM, URINE - ARUP	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM SUPERSATURATION PROFILE, URINE - ARUP	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM URINE RANDOM	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM LEVEL	$185.01	$185.01	—	—	—
Magnesium blood test inpatient CPT 83735 HC ASSAY OF MAGNESIUM - MAGNESIUM RBC	$222.26	$222.26	—	—	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP	$214.02	$214.02	—	117% above	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY IGG	$214.02	$214.02	—	117% above	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY, IGG - ARUP	$214.02	$214.02	—	117% above	—
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA (MEASLES) IGM - ARUP	$277.63	$277.63	—	181% above	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY IGG	$214.02	$214.02	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGG - ARUP	$214.02	$214.02	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY, IGG - ARUP	$214.02	$214.02	—	—	—
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA (MEASLES) IGM - ARUP	$277.63	$277.63	—	—	—
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONONUCLEOSIS SCREEN	$366.61	$366.61	—	726% above	—
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONONUCLEOSIS SCREEN	$366.61	$366.61	—	—	—
Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY	$306.55	$306.55	—	250% above	—
Mumps immunity blood test CPT 86735 HC MUMPS IGM - ARUP	$306.55	$306.55	—	250% above	—
Mumps immunity blood test CPT 86735 HC MUMPS IGG - ARUP	$410.67	$410.67	—	369% above	—
Mumps immunity blood test CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY	$410.67	$410.67	—	369% above	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGM ANTIBODY	$306.55	$306.55	—	—	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGM - ARUP	$306.55	$306.55	—	—	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS IGG - ARUP	$410.67	$410.67	—	—	—
Mumps immunity blood test inpatient CPT 86735 HC MUMPS - MUMPS IGG ANTIBODY	$410.67	$410.67	—	—	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$222.26	$222.26	—	143% above	—
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE - ARUP	$222.26	$222.26	—	143% above	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$222.26	$222.26	—	—	—
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE - ARUP	$222.26	$222.26	—	—	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$282.66	$282.66	—	164% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL DIAGNOSTIC	$371.58	$371.58	—	247% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL SCREENING	$371.58	$371.58	—	247% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA TOTAL - ARUP	$371.58	$371.58	—	247% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA SCREEN	$371.58	$371.58	—	247% above	—
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$371.58	$371.58	—	247% above	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN,TOTAL - PSA TOTAL AND FREE	$282.66	$282.66	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL	$371.58	$371.58	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA SCREEN	$371.58	$371.58	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL DIAGNOSTIC	$371.58	$371.58	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL - ARUP	$371.58	$371.58	—	—	—
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA TOTAL SCREENING	$371.58	$371.58	—	—	—
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE	$283.66	$283.66	—	254% above	—
Pap test (liquid-based, automated screening with review) CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145	$283.66	$283.66	—	254% above	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH C/V AUTO FLUID - PAPSM THIN LAYER,INTER DIAG NO ALT CODE	$283.66	$283.66	—	—	—
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC PAP SMEAR SCREENING IMAGED ALT CODE G0145	$283.66	$283.66	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123	$284.84	$284.84	—	226% above	—
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE	$313.99	$313.99	—	259% above	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR SCREENING MANUAL ALT CODE G0123	$284.84	$284.84	—	—	—
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC PAP SMEAR DIAGNOSTIC MANUAL NO ALT CODE	$313.99	$313.99	—	—	—
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT FNA - ARUP	$538.80	$538.80	—	169% above	—
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT - PTH INTACT AND CALCIUM	$538.80	$538.80	—	169% above	—
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT	$538.80	$538.80	—	169% above	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT	$538.80	$538.80	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT - PTH INTACT AND CALCIUM	$538.80	$538.80	—	—	—
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT FNA - ARUP	$538.80	$538.80	—	—	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT-D HEPARIN REFLEX BILL (ARUP)	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT-D 1:1 MIX BILL (ARUP)	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP)	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT - LUPUS ANTICOAGULANT SCREEN	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP	$265.85	$265.85	—	486% above	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ACTIVATED PARTIAL THROMBOPLASTIN TIME (APTT) - PT AND PTT PANEL	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLAS TIME PARTIAL - APTT - PHOSLIPID ARUP	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - INHIBITOR ASSAY PTT WITH REFLEX (ARUP)	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - LUPUS ANTICOAGULANT PANEL WITH REFLEX - ARUP	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT-D 1:1 MIX BILL (ARUP)	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT-D HEPARIN REFLEX BILL (ARUP)	$265.85	$265.85	—	—	—
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT - LUPUS ANTICOAGULANT SCREEN	$265.85	$265.85	—	—	—
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$170.88	$170.88	—	384% above	—
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$170.88	$170.88	—	—	—
Potassium blood test CPT 84132 HC POTASSIUM LEVEL	$185.01	$185.01	—	478% above	—
Potassium blood test inpatient CPT 84132 HC POTASSIUM LEVEL	$185.01	$185.01	—	—	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY	$2,277.15	$2,277.15	—	at median	—
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC MOLECULAR PATHOLOGY - FETAL CHROMOSOME ANEUPLOIDY	$2,277.15	$2,277.15	—	—	—
