Candler Hospital
Candler Hospital in Savannah, GA publishes cash prices for 339 common procedures listed here, from its own machine-readable price file updated Jul 1, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Georgia median for 278 of 337 procedures and above it for 57. By typical cash price it ranks #17 of 96 Georgia hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
5353 Reynolds Street, Savannah, GA 31405 Collected Sep 21, 2026 Source price file Check a bill from this hospital (912) 819-5290
Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 110024 · CMS hospital register
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Candler 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 Georgia | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen Wo/W Contrast | $957.90 | $3,193.00 | — | 49% below | 70% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen Wo/W Contrast | $957.90 | $3,193.00 | — | — | 70% |
| Abdominal X-ray, 2 views CPT 74019 Xr Abdomen 2 View | $213.30 | $711.00 | — | 21% below | 70% |
| Abdominal X-ray, 2 views inpatient CPT 74019 Xr Abdomen 2 View | $213.30 | $711.00 | — | — | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle >=3 View - Lt | $196.50 | $655.00 | — | 27% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Xr Ankle >=3 View - Rt | $196.50 | $655.00 | — | 27% below | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle >=3 View - Lt | $196.50 | $655.00 | — | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Xr Ankle >=3 View - Rt | $196.50 | $655.00 | — | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninv Art Study (Sgl Lvl) Uni | $326.40 | $1,088.00 | — | at median | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninv Art Study-1,2 Lvls | $326.40 | $1,088.00 | — | at median | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Abi (W/O Exercise) | $326.40 | $1,088.00 | — | at median | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Art Abi W/Wave Forms & Toe Prs | $360.00 | $1,200.00 | — | 10% above | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Abi (W/O Exercise) | $326.40 | $1,088.00 | — | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninv Art Study (Sgl Lvl) Uni | $326.40 | $1,088.00 | — | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninv Art Study-1,2 Lvls | $326.40 | $1,088.00 | — | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Art Abi W/Wave Forms & Toe Prs | $360.00 | $1,200.00 | — | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 Ct Upper Extrem W/O Cont - Bi | $533.10 | $1,777.00 | — | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extrem W/O Cont - Rt | $391.80 | $1,306.00 | — | 63% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 Ct Upper Extrem W/O Cont - Lt | $391.80 | $1,306.00 | — | 63% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 Ct Upper Extrem W/O Cont - Bi | $533.10 | $1,777.00 | — | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extrem W/O Cont - Lt | $391.80 | $1,306.00 | — | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 Ct Upper Extrem W/O Cont - Rt | $391.80 | $1,306.00 | — | — | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Xr Esophagus | $166.80 | $556.00 | — | 51% below | 70% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xr Esophagus | $166.80 | $556.00 | — | — | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm - Bone Scan Wb | $571.80 | $1,906.00 | — | 55% below | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 Nm - Abscess L0C Wb | $704.40 | $2,348.00 | — | 45% below | 70% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm - Bone Scan Wb | $571.80 | $1,906.00 | — | — | 70% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nm - Abscess L0C Wb | $704.40 | $2,348.00 | — | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 Us Breast Complete - Bi | $281.10 | $937.00 | — | — | 70% |
| Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete Lft | $281.10 | $937.00 | — | 33% below | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete - Rt | $281.10 | $937.00 | — | 33% below | 70% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 Us Breast Complete - Bi | $281.10 | $937.00 | — | — | 70% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 Us Breast Complete Lft | $281.10 | $937.00 | — | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Complete - Rt | $281.10 | $937.00 | — | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 Us Breast Limited Bi | $259.80 | $866.00 | — | — | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited - Rt | $259.80 | $866.00 | — | 25% below | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Lt | $259.80 | $866.00 | — | 25% below | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 Us Breast Limited Bi | $259.80 | $866.00 | — | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Limited - Rt | $259.80 | $866.00 | — | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Limited Lt | $259.80 | $866.00 | — | — | 70% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta Abdomen & Pelvis W&W/O | $1,596.00 | $5,320.00 | — | 30% below | 70% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Cta Abdomen & Pelvis W&W/O | $1,596.00 | $5,320.00 | — | — | 70% |
| CT angiography (CTA) of the head CPT 70496 Ct Angio Head Wo/W Cont | $975.90 | $3,253.00 | — | 38% below | 70% |
| CT angiography (CTA) of the head CPT 70496 Cta Head W/Wo With Ct Head | $975.90 | $3,253.00 | — | 38% below | 70% |
| CT angiography (CTA) of the head CPT 70496 CTA Carotid/Circle of Willis | $1,126.50 | $3,755.00 | — | 29% below | 70% |
| CT angiography (CTA) of the head inpatient CPT 70496 Cta Head W/Wo With Ct Head | $975.90 | $3,253.00 | — | — | 70% |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct Angio Head Wo/W Cont | $975.90 | $3,253.00 | — | — | 70% |
| CT angiography (CTA) of the head inpatient CPT 70496 CTA Carotid/Circle of Willis | $1,126.50 | $3,755.00 | — | — | 70% |
| CT angiography (CTA) of the neck CPT 70498 Cta Angio Neck Wo/W Cont | $975.90 | $3,253.00 | — | 42% below | 70% |
| CT angiography (CTA) of the neck CPT 70498 Cta Neck Parathyroid Wo/W Cont | $975.90 | $3,253.00 | — | 42% below | 70% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Angio Neck Wo/W Cont | $975.90 | $3,253.00 | — | — | 70% |
| CT angiography (CTA) of the neck inpatient CPT 70498 Cta Neck Parathyroid Wo/W Cont | $975.90 | $3,253.00 | — | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Pulmonary Vein Study | $1,223.10 | $4,077.00 | — | 17% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest W/Contrast | $1,223.10 | $4,077.00 | — | 17% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest For Tavr | $1,223.10 | $4,077.00 | — | 17% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Cta Chest Pe Protocol | $1,223.10 | $4,077.00 | — | 17% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angio Chest Wo/W Cont | $1,223.10 | $4,077.00 | — | 17% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest W/Contrast | $1,223.10 | $4,077.00 | — | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Pulmonary Vein Study | $1,223.10 | $4,077.00 | — | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest For Tavr | $1,223.10 | $4,077.00 | — | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Cta Chest Pe Protocol | $1,223.10 | $4,077.00 | — | — | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angio Chest Wo/W Cont | $1,223.10 | $4,077.00 | — | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ccta W/Contrast | $912.00 | $3,040.00 | — | 17% above | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ccta W/ Calcium Scoring | $912.00 | $3,040.00 | — | 17% above | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ccta W/O Calcium Scoring | $1,347.60 | $4,492.00 | — | 73% above | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ccta Strxr W/Calcium Scor | $1,347.60 | $4,492.00 | — | 73% above | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ccta Strxr W/O Calcium Scor | $1,347.60 | $4,492.00 | — | 73% above | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ccta W/Contrast | $912.00 | $3,040.00 | — | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ccta W/ Calcium Scoring | $912.00 | $3,040.00 | — | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ccta Strxr W/O Calcium Scor | $1,347.60 | $4,492.00 | — | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ccta W/O Calcium Scoring | $1,347.60 | $4,492.00 | — | — | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ccta Strxr W/Calcium Scor | $1,347.60 | $4,492.00 | — | — | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Screening Calcium Scoring | $52.50 | $175.00 | — | 48% below | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Cardiac Ct Gated W/O Contrast | $296.70 | $989.00 | — | 197% above | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Heart W/O Dye W/Calc Scorin | $296.70 | $989.00 | — | 197% above | 70% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Screening Calcium Scoring | $52.50 | $175.00 | — | — | 70% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Heart W/O Dye W/Calc Scorin | $296.70 | $989.00 | — | — | 70% |
| CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Cardiac Ct Gated W/O Contrast | $296.70 | $989.00 | — | — | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abdomen&Pelvis W/O Cont | $1,282.50 | $4,275.00 | — | 39% below | 70% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abdomen&Pelvis W/O Cont | $1,282.50 | $4,275.00 | — | — | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abdomen & Pelvis W Contrast | $1,539.00 | $5,130.00 | — | 36% below | 70% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abdomen & Pelvis W Contrast | $1,539.00 | $5,130.00 | — | — | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abdomen&Pelvis 1-2 W/Wo Con | $1,653.00 | $5,510.00 | — | 44% below | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abdomen&Pelvis 1-2 W/Wo Con | $1,653.00 | $5,510.00 | — | — | 70% |
| CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/Contrast | $862.20 | $2,874.00 | — | 49% below | 70% |
| CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/Contrast | $862.20 | $2,874.00 | — | — | 70% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen Kidne Stne W/O C | $852.00 | $2,840.00 | — | 32% below | 70% |
| CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Contrast | $852.00 | $2,840.00 | — | 32% below | 70% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen Kidne Stne W/O C | $852.00 | $2,840.00 | — | — | 70% |
| CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Contrast | $852.00 | $2,840.00 | — | — | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillo Facial W/O Contrast | $565.20 | $1,884.00 | — | 45% below | 70% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillo Facial W/O Contrast | $565.20 | $1,884.00 | — | — | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct Brain Wo Contrast - Stroke | $449.10 | $1,497.00 | — | 62% below | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct - Brain W/O Contrast | $449.10 | $1,497.00 | — | 62% below | 70% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct - Brain W/O Contrast | $449.10 | $1,497.00 | — | — | 70% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Brain Wo Contrast - Stroke | $449.10 | $1,497.00 | — | — | 70% |
| CT scan of the head with contrast CPT 70460 Ct - Brain W/Contrast | $612.90 | $2,043.00 | — | 57% below | 70% |
| CT scan of the head with contrast inpatient CPT 70460 Ct - Brain W/Contrast | $612.90 | $2,043.00 | — | — | 70% |
| CT scan of the head without and with contrast CPT 70470 Ct - Brain Wo/W Contrast | $726.60 | $2,422.00 | — | 61% below | 70% |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct - Brain Wo/W Contrast | $726.60 | $2,422.00 | — | — | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Spine Lumbar W/O Contrast | $451.50 | $1,505.00 | — | 65% below | 70% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Spine Lumbar W/O Contrast | $451.50 | $1,505.00 | — | — | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Spine Cervical W/O Contrast | $465.30 | $1,551.00 | — | 61% below | 70% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Spine Cervical W/O Contrast | $465.30 | $1,551.00 | — | — | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/Contrast | $733.20 | $2,444.00 | — | 54% below | 70% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/Contrast | $733.20 | $2,444.00 | — | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid: Bil Duplxxtracan Scan | $656.40 | $2,188.00 | — | 26% above | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid:Bil Duplxxtracan Scan | $656.40 | $2,188.00 | — | 26% above | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Carotid: Bil Duplxxtracan Scan | $656.40 | $2,188.00 | — | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Carotid:Bil Duplxxtracan Scan | $656.40 | $2,188.00 | — | — | 70% |
| Chest CT scan without and with contrast CPT 71270 Ct Thorax Wo/W Contrast | $889.20 | $2,964.00 | — | 47% below | 70% |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Thorax Wo/W Contrast | $889.20 | $2,964.00 | — | — | 70% |
| Chest X-ray, 2 views CPT 71046 Xr Chest 2V | $156.00 | $520.00 | — | 31% below | 70% |
| Chest X-ray, 2 views CPT 71046 Xr Chest Flouro 2Vw Frnt&Latrl | $178.80 | $596.00 | — | 21% below | 70% |
| Chest X-ray, 2 views CPT 71046 Xr Chest Oblique Projectn 2Viw | $178.80 | $596.00 | — | 21% below | 70% |
| Chest X-ray, 2 views one side CPT 71046 Xr Chest Decubitus/2Vw - Left | $178.80 | $596.00 | — | 21% below | 70% |
| Chest X-ray, 2 views one side CPT 71046 Xr Chest Decubitus 2Vw - Right | $178.80 | $596.00 | — | 21% below | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest 2V | $156.00 | $520.00 | — | — | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Oblique Projectn 2Viw | $178.80 | $596.00 | — | — | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 Xr Chest Flouro 2Vw Frnt&Latrl | $178.80 | $596.00 | — | — | 70% |
| Chest X-ray, 2 views inpatient one side CPT 71046 Xr Chest Decubitus/2Vw - Left | $178.80 | $596.00 | — | — | 70% |
| Chest X-ray, 2 views inpatient one side CPT 71046 Xr Chest Decubitus 2Vw - Right | $178.80 | $596.00 | — | — | 70% |
| Chest X-ray, single view CPT 71045 Xr Chest Single View | $168.90 | $563.00 | — | at median | 70% |
| Chest X-ray, single view CPT 71045 Xr Chest - Lordotic/Sngl Vw | $168.90 | $563.00 | — | at median | 70% |
| Chest X-ray, single view CPT 71045 Xr Chest Portable | $168.90 | $563.00 | — | at median | 70% |
| Chest X-ray, single view CPT 71045 Chest Xray - 1 View Frontal | $168.90 | $563.00 | — | at median | 70% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest Single View | $168.90 | $563.00 | — | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 Chest Xray - 1 View Frontal | $168.90 | $563.00 | — | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest Portable | $168.90 | $563.00 | — | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 Xr Chest - Lordotic/Sngl Vw | $168.90 | $563.00 | — | — | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr - Clavicle: Rt | $176.40 | $588.00 | — | 27% below | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Xr Clavicle: Lt | $176.40 | $588.00 | — | 27% below | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Xr Clavicle: Lt | $176.40 | $588.00 | — | — | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Xr - Clavicle: Rt | $176.40 | $588.00 | — | — | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Renal Ultrasound | $292.20 | $974.00 | — | 42% below | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal Ultrasound | $292.20 | $974.00 | — | — | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Study | $68.40 | $228.00 | — | 82% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Bone Density Study | $68.40 | $228.00 | — | — | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Dexa Bone Dens -Forearm | $66.30 | $221.00 | — | 64% below | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Dexa Bone Dens -Forearm | $66.30 | $221.00 | — | — | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Ob Detailed Single Fetus | $179.70 | $599.00 | — | 44% below | 70% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Us Ob Detailed Single Fetus | $179.70 | $599.00 | — | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct-Thorax W/O Contrast | $445.20 | $1,484.00 | — | 56% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct-Thorax W/O Contrast | $445.20 | $1,484.00 | — | — | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/Contrast | $735.60 | $2,452.00 | — | 52% below | 70% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax W/Contrast | $735.60 | $2,452.00 | — | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Digi Mam Diag Bi W/Cad | $151.20 | $504.00 | — | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 Digi Mam Diag Bi W/Cad&Mag | $151.20 | $504.00 | — | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digi Mam Diag Bi W/Cad | $151.20 | $504.00 | — | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Digi Mam Diag Bi W/Cad&Mag | $151.20 | $504.00 | — | — | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 Digi Mammo Diag Uni Rt W/Cad | $146.70 | $489.00 | — | 40% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 Digi Mammo Diag Uni Lt W/Cad | $146.70 | $489.00 | — | 40% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 Digi Mam Diag Uni Rt W/Cad&Mag | $146.70 | $489.00 | — | 40% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 Digi Mam Diag Uni Lt W/Cad&Mag | $146.70 | $489.00 | — | 40% below | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digi Mam Diag Uni Rt W/Cad&Mag | $146.70 | $489.00 | — | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digi Mammo Diag Uni Lt W/Cad | $146.70 | $489.00 | — | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digi Mam Diag Uni Lt W/Cad&Mag | $146.70 | $489.00 | — | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Digi Mammo Diag Uni Rt W/Cad | $146.70 | $489.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplx Art Groin Complt - Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplx Art Bypas Grf Lwr Ext-Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplx Art Lwxtr Dig Compl-Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 Duplex Art Lower Ext Bil | $282.00 | $940.00 | — | 52% below | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplx Art Bypas Grf Lwr Ext-Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplx Art Lwxtr Dig Compl-Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplx Art Groin Complt - Bi | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Duplex Art Lower Ext Bil | $282.00 | $940.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous: Upper Extr Mapping- Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Duplx:Saphenous Map-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Extrm Duplx Arm - Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Upper & Lower Extrm Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous: Upper Extr Mapping-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Upper Extrem Venous-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Jugular Vein Doppler Bilateral | $329.40 | $1,098.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Venous Doppler Reflux Study-Bi | $655.20 | $2,184.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Venous Doppler Lower Ext - Bil | $324.90 | $1,083.00 | — | 66% below | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Duplx:Saphenous Map-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Extrm Duplx Arm - Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Upper & Lower Extrm Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous: Upper Extr Mapping-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous: Upper Extr Mapping- Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Upper Extrem Venous-Bi | $324.90 | $1,083.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Jugular Vein Doppler Bilateral | $329.40 | $1,098.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Venous Doppler Reflux Study-Bi | $655.20 | $2,184.00 | — | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Venous Doppler Lower Ext - Bil | $324.90 | $1,083.00 | — | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo M-Mode/Doppler/Color | $620.40 | $2,068.00 | — | 60% below | 70% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo M-Mode/Doppler/Color | $620.40 | $2,068.00 | — | — | 70% |
