DeKalb Community Hospital
Listed in its price file as “Saint Thomas Regional Hospitals”.
DeKalb Community Hospital in Smithville, TN publishes cash prices for 313 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 160 of 312 procedures and below it for 108. By typical cash price it ranks #53 of 88 Tennessee hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
520 W Main St Smithville TN 37166 Collected Sep 23, 2026 Source price file Check a bill from this hospital (615) 215-5000
Acute care hospital Nonprofit hospital Emergency department CCN 440148 · CMS hospital register NPI 1649659582
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
DeKalb Community Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W&WO CONT | $963.39 | $3,211.30 | $165.38–$714.52 | 14% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN TWO VIEWS | $160.07 | $533.55 | $15.96–$179.33 | 8% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN TWO VIEWS | $160.07 | $533.55 | $15.96–$179.33 | 8% below | 70% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN TWO VIEWS | $160.07 | $533.55 | $15.96–$179.33 | — | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $139.32 | $464.40 | $15.33–$127.70 | 1% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V RT | $139.32 | $464.40 | $15.33–$127.70 | 1% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $139.32 | $464.40 | $15.33–$127.70 | 1% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 + V LT | $139.32 | $464.40 | $15.33–$127.70 | 1% below | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 + V RT | $139.32 | $464.40 | $15.33–$127.70 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 + V LT | $139.32 | $464.40 | $15.33–$127.70 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART SGL LEVEL BIL | $272.97 | $909.90 | $32.70–$464.05 | 5% above | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOP ART SGL LEVEL BIL | $272.97 | $909.90 | $32.70–$464.05 | 5% above | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOP ART SGL LEVEL BIL | $272.97 | $909.90 | $32.70–$464.05 | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT | $725.55 | $2,418.50 | $94.99–$1,257.62 | 5% above | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT | $725.55 | $2,418.50 | $94.99–$1,257.62 | 5% above | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT LT | $725.55 | $2,418.50 | $94.99–$1,257.62 | 5% above | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXTREM W/O CONT RT | $725.55 | $2,418.50 | $94.99–$1,257.62 | 5% above | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXTREM W/O CONT LT | $725.55 | $2,418.50 | $94.99–$1,257.62 | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXTREM W/O CONT RT | $725.55 | $2,418.50 | $94.99–$1,257.62 | — | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $165.00 | $550.00 | $33.33–$291.55 | 25% below | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $165.00 | $550.00 | $33.33–$291.55 | 25% below | 70% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS | $165.00 | $550.00 | $33.33–$291.55 | — | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $845.66 | $2,818.85 | $120.94–$719.70 | 25% above | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE WHOLE BODY | $845.66 | $2,818.85 | $120.94–$719.70 | 25% above | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN/WHOLE B | $845.66 | $2,818.85 | $120.94–$732.90 | 25% above | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE SCAN/WHOLE B | $845.66 | $2,818.85 | $120.94–$732.90 | 25% above | 70% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE SCAN/WHOLE B | $845.66 | $2,818.85 | $120.94–$732.90 | — | 70% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE WHOLE BODY | $845.66 | $2,818.85 | $120.94–$719.70 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BRST BI W AX COMP | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BRST BI W AX COMP | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $45.37–$300.68 | 100% above | 70% |
| Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $45.37–$300.68 | 100% above | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $45.37–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BRST BI W AX COMP | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $45.37–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $45.37–$188.95 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 MAM BREAST ULTRASOUND LTD BL | $330.39 | $1,101.30 | $40.06–$286.34 | 100% above | 70% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 MAM BREAST ULTRASOUND LTD BL | $330.39 | $1,101.30 | $40.06–$286.34 | 100% above | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 MAM BREAST ULTRASOUND LTD BL | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PEL W CONT | $1,707.77 | $5,692.55 | $287.37–$1,036.60 | at median | 70% |
| CT angiography (CTA) of the head CPT 70496 CTA HEAD | $1,097.79 | $3,659.30 | $167.55–$762.71 | at median | 70% |
| CT angiography (CTA) of the neck CPT 70498 CTA NECK | $1,097.79 | $3,659.30 | $167.55–$760.07 | 5% above | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST | $1,211.85 | $4,039.50 | $167.55–$775.87 | 7% above | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $101.15 | $337.15 | $22.59–$276.00 | at median | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD&PELVIS W/O CONT | $1,721.63 | $5,738.75 | $101.11–$562.76 | 19% above | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD&PELVIS W/CONT | $1,810.25 | $6,034.15 | $192.93–$818.54 | 4% below | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PELVIS W&WO CONT | $2,001.08 | $6,670.25 | $255.01–$939.16 | 7% below | 70% |
| CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONT | $848.61 | $2,828.70 | $148.75–$621.02 | 13% below | 70% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONT | $776.76 | $2,589.20 | $94.99–$562.76 | at median | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXIFAC W/O CNT | $554.03 | $1,846.75 | $94.99–$562.76 | 20% below | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O CONTRAST | $812.24 | $2,707.45 | $86.77–$562.76 | 14% above | 70% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CONT | $881.88 | $2,939.60 | $120.17–$562.76 | 1% below | 70% |
| CT scan of the head without and with contrast CPT 70470 CT HD/BR W&W/O CONT | $885.95 | $2,953.15 | $148.64–$562.76 | 19% below | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT L-SPINE W/O CONTRAST | $934.41 | $3,114.70 | $94.99–$562.76 | 18% above | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT C-SPINE W/O CONTRAST | $888.18 | $2,960.60 | $94.99–$562.76 | at median | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/CONTRAST | $838.05 | $2,793.50 | $148.75–$622.36 | 5% below | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $571.19 | $1,903.95 | $76.07–$971.01 | 47% below | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUP EXTRACRANIAL BIL | $571.19 | $1,903.95 | $76.07–$971.01 | 47% below | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUP EXTRACRANIAL BIL | $571.19 | $1,903.95 | $76.07–$971.01 | — | 70% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT | $956.16 | $3,187.20 | $165.38–$617.08 | at median | 70% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $113.87 | $379.55 | $14.38–$127.70 | 6% below | 70% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $113.87 | $379.55 | $14.38–$127.70 | 6% below | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $113.87 | $379.55 | $14.38–$127.70 | — | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW | $96.41 | $321.35 | $7.80–$127.70 | 14% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW | $96.41 | $321.35 | $7.80–$127.70 | 14% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW | $101.01 | $336.70 | $7.80–$127.70 | 10% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW | $101.01 | $336.70 | $7.80–$127.70 | 10% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT | $99.54 | $331.80 | $7.80–$127.70 | 11% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT | $99.54 | $331.80 | $7.80–$127.70 | 11% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT | $99.54 | $331.80 | $7.80–$127.70 | 11% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT | $99.54 | $331.80 | $7.80–$127.70 | 11% below | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW | $96.41 | $321.35 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE ONE VIEW | $101.01 | $336.70 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS LEFT | $99.54 | $331.80 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS RIGHT | $99.54 | $331.80 | $7.80–$127.70 | — | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $128.76 | $429.20 | $15.04–$127.70 | 7% above | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP LT | $128.76 | $429.20 | $15.04–$127.70 | 7% above | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $128.76 | $429.20 | $15.04–$127.70 | 7% above | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE COMP RT | $128.76 | $429.20 | $15.04–$127.70 | 7% above | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMP RT | $128.76 | $429.20 | $15.04–$127.70 | — | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE COMP LT | $128.76 | $429.20 | $15.04–$127.70 | — | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $239.15 | $797.15 | $47.68–$203.95 | 13% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COM | $239.15 | $797.15 | $47.68–$203.95 | 13% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COM | $239.15 | $797.15 | $47.68–$203.95 | — | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $161.37 | $537.90 | $35.38–$179.33 | 8% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL | $161.37 | $537.90 | $35.38–$179.33 | 8% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY AXIAL | $161.37 | $537.90 | $35.38–$179.33 | — | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $338.91 | $1,129.70 | $75.31–$372.86 | 7% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG W/FTL AN EX SGL | $338.91 | $1,129.70 | $75.31–$372.86 | 7% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG W/FTL AN EX SGL | $338.91 | $1,129.70 | $75.31–$372.86 | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $770.84 | $2,569.45 | $94.99–$562.76 | 9% above | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $832.46 | $2,774.85 | $148.75–$562.76 | 12% below | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $389.69 | $1,298.95 | $76.07–$662.46 | 58% below | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP LE ART BIL | $389.69 | $1,298.95 | $76.07–$662.46 | 58% below | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP LE ART BIL | $389.69 | $1,298.95 | $76.07–$662.46 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX UE BILAT | $460.56 | $1,535.20 | $76.07–$782.95 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US VENOUS DUPLEX UE BILAT | $460.56 | $1,535.20 | $76.07–$782.95 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $634.37 | $2,114.55 | $76.07–$1,078.42 | at median | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 DUP VEIN BIL | $634.37 | $2,114.55 | $76.07–$1,078.42 | at median | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US VENOUS DUPLEX UE BILAT | $460.56 | $1,535.20 | $76.07–$782.95 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUP VEIN BIL | $634.37 | $2,114.55 | $76.07–$1,078.42 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMP W CF DOP | $1,221.23 | $4,070.75 | $148.77–$2,076.08 | 4% above | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO 2D COMP W CF DOP | $1,221.23 | $4,070.75 | $148.77–$2,076.08 | 4% above | 70% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 ECHO 2D COMP W CF DOP | $1,221.23 | $4,070.75 | $148.77–$2,076.08 | — | 70% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $102.63 | $342.10 | $15.04–$127.70 | 16% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $102.63 | $342.10 | $15.04–$127.70 | 16% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RT | $102.63 | $342.10 | $15.04–$127.70 | 16% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LT | $102.63 | $342.10 | $15.04–$127.70 | 16% below | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LT | $102.63 | $342.10 | $15.04–$127.70 | — | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RT | $102.63 | $342.10 | $15.04–$127.70 | — | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT | $144.59 | $481.95 | $16.30–$127.70 | at median | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V RT | $144.59 | $481.95 | $16.30–$127.70 | at median | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT | $144.62 | $482.05 | $16.30–$127.70 | at median | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 + V LT | $144.62 | $482.05 | $16.30–$127.70 | at median | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 + V RT | $144.59 | $481.95 | $16.30–$127.70 | — | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 + V LT | $144.62 | $482.05 | $16.30–$127.70 | — | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/SELLA/IAC WO | $643.59 | $2,145.30 | $94.99–$627.59 | 1% above | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V | $166.83 | $556.10 | $22.18–$179.33 | 4% above | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3 + V | $166.83 | $556.10 | $22.18–$179.33 | 4% above | 70% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES 3 + V | $166.83 | $556.10 | $22.18–$179.33 | — | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $115.02 | $383.40 | $15.04–$127.70 | 7% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $115.02 | $383.40 | $15.04–$127.70 | 7% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LT | $115.02 | $383.40 | $15.04–$127.70 | 7% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RT | $115.02 | $383.40 | $15.04–$127.70 | 7% below | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RT | $115.02 | $383.40 | $15.04–$127.70 | — | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LT | $115.02 | $383.40 | $15.04–$127.70 | — | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPA IMAG INCL GB | $906.38 | $3,021.25 | $145.21–$811.16 | 40% above | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPA IMAG INCL GB | $906.38 | $3,021.25 | $145.21–$811.16 | 40% above | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPA IMAG INCL GB | $906.38 | $3,021.25 | $145.21–$811.16 | — | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V RT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 V LT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 V RT | $87.17 | $290.55 | $14.21–$179.33 | — | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 V LT | $87.17 | $290.55 | $14.21–$179.33 | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT | $119.61 | $398.70 | $13.64–$127.70 | 5% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V RT | $119.61 | $398.70 | $13.64–$127.70 | 5% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT | $119.61 | $398.70 | $13.64–$127.70 | 5% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR CALCANEUS 2 + V LT | $119.61 | $398.70 | $13.64–$127.70 | 5% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 + V RT | $119.61 | $398.70 | $13.64–$127.70 | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR CALCANEUS 2 + V LT | $119.61 | $398.70 | $13.64–$127.70 | — | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $160.85 | $536.15 | $16.30–$139.40 | 12% above | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $160.85 | $536.15 | $16.30–$139.40 | 12% above | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $160.85 | $536.15 | $16.30–$139.40 | 12% above | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $160.85 | $536.15 | $16.30–$139.40 | 12% above | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V LT | $160.85 | $536.15 | $16.30–$139.40 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V RT | $160.85 | $536.15 | $16.30–$139.40 | — | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT | $153.44 | $511.45 | $17.71–$179.33 | at median | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT | $153.44 | $511.45 | $17.71–$179.33 | at median | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V LT | $153.44 | $511.45 | $17.71–$179.33 | at median | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 + V RT | $153.44 | $511.45 | $17.71–$179.33 | at median | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 + V LT | $153.44 | $511.45 | $17.71–$179.33 | — | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 + V RT | $153.44 | $511.45 | $17.71–$179.33 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXTRM W/O C BI | $672.56 | $2,241.85 | $94.99–$1,165.76 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LOWER EXTRM W/O C BI | $672.56 | $2,241.85 | $94.99–$1,165.76 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT | $701.21 | $2,337.35 | $94.99–$1,215.42 | 2% above | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT | $701.21 | $2,337.35 | $94.99–$1,215.42 | 2% above | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C RT | $701.21 | $2,337.35 | $94.99–$1,215.42 | 2% above | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOWER EXTRM W/O C LT | $701.21 | $2,337.35 | $94.99–$1,215.42 | 2% above | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LOWER EXTRM W/O C BI | $672.56 | $2,241.85 | $94.99–$1,165.76 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTRM W/O C LT | $701.21 | $2,337.35 | $94.99–$1,215.42 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOWER EXTRM W/O C RT | $701.21 | $2,337.35 | $94.99–$1,215.42 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD | $227.54 | $758.45 | $40.08–$179.33 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD (RT) | $275.09 | $916.95 | $7.72–$238.41 | 33% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD (LT) | $275.09 | $916.95 | $7.72–$238.41 | 33% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD (RT) | $275.09 | $916.95 | $7.72–$238.41 | 33% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREM NON VASC LTD (LT) | $275.09 | $916.95 | $7.72–$238.41 | 33% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NON VASC LTD (RT) | $275.09 | $916.95 | $7.72–$238.41 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREM NON VASC LTD (LT) | $275.09 | $916.95 | $7.72–$238.41 | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $124.85 | $416.15 | $15.04–$127.70 | at median | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $124.85 | $416.15 | $15.04–$127.70 | at median | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $124.85 | $416.15 | $15.04–$127.70 | at median | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $124.85 | $416.15 | $15.04–$127.70 | at median | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 V RT | $124.85 | $416.15 | $15.04–$127.70 | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 V LT | $124.85 | $416.15 | $15.04–$127.70 | — | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HD W/O CONT | $780.39 | $2,601.30 | $167.52–$995.80 | 18% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $974.03 | $3,246.75 | $167.52–$1,688.31 | 1% above | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $974.03 | $3,246.75 | $167.52–$1,688.31 | 1% above | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT RT | $974.03 | $3,246.75 | $167.52–$1,688.31 | 1% above | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LW JNT W/O CONT LT | $974.03 | $3,246.75 | $167.52–$1,688.31 | 1% above | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LW JNT W/O CONT LT | $974.03 | $3,246.75 | $167.52–$1,688.31 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LW JNT W/O CONT RT | $974.03 | $3,246.75 | $167.52–$1,688.31 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | 19% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | 19% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT LT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | 19% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LW JNT W&WO CONT RT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | 19% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LW JNT W&WO CONT RT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LW JNT W&WO CONT LT | $1,021.52 | $3,405.05 | $264.35–$1,770.63 | — | 70% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONT | $924.95 | $3,083.15 | $167.52–$779.03 | 2% below | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W&WO CONT | $1,248.29 | $4,160.95 | $264.35–$1,180.16 | 2% below | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,146.95 | $3,823.15 | $167.52–$582.81 | at median | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W&WO CONT | $1,416.59 | $4,721.95 | $264.35–$981.30 | 5% below | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC W/WO | $1,592.39 | $5,307.95 | $264.35–$981.30 | 7% above | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MRI L-SPINE W/O CONT | $976.83 | $3,256.10 | $167.52–$559.14 | 1% below | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI L-SPINE W&W/O CONT | $1,424.84 | $4,749.45 | $264.35–$985.24 | at median | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI T-SPINE W/O CONT | $976.83 | $3,256.10 | $167.52–$560.44 | at median | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI C-SPINE W&W/O CONT | $1,457.40 | $4,858.00 | $264.35–$989.22 | at median | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI C-SPINE W/O CONT | $976.83 | $3,256.10 | $167.52–$559.14 | 1% below | 70% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W&WO CONT | $1,333.79 | $4,445.95 | $264.35–$1,176.18 | at median | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONT | $882.27 | $2,940.90 | $167.52–$906.80 | at median | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $936.15 | $3,120.50 | $167.52–$1,622.66 | 1% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $936.15 | $3,120.50 | $167.52–$1,622.66 | 1% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT LT | $936.15 | $3,120.50 | $167.52–$1,622.66 | 1% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UP JNT W/O CONT RT | $936.15 | $3,120.50 | $167.52–$1,622.66 | 1% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT W/O CONT LT | $936.15 | $3,120.50 | $167.52–$1,622.66 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UP JNT W/O CONT RT | $936.15 | $3,120.50 | $167.52–$1,622.66 | — | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4 + V | $220.38 | $734.60 | $25.31–$179.33 | 4% above | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR C-SPINE 4 + V | $220.38 | $734.60 | $25.31–$179.33 | 4% above | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR C-SPINE 4 + V | $220.38 | $734.60 | $25.31–$179.33 | — | 70% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK W/CONTRAST | $1,120.97 | $3,736.55 | $148.75–$562.76 | 34% above | 70% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK W/O CONTRAST | $764.10 | $2,547.00 | $94.99–$562.76 | 6% above | 70% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $123.83 | $412.75 | $11.95–$127.70 | 1% above | 70% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $123.83 | $412.75 | $11.95–$127.70 | 1% above | 70% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $123.83 | $412.75 | $11.95–$127.70 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS TEST | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | 39% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | 39% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM MYOCRD SPECT R/S MULT | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | 39% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM STRESS TEST | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | 39% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM MYOCRD SPECT R/S MULT | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM STRESS TEST | $1,179.32 | $3,931.05 | $217.02–$2,035.50 | — | 70% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST | $817.49 | $2,724.95 | $94.99–$562.76 | 16% above | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $371.07 | $1,236.90 | $43.30–$202.10 | 29% above | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $371.07 | $1,236.90 | $43.30–$202.10 | 29% above | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $371.07 | $1,236.90 | $43.30–$202.10 | — | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $362.30 | $1,207.65 | $47.68–$245.22 | 26% above | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI | $362.30 | $1,207.65 | $47.68–$245.22 | 26% above | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG AFTER 1ST TRI | $362.30 | $1,207.65 | $47.68–$245.22 | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR X | $253.16 | $843.85 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIMTR X | $253.16 | $843.85 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIMTR X | $253.16 | $843.85 | $29.75–$196.47 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $86.70 | $289.00 | $31.15–$179.33 | 47% below | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD | $86.70 | $289.00 | $31.15–$179.33 | 47% below | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LTD | $86.70 | $289.00 | $31.15–$179.33 | — | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT | $158.01 | $526.70 | $16.30–$136.94 | 13% above | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT | $158.01 | $526.70 | $16.30–$136.94 | 13% above | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V RT | $158.01 | $526.70 | $16.30–$136.94 | 13% above | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI 2 V LT | $158.01 | $526.70 | $16.30–$136.94 | 13% above | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNI 2 V RT | $158.01 | $526.70 | $16.30–$136.94 | — | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNI 2 V LT | $158.01 | $526.70 | $16.30–$136.94 | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT | $216.24 | $720.80 | $19.13–$187.41 | 42% above | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT | $216.24 | $720.80 | $19.13–$187.41 | 42% above | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V LT | $216.24 | $720.80 | $19.13–$187.41 | 42% above | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNI W/CXR 3+V RT | $216.24 | $720.80 | $19.13–$187.41 | 42% above | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNI W/CXR 3+V RT | $216.24 | $720.80 | $19.13–$187.41 | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNI W/CXR 3+V LT | $216.24 | $720.80 | $19.13–$187.41 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $93.75 | $312.50 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $93.75 | $312.50 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $93.75 | $312.50 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $93.75 | $312.50 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $150.29 | $500.95 | $16.30–$130.25 | 13% above | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $150.29 | $500.95 | $16.30–$130.25 | 13% above | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V RT | $150.29 | $500.95 | $16.30–$130.25 | 13% above | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 + V LT | $150.29 | $500.95 | $16.30–$130.25 | 13% above | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $93.75 | $312.50 | $16.30–$127.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $93.75 | $312.50 | $16.30–$127.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 + V RT | $150.29 | $500.95 | $16.30–$130.25 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 + V LT | $150.29 | $500.95 | $16.30–$130.25 | — | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V | $221.45 | $738.15 | $22.18–$127.70 | 31% above | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 + V | $221.45 | $738.15 | $22.18–$127.70 | 31% above | 70% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3 + V | $221.45 | $738.15 | $22.18–$127.70 | — | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V | $127.67 | $425.55 | $17.71–$179.33 | 6% above | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 V | $127.67 | $425.55 | $17.71–$179.33 | 6% above | 70% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 V | $127.67 | $425.55 | $17.71–$179.33 | — | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $200.67 | $668.90 | $36.83–$291.55 | 6% below | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR SWLW FUNC W/C&V | $200.67 | $668.90 | $36.83–$291.55 | 6% below | 70% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR SWLW FUNC W/C&V | $200.67 | $668.90 | $36.83–$291.55 | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $125.25 | $417.50 | $16.61–$127.70 | 21% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $125.25 | $417.50 | $16.61–$127.70 | 21% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $125.25 | $417.50 | $16.61–$127.70 | 21% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $125.25 | $417.50 | $16.61–$127.70 | 21% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS RT | $125.25 | $417.50 | $16.61–$127.70 | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR MIN 2 VIEWS LT | $125.25 | $417.50 | $16.61–$127.70 | — | 70% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT T-SPINE W/O CONTRAST | $859.25 | $2,864.15 | $94.99–$562.76 | 16% above | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT | $91.08 | $303.60 | $11.95–$127.70 | 24% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V LT | $91.08 | $303.60 | $11.95–$127.70 | 24% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT | $91.08 | $303.60 | $11.95–$127.70 | 24% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) 2 + V RT | $91.08 | $303.60 | $11.95–$127.70 | 24% below | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2 + V LT | $91.08 | $303.60 | $11.95–$127.70 | — | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) 2 + V RT | $91.08 | $303.60 | $11.95–$127.70 | — | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $370.23 | $1,234.10 | $43.30–$233.01 | 33% above | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $370.23 | $1,234.10 | $43.30–$233.01 | 33% above | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $370.23 | $1,234.10 | $43.30–$233.01 | — | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $372.18 | $1,240.60 | $31.15–$179.33 | 65% above | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $372.18 | $1,240.60 | $31.15–$179.33 | 65% above | 70% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $372.18 | $1,240.60 | $31.15–$179.33 | — | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $469.01 | $1,563.35 | $47.68–$218.95 | 28% above | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $469.01 | $1,563.35 | $47.68–$218.95 | 28% above | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $469.01 | $1,563.35 | $47.68–$218.95 | — | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $333.84 | $1,112.80 | $43.30–$179.33 | 25% above | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $333.84 | $1,112.80 | $43.30–$179.33 | 25% above | 70% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE | $333.84 | $1,112.80 | $43.30–$179.33 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUES | $289.56 | $965.20 | $40.08–$235.83 | 17% above | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUES | $289.56 | $965.20 | $40.08–$235.83 | 17% above | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUES | $289.56 | $965.20 | $40.08–$235.83 | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES | $228.68 | $762.25 | $41.49–$291.55 | 12% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES | $228.68 | $762.25 | $41.49–$291.55 | 12% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SERIES | $228.68 | $762.25 | $41.49–$291.55 | — | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT | $114.62 | $382.05 | $16.30–$127.70 | at median | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V LT | $114.62 | $382.05 | $16.30–$127.70 | at median | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT | $114.62 | $382.05 | $16.30–$127.70 | at median | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS 2 + V RT | $114.62 | $382.05 | $16.30–$127.70 | at median | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 + V RT | $114.62 | $382.05 | $16.30–$127.70 | — | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS 2 + V LT | $114.62 | $382.05 | $16.30–$127.70 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (RT) | $444.86 | $1,482.85 | $48.16–$756.25 | 23% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (LT) | $444.86 | $1,482.85 | $48.16–$756.25 | 23% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (LT) | $444.86 | $1,482.85 | $48.16–$756.25 | 23% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUP VEIN UNI/LTD (RT) | $444.86 | $1,482.85 | $48.16–$756.25 | 23% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE RIGHT | $376.55 | $1,255.15 | $48.16–$640.13 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE LEFT | $376.55 | $1,255.15 | $48.16–$640.13 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE RIGHT | $376.55 | $1,255.15 | $48.16–$640.13 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US VEN DUPLEX UE LEFT | $376.55 | $1,255.15 | $48.16–$640.13 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP VEIN UNI/LTD (LT) | $444.86 | $1,482.85 | $48.16–$756.25 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUP VEIN UNI/LTD (RT) | $444.86 | $1,482.85 | $48.16–$756.25 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DUPLEX UE LEFT | $376.55 | $1,255.15 | $48.16–$640.13 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US VEN DUPLEX UE RIGHT | $376.55 | $1,255.15 | $48.16–$640.13 | — | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RT | $103.49 | $344.95 | $14.21–$127.70 | — | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LT | $103.49 | $344.95 | $14.21–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $125.58 | $418.60 | $15.33–$127.70 | 8% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V RT | $125.58 | $418.60 | $15.33–$127.70 | 8% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $125.58 | $418.60 | $15.33–$127.70 | 8% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 + V LT | $125.58 | $418.60 | $15.33–$127.70 | 8% below | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + V RT | $125.58 | $418.60 | $15.33–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 + V LT | $125.58 | $418.60 | $15.33–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V LT | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V RT | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V RT | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP W PEL UN 2-3V LT | $131.57 | $438.55 | $21.83–$127.70 | 3% below | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PEL UN 2-3V LT | $131.57 | $438.55 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP W PEL UN 2-3V RT | $131.57 | $438.55 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 23 VIEW LT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $131.57 | $438.55 | $21.83–$127.70 | — | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW | $146.03 | $486.75 | $13.33–$127.70 | 6% above | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW | $146.03 | $486.75 | $13.33–$127.70 | 6% above | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN ONE VIEW | $146.03 | $486.75 | $13.33–$127.70 | — | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RT | $81.39 | $271.30 | $14.21–$127.70 | — | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LT | $81.39 | $271.30 | $14.21–$127.70 | — | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $115.19 | $383.95 | $11.95–$127.70 | 5% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V LT | $115.19 | $383.95 | $11.95–$127.70 | 5% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $115.19 | $383.95 | $11.95–$127.70 | 5% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) 2 + V RT | $115.19 | $383.95 | $11.95–$127.70 | 5% below | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 + V RT | $115.19 | $383.95 | $11.95–$127.70 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) 2 + V LT | $115.19 | $383.95 | $11.95–$127.70 | — | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $70.29 | $234.30 | $14.21–$127.70 | 44% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RT | $70.29 | $234.30 | $14.21–$127.70 | 44% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $70.29 | $234.30 | $14.21–$127.70 | 44% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LT | $70.29 | $234.30 | $14.21–$127.70 | 44% below | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LT | $70.29 | $234.30 | $14.21–$127.70 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RT | $70.29 | $234.30 | $14.21–$127.70 | — | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $127.34 | $424.45 | $15.33–$127.70 | 9% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $127.34 | $424.45 | $15.33–$127.70 | 9% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V RT | $127.34 | $424.45 | $15.33–$127.70 | 9% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 + V LT | $127.34 | $424.45 | $15.33–$127.70 | 9% below | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 + V RT | $127.34 | $424.45 | $15.33–$127.70 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 + V LT | $127.34 | $424.45 | $15.33–$127.70 | — | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $117.84 | $392.80 | $15.33–$127.70 | 17% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $117.84 | $392.80 | $15.33–$127.70 | 17% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V RT | $117.84 | $392.80 | $15.33–$127.70 | 17% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 + V LT | $117.84 | $392.80 | $15.33–$127.70 | 17% below | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 + V RT | $117.84 | $392.80 | $15.33–$127.70 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 + V LT | $117.84 | $392.80 | $15.33–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $115.35 | $384.50 | $15.04–$127.70 | 10% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $115.35 | $384.50 | $15.04–$127.70 | 10% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V RT | $115.35 | $384.50 | $15.04–$127.70 | 10% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 V LT | $115.35 | $384.50 | $15.04–$127.70 | 10% below | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 V RT | $115.35 | $384.50 | $15.04–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 V LT | $115.35 | $384.50 | $15.04–$127.70 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $180.96 | $603.20 | $19.13–$179.33 | 4% above | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR L-SPINE 2/3 VIEWS | $180.96 | $603.20 | $19.13–$179.33 | 4% above | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR L-SPINE 2/3 VIEWS | $180.96 | $603.20 | $19.13–$179.33 | — | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $254.30 | $847.65 | $25.87–$179.33 | 14% above | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $254.30 | $847.65 | $25.87–$179.33 | 14% above | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4 + VIEWS | $254.30 | $847.65 | $25.87–$179.33 | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $142.88 | $476.25 | $18.57–$179.33 | 9% above | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-SPINE 2 VIEWS | $142.88 | $476.25 | $18.57–$179.33 | 9% above | 70% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-SPINE 2 VIEWS | $142.88 | $476.25 | $18.57–$179.33 | — | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $147.12 | $490.40 | $15.04–$127.70 | 22% above | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES COMP | $147.12 | $490.40 | $15.04–$127.70 | 22% above | 70% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES COMP | $147.12 | $490.40 | $15.04–$127.70 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CSPINE 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CSPINE 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR C SPINE 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CSPINE 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR C SPINE 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | — | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $148.86 | $496.20 | $15.04–$179.33 | 15% above | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $148.86 | $496.20 | $15.04–$179.33 | 15% above | 70% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1/2 VIEWS | $148.86 | $496.20 | $15.04–$179.33 | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $194.33 | $647.75 | $16.30–$127.70 | 37% above | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX 2 + V | $194.33 | $647.75 | $16.30–$127.70 | 37% above | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX 2 + V | $194.33 | $647.75 | $16.30–$127.70 | — | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $27.09–$149.01 | 13% below | 70% |
| ACTH blood test CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $27.09–$149.01 | 13% below | 70% |
| ACTH blood test inpatient CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $27.09–$149.01 | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $40.10 | $133.65 | $3.71–$20.32 | 45% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $40.10 | $133.65 | $3.71–$20.32 | 45% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $3.71–$20.32 | 158% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $3.71–$20.32 | 158% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $40.10 | $133.65 | $3.71–$20.32 | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $3.71–$20.32 | — | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $40.10 | $133.65 | $3.63–$20.32 | 50% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $40.10 | $133.65 | $3.63–$20.32 | 50% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $3.63–$20.32 | 167% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $3.63–$20.32 | 167% above | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $40.10 | $133.65 | $3.63–$20.32 | — | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $3.63–$20.32 | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $322.85 | $1,076.15 | $33.40–$183.99 | 103% above | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $322.85 | $1,076.15 | $33.40–$183.99 | 103% above | 70% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $322.85 | $1,076.15 | $33.40–$183.99 | — | 70% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $3.47–$19.17 | at median | 70% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $3.47–$19.17 | at median | 70% |
| Albumin blood test CPT 82040 ALBUMIN | $27.45 | $91.50 | $3.47–$19.17 | 56% above | 70% |
| Albumin blood test CPT 82040 ALBUMIN | $27.45 | $91.50 | $3.47–$19.17 | 56% above | 70% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $3.47–$19.17 | — | 70% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $27.45 | $91.50 | $3.47–$19.17 | — | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $79.34 | $264.45 | $28.57–$158.03 | 3% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SERUM | $79.34 | $264.45 | $28.57–$158.03 | 3% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $28.57–$158.03 | 55% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $28.57–$158.03 | 55% above | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM | $79.34 | $264.45 | $28.57–$158.03 | — | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $28.57–$158.03 | — | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $3.63–$20.32 | 17% below | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $3.63–$20.32 | 17% below | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $3.63–$20.32 | 9% above | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $3.63–$20.32 | 9% above | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $3.63–$20.32 | — | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $3.63–$20.32 | — | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $3.66–$21.57 | 28% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $3.66–$21.57 | 28% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $17.73 | $59.10 | $3.66–$28.71 | 60% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $17.73 | $59.10 | $3.66–$28.71 | 60% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $3.66–$28.71 | 155% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $3.66–$28.71 | 155% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $3.66–$28.71 | 187% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $3.66–$28.71 | 187% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $3.66–$28.71 | 292% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $3.66–$28.71 | 292% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $3.66–$28.71 | 336% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $3.66–$28.71 | 336% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $3.66–$28.71 | 426% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $3.66–$28.71 | 426% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $3.66–$28.71 | 608% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $3.66–$28.71 | 608% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $3.66–$28.71 | 1052% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $3.66–$28.71 | 1052% above | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $3.66–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $17.73 | $59.10 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $3.66–$28.71 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $3.66–$28.71 | — | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $59.58 | $198.60 | $11.76–$65.46 | 17% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $59.58 | $198.60 | $11.76–$65.46 | 17% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $11.76–$65.46 | 45% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $11.76–$65.46 | 45% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $11.76–$65.46 | 57% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $11.76–$65.46 | 57% above | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER | $59.58 | $198.60 | $11.76–$65.46 | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $11.76–$65.46 | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $11.76–$65.46 | — | 70% |
| Ammonia blood test CPT 82140 AMMONIA | $48.83 | $162.75 | $10.22–$56.45 | at median | 70% |