Progesterone blood test CPT 84144 HC PROGESTERONE LEVEL - ARUP	$367.11	$367.11	—	233% above	—
Progesterone blood test CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$367.11	$367.11	—	233% above	—
Progesterone blood test inpatient CPT 84144 HC ASSAY OF PROGESTERONE - PROGESTERONE	$367.11	$367.11	—	—	—
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE LEVEL - ARUP	$367.11	$367.11	—	—	—
Prolactin blood test CPT 84146 HC PROLACTIN - ARUP	$303.21	$303.21	—	138% above	—
Prolactin blood test CPT 84146 HC PROLACTIN	$303.21	$303.21	—	138% above	—
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$303.21	$303.21	—	—	—
Prolactin blood test inpatient CPT 84146 HC PROLACTIN - ARUP	$303.21	$303.21	—	—	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PT AND PTT PANEL	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR - ARUP PHOSLIPID	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME INR COUMADIN CLINIC	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$279.69	$279.69	—	788% above	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - LUPUS ANTICOAGULANT PANEL WITH REFLEX -ARUP	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PROTHROMBIN MIXING STUDY	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME - PT AND PTT PANEL	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR COUMADIN CLINIC	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME INR - ARUP PHOSLIPID	$279.69	$279.69	—	—	—
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME -ANTIPHOSPHOLIPID SYNDROME REFLEX PANEL - ARUP	$279.69	$279.69	—	—	—
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION	$263.58	$263.58	—	266% above	—
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A RAPID SCREEN, DIRECT OPTICAL OBSERVATION	$263.58	$263.58	—	—	—
Renin blood test CPT 84244 HC RENIN ACTIVITY - ARUP	$382.47	$382.47	—	196% above	—
Renin blood test CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP	$382.47	$382.47	—	196% above	—
Renin blood test CPT 84244 HC RENIN DIRECT LEVEL - ARUP	$382.47	$382.47	—	196% above	—
Renin blood test inpatient CPT 84244 HC RENIN DIRECT LEVEL - ARUP	$382.47	$382.47	—	—	—
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY - ARUP	$382.47	$382.47	—	—	—
Renin blood test inpatient CPT 84244 HC RENIN ACTIVITY - ALDOSTERONE/RENIN ACTIVITY RATIO - ARUP	$382.47	$382.47	—	—	—
Rh blood typing CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE	$179.61	$179.61	—	182% above	—
Rh blood typing inpatient CPT 86901 HC BLOOD TYPING SEROLOGIC RH (D) - BLOOD TYPE	$179.61	$179.61	—	—	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP	$7.51	$7.51	—	85% below	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP	$10.50	$10.50	—	79% below	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP	$319.04	$319.04	—	551% above	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$319.04	$319.04	—	551% above	—
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$319.04	$319.04	—	551% above	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - LUPUS COMPREHENSIVE REFLEX PANEL - ARUP	$7.51	$7.51	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - LUPUS COMPREHENSIVE REFLEXIVE PANEL - ARUP	$10.50	$10.50	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR - RHEUMATOID ARTHRITIS PANEL - ARUP	$319.04	$319.04	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$319.04	$319.04	—	—	—
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR, QUANT - RHEUMATOID FACTOR	$319.04	$319.04	—	—	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$218.52	$218.52	—	264% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP	$218.52	$218.52	—	264% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM - ARUP	$218.52	$218.52	—	264% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG QUANTITATIVE	$362.50	$362.50	—	504% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA AB IGG - ARUP	$362.50	$362.50	—	504% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP	$362.50	$362.50	—	504% above	—
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGG - ARUP	$362.50	$362.50	—	504% above	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA - RUBELLA ANTIBODY, IGM	$218.52	$218.52	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM - TORCH ANTIBODIES IGM - ARUP	$218.52	$218.52	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM - ARUP	$218.52	$218.52	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG - ARUP	$362.50	$362.50	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA AB IGG - ARUP	$362.50	$362.50	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG - TORCH ANTIBODIES IGG - ARUP	$362.50	$362.50	—	—	—
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGG QUANTITATIVE	$362.50	$362.50	—	—	—
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$212.70	$212.70	—	556% above	—
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC RBC SED RATE, AUTO - SEDIMENTATION RATE, AUTOMATED	$212.70	$212.70	—	—	—
Sodium blood test CPT 84295 HC SODIUM LEVEL	$83.55	$83.55	—	183% above	—
Sodium blood test inpatient CPT 84295 HC SODIUM LEVEL	$83.55	$83.55	—	—	—
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP	$150.38	$150.38	—	165% above	—
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$150.38	$150.38	—	165% above	—
Stool ova and parasites exam CPT 87177 HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP	$150.38	$150.38	—	165% above	—
Stool ova and parasites exam CPT 87177 HC O&P SMEARS, CONC, ID - CRYPTOSPROIDIA & COCCIDIA EXAM, FECES - ARUP	$150.38	$150.38	—	165% above	—
Stool ova and parasites exam inpatient CPT 87177 HC O&P SMEARS, CONC, ID - CRYPTOSPROIDIA & COCCIDIA EXAM, FECES - ARUP	$150.38	$150.38	—	—	—
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES SMEARS - OVA AND PARASITE EXAMINATION	$150.38	$150.38	—	—	—
Stool ova and parasites exam inpatient CPT 87177 HC OVA & PARASITE DIR SMEARS, CONC, ID - O&P EXAM BODY FLUID/URINE - ARUP	$150.38	$150.38	—	—	—
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE EXAMINATION - OVA AND PARISITE FECAL - ARUP	$150.38	$150.38	—	—	—
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$101.71	$101.71	—	277% above	—
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN - OCCULT BLD	$101.71	$101.71	—	—	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1	$195.27	$195.27	—	282% above	—
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1	$258.01	$258.01	—	405% above	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES DIAGNOSTIC SPECIMEN #1	$195.27	$195.27	—	—	—