| Elbow X-ray, 2 views one side CPT 73070 Xr Elbow 2 Views - Lt | $206.70 | $689.00 | — | 7% above | 70% |
| Elbow X-ray, 2 views one side CPT 73070 Elbow 2 Views - Rt | $206.70 | $689.00 | — | 7% above | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Xr Elbow 2 Views - Lt | $206.70 | $689.00 | — | — | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow 2 Views - Rt | $206.70 | $689.00 | — | — | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr Elbow >=3 Views - Lt | $213.90 | $713.00 | — | 18% below | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Xr Elbow >=3 Views - Rt | $213.90 | $713.00 | — | 18% below | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Xr Elbow >=3 Views - Lt | $213.90 | $713.00 | — | — | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Xr Elbow >=3 Views - Rt | $213.90 | $713.00 | — | — | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct-Orbit/Sella/Ear W/Ocontrast | $540.60 | $1,802.00 | — | 50% below | 70% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct-Orbit/Sella/Ear W/Ocontrast | $540.60 | $1,802.00 | — | — | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones Complete | $195.00 | $650.00 | — | 36% below | 70% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones Complete | $195.00 | $650.00 | — | — | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2 View - Rt | $186.30 | $621.00 | — | 14% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Xr Forearm 2 View - Lt | $186.30 | $621.00 | — | 14% below | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2 View - Lt | $186.30 | $621.00 | — | — | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Xr Forearm 2 View - Rt | $186.30 | $621.00 | — | — | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Nm - Hida (Hepatobiliary Scan) | $1,244.10 | $4,147.00 | — | 3% below | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Nm - Hida (Hepatobiliary Scan) | $1,244.10 | $4,147.00 | — | — | 70% |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2 Views - Rt | $178.20 | $594.00 | — | 17% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 Xr Hand 2 Views - Lt | $178.20 | $594.00 | — | 17% below | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Xr Hand 2 Views - Lt | $178.20 | $594.00 | — | — | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 Xr Hand 2 Views - Rt | $178.20 | $594.00 | — | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Heel >= 2.0 Views - Lt | $210.30 | $701.00 | — | 3% above | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Xr Heel >=2 Views- Rt | $210.30 | $701.00 | — | 3% above | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Xr Heel >=2 Views- Rt | $210.30 | $701.00 | — | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Xr Heel >= 2.0 Views - Lt | $210.30 | $701.00 | — | — | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older both sides CPT 95811 Psg W/Cpap/Bi Pap | $1,974.00 | $6,580.00 | — | — | 70% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient both sides CPT 95811 Psg W/Cpap/Bi Pap | $1,974.00 | $6,580.00 | — | — | 70% |
| Knee X-ray, 3 views both sides CPT 73562 Xr Knee 3 View - Bi | $355.20 | $1,184.00 | — | — | 70% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 View - Rt | $174.00 | $580.00 | — | 27% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 Xr Knee 3 View - Lt | $174.00 | $580.00 | — | 27% below | 70% |
| Knee X-ray, 3 views inpatient both sides CPT 73562 Xr Knee 3 View - Bi | $355.20 | $1,184.00 | — | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3 View - Lt | $174.00 | $580.00 | — | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 Xr Knee 3 View - Rt | $174.00 | $580.00 | — | — | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Patella - Lt | $214.80 | $716.00 | — | 21% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Knee 4 View Min - Lt | $214.80 | $716.00 | — | 21% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Knee 4 View Min - Rt | $214.80 | $716.00 | — | 21% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Xr Patella 4 View- Rt | $214.80 | $716.00 | — | 21% below | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr Patella - Lt | $214.80 | $716.00 | — | — | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr Knee 4 View Min - Rt | $214.80 | $716.00 | — | — | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr Patella 4 View- Rt | $214.80 | $716.00 | — | — | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Xr Knee 4 View Min - Lt | $214.80 | $716.00 | — | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Lower Extrem W/O Cont - Bil | $544.20 | $1,814.00 | — | 47% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extrem W/O Cont - Lt | $384.60 | $1,282.00 | — | 63% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 Ct Lower Extrem W/O Cont - Rt | $384.60 | $1,282.00 | — | 63% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Lower Extrem W/O Cont - Bil | $544.20 | $1,814.00 | — | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extrem W/O Cont - Rt | $384.60 | $1,282.00 | — | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 Ct Lower Extrem W/O Cont - Lt | $384.60 | $1,282.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Soft Tissue Lower Back | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Soft Tissue Abdominal Wall | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us - Abdomen Limited | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Aorta Abdomen Deep | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us - Appendix | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us - Diaphragm | $222.60 | $742.00 | — | 54% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us - Appendix | $222.60 | $742.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Soft Tissue Lower Back | $222.60 | $742.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us - Diaphragm | $222.60 | $742.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Soft Tissue Abdominal Wall | $222.60 | $742.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us - Abdomen Limited | $222.60 | $742.00 | — | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Aorta Abdomen Deep | $222.60 | $742.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Extrem Nonvascular Limited | $204.60 | $682.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Extremity Non-Vasc Ltd - Lt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ext Superficial Nonvasc Lt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ext Superficial Nonvasc Rt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Inguinal Canal - Left | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Inguinal Canal - Right | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ltd Nonvasc Extremity: Lt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Ltd Non-Vasc Extremity: Rt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Us Extremity Non-Vasc Ltd - Rt | $204.30 | $681.00 | — | 52% below | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Extrem Nonvascular Limited | $204.60 | $682.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Inguinal Canal - Left | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ext Superficial Nonvasc Rt | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Inguinal Canal - Right | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ltd Non-Vasc Extremity: Rt | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Extremity Non-Vasc Ltd - Lt | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ltd Nonvasc Extremity: Lt | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Ext Superficial Nonvasc Lt | $204.30 | $681.00 | — | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Us Extremity Non-Vasc Ltd - Rt | $204.30 | $681.00 | — | — | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct-Chest Lowdose Lung Followup | $91.20 | $304.00 | — | 64% below | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct-Low Dose Lung Ca Screen | $91.20 | $304.00 | — | 64% below | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct-Low Dose Lung Ca Screen | $91.20 | $304.00 | — | — | 70% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct-Chest Lowdose Lung Followup | $91.20 | $304.00 | — | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 X-Ray Tibia&Fibula 2Vws- Bi | $300.00 | $1,000.00 | — | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tibia&Fibula 2Vews- Lt | $201.00 | $670.00 | — | 16% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Xr Tibia&Fibula 2Vews - Rt | $201.00 | $670.00 | — | 16% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 X-Ray Tibia&Fibula 2Vws- Bi | $300.00 | $1,000.00 | — | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Tibia&Fibula 2Vews - Rt | $201.00 | $670.00 | — | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Xr Tibia&Fibula 2Vews- Lt | $201.00 | $670.00 | — | — | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $576.30 | $1,921.00 | — | 63% below | 70% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $576.30 | $1,921.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 Mri Lower Ext Jnt W/O Cont -Bi | $1,456.50 | $4,855.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Lower Ext Jnt W/O Cont -Lt | $885.90 | $2,953.00 | — | 42% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Lower Ext Jnt W/O Cont -Rt | $885.90 | $2,953.00 | — | 42% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 Mri Lower Ext Jnt W/O Cont -Bi | $1,456.50 | $4,855.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Lower Ext Jnt W/O Cont -Lt | $885.90 | $2,953.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Lower Ext Jnt W/O Cont -Rt | $885.90 | $2,953.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Bi | $1,995.00 | $6,650.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Rt | $1,613.70 | $5,379.00 | — | 36% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Lt | $1,613.70 | $5,379.00 | — | 36% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Bi | $1,995.00 | $6,650.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Rt | $1,613.70 | $5,379.00 | — | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Lower Ext Jnt Wo/W Cont-Lt | $1,613.70 | $5,379.00 | — | — | 70% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast | $1,011.60 | $3,372.00 | — | 45% below | 70% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen Ltd W/O Contrast | $1,011.60 | $3,372.00 | — | 45% below | 70% |
| MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Cont W/Mrcp | $1,529.10 | $5,097.00 | — | 17% below | 70% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen Ltd W/O Contrast | $1,011.60 | $3,372.00 | — | — | 70% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast | $1,011.60 | $3,372.00 | — | — | 70% |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Cont W/Mrcp | $1,529.10 | $5,097.00 | — | — | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen Wo/W Contrast | $1,740.30 | $5,801.00 | — | 18% below | 70% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen Wo/W Contrast | $1,740.30 | $5,801.00 | — | — | 70% |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain/Brain Stem W/O Contr | $708.90 | $2,363.00 | — | 53% below | 70% |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain/Brain Stem W/O Contr | $708.90 | $2,363.00 | — | — | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain/Brain Stem Wo/W Con | $1,507.20 | $5,024.00 | — | 37% below | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Pituitary Wo/W Contrast | $1,507.20 | $5,024.00 | — | 37% below | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Iacs Wo/W Contrast | $1,507.20 | $5,024.00 | — | 37% below | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain/Brain Stem Wo/W Con | $1,507.20 | $5,024.00 | — | — | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Iacs Wo/W Contrast | $1,507.20 | $5,024.00 | — | — | 70% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Pituitary Wo/W Contrast | $1,507.20 | $5,024.00 | — | — | 70% |
| MRI of the lower back, no contrast dye CPT 72148 Mri Lumbar Spine W/O Cont | $666.60 | $2,222.00 | — | 61% below | 70% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Lumbar Spine W/O Cont | $666.60 | $2,222.00 | — | — | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine Wo/W Cont | $1,320.30 | $4,401.00 | — | 44% below | 70% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine Wo/W Cont | $1,320.30 | $4,401.00 | — | — | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Cont | $718.50 | $2,395.00 | — | 59% below | 70% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Cont | $718.50 | $2,395.00 | — | — | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cervical Spine Wo/W Contr | $1,561.80 | $5,206.00 | — | 34% below | 70% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cervical Spine Wo/W Contr | $1,561.80 | $5,206.00 | — | — | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Cervical Spine W/O Cont | $654.00 | $2,180.00 | — | 63% below | 70% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Cervical Spine W/O Cont | $654.00 | $2,180.00 | — | — | 70% |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis Wo/W Contrast | $1,752.30 | $5,841.00 | — | 17% below | 70% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis Wo/W Contrast | $1,752.30 | $5,841.00 | — | — | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast | $861.60 | $2,872.00 | — | 50% below | 70% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast | $861.60 | $2,872.00 | — | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 Mri Upper Ext Jnt W/O Cont -Bi | $912.00 | $3,040.00 | — | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Jnt W/O Cont -Rt | $803.10 | $2,677.00 | — | 48% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Upper Ext Jnt W/O Cont -Lt | $803.10 | $2,677.00 | — | 48% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 Mri Upper Ext Jnt W/O Cont -Bi | $912.00 | $3,040.00 | — | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Upper Ext Jnt W/O Cont -Rt | $803.10 | $2,677.00 | — | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Upper Ext Jnt W/O Cont -Lt | $803.10 | $2,677.00 | — | — | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Spine Cervical - 4 View Min | $177.90 | $593.00 | — | 58% below | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Spine Cervical - 4 View Min | $177.90 | $593.00 | — | — | 70% |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Neck W/Contrast | $824.10 | $2,747.00 | — | 46% below | 70% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Neck W/Contrast | $824.10 | $2,747.00 | — | — | 70% |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Neck W/O Contrast | $587.40 | $1,958.00 | — | 41% below | 70% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Neck W/O Contrast | $587.40 | $1,958.00 | — | — | 70% |
| Neck soft tissue X-ray CPT 70360 Xr -Neck Soft Tissue | $134.70 | $449.00 | — | 33% below | 70% |
| Neck soft tissue X-ray inpatient CPT 70360 Xr -Neck Soft Tissue | $134.70 | $449.00 | — | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nm - Myocardial Spect Multiple | $2,846.40 | $9,488.00 | — | 1% below | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nm - Myocardial Spect Multiple | $2,846.40 | $9,488.00 | — | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Skull-Thigh Sub | $2,866.20 | $9,554.00 | — | 19% below | 70% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet/Ct Skull-Thigh Initial | $2,866.20 | $9,554.00 | — | 19% below | 70% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Skull-Thigh Initial | $2,866.20 | $9,554.00 | — | — | 70% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Pet/Ct Skull-Thigh Sub | $2,866.20 | $9,554.00 | — | — | 70% |
| Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Contrast | $441.60 | $1,472.00 | — | 65% below | 70% |
| Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Contrast | $441.60 | $1,472.00 | — | — | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Soft Tiss Pelvic Wall-Ltd | $319.50 | $1,065.00 | — | 4% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Soft Tissue Buttock-Ltd | $319.50 | $1,065.00 | — | 4% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Soft Tissue Buttock-Ltd | $319.50 | $1,065.00 | — | — | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Soft Tiss Pelvic Wall-Ltd | $319.50 | $1,065.00 | — | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Us Complete- For Driver | $215.10 | $717.00 | — | 55% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic Complete | $215.10 | $717.00 | — | 55% below | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Us Complete- For Driver | $215.10 | $717.00 | — | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvic Complete | $215.10 | $717.00 | — | — | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Ob Singl Gest-2/3 Trimester | $228.00 | $760.00 | — | 58% below | 70% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US 2/3 Trimester | $240.00 | $800.00 | — | 56% below | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Ob Singl Gest-2/3 Trimester | $228.00 | $760.00 | — | — | 70% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US 2/3 Trimester | $240.00 | $800.00 | — | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob Us < 14 Wks Single Fetus | $263.40 | $878.00 | — | 45% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob Singl Gest 1St Trimester | $263.40 | $878.00 | — | 45% below | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ob Us < 14 Wks Single Fetus | $263.40 | $878.00 | — | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Ob Singl Gest 1St Trimester | $263.40 | $878.00 | — | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob Limited/Emergency/Position | $179.40 | $598.00 | — | 37% below | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ob Limited/Emergency/Position | $179.40 | $598.00 | — | — | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs: Unilateral - Rt | $211.50 | $705.00 | — | 8% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 Ribs: Unilateral - Lt | $211.50 | $705.00 | — | 8% below | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs: Unilateral - Rt | $211.50 | $705.00 | — | — | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 Ribs: Unilateral - Lt | $211.50 | $705.00 | — | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Xr Chest Ribs >= 3 View - Rt | $211.50 | $705.00 | — | 29% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Chest Ribs Unilat - Lt | $255.90 | $853.00 | — | 15% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Xr Chest Ribs >= 3 View - Rt | $211.50 | $705.00 | — | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Chest Ribs Unilat - Lt | $255.90 | $853.00 | — | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 Screen Mammo Bi W/Cad&Implant | $151.20 | $504.00 | — | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 Screen Mammo Bi W/Cad | $151.20 | $504.00 | — | — | 70% |
| Screening mammogram, both breasts one side CPT 77067 Screen Mammo Uni Lt W/Cad | $137.40 | $458.00 | — | 39% below | 70% |
| Screening mammogram, both breasts one side CPT 77067 Screen Mammo Uni Rt W/Cad | $137.40 | $458.00 | — | 39% below | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screen Mammo Bi W/Cad&Implant | $151.20 | $504.00 | — | — | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 Screen Mammo Bi W/Cad | $151.20 | $504.00 | — | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Screen Mammo Uni Rt W/Cad | $137.40 | $458.00 | — | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 Screen Mammo Uni Lt W/Cad | $137.40 | $458.00 | — | — | 70% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 Xr Shoulder 2 View Min -Bi | $347.70 | $1,159.00 | — | — | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2 View Min -Lt | $177.90 | $593.00 | — | 18% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Xr Shoulder 2 View Min -Rt | $215.10 | $717.00 | — | 1% below | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 Xr Shoulder 2 View Min -Bi | $347.70 | $1,159.00 | — | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder 2 View Min -Lt | $177.90 | $593.00 | — | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Xr Shoulder 2 View Min -Rt | $215.10 | $717.00 | — | — | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses Paranasal Complete | $234.60 | $782.00 | — | 30% below | 70% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses Paranasal Complete | $234.60 | $782.00 | — | — | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 Skull Limited | $198.60 | $662.00 | — | 7% below | 70% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull Limited | $198.60 | $662.00 | — | — | 70% |