| Ammonia blood test CPT 82140 AMMONIA | $48.83 | $162.75 | $10.22–$56.45 | at median | 70% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $48.83 | $162.75 | $10.22–$56.45 | — | 70% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $4.54–$24.85 | 56% above | 70% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $4.54–$24.85 | 56% above | 70% |
| Amylase blood test CPT 82150 AMYLASE | $55.14 | $183.80 | $4.54–$24.85 | 66% above | 70% |
| Amylase blood test CPT 82150 AMYLASE | $55.14 | $183.80 | $4.54–$24.85 | 66% above | 70% |
| Amylase blood test CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $4.54–$24.85 | 158% above | 70% |
| Amylase blood test CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $4.54–$24.85 | 158% above | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $4.54–$24.85 | — | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $55.14 | $183.80 | $4.54–$24.85 | — | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $4.54–$24.85 | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRIC CITRULLATED PEPTIDE | $99.14 | $330.45 | $9.08–$49.66 | 152% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRIC CITRULLATED PEPTIDE | $99.14 | $330.45 | $9.08–$49.66 | 152% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CITRIC CITRULLATED PEPTIDE | $99.14 | $330.45 | $9.08–$49.66 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $10.19 | $33.95 | $8.47–$32.16 | 72% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $10.19 | $33.95 | $8.47–$32.16 | 72% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB | $42.62 | $142.05 | $8.47–$46.28 | 15% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB | $42.62 | $142.05 | $8.47–$46.28 | 15% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $59.01 | $196.70 | $8.47–$46.28 | 60% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $59.01 | $196.70 | $8.47–$46.28 | 60% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $8.47–$46.28 | 85% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $8.47–$46.28 | 85% above | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT | $10.19 | $33.95 | $8.47–$32.16 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB | $42.62 | $142.05 | $8.47–$46.28 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $59.01 | $196.70 | $8.47–$46.28 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $8.47–$46.28 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $102.84 | $342.80 | $23.80–$130.95 | 15% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $102.84 | $342.80 | $23.80–$130.95 | 15% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP | $113.60 | $378.65 | $23.80–$130.95 | 27% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP | $113.60 | $378.65 | $23.80–$130.95 | 27% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP | $102.84 | $342.80 | $23.80–$130.95 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NP | $113.60 | $378.65 | $23.80–$130.95 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $6.04–$33.86 | 2% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $6.04–$33.86 | 2% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $6.04–$33.86 | 46% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $6.04–$33.86 | 46% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $6.04–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $6.04–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $6.04–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $6.04–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $6.04–$33.86 | 106% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $6.04–$33.86 | 106% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-CSF | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE-CSF | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GYN | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GYN | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $6.04–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE-CSF | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GYN | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $6.04–$33.86 | — | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $5.93–$32.75 | 2% above | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $5.93–$32.75 | 2% above | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $5.93–$32.75 | — | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL | $49.31 | $164.35 | $3.51–$19.17 | 79% above | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL | $49.31 | $164.35 | $3.51–$19.17 | 79% above | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID | $59.54 | $198.45 | $3.51–$19.17 | 116% above | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID | $59.54 | $198.45 | $3.51–$19.17 | 116% above | 70% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL | $49.31 | $164.35 | $3.51–$19.17 | — | 70% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID | $59.54 | $198.45 | $3.51–$19.17 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | 58% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | 58% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | 49% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | 49% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | — | 70% |
| Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $7.24–$39.50 | 47% above | 70% |
| Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $7.24–$39.50 | 47% above | 70% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH) | $101.00 | $336.65 | $7.24–$39.50 | 86% above | 70% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH) | $101.00 | $336.65 | $7.24–$39.50 | 86% above | 70% |
| Blood culture for bacteria inpatient CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $7.24–$39.50 | — | 70% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE (EACH) | $101.00 | $336.65 | $7.24–$39.50 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE CCU | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE CCU | $11.99 | $39.95 | $1.50–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNTURE CCU | $11.99 | $39.95 | $1.50–$14.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ER | $11.99 | $39.95 | $1.50–$14.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $1.50–$14.00 | — | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $2.75–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $2.75–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $50.82 | $169.40 | $2.75–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $50.82 | $169.40 | $2.75–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $50.82 | $169.40 | $2.75–$14.69 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $2.75–$14.69 | — | 70% |
| Blood lead test CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $8.49–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $8.49–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $8.49–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $8.49–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $66.32 | $221.05 | $8.49–$47.40 | 81% above | 70% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $66.32 | $221.05 | $8.49–$47.40 | 81% above | 70% |
| Blood lead test CPT 83655 LEAD | $66.32 | $221.05 | $8.49–$47.40 | 81% above | 70% |
| Blood lead test CPT 83655 LEAD | $66.32 | $221.05 | $8.49–$47.40 | 81% above | 70% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $8.49–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $8.49–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 LEAD | $66.32 | $221.05 | $8.49–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $66.32 | $221.05 | $8.49–$47.40 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE QUALITATIVE | $55.14 | $183.80 | $5.27–$29.34 | 3% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE QUALITATIVE | $55.14 | $183.80 | $5.27–$29.34 | 3% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY, SERUM, QUALITATIVE | $62.90 | $209.65 | $5.27–$29.34 | 17% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY, SERUM, QUALITATIVE | $62.90 | $209.65 | $5.27–$29.34 | 17% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY URINE QUALITATIVE | $55.14 | $183.80 | $5.27–$29.34 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY, SERUM, QUALITATIVE | $62.90 | $209.65 | $5.27–$29.34 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | — | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $2.77–$15.80 | 39% above | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $2.77–$15.80 | 39% above | 70% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $2.77–$15.80 | — | 70% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $14.59–$80.14 | 25% above | 70% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $14.59–$80.14 | 25% above | 70% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $14.59–$80.14 | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $3.63–$20.32 | 144% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $3.63–$20.32 | 144% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $3.63–$20.32 | — | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $24.61–$135.44 | 126% above | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $24.61–$135.44 | 126% above | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $24.61–$135.44 | — | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $14.59–$80.14 | 19% above | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $14.59–$80.14 | 19% above | 70% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $14.59–$80.14 | — | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $14.59–$80.14 | at median | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $14.59–$80.14 | at median | 70% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $14.59–$80.14 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | 35% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | 35% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID -19 - MICRO | $37.65 | $125.50 | $46.18–$79.02 | 32% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID -19 - MICRO | $37.65 | $125.50 | $46.18–$79.02 | 32% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | 33% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | 33% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID -19 - MICRO | $37.65 | $125.50 | $46.18–$79.02 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | — | 70% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.32 | $91.05 | $3.61–$20.32 | at median | 70% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.32 | $91.05 | $3.61–$20.32 | at median | 70% |
| Calcium blood test, total CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $3.61–$20.32 | 21% above | 70% |
| Calcium blood test, total CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $3.61–$20.32 | 21% above | 70% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $27.32 | $91.05 | $3.61–$20.32 | — | 70% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $3.61–$20.32 | — | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $13.31–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $13.31–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID | $63.50 | $211.65 | $13.31–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID | $63.50 | $211.65 | $13.31–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $13.31–$73.36 | — | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUID | $63.50 | $211.65 | $13.31–$73.36 | — | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $9.04–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $9.04–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $9.04–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $9.04–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $75.56 | $251.85 | $9.04–$49.66 | 92% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB | $75.56 | $251.85 | $9.04–$49.66 | 92% above | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $9.04–$49.66 | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $9.04–$49.66 | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB | $75.56 | $251.85 | $9.04–$49.66 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | 44% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | 44% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | $9.40–$36.41 | 76% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | $9.40–$36.41 | 76% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $9.40–$51.92 | 120% above | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $9.40–$51.92 | 120% above | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $11.10 | $37.00 | $9.40–$36.41 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $9.40–$51.92 | — | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $5.45–$30.48 | 56% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $5.45–$30.48 | 56% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $5.45–$30.48 | 74% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $5.45–$30.48 | 74% above | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $5.45–$30.48 | — | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $5.45–$30.48 | — | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | $4.54–$24.85 | 17% below | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | $4.54–$24.85 | 17% below | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | $4.54–$24.85 | 30% above | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | $4.54–$24.85 | 30% above | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | $4.54–$24.85 | 102% above | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | $4.54–$24.85 | 102% above | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC- NO DIFFERENTIAL | $21.69 | $72.30 | $4.54–$24.85 | — | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC-NO DIFFERENTIAL | $33.81 | $112.70 | $4.54–$24.85 | — | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $52.43 | $174.75 | $4.54–$24.85 | — | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $7.42–$40.65 | 85% above | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $7.42–$40.65 | 85% above | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $7.42–$40.65 | — | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.60 | $182.00 | $11.43–$63.20 | at median | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.60 | $182.00 | $11.43–$63.20 | at median | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $11.43–$63.20 | 75% above | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $11.43–$63.20 | 75% above | 70% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $54.60 | $182.00 | $11.43–$63.20 | — | 70% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $11.43–$63.20 | — | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $4.57–$24.85 | at median | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $4.57–$24.85 | at median | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE TOTAL | $32.63 | $108.75 | $4.57–$24.85 | 4% above | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE TOTAL | $32.63 | $108.75 | $4.57–$24.85 | 4% above | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $4.57–$24.85 | — | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATININE KINASE TOTAL | $32.63 | $108.75 | $4.57–$24.85 | — | 70% |
| Creatinine blood test CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $3.59–$20.32 | 26% below | 70% |
| Creatinine blood test CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $3.59–$20.32 | 26% below | 70% |