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECES SCREENING SPECIMEN #1	$258.01	$258.01	—	—	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP	$304.99	$304.99	—	325% above	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - DONOR TOTAL SYPHILIS	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM IGG BY ELISA - ARUP	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY BY TP-PA - ARUP	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM ANTIBODY	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM (SYPHILIS) ANTIBODY - ARUP	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM IGG BY IFA (FTA-ABS) - ARUP	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC ANTIBODY TREPONEMA PALLIDUM - FTA ANTIBODIES, IGG AND IGM	$304.99	$304.99	—	—	—
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM CONFIRMATION	$304.99	$304.99	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF - ARUP	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL WITH REFLEX TO TITER, CSF - ARUP	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL W REFLEX TITER - ARUP	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR QUAL	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF	$247.71	$247.71	—	588% above	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL WITH REFLEX TITER - ARUP	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL WITH REFLEX TO TITER, CSF - ARUP	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL W REFLEX TITER - ARUP	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON TREPONEMAL ANTIBODY QUAL - VDRL	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR QUAL	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL WITH REFLEX TO TITER, SERUM - ARUP	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF - ARUP	$247.71	$247.71	—	—	—
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RAPID PLASMA REAGIN (RPR) QUAL	$247.71	$247.71	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON	$885.08	$885.08	—	378% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB PLUS - ARUP	$885.08	$885.08	—	378% above	—
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB PLUS 4 TUBE - ARUP	$885.08	$885.08	—	378% above	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST CELL MEDIATED ANTIGEN RESPONSE,GAMMA INTERFRON	$885.08	$885.08	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB PLUS - ARUP	$885.08	$885.08	—	—	—
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB PLUS 4 TUBE - ARUP	$885.08	$885.08	—	—	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP	$337.89	$337.89	—	139% above	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL FEMALE/CHILD - ARUP	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL - BIOAVAIL & SEX HORMONE BIND GLOB MALE - ARUP	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC ASSAY OF TOTAL TESTOSTERONE - TESTOSTERONE FEMALE OR CHILD	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE FREE & TOTAL MALE ADULT - ARUP	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL ADULT MALE - ARUP	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL- TESTOSTERONE BIOAVAILABLE FEMALE/CHILD - ARUP	$337.89	$337.89	—	—	—
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE LEVEL TOTAL - TESTOSTERONE FREE & TOTAL FEMALE/CHILD - ARUP	$337.89	$337.89	—	—	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME IGG - ARUP	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOMAL ANTIBODY	$339.33	$339.33	—	333% above	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOMAL ANTIBODY	$339.33	$339.33	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME IGG - ARUP	$339.33	$339.33	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE (TPO) ANTIBODY - THYROID ANTIBODIES - ARUP	$339.33	$339.33	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE ANTIBODY - ARUP	$339.33	$339.33	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY - ARUP	$339.33	$339.33	—	—	—
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL ANTIBODY - THYROID PEROXIDASE ANTIBODY	$339.33	$339.33	—	—	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - TSH REFLEX FREE T4	$271.09	$271.09	—	215% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL - TSH CASCADE	$271.09	$271.09	—	215% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH LEVEL	$271.09	$271.09	—	215% above	—
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$271.09	$271.09	—	215% above	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL	$271.09	$271.09	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$271.09	$271.09	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - TSH CASCADE	$271.09	$271.09	—	—	—
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH LEVEL - TSH REFLEX FREE T4	$271.09	$271.09	—	—	—
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP	$235.89	$235.89	—	157% above	—
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E - IGE	$235.89	$235.89	—	157% above	—
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E (IGE) - ARUP	$235.89	$235.89	—	—	—
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E - IGE	$235.89	$235.89	—	—	—
Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID	$174.49	$174.49	—	405% above	—
Total cholesterol blood test CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	$174.49	$174.49	—	405% above	—
Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL TOTAL	$174.49	$174.49	—	—	—
Total cholesterol blood test inpatient CPT 82465 HC ASSAY, BLD/SERUM CHOLESTEROL - CHOLESTEROL FLUID	$174.49	$174.49	—	—	—
Total thyroxine (T4) blood test CPT 84436 HC THYROXINE T4 TOTAL	$160.61	$160.61	—	300% above	—
Total thyroxine (T4) blood test inpatient CPT 84436 HC THYROXINE T4 TOTAL	$160.61	$160.61	—	—	—
Total triiodothyronine (T3) blood test CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)	$199.14	$199.14	—	154% above	—
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC TRIIODOTHYRONINE TOTAL ASSAY, TT-3 - T3 (THYROID HORMONE)	$199.14	$199.14	—	—	—
Transferrin blood test CPT 84466 HC TRANSFERRIN LEVEL	$317.34	$317.34	—	211% above	—