| Sleep study in a lab (polysomnography) CPT 95810 Psg W/4 Or More Parameters | $1,907.40 | $6,358.00 | — | 12% below | 70% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Psg W/4 Or More Parameters | $1,907.40 | $6,358.00 | — | — | 70% |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echo W/ Contin Monitor | $1,391.10 | $4,637.00 | — | 14% above | 70% |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echo W/ Contin Monitor | $1,391.10 | $4,637.00 | — | — | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Barium Swallow Mod/Video | $226.20 | $754.00 | — | 31% below | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Esophagus W/Mod Barium Swallow | $226.20 | $754.00 | — | 31% below | 70% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Esophagus W/Mod Barium Swallow | $226.20 | $754.00 | — | — | 70% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Barium Swallow Mod/Video | $226.20 | $754.00 | — | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 Xr Femur Min 2 Views - Bi | $224.70 | $749.00 | — | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur Min 2 Views - Rt | $193.50 | $645.00 | — | 14% below | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Xr Femur Min 2 Views - Lt | $193.50 | $645.00 | — | 14% below | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 Xr Femur Min 2 Views - Bi | $224.70 | $749.00 | — | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Xr Femur Min 2 Views - Lt | $193.50 | $645.00 | — | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Xr Femur Min 2 Views - Rt | $193.50 | $645.00 | — | — | 70% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Spine Thoracic W/O Contrast | $463.80 | $1,546.00 | — | 64% below | 70% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Spine Thoracic W/O Contrast | $463.80 | $1,546.00 | — | — | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe(S) Rt Foot >=2Views-Rt | $171.90 | $573.00 | — | 5% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 Xr Toe(S) Lt Foot >=2Views- Lt | $171.90 | $573.00 | — | 5% below | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr Toe(S) Rt Foot >=2Views-Rt | $171.90 | $573.00 | — | — | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Xr Toe(S) Lt Foot >=2Views- Lt | $171.90 | $573.00 | — | — | 70% |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal Non-Ob Us | $207.00 | $690.00 | — | 58% below | 70% |
| Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal Add Non-Ob | $207.00 | $690.00 | — | 58% below | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal Add Non-Ob | $207.00 | $690.00 | — | — | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal Non-Ob Us | $207.00 | $690.00 | — | — | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 Us Transvag: Pregnant Uterus | $235.50 | $785.00 | — | 39% below | 70% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Transvag: Pregnant Uterus | $235.50 | $785.00 | — | — | 70% |
| Ultrasound of the abdomen, complete CPT 76700 Us- Abdomen General (Complete) | $243.90 | $813.00 | — | 67% below | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Us- Abdomen General (Complete) | $243.90 | $813.00 | — | — | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 Us Testicular Scrotum&Contents | $362.10 | $1,207.00 | — | 40% below | 70% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Testicular Scrotum&Contents | $362.10 | $1,207.00 | — | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us - Thyroid | $231.60 | $772.00 | — | 62% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head And Neck - Adult | $231.60 | $772.00 | — | 62% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Soft Tissue Neck | $231.60 | $772.00 | — | 62% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us - Thyroid | $231.60 | $772.00 | — | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Soft Tissue Neck | $231.60 | $772.00 | — | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Head And Neck - Adult | $231.60 | $772.00 | — | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi Single Contrast | $195.00 | $650.00 | — | 50% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xr Ugi W/Kub | $195.00 | $650.00 | — | 50% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Barium Swallow W/Ugi | $195.90 | $653.00 | — | 50% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi Small Bowel Double | $195.90 | $653.00 | — | 50% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Ugi Small Bowel Single | $1,036.20 | $3,454.00 | — | 164% above | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi Single Contrast | $195.00 | $650.00 | — | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xr Ugi W/Kub | $195.00 | $650.00 | — | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi Small Bowel Double | $195.90 | $653.00 | — | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Barium Swallow W/Ugi | $195.90 | $653.00 | — | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Ugi Small Bowel Single | $1,036.20 | $3,454.00 | — | — | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus >=2 Views - Lt | $200.10 | $667.00 | — | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Xr Humerus >= 2 Views- Rt | $200.10 | $667.00 | — | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Xr Humerus >= 2 Views- Rt | $200.10 | $667.00 | — | — | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Xr Humerus >=2 Views - Lt | $200.10 | $667.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Intraop Venous Doppler - R Leg | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Intraop Venous Doppler - L Leg | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Upper Extr Mapping-Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Jugular Vein Doppler Uni- Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex/Reflux Extrem - Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex/Reflux Extrem - Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Upper Extr Mapping- Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Jugular Vein Doppler Uni- Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Upper Extrem Venous Uni- Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Saphenous Mapping - Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Upper Extrem Venous Uni- Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Saphenous Mapping - Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex/Reflux Extrem- Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Doppler Lower Ext - Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Upper Extr Mapping-Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous: Upper Ext Mapping- Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Arm Unilat - Lt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Us Duplex/Reflus Extrem - Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Arm Unilat - Rt | $258.30 | $861.00 | — | 57% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Venous Doppler Lower Ext - Rt | $261.90 | $873.00 | — | 56% below | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Intraop Venous Doppler - L Leg | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Intraop Venous Doppler - R Leg | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Upper Extrem Venous Uni- Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Upper Ext Mapping- Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Upper Extr Mapping- Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Duplex/Reflus Extrem - Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Duplex/Reflux Extrem- Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Duplex/Reflux Extrem - Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Upper Extrem Venous Uni- Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Us Duplex/Reflux Extrem - Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Doppler Lower Ext - Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Upper Extr Mapping-Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Upper Extr Mapping-Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Arm Unilat - Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Arm Unilat - Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Saphenous Mapping - Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous: Saphenous Mapping - Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Jugular Vein Doppler Uni- Lt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Jugular Vein Doppler Uni- Rt | $258.30 | $861.00 | — | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Venous Doppler Lower Ext - Rt | $261.90 | $873.00 | — | — | 70% |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2 View - Rt | $202.50 | $675.00 | — | 7% above | 70% |
| Wrist X-ray, 2 views one side CPT 73100 Xr Wrist 2 View - Lt | $202.50 | $675.00 | — | 7% above | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Xr Wrist 2 View - Lt | $202.50 | $675.00 | — | — | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Xr Wrist 2 View - Rt | $202.50 | $675.00 | — | — | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist >=3 View - Rt | $175.80 | $586.00 | — | 25% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Xr Wrist >=3 View - Lt | $175.80 | $586.00 | — | 25% below | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist >=3 View - Rt | $175.80 | $586.00 | — | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Xr Wrist >=3 View - Lt | $175.80 | $586.00 | — | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Rt W/Pelvis 2-3 Views | $215.70 | $719.00 | — | 14% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Xr Hip Lt W/Pelvis 2-3 Views | $261.30 | $871.00 | — | 38% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip Rt W/Pelvis 2-3 Views | $215.70 | $719.00 | — | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Xr Hip Lt W/Pelvis 2-3 Views | $261.30 | $871.00 | — | — | 70% |
| X-ray of the abdomen, 1 view CPT 74018 Abdomen 1 View | $143.40 | $478.00 | — | 33% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 Kub | $154.50 | $515.00 | — | 28% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 Xr Abdomen Complete/Kub | $235.50 | $785.00 | — | 9% above | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Abdomen 1 View | $143.40 | $478.00 | — | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Kub | $154.50 | $515.00 | — | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Xr Abdomen Complete/Kub | $235.50 | $785.00 | — | — | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 View - Lt | $202.80 | $676.00 | — | 4% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 Xr Ankle 2 View - Rt | $202.80 | $676.00 | — | 4% below | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr Ankle 2 View - Rt | $202.80 | $676.00 | — | — | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 Xr Ankle 2 View - Lt | $202.80 | $676.00 | — | — | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(S)/Thumb>=2Views-Rt | $164.40 | $548.00 | — | 17% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Xr Finger(S)/Thumb >=2Views-Lt | $164.40 | $548.00 | — | 17% below | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger(S)/Thumb>=2Views-Rt | $164.40 | $548.00 | — | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Xr Finger(S)/Thumb >=2Views-Lt | $164.40 | $548.00 | — | — | 70% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 View Lt | $207.00 | $690.00 | — | 12% above | 70% |
| X-ray of the foot, 2 views one side CPT 73620 Xr Foot 2 View - Rt | $207.00 | $690.00 | — | 12% above | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr Foot 2 View - Rt | $207.00 | $690.00 | — | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 Xr Foot 2 View Lt | $207.00 | $690.00 | — | — | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot >=3.0 Views Lt | $218.10 | $727.00 | — | 16% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Xr Foot >=3 View - Rt | $264.00 | $880.00 | — | 2% above | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot >=3.0 Views Lt | $218.10 | $727.00 | — | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Xr Foot >=3 View - Rt | $264.00 | $880.00 | — | — | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand >=3 Views - Lt | $182.70 | $609.00 | — | 14% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 Xr Hand >=3 Views - Rt | $221.10 | $737.00 | — | 4% above | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand >=3 Views - Lt | $182.70 | $609.00 | — | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Xr Hand >=3 Views - Rt | $221.10 | $737.00 | — | — | 70% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 Xr Knee 1 Or 2 View - Bi | $273.30 | $911.00 | — | — | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 View - Lt | $182.40 | $608.00 | — | 8% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Xr Knee 1 Or 2 View - Rt | $220.80 | $736.00 | — | 12% above | 70% |
| X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Xr Knee 1 Or 2 View - Bi | $273.30 | $911.00 | — | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1 Or 2 View - Lt | $182.40 | $608.00 | — | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Xr Knee 1 Or 2 View - Rt | $220.80 | $736.00 | — | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Spine Lumbar - 2 Or 3 Views | $285.00 | $950.00 | — | 17% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Spine Lumbar - 2 Or 3 Views | $285.00 | $950.00 | — | — | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 Spine Lumbar 4 View Minimum | $240.60 | $802.00 | — | 48% below | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Spine Lumbar 4 View Minimum | $240.60 | $802.00 | — | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 Spine Thoracic 2 View | $270.00 | $900.00 | — | 1% above | 70% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Spine Thoracic 2 View | $270.00 | $900.00 | — | — | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones Complete | $133.20 | $444.00 | — | 43% below | 70% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones Complete | $133.20 | $444.00 | — | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Spine Cervical - 2 Or 3 Views | $225.90 | $753.00 | — | 21% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Spine Cervical - 2 Or 3 Views | $225.90 | $753.00 | — | — | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Pelvis: Ap | $204.60 | $682.00 | — | 1% below | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Xr Post Op Pelvis 1-2 V | $204.60 | $682.00 | — | 1% below | 70% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Pelvis: Ap | $204.60 | $682.00 | — | — | 70% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xr Post Op Pelvis 1-2 V | $204.60 | $682.00 | — | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xr Sacrum-Coccyx | $214.80 | $716.00 | — | 18% below | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xr Sacrum-Coccyx | $214.80 | $716.00 | — | — | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Acth | $229.20 | $764.00 | — | 33% above | 70% |
| ACTH blood test inpatient CPT 82024 Acth | $229.20 | $764.00 | — | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt, Fibrometer | $28.80 | $96.00 | — | 10% below | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt | $28.80 | $96.00 | — | 10% below | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt - Med Mgmt | $37.20 | $124.00 | — | 16% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt | $28.80 | $96.00 | — | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt, Fibrometer | $28.80 | $96.00 | — | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt - Med Mgmt | $37.20 | $124.00 | — | — | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast, Fibrometer | $30.30 | $101.00 | — | 3% below | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot | $30.30 | $101.00 | — | 3% below | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Ast - Med Mgmt | $37.20 | $124.00 | — | 19% above | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast, Fibrometer | $30.30 | $101.00 | — | — | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot | $30.30 | $101.00 | — | — | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Ast - Med Mgmt | $37.20 | $124.00 | — | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel | $252.90 | $843.00 | — | 9% below | 70% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel | $252.90 | $843.00 | — | — | 70% |
| Albumin blood test CPT 82040 Albumin-Serum,Plasma,Orwholebl | $42.90 | $143.00 | — | 19% above | 70% |
| Albumin blood test CPT 82040 Albumin -Quest | $42.90 | $143.00 | — | 19% above | 70% |
| Albumin blood test inpatient CPT 82040 Albumin -Quest | $42.90 | $143.00 | — | — | 70% |
| Albumin blood test inpatient CPT 82040 Albumin-Serum,Plasma,Orwholebl | $42.90 | $143.00 | — | — | 70% |
| Aldosterone blood test CPT 82088 Aldosterone | $107.70 | $359.00 | — | 34% below | 70% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $107.70 | $359.00 | — | — | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $36.00 | $120.00 | — | 18% below | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase Alkaline -Quest | $36.00 | $120.00 | — | 18% below | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $36.00 | $120.00 | — | — | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase Alkaline -Quest | $36.00 | $120.