| Creatinine blood test CPT 82565 CREATININE | $27.32 | $91.05 | $3.59–$20.32 | 21% above | 70% |
| Creatinine blood test CPT 82565 CREATININE | $27.32 | $91.05 | $3.59–$20.32 | 21% above | 70% |
| Creatinine blood test inpatient CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $3.59–$20.32 | — | 70% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $27.32 | $91.05 | $3.59–$20.32 | — | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $51.12 | $170.40 | $10.10–$56.42 | 17% above | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $51.12 | $170.40 | $10.10–$56.42 | 17% above | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $51.12 | $170.40 | $10.10–$56.42 | — | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY | $50.55 | $168.50 | $7.14–$39.50 | 3% below | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY | $50.55 | $168.50 | $7.14–$39.50 | 3% below | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $7.14–$39.50 | 1% above | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $7.14–$39.50 | 1% above | 70% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY | $50.55 | $168.50 | $7.14–$39.50 | — | 70% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $7.14–$39.50 | — | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $15.59–$85.78 | at median | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $15.59–$85.78 | at median | 70% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $15.59–$85.78 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | 26% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | 26% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | at median | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | at median | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | 91% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | 91% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | 97% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | 97% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | 106% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | 106% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | 263% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | 263% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | 502% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | 502% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | 531% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | 531% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MED | $495.35 | $1,651.15 | $55.93–$170.00 | 597% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MED | $495.35 | $1,651.15 | $55.93–$170.00 | 597% above | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COMPREHENSIVE MED | $495.35 | $1,651.15 | $55.93–$170.00 | — | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $4.92–$27.07 | 22% above | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $4.92–$27.07 | 22% above | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $4.92–$27.07 | — | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $12.72–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $12.72–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $12.72–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $12.72–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $12.72–$69.98 | — | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $12.72–$69.98 | — | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $19.59–$74.33 | 72% below | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $19.59–$74.33 | 72% below | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM | $94.50 | $315.00 | $19.59–$108.37 | 11% above | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM | $94.50 | $315.00 | $19.59–$108.37 | 11% above | 70% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $19.59–$74.33 | — | 70% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL SERUM | $94.50 | $315.00 | $19.59–$108.37 | — | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE | $62.25 | $207.50 | $13.03–$72.24 | at median | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE | $62.25 | $207.50 | $13.03–$72.24 | at median | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH-FOLICAL STIM HORMONE | $62.25 | $207.50 | $13.03–$72.24 | — | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $13.76–$75.62 | 226% above | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $13.76–$75.62 | 226% above | 70% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $13.76–$75.62 | — | 70% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $44.07 | $146.90 | $9.55–$53.04 | 3% below | 70% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $44.07 | $146.90 | $9.55–$53.04 | 3% below | 70% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $44.07 | $146.90 | $9.55–$53.04 | — | 70% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $48.21 | $160.70 | $5.96–$32.75 | at median | 70% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $48.21 | $160.70 | $5.96–$32.75 | at median | 70% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $48.21 | $160.70 | $5.96–$32.75 | — | 70% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $10.31–$56.45 | at median | 70% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $10.31–$56.45 | at median | 70% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $10.31–$56.45 | — | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $82.88 | $276.25 | $11.88–$65.46 | 47% above | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $82.88 | $276.25 | $11.88–$65.46 | 47% above | 70% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $82.88 | $276.25 | $11.88–$65.46 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $6.33–$35.01 | 47% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $6.33–$35.01 | 47% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $6.33–$35.01 | 379% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $6.33–$35.01 | 379% above | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $6.33–$35.01 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $6.33–$35.01 | — | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $17.86–$67.25 | 65% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $17.86–$67.25 | 65% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $17.86–$89.46 | 57% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $17.86–$89.46 | 57% below | 70% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $17.86–$67.25 | — | 70% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $17.86–$89.46 | — | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.82 | $169.40 | $5.05–$28.22 | 53% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.82 | $169.40 | $5.05–$28.22 | 53% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $5.05–$28.22 | 177% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $5.05–$28.22 | 177% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $50.82 | $169.40 | $5.05–$28.22 | — | 70% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $5.05–$28.22 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | 68% above | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | 68% above | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | 68% above | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | 68% above | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL | $50.82 | $169.40 | $3.34–$18.06 | — | 70% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR | $48.56 | $161.85 | $9.03–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE | $48.56 | $161.85 | $9.03–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE | $48.56 | $161.85 | $9.03–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR | $48.56 | $161.85 | $9.03–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE BASELINE | $48.56 | $161.85 | $9.03–$49.66 | — | 70% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 1 HOUR | $48.56 | $161.85 | $9.03–$49.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | 46% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | 46% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $24.61–$104.30 | — | 70% |
| H. pylori stool antigen test CPT 87338 H PYLORI FECAL | $157.94 | $526.45 | $10.09–$55.30 | 158% above | 70% |
| H. pylori stool antigen test CPT 87338 H PYLORI FECAL | $157.94 | $526.45 | $10.09–$55.30 | 158% above | 70% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI FECAL | $157.94 | $526.45 | $10.09–$55.30 | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $59.66–$329.59 | 86% above | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $59.66–$329.59 | 86% above | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $59.66–$329.59 | — | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB | $90.14 | $300.45 | $9.62–$53.04 | 138% above | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB | $90.14 | $300.45 | $9.62–$53.04 | 138% above | 70% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 AB | $90.14 | $300.45 | $9.62–$53.04 | — | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $16.89–$93.68 | 98% above | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $16.89–$93.68 | 98% above | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $16.89–$93.68 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REFERENCE HPV HIGH RISK | $116.43 | $388.10 | $23.64–$135.44 | 168% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 REFERENCE HPV HIGH RISK | $116.43 | $388.10 | $23.64–$135.44 | 168% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $23.64–$135.44 | 169% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $23.64–$135.44 | 169% above | 70% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 REFERENCE HPV HIGH RISK | $116.43 | $388.10 | $23.64–$135.44 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $23.64–$135.44 | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $41.96 | $139.85 | $6.81–$37.24 | at median | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $41.96 | $139.85 | $6.81–$37.24 | at median | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $41.96 | $139.85 | $6.81–$37.24 | — | 70% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $1.66–$9.01 | 93% above | 70% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $1.66–$9.01 | 93% above | 70% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $1.66–$9.01 | — | 70% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $8.45–$46.28 | 116% above | 70% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $8.45–$46.28 | 116% above | 70% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $8.45–$46.28 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $63.26 | $210.85 | $7.53–$41.76 | 35% above | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY | $63.26 | $210.85 | $7.53–$41.76 | 35% above | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY | $63.26 | $210.85 | $7.53–$41.76 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $55.35 | $184.50 | $7.25–$39.50 | 45% above | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN | $55.35 | $184.50 | $7.25–$39.50 | 45% above | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN | $55.35 | $184.50 | $7.25–$39.50 | — | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $10.01–$55.30 | 23% above | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $10.01–$55.30 | 23% above | 70% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $10.01–$55.30 | — | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $30.04–$165.93 | 10% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $30.04–$165.93 | 10% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $30.04–$165.93 | 81% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $30.04–$165.93 | 81% above | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $30.04–$165.93 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $30.04–$165.93 | — | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $9.25–$50.81 | 1% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $9.25–$50.81 | 1% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG | $34.74 | $115.80 | $9.25–$50.81 | 3% above | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG | $34.74 | $115.80 | $9.25–$50.81 | 3% above | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $9.25–$50.81 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G AB IGG | $34.74 | $115.80 | $9.25–$50.81 | — | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $13.57–$74.51 | 20% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $13.57–$74.51 | 20% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $50.96 | $169.85 | $13.57–$74.51 | 25% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 | $50.96 | $169.85 | $13.57–$74.51 | 25% above | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $13.57–$74.51 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 | $50.96 | $169.85 | $13.57–$74.51 | — | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY | $52.16 | $173.85 | $9.08–$49.66 | 29% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP-HIGH SENSITIVITY | $52.16 | $173.85 | $9.08–$49.66 | 29% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS CSF | $204.95 | $683.15 | $9.08–$49.66 | 408% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS CSF | $204.95 | $683.15 | $9.08–$49.66 | 408% above | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP-HIGH SENSITIVITY | $52.16 | $173.85 | $9.08–$49.66 | — | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS CSF | $204.95 | $683.15 | $9.08–$49.66 | — | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | 50% below | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | 50% below | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | 16% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | 16% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | 82% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | 82% above | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | — | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | — | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | — | 70% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $8.02–$44.02 | 75% above | 70% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $8.02–$44.02 | 75% above | 70% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $8.02–$44.02 | — | 70% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.96 | $109.85 | $4.54–$24.85 | 34% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.96 | $109.85 | $4.54–$24.85 | 34% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON TISSUE | $247.92 | $826.40 | $4.54–$24.85 | 908% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON TISSUE | $247.92 | $826.40 | $4.54–$24.85 | 908% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $4.54–$24.85 | 1727% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $4.54–$24.85 | 1727% above | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.96 | $109.85 | $4.54–$24.85 | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON TISSUE | $247.92 | $826.40 | $4.54–$24.85 | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $4.54–$24.85 | — | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $6.13–$33.86 | 20% above | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $6.13–$33.86 | 20% above | 70% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $6.13–$33.86 | — | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $6.09–$33.86 | 8% above | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $6.09–$33.86 | 8% above | 70% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $6.09–$33.86 | — | 70% |
| LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE | $62.01 | $206.70 | $12.99–$72.24 | at median | 70% |
| LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE | $62.01 | $206.70 | $12.99–$72.24 | at median | 70% |
| LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE | $62.01 | $206.70 | $12.99–$72.24 | — | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) CSF | $37.62 | $125.40 | $7.49–$41.76 | at median | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) CSF | $37.62 | $125.40 | $7.49–$41.76 | at median | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $7.49–$41.76 | 64% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $7.49–$41.76 | 64% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $7.49–$41.76 | 81% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $7.49–$41.76 | 81% above | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (LACTATE) CSF | $37.62 | $125.40 | $7.49–$41.76 | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $7.49–$41.76 | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $7.49–$41.76 | — | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF | $20.25 | $67.50 | $4.24–$23.70 | 11% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF | $20.25 | $67.50 | $4.24–$23.70 | 11% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD BODY FLUID | $27.60 | $92.00 | $4.24–$23.70 | 22% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD BODY FLUID | $27.60 | $92.00 | $4.24–$23.70 | 22% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $4.24–$23.70 | 27% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $4.24–$23.70 | 27% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $4.24–$23.70 | 51% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $4.24–$23.70 | 51% above | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD CSF | $20.25 | $67.50 | $4.24–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD BODY FLUID | $27.60 | $92.00 | $4.24–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $4.24–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $4.24–$23.70 | — | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL | $41.90 | $139.65 | $4.83–$27.07 | 19% above | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL | $41.90 | $139.65 | $4.83–$27.07 | 19% above | 70% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL | $41.90 | $139.65 | $4.83–$27.07 | — | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $5.73–$31.60 | 39% above | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $5.73–$31.60 | 39% above | 70% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $5.73–$31.60 | — | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $11.94–$65.46 | 40% above | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $11.94–$65.46 | 40% above | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W/REFLEX TO WB | $210.80 | $702.65 | $11.94–$65.46 | 409% above | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W/REFLEX TO WB | $210.80 | $702.65 | $11.94–$65.46 | 409% above | 70% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $11.94–$65.46 | — | 70% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W/REFLEX TO WB | $210.80 | $702.65 | $11.94–$65.46 | — | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $4.70–$17.82 | 73% below | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $4.70–$17.82 | 73% below | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM | $25.76 | $85.85 | $4.70–$25.96 | 25% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM | $25.76 | $85.85 | $4.70–$25.96 | 25% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RANDUM URINE | $26.96 | $89.85 | $4.70–$25.96 | 30% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RANDUM URINE | $26.96 | $89.85 | $4.70–$25.96 | 30% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $4.70–$25.96 | 255% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $4.70–$25.96 | 255% above | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $4.70–$17.82 | — | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $25.76 | $85.85 | $4.70–$25.96 | — | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDUM URINE | $26.96 | $89.85 | $4.70–$25.96 | — | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $4.70–$25.96 | — | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $60.69 | $202.30 | $9.04–$49.66 | 54% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $60.69 | $202.30 | $9.04–$49.66 | 54% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGM | $64.07 | $213.55 | $9.04–$49.66 | 63% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGM | $64.07 | $213.55 | $9.04–$49.66 | 63% above | 70% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $74.43 | $248.10 | $9.04–$49.66 | 89% above | 70% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG | $74.43 | $248.10 | $9.04–$49.66 | 89% above | 70% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $74.43 | $248.10 | $9.04–$49.66 | 89% above | 70% |
| Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM | $74.43 | $248.10 | $9.04–$49.66 | 89% above | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG | $60.69 | $202.30 | $9.04–$49.66 | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGM | $64.07 | $213.55 | $9.04–$49.66 | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM | $74.43 | $248.10 | $9.04–$49.66 | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG | $74.43 | $248.10 | $9.04–$49.66 | — | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $59.15 | $197.15 | $3.63–$20.32 | 56% above | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $59.15 | $197.15 | $3.63–$20.32 | 56% above | 70% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT | $59.15 | $197.15 | $3.63–$20.32 | — | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $69.41 | $231.35 | $9.16–$50.81 | 75% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $69.41 | $231.35 | $9.16–$50.81 | 75% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $78.15 | $260.50 | $9.16–$50.81 | 97% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $78.15 | $260.50 | $9.16–$50.81 | 97% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $9.16–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $9.16–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $9.16–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $9.16–$50.81 | 108% above | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $69.41 | $231.35 | $9.16–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGM | $78.15 | $260.50 | $9.16–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $9.16–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $9.16–$50.81 | — | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | 36% above | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | 36% above | 70% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | $12.90–$71.10 | 32% above | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | $12.90–$71.10 | 32% above | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $65.19 | $217.30 | $12.90–$71.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | $12.90–$71.10 | 9% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | $12.90–$71.10 | 9% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | $12.90–$71.10 | 16% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | $12.90–$71.10 | 16% above | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN | $61.53 | $205.10 | $12.90–$71.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $65.19 | $217.30 | $12.90–$71.10 | — | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $14.21–$77.88 | 12% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $14.21–$77.88 | 12% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $14.21–$77.88 | 244% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $14.21–$77.88 | 244% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $14.21–$77.88 | — | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $14.21–$77.88 | — | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $28.94–$109.80 | 71% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $28.94–$109.80 | 71% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $138.12 | $460.40 | $28.94–$160.29 | 14% above | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $138.12 | $460.40 | $28.94–$160.29 | 14% above | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $28.94–$109.80 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $138.12 | $460.40 | $28.94–$160.29 | — | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $4.21–$23.70 | 63% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $4.21–$23.70 | 63% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $4.21–$23.70 | 58% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $4.21–$23.70 | 58% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $34.04 | $113.45 | $4.21–$23.70 | 30% above | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $34.04 | $113.45 | $4.21–$23.70 | 30% above | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $4.21–$23.70 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $4.21–$23.70 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $34.04 | $113.45 | $4.21–$23.70 | — | 70% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $3.33–$18.06 | 51% above | 70% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $3.33–$18.06 | 51% above | 70% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $3.33–$18.06 | — | 70% |
| Potassium blood test CPT 84132 POTASSIUM | $42.81 | $142.70 | $3.23–$18.06 | 105% above | 70% |
| Potassium blood test CPT 84132 POTASSIUM | $42.81 | $142.70 | $3.23–$18.06 | 105% above | 70% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $42.81 | $142.70 | $3.23–$18.06 | — | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $14.63–$81.26 | at median | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $14.63–$81.26 | at median | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL SERUM | $69.86 | $232.85 | $14.63–$81.26 | 10% above | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LEVEL SERUM | $69.86 | $232.85 | $14.63–$81.26 | 10% above | 70% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $14.63–$81.26 | — | 70% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LEVEL SERUM | $69.86 | $232.85 | $14.63–$81.26 | — | 70% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $136.59 | $455.30 | $13.59–$74.51 | 96% above | 70% |
| Prolactin blood test CPT 84146 PROLACTIN LEVEL | $136.59 | $455.30 | $13.59–$74.51 | 96% above | 70% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN LEVEL | $136.59 | $455.30 | $13.59–$74.51 | — | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $2.75–$14.69 | 52% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $2.75–$14.69 | 52% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | $2.75–$14.69 | 97% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | $2.75–$14.69 | 97% above | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $2.75–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-PT | $40.08 | $133.60 | $2.75–$14.69 | — | 70% |
| Renin blood test CPT 84244 RENIN | $111.60 | $372.00 | $15.42–$84.67 | 80% above | 70% |
| Renin blood test CPT 84244 RENIN | $111.60 | $372.00 | $15.42–$84.67 | 80% above | 70% |
| Renin blood test inpatient CPT 84244 RENIN | $111.60 | $372.00 | $15.42–$84.67 | — | 70% |
| Rh blood typing CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | 22% below | 70% |
| Rh blood typing CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | 22% below | 70% |
| Rh blood typing CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | 130% above | 70% |
| Rh blood typing CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | 130% above | 70% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | — | 70% |
| Rh blood typing inpatient CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | — | 70% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $3.98–$21.44 | 30% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $3.98–$21.44 | 30% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 RA | $44.87 | $149.55 | $3.98–$21.44 | 52% above | 70% |
| Rheumatoid factor (RF) test CPT 86431 RA | $44.87 | $149.55 | $3.98–$21.44 | 52% above | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $3.98–$21.44 | — | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA | $44.87 | $149.55 | $3.98–$21.44 | — | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB | $29.87 | $99.55 | $9.33–$55.30 | 3% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB | $29.87 | $99.55 | $9.33–$55.30 | 3% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB | $51.12 | $170.40 | $9.33–$55.30 | 65% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB | $51.12 | $170.40 | $9.33–$55.30 | 65% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | 70% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | 70% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | 137% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | 137% above | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB | $29.87 | $99.55 | $9.33–$55.30 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGG AB | $51.12 | $170.40 | $9.33–$55.30 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | — | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $8.45–$46.28 | at median | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $8.45–$46.28 | at median | 70% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $8.45–$46.28 | — | 70% |
| Sodium blood test CPT 84295 SODIUM | $26.93 | $89.75 | $3.38–$19.17 | at median | 70% |
| Sodium blood test CPT 84295 SODIUM | $26.93 | $89.75 | $3.38–$19.17 | at median | 70% |