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN LEVEL	$317.34	$317.34	—	—	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS PCR PROBE	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS RNA TMA QUAL MALES - QDID	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS PCR - VAGINAL PATHOGEN DNA PANEL	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) CPT 87661 HC MICROBIOLOGY - AMP PROBE TRICHOMONAS	$410.31	$410.31	—	203% above	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS PCR - VAGINAL PATHOGEN DNA PANEL	$410.31	$410.31	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 HC MICROBIOLOGY - AMP PROBE TRICHOMONAS	$410.31	$410.31	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS PCR PROBE	$410.31	$410.31	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS RNA TMA QUAL MALES - QDID	$410.31	$410.31	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA	$410.31	$410.31	—	—	—
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS - VAGINAL PATHOGEN DNA PANEL - ARUP	$410.31	$410.31	—	—	—
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$233.11	$233.11	—	548% above	—
Triglycerides blood test CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID	$233.11	$233.11	—	548% above	—
Triglycerides blood test inpatient CPT 84478 HC ASSAY OF TRIGLYCERIDES - TRIGLYCERIDES BODY FLUID	$233.11	$233.11	—	—	—
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$233.11	$233.11	—	—	—
Troponin test, quantitative CPT 84484 HC TROPONIN T QUANT HIGH SENSITIVITY	$280.09	$280.09	—	145% above	—
Troponin test, quantitative CPT 84484 HC TROPONIN T HIGH SENSITIVITY	$280.09	$280.09	—	145% above	—
Troponin test, quantitative CPT 84484 HC POC TROPONIN I	$291.66	$291.66	—	155% above	—
Troponin test, quantitative CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I	$291.66	$291.66	—	155% above	—
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T HIGH SENSITIVITY	$280.09	$280.09	—	—	—
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN T QUANT HIGH SENSITIVITY	$280.09	$280.09	—	—	—
Troponin test, quantitative inpatient CPT 84484 HC ASSAY OF TROPONIN, QUANT - TROPONIN I	$291.66	$291.66	—	—	—
Troponin test, quantitative inpatient CPT 84484 HC POC TROPONIN I	$291.66	$291.66	—	—	—
Uric acid blood test CPT 84550 HC URIC ACID LEVEL	$164.45	$164.45	—	357% above	—
Uric acid blood test inpatient CPT 84550 HC URIC ACID LEVEL	$164.45	$164.45	—	—	—
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC	$290.80	$290.80	—	793% above	—
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO WITH MICROSCOPIC	$290.80	$290.80	—	—	—
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - PH	$120.69	$120.69	—	449% above	—
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIPSTICK	$221.00	$221.00	—	905% above	—
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY	$231.16	$231.16	—	951% above	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - PH	$120.69	$120.69	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIPSTICK	$221.00	$221.00	—	—	—
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS, AUTO, W/O SCOPE - URINALYSIS CHEM ONLY - SPECIFIC GRAVITY	$231.16	$231.16	—	—	—
Urinalysis without microscope exam, manual CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE	$143.21	$143.21	—	666% above	—
Urinalysis without microscope exam, manual inpatient CPT 81002 HC PBB URINALYSIS NONAUTO W/O SCOPE	$143.21	$143.21	—	—	—
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE QUANTITATIVE	$280.49	$280.49	—	427% above	—
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE QUANTITATIVE	$280.49	$280.49	—	—	—
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL	$132.34	$132.34	—	188% above	—
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE	$132.34	$132.34	—	188% above	—
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE	$132.34	$132.34	—	188% above	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN LEVEL - MICROALBUMIN/CREATININE RATIO RANDOME URINE MG/DL	$132.34	$132.34	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN RANDOM URINE	$132.34	$132.34	—	—	—
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN, QUANTITATIVE - MICROALBUMIN 24HR URINE	$132.34	$132.34	—	—	—
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$238.63	$238.63	—	426% above	—
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY TEST - PREGNANCY URINE	$238.63	$238.63	—	—	—
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B12 LEVEL	$245.40	$245.40	—	171% above	—
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B12 LEVEL	$245.40	$245.40	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY	$372.59	$372.59	—	54% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP	$372.59	$372.59	—	54% above	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D2 AND D3 25 HYDROXY LEVEL - ARUP	$372.59	$372.59	—	—	—
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25-HYDROXY LEVEL DEFICIENCY	$372.59	$372.59	—	—	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1	$512.28	$512.28	—	242% above	—
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP	$512.28	$512.28	—	242% above	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1,25 DIHYDROXY - ARUP	$512.28	$512.28	—	—	—
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC ASSAY, DIHYDROXYVITAMIN D W/FRACTIONS, IF PERFORMED - VITAMIN D 1	$512.28	$512.28	—	—	—
Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD - ARUP	$305.68	$305.68	—	421% above	—
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC	$305.68	$305.68	—	421% above	—
Zinc blood test CPT 84630 HC ASSAY OF ZINC - ZINC RBC	$305.68	$305.68	—	421% above	—
Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD - ARUP	$305.68	$305.68	—	—	—
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC	$305.68	$305.68	—	—	—
Zinc blood test inpatient CPT 84630 HC ASSAY OF ZINC - ZINC RBC	$305.68	$305.68	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$403.44	$403.44	—	335% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER BLOOD	$403.44	$403.44	—	335% above	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC CHORIONIC GONADOTROPIN, QUANT - HCG QUANTITATIVE BLOOD	$403.44	$403.44	—	—	—
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER BLOOD	$403.44	$403.44	—	—	—

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$2,728.09	$2,728.09	—	675% above	—
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$2,728.09	$2,728.09	—	—	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$10,461.78	$10,461.78	—	376% above	—
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HC BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE	$10,461.78	$10,461.78	—	—	—
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 HC CLOSED RX METATARSAL FX W/O MANIP EACH	$1,538.48	$1,538.48	—	213% above	—
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 HC CLOSED RX METATARSAL FX W/O MANIP EACH	$1,538.48	$1,538.48	—	—	—