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 American Beech Tree Ige | $9.90 | $33.00 | — | 65% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lambs Quarter Ea Allergen, Ige | $9.90 | $33.00 | — | 65% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Helminthosporium Ige | $9.90 | $33.00 | — | 65% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed Ige | $9.90 | $33.00 | — | 65% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cherry Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beech Tree | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Trichophyton Mentagrophyte Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whitefish Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coffee Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Kiwi Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pine Nute Ige | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed | $11.40 | $38.00 | — | 60% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Spinach Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honeydew Melon/Cantaloupe Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Watermelon Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ginger Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Red Snapper Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Stemphylium Botryosum Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium Moniliforme Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia Lunata Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aureobasidium Pullulans Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rhizopus Nigricans Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Black Bean Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chickpea (Garbanzo) Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Kidney Bean Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Navy Bean Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bumblebee Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cabbage Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Celery Ige | $12.30 | $41.00 | — | 56% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Fennel Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood Tree Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Grape Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Green Bean (String) Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Blueberry Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pear Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Botrytis Cinerea Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rabbit Epithelium Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cephalosporium Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Carob Gum Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crayfish Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Catfish Ige | $13.20 | $44.00 | — | 53% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dpteronyssinmite,Allergen,Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Bahia Grass | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak Tree, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Elm Tree, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Epithilium, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut Quant Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut Quant Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Quant Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Rough Pigweed,Allergenige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D Farinae Mite, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Cockroach, Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus, Allergen Ige Ea | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Birch Tree | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Maple Tree, Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Sheepsorrel Allergen, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast, Penicillium Notatum Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast, Nettle,Allergen Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast,Tree Pecan/Hickory Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Mouse Urine Proteins,Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Tree, Mountain Cedar, Ige | $13.50 | $45.00 | — | 52% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Goldenrod Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Apple Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Kochia/Firebush Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sunflower Seed Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Apricot Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cucumber Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cinnamon Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lemon Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Avocado Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Russian Thistle Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Eucalyptus Tree Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sycamore Tree Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Ash Tree Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Western Ragweed Ige | $14.70 | $49.00 | — | 48% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Halibut Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peach Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelium Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M. Racemosus Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Salmon Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tilapia Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mackerel Ige | $15.00 | $50.00 | — | 47% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chili Pepper Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rice Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lima Bean/White Bean Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pea Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Horse Hair/Dander Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Ampicillin Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pork Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Potato Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Perennial Rye Grass Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oregano Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Carrot Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Banana Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Amoxicillin Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 House Dust Stier Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lamb's Quarters Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gulf Flounder Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cheddar Cheese Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 June/Kentucky Blue Grass Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket Venom Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellowfaced Hornet Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Baker/Brewer's Yeast Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White-Faced Hornet Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whey Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Trout Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Houst Dust Greer Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg Yolk Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Egg White Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D Farinae Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Scallop Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Milk (Cow's) Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Macadamia Nut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Codfish Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Latex Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pecan Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oyster Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Alternata Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Soybean Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tomato Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pistachio Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Walnut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Tuna Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Almond Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Honey Bee Venom Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gluten Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Chestnut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Garlic Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Whole Egg Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Fire Ant Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bahia Grass Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plantain Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Barley Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Dock Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Beef Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 D. Pteronyssinus Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Corn Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Birch Tree Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Common/Short Ragweed Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Black Pepper Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Coconut Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 German Cockroach Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Clam Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 P. Notatum Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. Fumigatus Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Meadow Fescue Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hormodendrum Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 C. Albicans Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 A. Alternata Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Strawberry Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oat Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sheep Sorrell Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Sesame Seed Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pigweed Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 White Pine Tree Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin V Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin G Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Bell Pepper Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Paper Wasp Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Orange Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Onion Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Oak Tree Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Lobster Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Box Elder/Maple Tree Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Crab Ige | $24.90 | $83.00 | — | 12% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Tomato | $36.00 | $120.00 | — | 28% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Gelatin Porcine Ige | $42.60 | $142.00 | — | 51% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast, White Bean | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast, Pea | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Sesame Seed | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Codfish | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Clam | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Walnut | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast, Carrot | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 June Grass | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Scallop | $51.30 | $171.00 | — | 82% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Other | $51.60 | $172.00 | — | 83% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Egg Yolk | $53.70 | $179.00 | — | 90% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Egg White | $53.70 | $179.00 | — | 90% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Penicillin V | $53.70 | $179.00 | — | 90% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Beef | $54.60 | $182.00 | — | 94% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Soybean Ige Qnt/Smiqnt | $54.60 | $182.00 | — | 94% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Wheat | $54.60 | $182.00 | — | 94% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Corn | $54.60 | $182.00 | — | 94% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Peanut | $55.20 | $184.00 | — | 96% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Milk | $55.20 | $184.00 | — | 96% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Penicillin G | $55.20 | $184.00 | — | 96% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Shrimp | $55.50 | $185.00 | — | 97% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Potato | $66.00 | $220.00 | — | 134% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Ige | $66.90 | $223.00 | — | 137% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Flounder | $71.70 | $239.00 | — | 154% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 American Cockroach Ige | $75.30 | $251.00 | — | 167% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F. Solani Ige | $77.40 | $258.00 | — | 174% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Onion | $79.20 | $264.00 | — | 181% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Pork | $87.30 | $291.00 | — | 209% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Ige Penicillum | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Hollister Stier | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Rast Oat | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Mucor | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Meadow Fescue | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Greer House Dust | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Goldenrod | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 Perrenial Rye Grass | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 English Plaintain | $163.80 | $546.00 | — | 481% above | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lambs Quarter Ea Allergen, Ige | $9.90 | $33.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 American Beech Tree Ige | $9.90 | $33.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed Ige | $9.90 | $33.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Helminthosporium Ige | $9.90 | $33.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beech Tree | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coffee Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trichophyton Mentagrophyte Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cherry Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pine Nute Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kiwi Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whitefish Ige | $11.40 | $38.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Celery Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Navy Bean Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Watermelon Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Spinach Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kidney Bean Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chickpea (Garbanzo) Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bumblebee Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Red Snapper Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Black Bean Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rhizopus Nigricans Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aureobasidium Pullulans Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honeydew Melon/Cantaloupe Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia Lunata Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium Moniliforme Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Stemphylium Botryosum Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ginger Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cabbage Ige | $12.30 | $41.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cephalosporium Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grape Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Catfish Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Bean (String) Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pear Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Botrytis Cinerea Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rabbit Epithelium Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crayfish Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blueberry Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carob Gum Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood Tree Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Fennel Ige | $13.20 | $44.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut Quant Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast,Tree Pecan/Hickory Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Mouse Urine Proteins,Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Tree, Mountain Cedar, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Birch Tree | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Bahia Grass | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Rough Pigweed,Allergenige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Cockroach, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus, Allergen Ige Ea | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut Quant Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak Tree, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dpteronyssinmite,Allergen,Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut Quant Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple Tree, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm Tree, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Epithilium, Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D Farinae Mite, Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, Nettle,Allergen Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Sheepsorrel Allergen, Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, Penicillium Notatum Ige | $13.50 | $45.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sunflower Seed Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sycamore Tree Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lemon Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Western Ragweed Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goldenrod Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kochia/Firebush Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Eucalyptus Tree Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cucumber Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Ash Tree Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Russian Thistle Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apricot Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Avocado Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cinnamon Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apple Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass Ige | $14.70 | $49.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peach Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mackerel Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tilapia Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M. Racemosus Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelium Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Halibut Ige | $15.00 | $50.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pigweed Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chili Pepper Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blue Mussel Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 German Cockroach Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Black Pepper Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Birch Tree Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common/Short Ragweed Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Corn Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. Pteronyssinus Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Dock Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bahia Grass Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plantain Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whole Egg Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fire Ant Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chestnut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Garlic Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Walnut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pistachio Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Soybean Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Alternata Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pecan Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Honey Bee Venom Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lima Bean/White Bean Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pea Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Hair/Dander Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Codfish Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Milk (Cow's) Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Scallop Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D Farinae Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg White Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Ampicillin Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Potato Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perennial Rye Grass Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oregano Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Yolk Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carrot Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Amoxicillin Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dust Stier Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb's Quarters Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Macadamia Nut Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Box Elder/Maple Tree Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak Tree Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Orange Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Paper Wasp Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gulf Flounder Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheddar Cheese Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bell Pepper Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin G Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin V Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Pine Tree Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sesame Seed Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June/Kentucky Blue Grass Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chocolate Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket Venom Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellowfaced Hornet Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Baker/Brewer's Yeast Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sheep Sorrell Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White-Faced Hornet Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Whey Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trout Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Houst Dust Greer Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Strawberry Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. Notatum Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. Fumigatus Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Meadow Fescue Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hormodendrum Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 C. Albicans Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 A. Alternata Ige | $24.90 | $83.