| Sodium blood test inpatient CPT 84295 SODIUM | $26.93 | $89.75 | $3.38–$19.17 | — | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $6.24–$35.01 | 4% below | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $6.24–$35.01 | 4% below | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $6.24–$35.01 | 104% above | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $6.24–$35.01 | 104% above | 70% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $6.24–$35.01 | — | 70% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $6.24–$35.01 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $2.29–$13.54 | 146% above | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $2.29–$13.54 | 146% above | 70% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $2.29–$13.54 | — | 70% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $11.16–$32.55 | 67% below | 70% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $11.16–$32.55 | 67% below | 70% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $11.16–$32.55 | — | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $9.29–$50.81 | 8% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $9.29–$50.81 | 8% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $71.87 | $239.55 | $9.29–$50.81 | 136% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $71.87 | $239.55 | $9.29–$50.81 | 136% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PAALIDUM AB | $119.52 | $398.40 | $9.29–$50.81 | 293% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PAALIDUM AB | $119.52 | $398.40 | $9.29–$50.81 | 293% above | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $9.29–$50.81 | — | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $71.87 | $239.55 | $9.29–$50.81 | — | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PAALIDUM AB | $119.52 | $398.40 | $9.29–$50.81 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $43.98 | $146.60 | $3.00–$16.95 | 70% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $43.98 | $146.60 | $3.00–$16.95 | 70% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $52.64 | $175.45 | $3.00–$16.95 | 104% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $52.64 | $175.45 | $3.00–$16.95 | 104% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL | $43.98 | $146.60 | $3.00–$16.95 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $52.64 | $175.45 | $3.00–$16.95 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $43.46–$240.43 | 31% above | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $43.46–$240.43 | 31% above | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $43.46–$240.43 | — | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $18.11–$77.37 | 62% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $18.11–$77.37 | 62% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $139.34 | $464.45 | $18.11–$100.47 | 94% above | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $139.34 | $464.45 | $18.11–$100.47 | 94% above | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $18.11–$77.37 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $139.34 | $464.45 | $18.11–$100.47 | — | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $10.21–$56.45 | 27% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $10.21–$56.45 | 27% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $10.21–$56.45 | 116% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $10.21–$56.45 | 116% above | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $10.21–$56.45 | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $10.21–$56.45 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $11.78–$65.46 | 46% above | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $11.78–$65.46 | 46% above | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $11.78–$65.46 | — | 70% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIM IGE | $56.15 | $187.15 | $11.54–$63.20 | 5% below | 70% |
| Total IgE blood test CPT 82785 IMMUNOGLOBULIM IGE | $56.15 | $187.15 | $11.54–$63.20 | 5% below | 70% |
| Total IgE blood test CPT 82785 IGE | $68.25 | $227.50 | $11.54–$63.20 | 16% above | 70% |
| Total IgE blood test CPT 82785 IGE | $68.25 | $227.50 | $11.54–$63.20 | 16% above | 70% |
| Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIM IGE | $56.15 | $187.15 | $11.54–$63.20 | — | 70% |
| Total IgE blood test inpatient CPT 82785 IGE | $68.25 | $227.50 | $11.54–$63.20 | — | 70% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.05–$16.95 | 157% above | 70% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.05–$16.95 | 157% above | 70% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.05–$16.95 | — | 70% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $4.82–$27.07 | 67% above | 70% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $4.82–$27.07 | 67% above | 70% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $4.82–$27.07 | — | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE | $52.46 | $174.85 | $9.94–$55.30 | 8% above | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE | $52.46 | $174.85 | $9.94–$55.30 | 8% above | 70% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE | $52.46 | $174.85 | $9.94–$55.30 | — | 70% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $8.96–$49.66 | 79% above | 70% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $8.96–$49.66 | 79% above | 70% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $8.96–$49.66 | — | 70% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $23.70–$135.44 | 180% above | 70% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $23.70–$135.44 | 180% above | 70% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $23.70–$135.44 | — | 70% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $4.04–$22.59 | 82% above | 70% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $4.04–$22.59 | 82% above | 70% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $4.04–$22.59 | — | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $6.90–$57.83 | 33% below | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $6.90–$57.83 | 33% below | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $6.90–$57.83 | 35% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $6.90–$57.83 | 35% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $74.66 | $248.85 | $6.90–$57.83 | 62% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $74.66 | $248.85 | $6.90–$57.83 | 62% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN POC | $77.15 | $257.15 | $6.90–$57.83 | 68% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN POC | $77.15 | $257.15 | $6.90–$57.83 | 68% above | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $6.90–$57.83 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $6.90–$57.83 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $74.66 | $248.85 | $6.90–$57.83 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN POC | $77.15 | $257.15 | $6.90–$57.83 | — | 70% |
| Uric acid blood test CPT 84550 URIC ACID, SERUM | $42.81 | $142.70 | $3.17–$18.06 | 51% above | 70% |
| Uric acid blood test CPT 84550 URIC ACID, SERUM | $42.81 | $142.70 | $3.17–$18.06 | 51% above | 70% |
| Uric acid blood test inpatient CPT 84550 URIC ACID, SERUM | $42.81 | $142.70 | $3.17–$18.06 | — | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | 57% above | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | 57% above | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | — | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE | $26.24 | $87.45 | $1.57–$9.01 | 143% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE | $26.24 | $87.45 | $1.57–$9.01 | 143% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | $1.57–$9.01 | 161% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | $1.57–$9.01 | 161% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.57–$9.01 | 204% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.57–$9.01 | 204% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.57–$9.01 | 222% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.57–$9.01 | 222% above | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES-URINE | $26.24 | $87.45 | $1.57–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $28.19 | $93.95 | $1.57–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.57–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.57–$9.01 | — | 70% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $36.56 | $121.85 | $5.66–$31.60 | 5% below | 70% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $36.56 | $121.85 | $5.66–$31.60 | 5% below | 70% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $36.56 | $121.85 | $5.66–$31.60 | — | 70% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.06–$36.68 | 28% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.06–$36.68 | 28% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.06–$48.82 | 269% above | 70% |
| Urine microalbumin (albumin) test CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.06–$48.82 | 269% above | 70% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.06–$36.68 | — | 70% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.06–$48.82 | — | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL | $50.55 | $168.50 | $10.57–$58.71 | 1% above | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12 LEVEL | $50.55 | $168.50 | $10.57–$58.71 | 1% above | 70% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12 LEVEL | $50.55 | $168.50 | $10.57–$58.71 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $20.76–$115.12 | 1% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $20.76–$115.12 | 1% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $20.76–$115.12 | 12% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $20.76–$115.12 | 12% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $20.76–$115.12 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $20.76–$115.12 | — | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $27.00–$149.01 | at median | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $27.00–$149.01 | at median | 70% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $27.00–$149.01 | — | 70% |
| Zinc blood test CPT 84630 ZINC | $74.40 | $248.00 | $7.98–$44.02 | 112% above | 70% |
| Zinc blood test CPT 84630 ZINC | $74.40 | $248.00 | $7.98–$44.02 | 112% above | 70% |
| Zinc blood test inpatient CPT 84630 ZINC | $74.40 | $248.00 | $7.98–$44.02 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG | $53.36 | $177.85 | $10.56–$58.71 | 4% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG | $53.36 | $177.85 | $10.56–$58.71 | 4% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $10.56–$58.71 | 88% above | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $10.56–$58.71 | 88% above | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG | $53.36 | $177.85 | $10.56–$58.71 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $10.56–$58.71 | — | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT | $854.34 | $2,847.80 | $130.97–$440.34 | 23% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT | $854.34 | $2,847.80 | $130.97–$440.34 | 23% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $980.13 | $3,267.10 | $130.97–$440.34 | 41% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $980.13 | $3,267.10 | $130.97–$440.34 | 41% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION | $1,045.47 | $3,484.90 | $130.97–$440.34 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION | $1,045.47 | $3,484.90 | $130.97–$440.34 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION EXT | $854.34 | $2,847.80 | $130.97–$440.34 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $980.13 | $3,267.10 | $130.97–$440.34 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELEC CARDIOVERSION | $1,045.47 | $3,484.90 | $130.97–$440.34 | — | 70% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/LESION RMVL SNARE | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCBA | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 INCOMPLETE COLONOSCOPY | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY W/WO BRUSH WASH | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCAA | $1,261.31 | $4,204.35 | $394.93–$2,984.00 | at median | 70% |
| Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOURETHROSCOPY | $1,328.63 | $4,428.75 | $274.47–$1,467.00 | 91% above | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCBA | $672.75 | $2,242.50 | $37.88–$1,467.00 | at median | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCAA | $672.75 | $2,242.50 | $37.88–$1,467.00 | at median | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG W/WO BRUSH/WASH | $672.75 | $2,242.50 | $37.88–$1,467.00 | at median | 70% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY SIMPLE | $608.81 | $2,029.35 | $221.26–$1,467.00 | 40% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US RT | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ARTH JNTBRS MJR WO US LT | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCTESIS INTER (RT) | $388.16 | $1,293.85 | $18.94–$1,004.50 | 33% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHROCTESIS INTER (LT) | $388.16 | $1,293.85 | $18.94–$1,004.50 | 33% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SML (LT) | $388.16 | $1,293.85 | $18.94–$1,004.50 | 36% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS SML (RT) | $388.16 | $1,293.85 | $18.94–$1,004.50 | 36% above | 70% |
| Paracentesis with imaging guidance CPT 49083 PARACENTESIS W IMAGE | $1,668.08 | $5,560.25 | $244.68–$1,467.00 | 184% above | 70% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAA | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 13% below | 70% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAB | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 13% below | 70% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONSC NO RISK FX | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 13% below | 70% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCBA | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 11% below | 70% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCAA | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 11% below | 70% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONSCPY HI RISK | $1,093.16 | $3,643.85 | $237.14–$2,984.00 | 11% below | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $1,556.88–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $1,556.88–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $1,556.88–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $1,556.88–$18,315.00 | — | 70% |
| Short arm splint (forearm and hand) CPT 29125 APP SH ARM SPL STATIC OT | $97.34 | $324.45 | $16.24–$137.13 | 33% below | 70% |
| Short arm splint (forearm and hand) CPT 29125 APP SH ARM SPL STATIC OT | $97.34 | $324.45 | $16.24–$137.13 | 33% below | 70% |