Cardiac catheterization with coronary angiogram one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$30,370.90	$30,370.90	—	307% above	—
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HC CATH PLACE/CORON ANGIO, IMG SUPER/INTERP,W LEFT HEART VENTRICULOGRAPHY	$30,370.90	$30,370.90	—	—	—
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN	$2,079.86	$2,079.86	—	219% above	—
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION, ELECTIVE;EXTERN	$2,079.86	$2,079.86	—	—	—
Catheter ablation for atrial fibrillation CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$26,838.53	$26,838.53	—	at median	—
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$26,838.53	$26,838.53	—	—	—
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$6,346.13	$6,346.13	—	834% above	—
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$6,346.13	$6,346.13	—	—	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/ CLAMP OR DEVICE	$11,956.07	$11,956.07	—	2022% above	—
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/ CLAMP OR DEVICE	$11,956.07	$11,956.07	—	—	—
Circumcision, surgical, older than a newborn CPT 54160 HC CIRCUMCISION,SURG EXCISION NOT CLAMP/DEV/DORSAL SLIT - NEONATE	$7,164.55	$7,164.55	—	789% above	—
Circumcision, surgical, older than a newborn inpatient CPT 54160 HC CIRCUMCISION,SURG EXCISION NOT CLAMP/DEV/DORSAL SLIT - NEONATE	$7,164.55	$7,164.55	—	—	—
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$3,044.05	$3,044.05	—	404% above	—
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLOSED RX DIST RAD/ULNA FX	$3,044.05	$3,044.05	—	—	—
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$1,931.32	$1,931.32	—	384% above	—
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG	$1,931.32	$1,931.32	—	—	—
Coronary stent placement, one artery CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$18,536.83	$18,536.83	—	70% above	—
Coronary stent placement, one artery inpatient CPT 92928 HC PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH	$18,536.83	$18,536.83	—	—	—
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$3,517.68	$3,517.68	—	234% above	—
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$3,517.68	$3,517.68	—	—	—
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$527.24	$527.24	—	443% above	—
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$527.24	$527.24	—	—	—
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$267.08	$267.08	—	122% above	—
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT	$267.08	$267.08	—	—	—
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC BIOPSY OF UTERUS LINING	$4,942.10	$4,942.10	—	1958% above	—
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC BIOPSY OF UTERUS LINING	$4,942.10	$4,942.10	—	—	—
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$3,056.14	$3,056.14	—	155% above	—
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN	$3,056.14	$3,056.14	—	—	—
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$5,628.60	$5,628.60	—	456% above	—
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL	$5,628.60	$5,628.60	—	—	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$1,274.41	$1,274.41	—	228% above	—
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJECT HYSTEROSALPINGOGRAM	$1,274.41	$1,274.41	—	—	—
Incision and drainage of a simple or single skin abscess CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$1,066.06	$1,066.06	—	311% above	—
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC DRAIN SKIN ABSCESS SIMPLE	$1,066.06	$1,066.06	—	—	—
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$1,502.75	$1,502.75	—	709% above	—
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECT TENDON SHEATH/LIGAMENT	$1,502.75	$1,502.75	—	—	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$2,326.80	$2,326.80	—	580% above	—
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$2,326.80	$2,326.80	—	—	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,881.97	$1,881.97	—	588% above	—
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$1,881.97	$1,881.97	—	—	—
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,830.65	$1,830.65	—	674% above	—
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$1,830.65	$1,830.65	—	—	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$2,032.57	$2,032.57	—	408% above	—
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM	$2,032.57	$2,032.57	—	—	—
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$19,384.35	$19,384.35	—	70% above	—
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH INJECT VETRICULOGRAPHY, IMAGE SUPERVISE/INTERP	$19,384.35	$19,384.35	—	—	—
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,056.14	$3,056.14	—	155% above	—
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$3,056.14	$3,056.14	—	—	—
Lower-back epidural injection, without imaging guidance CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$3,056.14	$3,056.14	—	274% above	—
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN	$3,056.14	$3,056.14	—	—	—
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,656.25	$2,656.25	—	160% above	—
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE ,1 LEVEL	$2,656.25	$2,656.25	—	—	—
Nail removal (partial or complete), one nail CPT 11730 HC REMOVAL OF NAIL PLATE	$960.44	$960.44	—	489% above	—
Nail removal (partial or complete), one nail inpatient CPT 11730 HC REMOVAL OF NAIL PLATE	$960.44	$960.44	—	—	—
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$1,915.96	$1,915.96	—	380% above	—
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$1,915.96	$1,915.96	—	—	—
Pacemaker implant (dual chamber) CPT 33208 HC INSER HART PACER XVENOUS ATR/VENTR	$44,766.60	$44,766.60	—	305% above	—
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSER HART PACER XVENOUS ATR/VENTR	$44,766.60	$44,766.60	—	—	—
Paracentesis with imaging guidance CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,055.13	$1,055.13	—	43% above	—
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE	$1,055.13	$1,055.13	—	—	—
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC REMOVAL OF NAIL BED	$1,354.66	$1,354.66	—	221% above	—
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC REMOVAL OF NAIL BED	$1,354.66	$1,354.66	—	—	—
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$9,428.20	$9,428.20	—	378% above	—
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$9,428.20	$9,428.20	—	—	—