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Tomato | $36.00 | $120.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gelatin Porcine Ige | $42.60 | $142.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Walnut | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 June Grass | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Clam | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, Carrot | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Scallop | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, White Bean | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast, Pea | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Sesame Seed | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Codfish | $51.30 | $171.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Other | $51.60 | $172.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Egg Yolk | $53.70 | $179.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Penicillin V | $53.70 | $179.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Egg White | $53.70 | $179.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Soybean Ige Qnt/Smiqnt | $54.60 | $182.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Corn | $54.60 | $182.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Wheat | $54.60 | $182.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Beef | $54.60 | $182.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Peanut | $55.20 | $184.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Milk | $55.20 | $184.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Penicillin G | $55.20 | $184.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Shrimp | $55.50 | $185.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Potato | $66.00 | $220.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Ige | $66.90 | $223.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Flounder | $71.70 | $239.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 American Cockroach Ige | $75.30 | $251.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F. Solani Ige | $77.40 | $258.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Onion | $79.20 | $264.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Pork | $87.30 | $291.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Dander | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hollister Stier | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Ige Penicillum | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Perrenial Rye Grass | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rast Oat | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Greer House Dust | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goldenrod | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 English Plaintain | $163.80 | $546.00 | — | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Meadow Fescue | $163.80 | $546.00 | — | — | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker | $37.80 | $126.00 | — | 57% below | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp - Quest Triple Test | $55.80 | $186.00 | — | 37% below | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal Serum Screen Afp | $65.10 | $217.00 | — | 26% below | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Serum Tumor Marker | $105.60 | $352.00 | — | 20% above | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker | $37.80 | $126.00 | — | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp - Quest Triple Test | $55.80 | $186.00 | — | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal Serum Screen Afp | $65.10 | $217.00 | — | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Serum Tumor Marker | $105.60 | $352.00 | — | — | 70% |
| Ammonia blood test CPT 82140 Ammonia: Arterial | $109.50 | $365.00 | — | 24% above | 70% |
| Ammonia blood test CPT 82140 Ammonia | $109.50 | $365.00 | — | 24% above | 70% |
| Ammonia blood test inpatient CPT 82140 Ammonia | $109.50 | $365.00 | — | — | 70% |
| Ammonia blood test inpatient CPT 82140 Ammonia: Arterial | $109.50 | $365.00 | — | — | 70% |
| Amylase blood test CPT 82150 Amylase Urine | $48.00 | $160.00 | — | 37% below | 70% |
| Amylase blood test CPT 82150 Amylase | $48.00 | $160.00 | — | 37% below | 70% |
| Amylase blood test CPT 82150 Amylase-Fluid | $48.00 | $160.00 | — | 37% below | 70% |
| Amylase blood test inpatient CPT 82150 Amylase Urine | $48.00 | $160.00 | — | — | 70% |
| Amylase blood test inpatient CPT 82150 Amylase-Fluid | $48.00 | $160.00 | — | — | 70% |
| Amylase blood test inpatient CPT 82150 Amylase | $48.00 | $160.00 | — | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide | $186.60 | $622.00 | — | 98% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide | $186.60 | $622.00 | — | — | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana | $19.50 | $65.00 | — | 79% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Anti Centromere Ab | $66.60 | $222.00 | — | 27% below | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana | $19.50 | $65.00 | — | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Anti Centromere Ab | $66.60 | $222.00 | — | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Bnp (Pro-B Type Natriuretic) P | $196.20 | $654.00 | — | 62% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Bnp (Pro-B Type Natriuretic) P | $196.20 | $654.00 | — | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Mrsa Surveilance | $47.70 | $159.00 | — | 38% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture: Strep Grp B-Oth Src | $58.50 | $195.00 | — | 24% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture; Oth Src | $58.50 | $195.00 | — | 24% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture, Other, Source | $58.50 | $195.00 | — | 24% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Mrsa Surveilance | $47.70 | $159.00 | — | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture: Strep Grp B-Oth Src | $58.50 | $195.00 | — | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture, Other, Source | $58.50 | $195.00 | — | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture; Oth Src | $58.50 | $195.00 | — | — | 70% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $13.20 | $44.00 | — | 89% below | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $13.20 | $44.00 | — | — | 70% |
| Bilirubin blood test, total CPT 82247 Bilirubin: Total | $49.50 | $165.00 | — | 17% above | 70% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin: Total | $49.50 | $165.00 | — | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Duke University(Muscle Bx's) | $69.00 | $230.00 | — | 18% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Renal Bx Sendout | $78.60 | $262.00 | — | 7% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Therapath Surg Spec Level 4 | $131.70 | $439.00 | — | 57% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Therapath Surg Spec Lvl 4 Msbx | $131.70 | $439.00 | — | 57% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Surg Spec Level 4 | $149.70 | $499.00 | — | 78% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Duke University(Muscle Bx's) | $69.00 | $230.00 | — | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Renal Bx Sendout | $78.60 | $262.00 | — | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Therapath Surg Spec Lvl 4 Msbx | $131.70 | $439.00 | — | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Therapath Surg Spec Level 4 | $131.70 | $439.00 | — | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Surg Spec Level 4 | $149.70 | $499.00 | — | — | 70% |
| Blood culture for bacteria CPT 87040 Culture Aerobic: Blood | $100.20 | $334.00 | — | 34% below | 70% |
| Blood culture for bacteria CPT 87040 Culture Aerobic-Blood Referred | $303.90 | $1,013.00 | — | 102% above | 70% |
| Blood culture for bacteria inpatient CPT 87040 Culture Aerobic: Blood | $100.20 | $334.00 | — | — | 70% |
| Blood culture for bacteria inpatient CPT 87040 Culture Aerobic-Blood Referred | $303.90 | $1,013.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Go Strong Venipuncture | $2.40 | $8.00 | — | 82% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture, Quest | $8.10 | $27.00 | — | 40% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture, Other | $8.10 | $27.00 | — | 40% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture, Labcorp | $8.10 | $27.00 | — | 40% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Collection | $8.10 | $27.00 | — | 40% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture | $8.10 | $27.00 | — | 40% below | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Go Strong Venipuncture | $2.40 | $8.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture | $8.10 | $27.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Specimen Collection | $8.10 | $27.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture, Labcorp | $8.10 | $27.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture, Quest | $8.10 | $27.00 | — | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture, Other | $8.10 | $27.00 | — | — | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose | $31.20 | $104.00 | — | 15% below | 70% |
| Blood glucose (sugar) test CPT 82947 Stat - Surgical Profile - D | $31.20 | $104.00 | — | 15% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose, Fibrometer | $31.80 | $106.00 | — | 13% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose 2Hr Pp | $31.80 | $106.00 | — | 13% below | 70% |
| Blood glucose (sugar) test CPT 82947 Glucose; Blood, Quant | $35.70 | $119.00 | — | 3% below | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $31.20 | $104.00 | — | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Stat - Surgical Profile - D | $31.20 | $104.00 | — | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Fibrometer | $31.80 | $106.00 | — | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose 2Hr Pp | $31.80 | $106.00 | — | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose; Blood, Quant | $35.70 | $119.00 | — | — | 70% |
| Blood lead test CPT 83655 Lead, Urine | $29.40 | $98.00 | — | 57% below | 70% |
| Blood lead test CPT 83655 Lead | $33.60 | $112.00 | — | 50% below | 70% |
| Blood lead test CPT 83655 Lead Serum/Plasma - Nms | $33.60 | $112.00 | — | 50% below | 70% |
| Blood lead test inpatient CPT 83655 Lead, Urine | $29.40 | $98.00 | — | — | 70% |
| Blood lead test inpatient CPT 83655 Lead Serum/Plasma - Nms | $33.60 | $112.00 | — | — | 70% |
| Blood lead test inpatient CPT 83655 Lead | $33.60 | $112.00 | — | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg: Qualitative | $61.20 | $204.00 | — | 38% below | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg: Qualitative | $61.20 | $204.00 | — | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Group | $13.20 | $44.00 | — | 76% below | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Group | $13.20 | $44.00 | — | — | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 Bun - Quant | $28.20 | $94.00 | — | 13% below | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 Transforming Growth Fac Beta,5 | $204.00 | $680.00 | — | 530% above | 70% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun - Quant | $28.20 | $94.00 | — | — | 70% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Transforming Growth Fac Beta,5 | $204.00 | $680.00 | — | — | 70% |
| C-peptide blood test CPT 84681 C-Peptide | $149.70 | $499.00 | — | 45% above | 70% |
| C-peptide blood test inpatient CPT 84681 C-Peptide | $149.70 | $499.00 | — | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp | $35.70 | $119.00 | — | 59% below | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $57.30 | $191.00 | — | 35% below | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp-Sf | $63.90 | $213.00 | — | 27% below | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Crp | $35.70 | $119.00 | — | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $57.30 | $191.00 | — | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Crp-Sf | $63.90 | $213.00 | — | — | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C.Difficile Toxin Pcr | $69.90 | $233.00 | — | 21% below | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C.Difficile Toxin Pcr | $69.90 | $233.00 | — | — | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 | $86.40 | $288.00 | — | 10% below | 70% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 | $86.40 | $288.00 | — | — | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 | $33.60 | $112.00 | — | 76% below | 70% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125 | $33.60 | $112.00 | — | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Pcr | $124.20 | $414.00 | — | 44% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Pcr | $124.20 | $414.00 | — | — | 70% |
| Calcium blood test, total CPT 82310 Calcium Total | $32.40 | $108.00 | — | 9% above | 70% |
| Calcium blood test, total inpatient CPT 82310 Calcium Total | $32.40 | $108.00 | — | — | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea: Carcinoembryonic Antigen | $90.30 | $301.00 | — | 9% below | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea: Fluid | $100.20 | $334.00 | — | 1% above | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea) | $105.30 | $351.00 | — | 6% above | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea: Carcinoembryonic Antigen | $90.30 | $301.00 | — | — | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea: Fluid | $100.20 | $334.00 | — | — | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (Cea) | $105.30 | $351.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicilla Zoster Igm | $45.60 | $152.00 | — | 38% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igg | $45.60 | $152.00 | — | 38% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster Virus Ab, Igg | $45.60 | $152.00 | — | 38% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster | $45.60 | $152.00 | — | 38% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm | $45.60 | $152.00 | — | 38% below | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab | $55.20 | $184.00 | — | 24% below | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Igg | $45.60 | $152.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Igm | $45.60 | $152.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicilla Zoster Igm | $45.60 | $152.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster Virus Ab, Igg | $45.60 | $152.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster | $45.60 | $152.00 | — | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab | $55.20 | $184.00 | — | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia By Dna Probe | $15.60 | $52.00 | — | 80% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. Trachomatis By Tma | $60.00 | $200.00 | — | 25% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Trach Probe Amp | $60.00 | $200.00 | — | 25% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia Amp Probe Mpl | $209.10 | $697.00 | — | 161% above | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia By Dna Probe | $15.60 | $52.00 | — | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Trach Probe Amp | $60.00 | $200.00 | — | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. Trachomatis By Tma | $60.00 | $200.00 | — | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia Amp Probe Mpl | $209.10 | $697.00 | — | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Coronary Risk Pro/Lipid Panel | $18.90 | $63.00 | — | 75% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $30.30 | $101.00 | — | 60% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Coronary Risk Pro/Lipid Panel | $18.90 | $63.00 | — | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $30.30 | $101.00 | — | — | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC,AUTO,DIFF PLTLTS | $16.80 | $56.00 | — | 73% below | 70% |
| Complete blood count (CBC) with differential CPT 85025 Cbc,Auto,Diff Pltlts | $18.30 | $61.00 | — | 70% below | 70% |
| Complete blood count (CBC) with differential CPT 85025 Cbc, Auto, Diff Pltlts | $19.80 | $66.00 | — | 68% below | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC,AUTO,DIFF PLTLTS | $16.80 | $56.00 | — | — | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc,Auto,Diff Pltlts | $18.30 | $61.00 | — | — | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc, Auto, Diff Pltlts | $19.80 | $66.00 | — | — | 70% |
| Complete blood count (CBC), no differential CPT 85027 Cbc Without Diff-Autom Pltlt | $11.40 | $38.00 | — | 80% below | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc Without Diff-Autom Pltlt | $11.40 | $38.00 | — | — | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $18.30 | $61.00 | — | 87% below | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $18.30 | $61.00 | — | — | 70% |
| Cortisol blood test, total CPT 82533 Cortisol: Salivary | $112.80 | $376.00 | — | 10% above | 70% |
| Cortisol blood test, total CPT 82533 Cortisol:Serum Or Plasma Total | $159.60 | $532.00 | — | 56% above | 70% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol: Salivary | $112.80 | $376.00 | — | — | 70% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol:Serum Or Plasma Total | $159.60 | $532.00 | — | — | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk With Ckmb If Ele | $46.50 | $155.00 | — | 10% below | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Total | $46.50 | $155.00 | — | 10% below | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Total | $46.50 | $155.00 | — | — | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk With Ckmb If Ele | $46.50 | $155.00 | — | — | 70% |
| Creatinine blood test CPT 82565 Creatinine - Blood | $29.40 | $98.00 | — | 42% above | 70% |
| Creatinine blood test CPT 82565 Creatinine, Blood | $36.30 | $121.00 | — | 76% above | 70% |
| Creatinine blood test inpatient CPT 82565 Creatinine - Blood | $29.40 | $98.00 | — | — | 70% |
| Creatinine blood test inpatient CPT 82565 Creatinine, Blood | $36.30 | $121.00 | — | — | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Anbibody Igg Elisa | $59.40 | $198.00 | — | 39% below | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody Serology | $59.40 | $198.00 | — | 39% below | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody Igg | $59.40 | $198.00 | — | 39% below | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Negative Blood Prod Test | $59.40 | $198.00 | — | 39% below | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody Igg | $59.40 | $198.00 | — | — | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Anbibody Igg Elisa | $59.40 | $198.00 | — | — | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Negative Blood Prod Test | $59.40 | $198.00 | — | — | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody Serology | $59.40 | $198.00 | — | — | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $120.30 | $401.00 | — | 25% above | 70% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $120.30 | $401.00 | — | — | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate | $110.10 | $367.00 | — | 12% above | 70% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate | $110.10 | $367.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Panel 9,U,Scr W/Rflx Conf | $70.20 | $234.00 | — | 45% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen (Nonforensic), Ser | $127.50 | $425.00 | — | 1% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Kratom Screen | $137.10 | $457.00 | — | 7% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Analyzr | $138.90 | $463.00 | — | 8% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Pan 9,Se/Pl,Scr Rflx Conf | $152.40 | $508.00 | — | 19% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Ados Kims Cedia Ei | $262.20 | $874.00 | — | 104% above | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Panel 9,U,Scr W/Rflx Conf | $70.20 | $234.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen (Nonforensic), Ser | $127.50 | $425.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Kratom Screen | $137.10 | $457.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Analyzr | $138.90 | $463.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Pan 9,Se/Pl,Scr Rflx Conf | $152.40 | $508.00 | — | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Ados Kims Cedia Ei | $262.20 | $874.00 | — | — | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $38.40 | $128.00 | — | 57% below | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $38.40 | $128.00 | — | — | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca, Igg | $31.50 | $105.00 | — | 56% below | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Vca, Igm | $31.50 | $105.00 | — | 56% below | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Vca, Igg | $31.50 | $105.00 | — | — | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Vca, Igm | $31.50 | $105.00 | — | — | 70% |