| Short arm splint (forearm and hand) inpatient CPT 29125 APP SH ARM SPL STATIC OT | $97.34 | $324.45 | $16.24–$137.13 | — | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE-DIAG | $401.66 | $1,338.85 | $29.77–$1,004.50 | at median | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 PUNCTURE LUMBAR DX | $696.02 | $2,320.05 | $29.77–$1,467.00 | 73% above | 70% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG (LT) | $633.65 | $2,112.15 | $244.68–$1,467.00 | at median | 70% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ IMAG (RT) | $633.65 | $2,112.15 | $244.68–$1,467.00 | at median | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX 1ST LESION | $3,012.38 | $10,041.25 | $526.32–$3,099.00 | 199% above | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY LEFT | $3,012.38 | $10,041.25 | $526.32–$3,099.00 | 199% above | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY RIGHT | $3,012.38 | $10,041.25 | $526.32–$3,099.00 | 199% above | 70% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BAL DIL ESO < 30MM | $1,093.16 | $3,643.85 | $532.43–$2,984.00 | at median | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,093.16 | $3,643.85 | $372.80–$2,984.00 | 11% above | 70% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ(S) ANY | $1,093.16 | $3,643.85 | $372.80–$2,984.00 | at median | 70% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL LESION BY SNARE | $1,093.16 | $3,643.85 | $532.43–$2,984.00 | 19% below | 70% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/ESOPH DILATION GUIDEWIRE | $1,093.16 | $3,643.85 | $372.80–$2,984.00 | at median | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX W/WO BRUSH/WASH | $1,093.16 | $3,643.85 | $372.80–$1,467.00 | 13% above | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCBA | $1,093.16 | $3,643.85 | $372.80–$1,467.00 | 13% above | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCAA | $1,093.16 | $3,643.85 | $372.80–$1,467.00 | 13% above | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,004.50 | 6% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,004.50 | 6% below | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,004.50 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PNEUMATIC NEB | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PNEUMATIC NEB | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT | $75.56 | $251.85 | $12.53–$37.42 | 23% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PNEUMATIC NEB | $75.56 | $251.85 | $12.53–$37.42 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-SPUTUM INDUCTION | $75.56 | $251.85 | $12.53–$37.42 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-AEROSOL TX | $75.56 | $251.85 | $12.53–$37.42 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI VENT | $75.56 | $251.85 | $12.53–$37.42 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PAP INHALATION | $75.56 | $251.85 | $12.53–$37.42 | — | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSN INIT DRUG INIT HR | $263.97 | $879.90 | $103.89–$448.75 | 1% above | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSN INIT DRUG INIT HR | $263.97 | $879.90 | $103.89–$448.75 | 1% above | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSN INIT DRUG INIT HR | $263.97 | $879.90 | $103.89–$448.75 | — | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | 20% below | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | 20% below | 70% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | — | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG | $297.48 | $991.60 | $40.40–$610.95 | at median | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG | $297.48 | $991.60 | $40.40–$610.95 | at median | 70% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ROUTINE EEG | $297.48 | $991.60 | $40.40–$610.95 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG- DIFFERENT MD | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG- DIFFERENT MD | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG-SAME MD | $106.86 | $356.20 | $13.36–$181.66 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG- DIFFERENT MD | $106.86 | $356.20 | $13.36–$181.66 | — | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I | $207.69 | $692.30 | $19.26–$692.30 | 41% above | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I | $207.69 | $692.30 | $19.26–$692.30 | 41% above | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER CARE I | $207.69 | $692.30 | $19.26–$692.30 | — | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II | $573.00 | $1,910.00 | $33.83–$1,910.00 | 149% above | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II | $573.00 | $1,910.00 | $33.83–$1,910.00 | 149% above | 70% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER CARE II | $573.00 | $1,910.00 | $33.83–$1,910.00 | — | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | 66% above | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | 66% above | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | — | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 31% above | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 31% above | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V | $960.02 | $3,200.05 | $158.13–$3,200.05 | 3% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V | $960.02 | $3,200.05 | $158.13–$3,200.05 | 3% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMER RM CARE V | $960.02 | $3,200.05 | $158.13–$3,200.05 | — | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $644.70 | $2,149.00 | $51.25–$1,095.99 | 53% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $644.70 | $2,149.00 | $51.25–$1,095.99 | 53% above | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $644.70 | $2,149.00 | $51.25–$1,095.99 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $36.35–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $36.35–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $36.35–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $36.35–$439.07 | — | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL | $148.43 | $494.75 | $53.47–$87.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL | $148.43 | $494.75 | $53.47–$87.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL | $148.43 | $494.75 | $53.47–$87.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG 1ST HOUR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $17.41–$87.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $17.41–$87.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $17.41–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $17.41–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $17.41–$87.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ | $55.98 | $186.60 | $16.71–$87.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$87.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$87.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ | $55.98 | $186.60 | $16.71–$87.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $56.00 | $186.65 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $56.00 | $186.65 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION | $56.00 | $186.65 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION | $56.00 | $186.65 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$87.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ | $55.98 | $186.60 | $16.71–$87.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $56.00 | $186.65 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SQ ADMINISTRATION | $56.00 | $186.65 | $16.71–$95.00 | — | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$73.03 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$73.03 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN OT | $44.01 | $146.70 | $15.11–$73.03 | 6% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN PT | $44.01 | $146.70 | $15.11–$73.03 | 6% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN PT | $44.01 | $146.70 | $15.11–$73.03 | 6% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSC REEDUCT 15 MIN OT | $44.01 | $146.70 | $15.11–$73.03 | 6% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$73.03 | at median | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$73.03 | at median | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$73.03 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUCT 15 MIN PT | $44.01 | $146.70 | $15.11–$73.03 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSC REEDUCT 15 MIN OT | $44.01 | $146.70 | $15.11–$73.03 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$73.03 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT IND EA 15 MIN | $28.62 | $95.40 | $15.83–$76.31 | 8% above | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INIT IND EA 15 MIN | $28.62 | $95.40 | $15.83–$76.31 | 8% above | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INIT IND EA 15 MIN | $28.62 | $95.40 | $15.83–$76.31 | — | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $64.77–$170.98 | 9% below | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $64.77–$170.98 | 9% below | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $64.77–$170.98 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | 4% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | 4% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | at median | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | at median | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY | $129.60 | $432.00 | $66.74–$176.18 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEX | $129.60 | $432.00 | $66.74–$176.18 | at median | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MODERATE COMPLEX | $129.60 | $432.00 | $66.74–$176.18 | at median | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MODERATE COMPLEX | $129.60 | $432.00 | $66.74–$176.18 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$65.46 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$65.46 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$65.46 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$65.46 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN OT | $54.83 | $182.75 | $19.99–$65.46 | 18% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN PT | $54.83 | $182.75 | $19.99–$65.46 | 18% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN PT | $54.83 | $182.75 | $19.99–$65.46 | 18% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THER TECH 15 MIN OT | $54.83 | $182.75 | $19.99–$65.46 | 18% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$65.46 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$65.46 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN OT | $54.83 | $182.75 | $19.99–$65.46 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THER TECH 15 MIN PT | $54.83 | $182.75 | $19.99–$65.46 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EXERCISE | $42.78 | $142.60 | $20.30–$70.06 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EXERCISE | $42.78 | $142.60 | $20.30–$70.06 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$70.06 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$70.06 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN PT | $53.57 | $178.55 | $20.30–$70.06 | 14% above | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN OT | $53.57 | $178.55 | $20.30–$70.06 | 14% above | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN OT | $53.57 | $178.55 | $20.30–$70.06 | 14% above | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXERCISES 15 MIN PT | $53.57 | $178.55 | $20.30–$70.06 | 14% above | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA THERAPEUTIC EXERCISE | $42.78 | $142.60 | $20.30–$70.06 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$70.06 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES 15 MIN OT | $53.57 | $178.55 | $20.30–$70.06 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXERCISES 15 MIN PT | $53.57 | $178.55 | $20.30–$70.06 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN | $20.19 | $67.30 | $10.48–$30.98 | 28% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN | $20.19 | $67.30 | $10.48–$30.98 | 28% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION <10 MIN | $20.19 | $67.30 | $10.48–$30.98 | — | 70% |
| Speech and language evaluation CPT 92523 SP/EVAL SND W/ LANG EVAL | $148.26 | $494.20 | $159.52–$421.11 | 20% below | 70% |
| Speech and language evaluation CPT 92523 SP/EVAL SND W/ LANG EVAL | $148.26 | $494.20 | $159.52–$421.11 | 20% below | 70% |
| Speech and language evaluation inpatient CPT 92523 SP/EVAL SND W/ LANG EVAL | $148.26 | $494.20 | $159.52–$421.11 | — | 70% |
| Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL SP | $76.77 | $255.90 | $28.05–$175.24 | 49% below | 70% |
| Speech therapy session, individual CPT 92507 TX SPEECH INDIVIDUAL SP | $76.77 | $255.90 | $28.05–$175.24 | 49% below | 70% |
| Speech therapy session, individual inpatient CPT 92507 TX SPEECH INDIVIDUAL SP | $76.77 | $255.90 | $28.05–$175.24 | — | 70% |
| Spirometry (breathing test) CPT 94010 PFT | $170.06 | $566.85 | $12.81–$56.67 | 18% above | 70% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $170.06 | $566.85 | $12.81–$56.67 | 18% above | 70% |
| Spirometry (breathing test) CPT 94010 SPIROMETRY | $170.06 | $566.85 | $12.81–$56.67 | 18% above | 70% |
| Spirometry (breathing test) CPT 94010 PFT | $170.06 | $566.85 | $12.81–$56.67 | 18% above | 70% |
| Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY | $170.06 | $566.85 | $12.81–$56.67 | — | 70% |
| Spirometry (breathing test) inpatient CPT 94010 PFT | $170.06 | $566.85 | $12.81–$56.67 | — | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE POST | $536.34 | $1,787.80 | $28.35–$98.10 | 57% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST | $536.34 | $1,787.80 | $28.35–$98.10 | 57% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE/POST | $536.34 | $1,787.80 | $28.35–$98.10 | 57% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PFT PRE POST | $536.34 | $1,787.80 | $28.35–$98.10 | 57% above | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE/POST | $536.34 | $1,787.80 | $28.35–$98.10 | — | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT PRE POST | $536.34 | $1,787.80 | $28.35–$98.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS | $35.75 | $119.15 | $22.01–$75.90 | 23% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS | $35.75 | $119.15 | $22.01–$75.90 | 23% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$75.90 | 12% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$75.90 | 12% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$75.90 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$75.90 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIV DIR 15 MIN OT | $58.22 | $194.05 | $22.01–$75.90 | 26% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACTIV DIR 15 MIN OT | $58.22 | $194.05 | $22.01–$75.90 | 26% above | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPUTIC ACTIVITY EA 15 MINS | $35.75 | $119.15 | $22.01–$75.90 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$75.90 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$75.90 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACTIV DIR 15 MIN OT | $58.22 | $194.05 | $22.01–$75.90 | — | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX VAC 50 MCG/0.5ML IM | $275.10 | $917.00 | $178.02–$313.73 | 31% above | 70% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY VAC 30MCG TRS-SUC IM | $247.16 | $823.85 | $159.94–$281.87 | 49% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $6.19–$35.26 | 46% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $6.19–$35.26 | 46% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $6.19–$35.26 | 31% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $6.19–$35.26 | 31% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $6.19–$35.26 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $6.19–$35.26 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $15.46–$157.81 | 84% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $15.46–$157.81 | 84% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $15.46–$157.81 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL VACC 0.5ML | $579.50 | $1,931.65 | $363.61–$640.79 | 88% above | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $98.42–$727.75 | 63% above | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $98.42–$727.75 | 63% above | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $98.42–$727.75 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$82.32 | 9% above | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$82.32 | 9% above | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$82.32 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION RABIES | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION RABIES | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS | $43.88 | $146.25 | $4.06–$52.92 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION RABIES | $43.88 | $146.25 | $4.06–$52.92 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION TETANUS | $43.88 | $146.25 | $4.06–$52.92 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$52.92 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$26.84 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$26.84 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$26.84 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$26.84 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$26.84 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$26.84 | — | 70% |
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.