Removal of a foreign object under the skin, simple CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$1,172.66	$1,172.66	—	216% above	—
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC REMOVE FOREIGN BODY SIMPLE	$1,172.66	$1,172.66	—	—	—
Short arm cast (elbow to hand) CPT 29075 HC APPLY FOREARM CAST	$1,804.03	$1,804.03	—	574% above	—
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY FOREARM CAST	$1,804.03	$1,804.03	—	—	—
Short arm splint (forearm and hand) CPT 29125 HC OT APPLY FOREARM SPLINT,STATIC	$950.09	$950.09	—	428% above	—
Short arm splint (forearm and hand) CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$950.09	$950.09	—	428% above	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY FOREARM SPLINT,STATIC	$950.09	$950.09	—	—	—
Short arm splint (forearm and hand) inpatient CPT 29125 HC OT APPLY FOREARM SPLINT,STATIC	$950.09	$950.09	—	—	—
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$1,804.03	$1,804.03	—	586% above	—
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$1,804.03	$1,804.03	—	—	—
Short leg splint (calf to foot) CPT 29515 HC APPLY LOWER LEG SPLINT	$1,216.90	$1,216.90	—	515% above	—
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY LOWER LEG SPLINT	$1,216.90	$1,216.90	—	—	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC RESUPERF WND BODY <2.5CM	$1,255.84	$1,255.84	—	381% above	—
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC RESUPERF WND BODY <2.5CM	$1,255.84	$1,255.84	—	—	—
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$677.52	$677.52	—	34% above	—
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BIOPSY SKIN SINGLE LESION	$677.52	$677.52	—	—	—
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$1,638.14	$1,638.14	—	1008% above	—
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$1,638.14	$1,638.14	—	—	—
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,560.48	$1,560.48	—	181% above	—
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC DIAGNOSTIC LUMBAR SPINAL PUNCTURE	$1,560.48	$1,560.48	—	—	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$1,649.46	$1,649.46	—	407% above	—
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC RESUP NPTERF WND BODY 2.6-7.5 CM	$1,649.46	$1,649.46	—	—	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC RESUPERF WND FACE <2.5 CM	$1,322.60	$1,322.60	—	332% above	—
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC RESUPERF WND FACE <2.5 CM	$1,322.60	$1,322.60	—	—	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$677.52	$677.52	—	146% above	—
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$677.52	$677.52	—	—	—
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$6,134.21	$6,134.21	—	533% above	—
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING	$6,134.21	$6,134.21	—	—	—
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$1,652.80	$1,652.80	—	690% above	—
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJECT TRIGGER POINT, 1 OR 2	$1,652.80	$1,652.80	—	—	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$4,250.08	$4,250.08	—	117% above	—
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE	$4,250.08	$4,250.08	—	—	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,546.62	$1,546.62	—	338% above	—
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM	$1,546.62	$1,546.62	—	—	—

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC BLOOD TRANSFUSION SERVICE	$2,396.10	$2,396.10	—	315% above	—
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC BLOOD TRANSFUSION SERVICE	$2,396.10	$2,396.10	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT MDI/DPI	$287.18	$287.18	—	125% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INHALATION TREATMENT	$287.18	$287.18	—	125% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT HAND HELD NEBULIZER	$287.18	$287.18	—	125% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HC RT INDUCED SPUTUM	$287.18	$287.18	—	125% above	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INDUCED SPUTUM	$287.18	$287.18	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT MDI/DPI	$287.18	$287.18	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT HAND HELD NEBULIZER	$287.18	$287.18	—	—	—
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HC RT INHALATION TREATMENT	$287.18	$287.18	—	—	—
Chemotherapy IV infusion, first hour CPT 96413 HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR	$1,211.85	$1,211.85	—	211% above	—
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV INF, CHEMO, SGL/INITIAL DRUG, TO 1 HR	$1,211.85	$1,211.85	—	—	—
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$4,793.82	$4,793.82	—	238% above	—
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE, E/M 30-74 MINUTES	$4,793.82	$4,793.82	—	—	—
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD	$2,750.25	$2,750.25	—	328% above	—
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG,W/AWAKE & DROWSY RECORD	$2,750.25	$2,750.25	—	—	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$748.24	$748.24	—	368% above	—
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ELECTROCARDIOGRAM, TRACING - ECG 12-LEAD	$748.24	$748.24	—	—	—
Electroconvulsive therapy (ECT), one session CPT 90870 HC ELECTROCONVULSIVE THERAPY	$3,395.17	$3,395.17	—	at median	—
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 HC ELECTROCONVULSIVE THERAPY	$3,395.17	$3,395.17	—	—	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1	$473.11	$473.11	—	126% above	—
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPARTMENT VISIT LEVEL 1	$473.11	$473.11	—	—	—
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2	$754.62	$754.62	—	129% above	—
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPARTMENT VISIT LEVEL 2	$754.62	$754.62	—	—	—
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3	$1,885.58	$1,885.58	—	267% above	—
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPARTMENT VISIT LEVEL 3	$1,885.58	$1,885.58	—	—	—
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4	$3,096.96	$3,096.96	—	267% above	—
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPARTMENT VISIT LEVEL 4	$3,096.96	$3,096.96	—	—	—
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5	$3,835.18	$3,835.18	—	191% above	—
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPARTMENT VISIT LEVEL 5	$3,835.18	$3,835.18	—	—	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE	$2,294.01	$2,294.01	—	311% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - ECHOCARDIOGRAM EXERCISE STRESS TEST	$2,294.01	$2,294.01	—	311% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE	$2,294.01	$2,294.01	—	311% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY	$2,294.01	$2,294.01	—	311% above	—