| Estradiol blood test CPT 82670 Estradiol | $96.90 | $323.00 | — | 19% below | 70% |
| Estradiol blood test inpatient CPT 82670 Estradiol | $96.90 | $323.00 | — | — | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 Fsh | $70.50 | $235.00 | — | 44% below | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh | $70.50 | $235.00 | — | — | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Fecal 16796 Qst | $368.40 | $1,228.00 | — | 67% above | 70% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Fecal 16796 Qst | $368.40 | $1,228.00 | — | — | 70% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $60.30 | $201.00 | — | 20% below | 70% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Fibrometer | $77.70 | $259.00 | — | 4% above | 70% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $60.30 | $201.00 | — | — | 70% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Fibrometer | $77.70 | $259.00 | — | — | 70% |
| Fibrinogen blood test CPT 85384 Fibrinogen (Teg) | $6.90 | $23.00 | — | 92% below | 70% |
| Fibrinogen blood test CPT 85384 K (Kinetics) Teg | $65.40 | $218.00 | — | 27% below | 70% |
| Fibrinogen blood test CPT 85384 Fibrinogen Functional Teg | $65.40 | $218.00 | — | 27% below | 70% |
| Fibrinogen blood test CPT 85384 Fibrinogen | $65.40 | $218.00 | — | 27% below | 70% |
| Fibrinogen blood test CPT 85384 Angle Teg | $65.40 | $218.00 | — | 27% below | 70% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen (Teg) | $6.90 | $23.00 | — | — | 70% |
| Fibrinogen blood test inpatient CPT 85384 K (Kinetics) Teg | $65.40 | $218.00 | — | — | 70% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Functional Teg | $65.40 | $218.00 | — | — | 70% |
| Fibrinogen blood test inpatient CPT 85384 Angle Teg | $65.40 | $218.00 | — | — | 70% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen | $65.40 | $218.00 | — | — | 70% |
| Folate (folic acid) blood test CPT 82746 Folate Serum | $71.40 | $238.00 | — | 18% below | 70% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Serum | $71.40 | $238.00 | — | — | 70% |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $78.90 | $263.00 | — | 19% below | 70% |
| Free T3 thyroid hormone test inpatient CPT 84481 Free T3 | $78.90 | $263.00 | — | — | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T-4: Free | $75.90 | $253.00 | — | 1% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Fr T4 By Equilibrium Dialysis | $75.90 | $253.00 | — | 1% above | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Fr T4 By Equilibrium Dialysis | $75.90 | $253.00 | — | — | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T-4: Free | $75.90 | $253.00 | — | — | 70% |
| Free testosterone test CPT 84402 Testosterone Free -Quest | $134.40 | $448.00 | — | 16% below | 70% |
| Free testosterone test inpatient CPT 84402 Testosterone Free -Quest | $134.40 | $448.00 | — | — | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Gt | $73.80 | $246.00 | — | 58% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Gt | $73.80 | $246.00 | — | — | 70% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel | $79.20 | $264.00 | — | 69% below | 70% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel | $79.20 | $264.00 | — | — | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1Hr No Fastng Specimen | $70.50 | $235.00 | — | 59% above | 70% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1Hr No Fastng Specimen | $70.50 | $235.00 | — | — | 70% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose Tolerance 1St Hr | $83.10 | $277.00 | — | 12% above | 70% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose Tolerance 1St Hr | $83.10 | $277.00 | — | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gc By Dna Probe | $15.60 | $52.00 | — | 81% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. Gonorrheae By Tma | $56.40 | $188.00 | — | 31% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhoea Amp Probe Mpl | $209.10 | $697.00 | — | 156% above | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gc By Dna Probe | $15.60 | $52.00 | — | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. Gonorrheae By Tma | $56.40 | $188.00 | — | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhoea Amp Probe Mpl | $209.10 | $697.00 | — | — | 70% |
| H. pylori antibody blood test CPT 86677 H. Pylori Igg Antibody | $41.10 | $137.00 | — | 68% below | 70% |
| H. pylori antibody blood test CPT 86677 H.Pylori Ab Iga | $171.90 | $573.00 | — | 35% above | 70% |
| H. pylori antibody blood test CPT 86677 H.Pylori Ab Igm | $171.90 | $573.00 | — | 35% above | 70% |
| H. pylori antibody blood test inpatient CPT 86677 H. Pylori Igg Antibody | $41.10 | $137.00 | — | — | 70% |
| H. pylori antibody blood test inpatient CPT 86677 H.Pylori Ab Igm | $171.90 | $573.00 | — | — | 70% |
| H. pylori antibody blood test inpatient CPT 86677 H.Pylori Ab Iga | $171.90 | $573.00 | — | — | 70% |
| H. pylori stool antigen test CPT 87338 Helicobacter Pylori- Stool | $396.60 | $1,322.00 | — | 215% above | 70% |
| H. pylori stool antigen test inpatient CPT 87338 Helicobacter Pylori- Stool | $396.60 | $1,322.00 | — | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 Rna Quant Pcr | $226.50 | $755.00 | — | 34% below | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv-1 Rna Quant Pcr | $226.50 | $755.00 | — | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Go Strong Hgba1C | $6.30 | $21.00 | — | 88% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glyco Hemoglobin | $17.40 | $58.00 | — | 68% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C | $33.90 | $113.00 | — | 37% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin, Glycated | $33.90 | $113.00 | — | 37% below | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Go Strong Hgba1C | $6.30 | $21.00 | — | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glyco Hemoglobin | $17.40 | $58.00 | — | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin, Glycated | $33.90 | $113.00 | — | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C | $33.90 | $113.00 | — | — | 70% |
| Hemoglobin blood test CPT 85018 Total Hemoglobin (Thb)(Avox) | $5.10 | $17.00 | — | 78% below | 70% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $19.80 | $66.00 | — | 14% below | 70% |
| Hemoglobin blood test inpatient CPT 85018 Total Hemoglobin (Thb)(Avox) | $5.10 | $17.00 | — | — | 70% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $19.80 | $66.00 | — | — | 70% |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total | $78.30 | $261.00 | — | 13% below | 70% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total | $78.30 | $261.00 | — | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $18.60 | $62.00 | — | 76% below | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $18.60 | $62.00 | — | — | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen | $26.40 | $88.00 | — | 59% below | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen -Quest | $66.00 | $220.00 | — | 2% above | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitisb Surfag Eia (Hbsag) | $66.00 | $220.00 | — | 2% above | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen | $26.40 | $88.00 | — | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitisb Surfag Eia (Hbsag) | $66.00 | $220.00 | — | — | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen -Quest | $66.00 | $220.00 | — | — | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $72.90 | $243.00 | — | 40% below | 70% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $72.90 | $243.00 | — | — | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Virus Quant | $181.50 | $605.00 | — | 34% below | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna | $181.50 | $605.00 | — | 34% below | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C Quantification | $791.40 | $2,638.00 | — | 187% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hcv Rna Pcr/Iu | $1,571.70 | $5,239.00 | — | 470% above | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Virus Quant | $181.50 | $605.00 | — | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Rna | $181.50 | $605.00 | — | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C Quantification | $791.40 | $2,638.00 | — | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hcv Rna Pcr/Iu | $1,571.70 | $5,239.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Igm, Ifa Quest 17369 | $33.30 | $111.00 | — | 50% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 Ab, Igg | $40.80 | $136.00 | — | 39% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1, Igg | $40.80 | $136.00 | — | 39% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv Type 1 | $40.80 | $136.00 | — | 39% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Glyco G-Specific, Igg | $40.80 | $136.00 | — | 39% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Type I | $54.60 | $182.00 | — | 19% below | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Igm, Ifa Quest 17369 | $33.30 | $111.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1, Igg | $40.80 | $136.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 | $40.80 | $136.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Glyco G-Specific, Igg | $40.80 | $136.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv Type 1 Ab, Igg | $40.80 | $136.00 | — | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Type I | $54.60 | $182.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2, Igg | $45.00 | $150.00 | — | 28% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Glyco G-Specific, Igg | $45.00 | $150.00 | — | 28% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 Ab Igg | $45.00 | $150.00 | — | 28% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv Type 2 | $45.00 | $150.00 | — | 28% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igm, Ifa Quest 17369 | $47.10 | $157.00 | — | 25% below | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Type Ii | $54.60 | $182.00 | — | 12% below | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 Ab Igg | $45.00 | $150.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2, Igg | $45.00 | $150.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv Type 2 | $45.00 | $150.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Glyco G-Specific, Igg | $45.00 | $150.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igm, Ifa Quest 17369 | $47.10 | $157.00 | — | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Type Ii | $54.60 | $182.00 | — | — | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein (Cardio) | $43.20 | $144.00 | — | 52% below | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein (Cardio) | $43.20 | $144.00 | — | — | 70% |
| Homocysteine blood test CPT 83090 Homocysteine, Total | $90.00 | $300.00 | — | 34% below | 70% |
| Homocysteine blood test CPT 83090 Homocysteine | $135.90 | $453.00 | — | 1% below | 70% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine, Total | $90.00 | $300.00 | — | — | 70% |
| Homocysteine blood test inpatient CPT 83090 Homocysteine | $135.90 | $453.00 | — | — | 70% |
| Insulin blood test CPT 83525 Insulin, Total | $47.70 | $159.00 | — | 35% below | 70% |
| Insulin blood test CPT 83525 Insulin, Fasting | $47.70 | $159.00 | — | 35% below | 70% |
| Insulin blood test CPT 83525 Insulin: Assay Total | $69.60 | $232.00 | — | 5% below | 70% |
| Insulin blood test inpatient CPT 83525 Insulin, Total | $47.70 | $159.00 | — | — | 70% |
| Insulin blood test inpatient CPT 83525 Insulin, Fasting | $47.70 | $159.00 | — | — | 70% |
| Insulin blood test inpatient CPT 83525 Insulin: Assay Total | $69.60 | $232.00 | — | — | 70% |
| Iron blood test (serum iron) CPT 83540 Iron | $42.90 | $143.00 | — | 15% below | 70% |
| Iron blood test (serum iron) CPT 83540 Iron Liver Tissue Mayo | $277.20 | $924.00 | — | 447% above | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $42.90 | $143.00 | — | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Liver Tissue Mayo | $277.20 | $924.00 | — | — | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity-T (Tibc) | $49.50 | $165.00 | — | 13% below | 70% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity-T (Tibc) | $49.50 | $165.00 | — | — | 70% |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $48.60 | $162.00 | — | 44% below | 70% |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $48.60 | $162.00 | — | — | 70% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $74.10 | $247.00 | — | 5% above | 70% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $74.10 | $247.00 | — | — | 70% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $67.80 | $226.00 | — | 31% below | 70% |
| Lactate (lactic acid) blood test CPT 83605 Lactate | $67.80 | $226.00 | — | 31% below | 70% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid-Arterial | $67.80 | $226.00 | — | 31% below | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactate | $67.80 | $226.00 | — | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid-Arterial | $67.80 | $226.00 | — | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $67.80 | $226.00 | — | — | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh -Fluid | $49.20 | $164.00 | — | 1% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh | $49.20 | $164.00 | — | 1% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Ldh With Isos If Ele | $142.80 | $476.00 | — | 188% above | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh -Fluid | $49.20 | $164.00 | — | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh | $49.20 | $164.00 | — | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Ldh With Isos If Ele | $142.80 | $476.00 | — | — | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $56.70 | $189.00 | — | 41% below | 70% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $56.70 | $189.00 | — | — | 70% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $15.60 | $52.00 | — | 85% below | 70% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $15.60 | $52.00 | — | — | 70% |
| Lyme disease antibody test CPT 86618 Borrelia Burgdorferi Abs | $81.00 | $270.00 | — | 22% below | 70% |
| Lyme disease antibody test CPT 86618 Lyme Disease Antibodies | $225.30 | $751.00 | — | 118% above | 70% |
| Lyme disease antibody test CPT 86618 C6 Lyme Peptide Elisa | $417.30 | $1,391.00 | — | 303% above | 70% |
| Lyme disease antibody test inpatient CPT 86618 Borrelia Burgdorferi Abs | $81.00 | $270.00 | — | — | 70% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Disease Antibodies | $225.30 | $751.00 | — | — | 70% |
| Lyme disease antibody test inpatient CPT 86618 C6 Lyme Peptide Elisa | $417.30 | $1,391.00 | — | — | 70% |
| Magnesium blood test CPT 83735 Magnesium | $40.80 | $136.00 | — | 9% below | 70% |
| Magnesium blood test CPT 83735 Magnesium -Quest Cathartic Lax | $65.10 | $217.00 | — | 45% above | 70% |
| Magnesium blood test CPT 83735 Magnesium - Quest Cathartics | $65.10 | $217.00 | — | 45% above | 70% |
| Magnesium blood test CPT 83735 Magnesium, Rbc | $106.20 | $354.00 | — | 136% above | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium | $40.80 | $136.00 | — | — | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium -Quest Cathartic Lax | $65.10 | $217.00 | — | — | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium - Quest Cathartics | $65.10 | $217.00 | — | — | 70% |
| Magnesium blood test inpatient CPT 83735 Magnesium, Rbc | $106.20 | $354.00 | — | — | 70% |
| Measles (rubeola) antibody test CPT 86765 Measles | $53.40 | $178.00 | — | 33% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Rubeola | $53.40 | $178.00 | — | 33% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Igm | $53.40 | $178.00 | — | 33% below | 70% |
| Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Igg | $79.80 | $266.00 | — | at median | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles | $53.40 | $178.00 | — | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Igm | $53.40 | $178.00 | — | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola | $53.40 | $178.00 | — | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Igg | $79.80 | $266.00 | — | — | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mono | $60.30 | $201.00 | — | 9% above | 70% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono | $60.30 | $201.00 | — | — | 70% |
| Mumps immunity blood test CPT 86735 Mumps Igg | $79.80 | $266.00 | — | 45% above | 70% |
| Mumps immunity blood test CPT 86735 Mumps Igm | $79.80 | $266.00 | — | 45% above | 70% |
| Mumps immunity blood test CPT 86735 Mumps Serology | $198.30 | $661.00 | — | 259% above | 70% |
| Mumps immunity blood test CPT 86735 Mumps | $198.30 | $661.00 | — | 259% above | 70% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igg | $79.80 | $266.00 | — | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Igm | $79.80 | $266.00 | — | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Serology | $198.30 | $661.00 | — | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 Mumps | $198.30 | $661.00 | — | — | 70% |
| Obstetric blood test panel CPT 80055 Ob Prenatal Profile | $748.80 | $2,496.00 | — | 503% above | 70% |
| Obstetric blood test panel inpatient CPT 80055 Ob Prenatal Profile | $748.80 | $2,496.00 | — | — | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa | $63.30 | $211.00 | — | 23% below | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Free Psa Quest | $163.20 | $544.00 | — | 99% above | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa | $63.30 | $211.00 | — | — | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Free Psa Quest | $163.20 | $544.00 | — | — | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total | $31.80 | $106.00 | — | 68% below | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Quest | $32.10 | $107.00 | — | 68% below | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Total Psa | $224.70 | $749.00 | — | 123% above | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total | $31.80 | $106.00 | — | — | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Quest | $32.10 | $107.00 | — | — | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Total Psa | $224.70 | $749.00 | — | — | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth - Parathyroid Hormone | $140.10 | $467.00 | — | 8% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone | $502.50 | $1,675.00 | — | 228% above | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth - Parathyroid Hormone | $140.10 | $467.00 | — | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone | $502.50 | $1,675.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt La Screen Qs | $23.40 | $78.00 | — | 52% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Aptt- Arup | $42.60 | $142.00 | — | 13% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Vw Panel Quest 15540 | $46.80 | $156.00 | — | 5% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt | $46.80 | $156.00 | — | 5% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing 1 | $46.80 | $156.00 | — | 5% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt Mixing 2 | $46.80 | $156.00 | — | 5% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt -La (Lupus Panel Quest) | $46.80 | $156.00 | — | 5% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Ptt - D - Arup | $75.30 | $251.00 | — | 54% above | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt La Screen Qs | $23.40 | $78.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Aptt- Arup | $42.60 | $142.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Vw Panel Quest 15540 | $46.80 | $156.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt | $46.80 | $156.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt -La (Lupus Panel Quest) | $46.80 | $156.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Mixing 2 | $46.80 | $156.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt Mixing 1 | $46.80 | $156.00 | — | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Ptt - D - Arup | $75.30 | $251.00 | — | — | 70% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $32.40 | $108.00 | — | 7% below | 70% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus -Quest Cathartic Lx | $67.80 | $226.00 | — | 94% above | 70% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorous Inorg-Qstcathrtics | $158.40 | $528.00 | — | 353% above | 70% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $32.40 | $108.00 | — | — | 70% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus -Quest Cathartic Lx | $67.80 | $226.00 | — | — | 70% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorous Inorg-Qstcathrtics | $158.40 | $528.00 | — | — | 70% |
| Potassium blood test CPT 84132 Potassium: Serum | $38.70 | $129.00 | — | 14% above | 70% |
| Potassium blood test inpatient CPT 84132 Potassium: Serum | $38.70 | $129.00 | — | — | 70% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chromosomal Aneuploidy | $384.60 | $1,282.00 | — | 57% below | 70% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Nipt By Dna Sequencing | $427.50 | $1,425.00 | — | 52% below | 70% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chromosomal Aneuploidy | $384.60 | $1,282.00 | — | — | 70% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Nipt By Dna Sequencing | $427.50 | $1,425.00 | — | — | 70% |
| Progesterone blood test CPT 84144 Progesterone | $70.50 | $235.00 | — | 27% below | 70% |
| Progesterone blood test CPT 84144 Salivary Hormone Assay | $629.40 | $2,098.00 | — | 556% above | 70% |
| Progesterone blood test inpatient CPT 84144 Progesterone | $70.50 | $235.00 | — | — | 70% |
| Progesterone blood test inpatient CPT 84144 Salivary Hormone Assay | $629.40 | $2,098.00 | — | — | 70% |
| Prolactin blood test CPT 84146 Prolactin, Dilution Study | $32.40 | $108.00 | — | 73% below | 70% |
| Prolactin blood test CPT 84146 Prolactin | $85.20 | $284.00 | — | 28% below | 70% |
| Prolactin blood test inpatient CPT 84146 Prolactin, Dilution Study | $32.40 | $108.00 | — | — | 70% |
| Prolactin blood test inpatient CPT 84146 Prolactin | $85.20 | $284.00 | — | — | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Inr | $19.50 | $65.00 | — | 50% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Protime | $33.90 | $113.00 | — | 13% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Pt- Arup | $42.60 | $142.00 | — | 9% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Protime - Capillary | $75.00 | $250.00 | — | 92% above | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Inr | $19.50 | $65.00 | — | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime | $33.90 | $113.00 | — | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Pt- Arup | $42.60 | $142.00 | — | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Protime - Capillary | $75.00 | $250.00 | — | — | 70% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza Immunoassay/Optic | $71.70 | $239.00 | — | 2% below | 70% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Immunoassay/Optic | $71.70 | $239.00 | — | — | 70% |
| Renin blood test CPT 84244 Renin | $90.00 | $300.00 | — | 14% below | 70% |
| Renin blood test CPT 84244 Renin, Direct | $90.00 | $300.00 | — | 14% below | 70% |
| Renin blood test inpatient CPT 84244 Renin, Direct | $90.00 | $300.00 | — | — | 70% |
| Renin blood test inpatient CPT 84244 Renin | $90.00 | $300.00 | — | — | 70% |
| Rh blood typing CPT 86901 Serologic Blood Type Rh | $13.50 | $45.00 | — | 71% below | 70% |
| Rh blood typing inpatient CPT 86901 Serologic Blood Type Rh | $13.50 | $45.00 | — | — | 70% |
| Rheumatoid factor (RF) test CPT 86431 Ra Quantitative | $48.30 | $161.00 | — | 36% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 Rf Fluid Titer Qst | $64.80 | $216.00 | — | 14% below | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Ra Quantitative | $48.30 | $161.00 | — | — | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rf Fluid Titer Qst | $64.80 | $216.00 | — | — | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody-Igm | $40.50 | $135.00 | — | 41% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igg | $40.50 | $135.00 | — | 41% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibody Igm | $40.50 | $135.00 | — | 41% below | 70% |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $40.50 | $135.00 | — | 41% below | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody Igg | $40.50 | $135.00 | — | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella | $40.50 | $135.00 | — | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody Igm | $40.50 | $135.00 | — | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibody-Igm | $40.50 | $135.00 | — | — | 70% |
| Sodium blood test CPT 84295 Sodium: Serum | $40.80 | $136.00 | — | 26% above | 70% |
| Sodium blood test inpatient CPT 84295 Sodium: Serum | $40.80 | $136.00 | — | — | 70% |
| Stool ova and parasites exam CPT 87177 Ova & Parasites | $42.60 | $142.00 | — | 48% below | 70% |
| Stool ova and parasites exam CPT 87177 Ova Parasite Aspirate | $56.40 | $188.00 | — | 31% below | 70% |
| Stool ova and parasites exam inpatient CPT 87177 Ova & Parasites | $42.60 | $142.00 | — | — | 70% |
| Stool ova and parasites exam inpatient CPT 87177 Ova Parasite Aspirate | $56.40 | $188.00 | — | — | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Hemocult Analysis Feces | $108.00 | $360.00 | — | 186% above | 70% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Hemocult Analysis Feces | $108.00 | $360.00 | — | — | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta(Abs); Pallidum,Treponema | $60.90 | $203.00 | — | 9% below | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta(Abs); Pallidum,Treponema | $60.90 | $203.00 | — | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl-Csf Non-Treponemal, Qual | $24.00 | $80.00 | — | 43% below | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl With Reflex To Titer | $29.70 | $99.00 | — | 30% below | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr; Non-Treponemal Qual | $29.70 | $99.00 | — | 30% below | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl-Csf Non-Treponemal, Qual | $24.00 | $80.00 | — | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl With Reflex To Titer | $29.70 | $99.00 | — | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr; Non-Treponemal Qual | $29.70 | $99.00 | — | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon Tb Gold - Quest | $114.60 | $382.00 | — | 31% below | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon Tb Gold - Quest | $114.60 | $382.00 | — | — | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone: Total | $80.10 | $267.00 | — | 39% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone; Total | $89.70 | $299.00 | — | 32% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testoserone Total Profile | $117.00 | $390.00 | — | 11% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testoserone Total-Quest | $312.60 | $1,042.00 | — | 138% above | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone: Total | $80.10 | $267.00 | — | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone; Total | $89.70 | $299.00 | — | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testoserone Total Profile | $117.00 | $390.00 | — | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testoserone Total-Quest | $312.60 | $1,042.00 | — | — | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Antithyroid Peroxidase Ab-D | $55.20 | $184.00 | — | 40% below | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab | $55.20 | $184.00 | — | 40% below | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (Tpo) Ab | $55.20 | $184.00 | — | 40% below | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Antithyroid Peroxidase Ab-D | $55.20 | $184.00 | — | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (Tpo) Ab | $55.20 | $184.00 | — | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab | $55.20 | $184.00 | — | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh, Hama Treated | $14.10 | $47.00 | — | 84% below | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh, Untreated | $14.10 | $47.00 | — | 84% below | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh:Thyroid Stimulate Hormon | $29.70 | $99.00 | — | 66% below | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh, Hama Treated | $14.10 | $47.00 | — | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh, Untreated | $14.10 | $47.00 | — | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh:Thyroid Stimulate Hormon | $29.70 | $99.00 | — | — | 70% |
| Total IgE blood test CPT 82785 Ige Gammaglobulin | $47.40 | $158.00 | — | 37% below | 70% |
| Total IgE blood test CPT 82785 Immunoglobulin E | $47.40 | $158.00 | — | 37% below | 70% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E | $47.40 | $158.00 | — | — | 70% |
| Total IgE blood test inpatient CPT 82785 Ige Gammaglobulin | $47.40 | $158.00 | — | — | 70% |
| Total cholesterol blood test CPT 82465 Cholesterol | $44.40 | $148.00 | — | 54% above | 70% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $44.40 | $148.00 | — | — | 70% |
| Total thyroxine (T4) blood test CPT 84436 T-4 Total | $35.70 | $119.00 | — | 30% below | 70% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T-4 Total | $35.70 | $119.00 | — | — | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 T03: Total-Triiodothyronine | $84.60 | $282.00 | — | 1% above | 70% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T03: Total-Triiodothyronine | $84.60 | $282.00 | — | — | 70% |
| Transferrin blood test CPT 84466 Transferrin | $91.20 | $304.00 | — | 3% above | 70% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $91.20 | $304.00 | — | — | 70% |
| Trichomonas test (NAAT) CPT 87661 T Vaginalis Rna Quest | $99.30 | $331.00 | — | 9% above | 70% |
| Trichomonas test (NAAT) CPT 87661 T Vaginalis Rna | $99.30 | $331.00 | — | 9% above | 70% |
| Trichomonas test (NAAT) inpatient CPT 87661 T Vaginalis Rna Quest | $99.30 | $331.00 | — | — | 70% |
| Trichomonas test (NAAT) inpatient CPT 87661 T Vaginalis Rna | $99.30 | $331.00 | — | — | 70% |
| Triglycerides blood test CPT 84478 Triglycerides | $39.90 | $133.00 | — | at median | 70% |
| Triglycerides blood test CPT 84478 Triglycerides -Quest Vap | $139.20 | $464.00 | — | 249% above | 70% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $39.90 | $133.00 | — | — | 70% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides -Quest Vap | $139.20 | $464.00 | — | — | 70% |
| Troponin test, quantitative CPT 84484 Troponin | $78.30 | $261.00 | — | 38% below | 70% |
| Troponin test, quantitative inpatient CPT 84484 Troponin | $78.30 | $261.00 | — | — | 70% |
| Uric acid blood test CPT 84550 Uric Acid: Blood | $43.20 | $144.00 | — | 16% below | 70% |
| Uric acid blood test inpatient CPT 84550 Uric Acid: Blood | $43.20 | $144.00 | — | — | 70% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis | $9.00 | $30.00 | — | 85% below | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis | $9.00 | $30.00 | — | — | 70% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Dipstick No Microscopic | $13.80 | $46.00 | — | 62% below | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Dipstick No Microscopic | $13.80 | $46.00 | — | — | 70% |
| Urinalysis without microscope exam, manual CPT 81002 Urine Dipstick - Poc | $39.90 | $133.00 | — | 9% above | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urine Dipstick - Poc | $39.90 | $133.00 | — | — | 70% |
| Urine culture for bacteria, with colony count CPT 87086 Culture: Urine Colony Count | $16.80 | $56.00 | — | 80% below | 70% |
| Urine culture for bacteria, with colony count CPT 87086 Culture: Water | $67.80 | $226.00 | — | 21% below | 70% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture: Urine Colony Count | $16.80 | $56.00 | — | — | 70% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Culture: Water | $67.80 | $226.00 | — | — | 70% |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin | $34.80 | $116.00 | — | 38% below | 70% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin | $34.80 | $116.00 | — | — | 70% |
| Urine pregnancy test, read by color change CPT 81025 Pregnancy Test-Urine | $14.70 | $49.00 | — | 81% below | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 Pregnancy Test-Urine | $14.70 | $49.00 | — | — | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 Level | $54.00 | $180.00 | — | 33% below | 70% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 Level | $54.00 | $180.00 | — | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-25 Hydroxy | $71.40 | $238.00 | — | 23% below | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D-25 Hydroxy | $71.40 | $238.00 | — | — | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1-25-Dihydroxy | $77.70 | $259.00 | — | 42% below | 70% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1-25-Dihydroxy | $77.70 | $259.00 | — | — | 70% |
| Zinc blood test CPT 84630 Zinc | $106.20 | $354.00 | — | 62% above | 70% |
| Zinc blood test inpatient CPT 84630 Zinc | $106.20 | $354.00 | — | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg: Quantitative | $17.10 | $57.00 | — | 86% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg Quantitative -Quest | $36.00 | $120.00 | — | 70% below | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg: Quantitative | $17.10 | $57.00 | — | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg Quantitative -Quest | $36.00 | $120.00 | — | — | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion both sides CPT 19081 Bx Breast 1St Lesn Strtctc Bi | $1,458.00 | $4,860.00 | — | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Breast Loc Devic 1Stlsn Stero | $1,458.00 | $4,860.00 | — | 35% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Breast Loc Devic 1Stlsn Stereo | $1,458.00 | $4,860.00 | — | 35% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesn Strtctc Lt | $1,458.00 | $4,860.00 | — | 35% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 Bx Breast 1St Lesn Strtctc Rt | $1,458.00 | $4,860.00 | — | 35% below | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient both sides CPT 19081 Bx Breast 1St Lesn Strtctc Bi | $1,458.00 | $4,860.00 | — | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Breast Loc Devic 1Stlsn Stero | $1,458.00 | $4,860.00 | — | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Breast Loc Devic 1Stlsn Stereo | $1,458.00 | $4,860.00 | — | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesn Strtctc Lt | $1,458.00 | $4,860.00 | — | — | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 Bx Breast 1St Lesn Strtctc Rt | $1,458.00 | $4,860.00 | — | — | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion: External | $6,394.20 | $21,314.00 | — | 331% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion | $6,394.20 | $21,314.00 | — | 331% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion, External, Elect | $6,394.20 | $21,314.00 | — | 331% above | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion | $6,394.20 | $21,314.00 | — | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion, External, Elect | $6,394.20 | $21,314.00 | — | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion: External | $6,394.20 | $21,314.00 | — | — | 70% |
| Catheter ablation for atrial fibrillation CPT 93656 Ablation: Af | $4,338.90 | $14,463.00 | — | 71% below | 70% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 Ablation: Af | $4,338.90 | $14,463.00 | — | — | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Of Male Baby | $1,546.80 | $5,156.00 | — | 2% above | 70% |
| Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Of Male Baby | $1,546.80 | $5,156.00 | — | — | 70% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 Rem Impct Ear Wax, Lavage, Uni | $103.20 | $344.00 | — | 1% above | 70% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Rem Impct Ear Wax, Lavage, Uni | $103.20 | $344.00 | — | — | 70% |
| Earwax removal with instruments, one ear CPT 69210 Remove Impacted Cerumen | $399.30 | $1,331.00 | — | 11% above | 70% |
| Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Cerumen | $399.30 | $1,331.00 | — | — | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hystrosonogram Infusion | $404.40 | $1,348.00 | — | 35% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterosalpingogram Inject | $404.40 | $1,348.00 | — | 35% below | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hysterosalpingogram Inject | $404.40 | $1,348.00 | — | — | 70% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hystrosonogram Infusion | $404.40 | $1,348.00 | — | — | 70% |
| Incision and drainage of a simple or single skin abscess CPT 10060 I & D Simple | $188.70 | $629.00 | — | 69% below | 70% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D Simple | $188.70 | $629.00 | — | — | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Injection Hip | $426.00 | $1,420.00 | — | 53% below | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Injection Hip | $426.00 | $1,420.00 | — | — | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $326.70 | $1,089.00 | — | 22% below | 70% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/< | $326.70 | $1,089.00 | — | — | 70% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Nail Plate (First) | $606.00 | $2,020.00 | — | 4% below | 70% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Nail Plate (First) | $606.00 | $2,020.00 | — | — | 70% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Nail Part/Complete | $1,432.80 | $4,776.00 | — | 54% above | 70% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Nail Part/Complete | $1,432.80 | $4,776.00 | — | — | 70% |
| Removal of a foreign object under the skin, simple CPT 10120 Remove Fb Subcutaneous | $1,211.40 | $4,038.00 | — | 9% above | 70% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Remove Fb Subcutaneous | $1,211.40 | $4,038.00 | — | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Eswl | $22,976.70 | $76,589.00 | — | 88% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Eswl | $22,976.70 | $76,589.00 | — | — | 70% |
| Short leg splint (calf to foot) CPT 29515 Short Leg Splint Application | $618.90 | $2,063.00 | — | 61% above | 70% |
| Short leg splint (calf to foot) inpatient CPT 29515 Short Leg Splint Application | $618.90 | $2,063.00 | — | — | 70% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 WOUND REPAIR SIMP >2.5CM | $162.90 | $543.00 | — | 43% below | 70% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 WOUND REPAIR SIMP >2.5CM | $162.90 | $543.00 | — | — | 70% |
| Skin biopsy, punch, one lesion CPT 11104 Punch Biopsy Single Lesion | $393.00 | $1,310.00 | — | 31% below | 70% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Biopsy Single Lesion | $393.00 | $1,310.00 | — | — | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Wound Repair Simple Upto2.5Cm | $496.80 | $1,656.00 | — | 25% above | 70% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Wound Repair Simple Upto2.5Cm | $496.80 | $1,656.00 | — | — | 70% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy Collection | $393.00 | $1,310.00 | — | 30% below | 70% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Biopsy Collection | $393.00 | $1,310.00 | — | — | 70% |
| Thoracentesis with imaging guidance CPT 32555 Pleural Aspir Imaging Guide(T) | $125.70 | $419.00 | — | 91% below | 70% |