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM	$2,294.01	$2,294.01	—	311% above	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING ONLY - COMPLETE ECHOCARDIOGRAM EXERCISE	$2,294.01	$2,294.01	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, PHARM	$2,294.01	$2,294.01	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - ECHOCARDIOGRAM EXERCISE STRESS TEST	$2,294.01	$2,294.01	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TST,TRACING - STRESS TEST ONLY, EXERCISE	$2,294.01	$2,294.01	—	—	—
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CARDIAC STRESS TEST EXERCISE/PHARM - TRACING ONLY	$2,294.01	$2,294.01	—	—	—
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON	$377.13	$377.13	—	42% above	—
Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP	$377.13	$377.13	—	42% above	—
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY, VIRTUAL/IN-PERSON	$377.13	$377.13	—	—	—
Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY, IOP/PHP	$377.13	$377.13	—	—	—
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV INF HYDRATION, 30-60 MIN	$660.31	$660.31	—	168% above	—
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV INF HYDRATION, 30-60 MIN	$660.31	$660.31	—	—	—
IV infusion of a medicine, first hour CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR	$814.26	$814.26	—	199% above	—
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INF NON-CHEMO, THER/PROPH/DIAG, INITIAL, TO 1 HR	$814.26	$814.26	—	—	—
IV push of a medicine, first drug CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG	$497.23	$497.23	—	129% above	—
IV push of a medicine, first drug inpatient CPT 96374 HC INJ NON-CHEMO, THER/PROPH/DIAG, IV PUSH, SGL/INITIAL DRUG	$497.23	$497.23	—	—	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN	$209.39	$209.39	—	210% above	—
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM	$307.81	$307.81	—	355% above	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TESTOSTERONE CYPIONATE 200 MG/ML IM SOLN	$209.39	$209.39	—	—	—
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJ NON-CHEMO, THER/PROPH/DIAG, SUBQ/IM	$307.81	$307.81	—	—	—
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$517.46	$517.46	—	163% above	—
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$517.46	$517.46	—	—	—
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$260.95	$260.95	—	238% above	—
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$260.95	$260.95	—	238% above	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$260.95	$260.95	—	—	—
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN	$260.95	$260.95	—	—	—
New patient office visit, about 30 minutes CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM	$775.51	$775.51	—	414% above	—
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OUTPATIENT NEW PT LOW LVL MDM	$775.51	$775.51	—	—	—
New patient office visit, about 45 minutes CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM	$940.28	$940.28	—	411% above	—
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OUTPATIENT NEW PT MOD LVL MDM	$940.28	$940.28	—	—	—
New patient office visit, about 60 minutes CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM	$1,020.46	$1,020.46	—	264% above	—
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OUTPATIENT NEW PT HIGH LVL MDM	$1,020.46	$1,020.46	—	—	—
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM	$656.67	$656.67	—	525% above	—
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE OUTPATIENT NEW PT SF MDM	$656.67	$656.67	—	—	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$103.88	$103.88	—	242% above	—
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15 MIN	$103.88	$103.88	—	—	—
Occupational therapy evaluation, low complexity CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$337.12	$337.12	—	103% above	—
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS	$337.12	$337.12	—	—	—
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$754.41	$754.41	—	261% above	—
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$754.41	$754.41	—	—	—
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$335.29	$335.29	—	103% above	—
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$335.29	$335.29	—	—	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$502.94	$502.94	—	166% above	—
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$502.94	$502.94	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN	$292.46	$292.46	—	286% above	—
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN	$292.46	$292.46	—	286% above	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUAL THER TECH,1+REGIONS,EA 15 MIN	$292.46	$292.46	—	—	—
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THER TECH,1+REGIONS,EA 15 MIN	$292.46	$292.46	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISES	$296.96	$296.96	—	279% above	—
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISES	$296.96	$296.96	—	279% above	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISES	$296.96	$296.96	—	—	—
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISES	$296.96	$296.96	—	—	—
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$470.41	$470.41	—	68% above	—
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$470.41	$470.41	—	—	—
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$114.16	$114.16	—	262% above	—
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$114.16	$114.16	—	—	—
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM	$872.58	$872.58	—	296% above	—
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OUTPATIENT VISIT EST PT HIGH LVL MDM	$872.58	$872.58	—	—	—
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM	$562.57	$562.57	—	317% above	—
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OUTPATIENT VISIT EST PT LOW LVL MDM	$562.57	$562.57	—	—	—
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM	$829.07	$829.07	—	402% above	—
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OUTPATIENT VISIT EST PT MOD LVL MDM	$829.07	$829.07	—	—	—
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM	$377.06	$377.06	—	263% above	—
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OUTPATIENT VISIT EST PT SF MDM	$377.06	$377.06	—	—	—
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$911.40	$911.40	—	287% above	—
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION	$911.40	$911.40	—	—	—
Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL	$331.41	$331.41	—	146% above	—
Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY, INDIVIDUAL	$331.41	$331.41	—	—	—
Spirometry (breathing test) CPT 94010 HC BREATHING CAPACITY TEST	$1,731.71	$1,731.71	—	468% above	—
Spirometry (breathing test) inpatient CPT 94010 HC BREATHING CAPACITY TEST	$1,731.71	$1,731.71	—	—	—
Spirometry before and after a bronchodilator CPT 94060 HC EVAL OF BRONCHOSPASM	$2,566.61	$2,566.61	—	497% above	—
Spirometry before and after a bronchodilator inpatient CPT 94060 HC EVAL OF BRONCHOSPASM	$2,566.61	$2,566.61	—	—	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$260.95	$260.95	—	232% above	—
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$260.95	$260.95	—	232% above	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$260.95	$260.95	—	—	—
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN	$260.95	$260.95	—	—	—
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE)	$577.08	$577.08	—	336% above	—
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY (SEPARATE PROCEDURE)	$577.08	$577.08	—	—	—

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Kansas	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 FLUAD 0.5 ML IM SUSY	$606.39	$606.39	—	197% above	—
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 FLUAD 0.5 ML IM SUSY	$606.39	$606.39	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUARIX 0.5 ML IM SUSY	$301.01	$301.01	—	745% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY	$312.32	$312.32	—	777% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLUZONE 0.5 ML IM SUSY	$398.15	$398.15	—	1018% above	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUARIX 0.5 ML IM SUSY	$301.01	$301.01	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 AFLURIA PRESERVATIVE FREE 0.5 ML IM SUSY	$312.32	$312.32	—	—	—
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 FLUZONE 0.5 ML IM SUSY	$398.15	$398.15	—	—	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 0.5 ML IM SUSP	$2,785.44	$2,785.44	—	558% above	—
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 0.5 ML IM SUSY	$3,961.92	$3,961.92	—	836% above	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 0.5 ML IM SUSP	$2,785.44	$2,785.44	—	—	—
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 0.5 ML IM SUSY	$3,961.92	$3,961.92	—	—	—
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 TWINRIX 720-20 ELU-MCG/ML IM SUSY	$1,976.51	$1,976.51	—	658% above	—
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 TWINRIX 720-20 ELU-MCG/ML IM SUSY	$1,976.51	$1,976.51	—	—	—
Hepatitis A vaccine, adult dose CPT 90632 VAQTA 50 UNIT/ML IM SUSP	$654.06	$654.06	—	433% above	—
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1440 EL U/ML IM SUSP	$684.64	$684.64	—	458% above	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 VAQTA 50 UNIT/ML IM SUSP	$654.06	$654.06	—	—	—
Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1440 EL U/ML IM SUSP	$684.64	$684.64	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSY	$525.59	$525.59	—	335% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSP	$805.89	$805.89	—	567% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 10 MCG/0.5ML IJ SUSY	$806.70	$806.70	—	568% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 ENGERIX-B 20 MCG/ML IJ SUSY	$1,011.15	$1,011.15	—	737% above	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSY	$525.59	$525.59	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 RECOMBIVAX HB 10 MCG/ML IJ SUSP	$805.89	$805.89	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 10 MCG/0.5ML IJ SUSY	$806.70	$806.70	—	—	—
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 ENGERIX-B 20 MCG/ML IJ SUSY	$1,011.15	$1,011.15	—	—	—
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLUZONE HIGH-DOSE 0.5 ML IM SUSY	$1,372.75	$1,372.75	—	1295% above	—
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FLUZONE HIGH-DOSE 0.5 ML IM SUSY	$1,372.75	$1,372.75	—	—	—
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENQUADFI 0.5 ML IM SOLN	$2,170.09	$2,170.09	—	764% above	—
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENQUADFI 0.5 ML IM SOLN	$2,170.09	$2,170.09	—	—	—
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO 0.5 ML IM SUSY	$2,248.55	$2,248.55	—	622% above	—
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO 0.5 ML IM SUSY	$2,248.55	$2,248.55	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC INJ PNEUMO PCV20 VACCINE IM	$910.98	$910.98	—	142% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 0.5 ML IM SUSY	$3,076.02	$3,076.02	—	718% above	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC INJ PNEUMO PCV20 VACCINE IM	$910.98	$910.98	—	—	—
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PREVNAR 20 0.5 ML IM SUSY	$3,076.02	$3,076.02	—	—	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY	$1,526.16	$1,526.16	—	778% above	—
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 25 MCG/0.5ML IJ SOSY	$1,526.16	$1,526.16	—	—	—
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 5-2 LFU IM INJ	$781.98	$781.98	—	1111% above	—
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 5-2 LFU IM INJ	$781.98	$781.98	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$756.66	$756.66	—	842% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP	$950.79	$950.79	—	1083% above	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX 5-2.5-18.5 LF-MCG/0.5 IM SUSY	$756.66	$756.66	—	—	—
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL 5-2-15.5 LF-MCG/0.5 IM SUSP	$950.79	$950.79	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN, PNEUMOCOCCAL	$154.16	$154.16	—	305% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$154.16	$154.16	—	305% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZ ADMIN, INFLUENZA	$154.16	$154.16	—	305% above	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN, PNEUMOCOCCAL	$154.16	$154.16	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN, INFLUENZA	$154.16	$154.16	—	—	—
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID	$154.16	$154.16	—	—	—
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$49.56	$49.56	—	92% above	—
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZ,ADMIN,EACH ADDL	$49.56	$49.56	—	—	—

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://HospitalPriceDisclosure.com/download.aspx?pi=yH*__*IHP8lFSh*__*1*__*uy0umYNg*-*