| Thoracentesis with imaging guidance CPT 32555 Pleural Aspir Imaging Guide(P) | $188.40 | $628.00 | — | 87% below | 70% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Pleural Aspir Imaging Guide(T) | $125.70 | $419.00 | — | — | 70% |
| Thoracentesis with imaging guidance inpatient CPT 32555 Pleural Aspir Imaging Guide(P) | $188.40 | $628.00 | — | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 Breast Bx Us Guided Bi | $2,198.10 | $7,327.00 | — | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Breast Bx Us Guided Lt | $1,237.50 | $4,125.00 | — | 43% below | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 Breast Bx Us Guided Rt | $1,237.50 | $4,125.00 | — | 43% below | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 Breast Bx Us Guided Bi | $2,198.10 | $7,327.00 | — | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Breast Bx Us Guided Rt | $1,237.50 | $4,125.00 | — | — | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 Breast Bx Us Guided Lt | $1,237.50 | $4,125.00 | — | — | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Wound Debride Subq <20 Cm Sq | $923.10 | $3,077.00 | — | 15% below | 70% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Wound Debride Subq <20 Cm Sq | $923.10 | $3,077.00 | — | — | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion X 1 | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration -1 Unit | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Admin | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin 1 Unit - 1North | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration - 1 Unit | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Cell Saver Transfusion | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Admin | $663.90 | $2,213.00 | — | 14% below | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Cell Saver Transfusion | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion X 1 | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration -1 Unit | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin 1 Unit - 1North | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Admin | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Admin | $663.90 | $2,213.00 | — | — | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration - 1 Unit | $663.90 | $2,213.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Therapy Initial Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Ther Initial Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Initial Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Initial Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Mdi Treatment Subsequent | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Therapy Subseq | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Subsequent | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ez Pap Initial Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ez Pap Subsequent Tx | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Subsequent | $129.60 | $432.00 | — | 31% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Treatment Subsequent | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Ther Initial Tx | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ez Pap Subsequent Tx | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ez Pap Initial Tx | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Subsequent | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Initial Tx | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Subsequent | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Therapy Initial Tx | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Therapy Subseq | $129.60 | $432.00 | — | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Mdi Initial Tx | $129.60 | $432.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion First Hr | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Mab/Brn Iv Infusion First Hr | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo IV Infusion First Hr | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion First Hr | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1St Hr Ok | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1St Hr | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Remicade Infusion 1St Hour | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour CPT 96413 Chemo Iv Infusion 1Sthr Inidrg | $305.10 | $1,017.00 | — | 32% below | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1Sthr Inidrg | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1St Hr Ok | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion First Hr | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion First Hr | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo IV Infusion First Hr | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Mab/Brn Iv Infusion First Hr | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Remicade Infusion 1St Hour | $305.10 | $1,017.00 | — | — | 70% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Iv Infusion 1St Hr | $305.10 | $1,017.00 | — | — | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audio - Limited | $225.90 | $753.00 | — | 43% below | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audio Ltd-Ab | $225.90 | $753.00 | — | 43% below | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry | $451.80 | $1,506.00 | — | 15% above | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Comprehensive Audiometry-Ab | $451.80 | $1,506.00 | — | 15% above | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audio - Limited | $225.90 | $753.00 | — | — | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audio Ltd-Ab | $225.90 | $753.00 | — | — | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audiometry-Ab | $451.80 | $1,506.00 | — | — | 70% |
| Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Comprehensive Audiometry | $451.80 | $1,506.00 | — | — | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 Ed Levl-Critical Care 30-74Min | $915.00 | $3,050.00 | — | 50% below | 70% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Ed Levl-Critical Care 30-74Min | $915.00 | $3,050.00 | — | — | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg | $449.40 | $1,498.00 | — | 24% below | 70% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg | $449.40 | $1,498.00 | — | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg, 12 Lead, Tracing Only | $97.20 | $324.00 | — | 49% below | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg, 12 Lead, Tracing Only | $97.20 | $324.00 | — | — | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ed Level 1 Visit | $92.70 | $309.00 | — | 60% below | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Ed Level 1 Visit | $92.70 | $309.00 | — | — | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ed Level 2 Visit | $177.00 | $590.00 | — | 51% below | 70% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Ed Level 2 Visit | $177.00 | $590.00 | — | — | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ed Level 3 Visit | $265.20 | $884.00 | — | 58% below | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Ed Level 3 Visit | $265.20 | $884.00 | — | — | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed Level 4 Visit | $358.20 | $1,194.00 | — | 55% below | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ed Level 4 Visit | $358.20 | $1,194.00 | — | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed Level 5 Visit | $631.20 | $2,104.00 | — | 43% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ed Level 5 Visit | $631.20 | $2,104.00 | — | — | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Chd Cardio Stress Test | $345.90 | $1,153.00 | — | 59% below | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardio Stress Test | $380.70 | $1,269.00 | — | 55% below | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Treadmill Stress Testing | $380.70 | $1,269.00 | — | 55% below | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Chd Cardio Stress Test | $345.90 | $1,153.00 | — | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardio Stress Test | $380.70 | $1,269.00 | — | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Treadmill Stress Testing | $380.70 | $1,269.00 | — | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Infsn Ini 31-60Min | $264.00 | $880.00 | — | 9% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration First Hour | $264.00 | $880.00 | — | 9% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Iv Infsn 1St Hour | $264.00 | $880.00 | — | 9% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration 1St Hour Hhi | $264.00 | $880.00 | — | 9% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Infsn Inj 31-60Min | $264.00 | $880.00 | — | 9% below | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Infsn Inj 31-60Min | $264.00 | $880.00 | — | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration 1St Hour Hhi | $264.00 | $880.00 | — | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration First Hour | $264.00 | $880.00 | — | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Infsn Ini 31-60Min | $264.00 | $880.00 | — | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Iv Infsn 1St Hour | $264.00 | $880.00 | — | — | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo IV Infus First Hour | $276.60 | $922.00 | — | 5% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial Up To 1Hr | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Init Up To 1 Hour | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo Iv Infusion First H | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo Iv Infus First Hour | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo Infusion 1St Hr Okt | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo Infusion 1St Hr Hhi | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Non-Chemo Infusion 1St Hr | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Therapy 1St Hour | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour CPT 96365 Iv Infusion Initial Up To 1Hr | $290.40 | $968.00 | — | at median | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo IV Infus First Hour | $276.60 | $922.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo Iv Infus First Hour | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Init Up To 1 Hour | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo Infusion 1St Hr Okt | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Therapy 1St Hour | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo Infusion 1St Hr Hhi | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo Iv Infusion First H | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial Up To 1Hr | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Non-Chemo Infusion 1St Hr | $290.40 | $968.00 | — | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Iv Infusion Initial Up To 1Hr | $290.40 | $968.00 | — | — | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo IV Push Initial | $119.70 | $399.00 | — | 43% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non Chemo Iv Push Injection | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Inj Intl Drug Hh | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Push Inj Initial | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Push Initial | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Iv Push | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Injection: Iv Push Initl Drug | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Push Injection | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Injection Iv Push Initial | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Push Initial | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Iv Inj/Push Initial | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Inj Intl Drug Ok | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug CPT 96374 Non-Chemo Iv Inj Intl Drug | $150.60 | $502.00 | — | 28% below | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo IV Push Initial | $119.70 | $399.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection Iv Push Initial | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Inj Intl Drug | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Inj/Push Initial | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Push Injection | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Inj Intl Drug Hh | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non Chemo Iv Push Injection | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Inj Intl Drug Ok | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Push Initial | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Push Initial | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Injection: Iv Push Initl Drug | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push | $150.60 | $502.00 | — | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 Non-Chemo Iv Push Inj Initial | $150.60 | $502.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Admin Im Injection | $12.90 | $43.00 | — | 87% below | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Hbig Im Injection | $102.60 | $342.00 | — | 3% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection: Sq/Im | $102.60 | $342.00 | — | 3% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Sq/IM | $102.60 | $342.00 | — | 3% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Rhogam Im Injection | $102.60 | $342.00 | — | 3% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/ Sq Injection | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Thyrogen Inj Sq/Im Nm | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Injection | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im / Sq Injection | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Injestion | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Im Sq | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Im Sq Hhi | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Im Sq Okt | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Sq/Im | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Non-Chemo Inj Sq/Im | $107.70 | $359.00 | — | 8% above | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Admin Im Injection | $12.90 | $43.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection: Sq/Im | $102.60 | $342.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Sq/IM | $102.60 | $342.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Hbig Im Injection | $102.60 | $342.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Rhogam Im Injection | $102.60 | $342.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Sq/Im | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im / Sq Injection | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Injestion | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Thyrogen Inj Sq/Im Nm | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/ Sq Injection | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Injection | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Im Sq | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Im Sq Hhi | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Im Sq Okt | $107.70 | $359.00 | — | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Non-Chemo Inj Sq/Im | $107.70 | $359.00 | — | — | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Ed 15 Min | $56.70 | $189.00 | — | 13% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 Vr Neuromuscular Re-Ed 15 Mi | $56.70 | $189.00 | — | 13% below | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Vr Neuromuscular Re-Ed 15 Mi | $56.70 | $189.00 | — | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Ed 15 Min | $56.70 | $189.00 | — | — | 70% |
| New patient office visit, about 30 minutes CPT 99203 New PT Clinic Visit LVL3 | $58.59 | $195.30 | — | 63% below | 70% |
| New patient office visit, about 30 minutes inpatient CPT 99203 New PT Clinic Visit LVL3 | $58.59 | $195.30 | — | — | 70% |
| New patient office visit, about 45 minutes CPT 99204 New PT Clinic Visit LVL4 | $58.59 | $195.30 | — | 71% below | 70% |
| New patient office visit, about 45 minutes CPT 99204 New Clinic Visit Lvl4 | $143.40 | $478.00 | — | 28% below | 70% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New PT Clinic Visit LVL4 | $58.59 | $195.30 | — | — | 70% |
| New patient office visit, about 45 minutes inpatient CPT 99204 New Clinic Visit Lvl4 | $143.40 | $478.00 | — | — | 70% |
| New patient office visit, about 60 minutes CPT 99205 New PT Clinic Visit LVL5 | $58.59 | $195.30 | — | 76% below | 70% |
| New patient office visit, about 60 minutes CPT 99205 New Clinic Visit Lvl5 | $181.50 | $605.00 | — | 24% below | 70% |
| New patient office visit, about 60 minutes CPT 99205 Palliative Care Clinic New L5 | $190.20 | $634.00 | — | 21% below | 70% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New PT Clinic Visit LVL5 | $58.59 | $195.30 | — | — | 70% |
| New patient office visit, about 60 minutes inpatient CPT 99205 New Clinic Visit Lvl5 | $181.50 | $605.00 | — | — | 70% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Palliative Care Clinic New L5 | $190.20 | $634.00 | — | — | 70% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New PT Clinic Visit LVL2 | $58.59 | $195.30 | — | 57% below | 70% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New Clinic Visit Lvl2 | $62.10 | $207.00 | — | 55% below | 70% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New PT Clinic Visit LVL2 | $58.59 | $195.30 | — | — | 70% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New Clinic Visit Lvl2 | $62.10 | $207.00 | — | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT Individual Initial- 15 Min | $69.00 | $230.00 | — | 90% above | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Mnt Individual Initial-15Min | $75.30 | $251.00 | — | 108% above | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT Individual Initial- 15 Min | $69.00 | $230.00 | — | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Mnt Individual Initial-15Min | $75.30 | $251.00 | — | — | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Rehab Eval Low 30Min | $141.60 | $472.00 | — | 17% below | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low 30Min | $141.60 | $472.00 | — | 17% below | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Rehab Eval Low 30Min | $141.60 | $472.00 | — | — | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low 30Min | $141.60 | $472.00 | — | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Rehab Ip Eval High 45Min | $177.00 | $590.00 | — | 15% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High 45Min | $177.00 | $590.00 | — | 15% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High 45Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Rehab Ip Eval High 45Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Rehab Ip Eval Low 20Min | $177.00 | $590.00 | — | 1% above | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low 20Min | $177.00 | $590.00 | — | 1% above | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Rehab Ip Eval Low 20Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low 20Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod 30Min | $177.00 | $590.00 | — | at median | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Rehab Ip Eval Mod 30Min | $177.00 | $590.00 | — | at median | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Med 30Min | $177.00 | $590.00 | — | at median | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Med 30Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod 30Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Rehab Ip Eval Mod 30Min | $177.00 | $590.00 | — | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Vr Manual Therapy - 15 Min | $57.00 | $190.00 | — | 42% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Each 15 Min | $57.00 | $190.00 | — | 42% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy 1/> Regions | $57.00 | $190.00 | — | 42% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Each 15 Min | $57.00 | $190.00 | — | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Vr Manual Therapy - 15 Min | $57.00 | $190.00 | — | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy 1/> Regions | $57.00 | $190.00 | — | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Vr Exer Therapeutic 15 Min | $57.60 | $192.00 | — | 24% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Cpm Exercise | $57.60 | $192.00 | — | 24% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise Ea 15 Min | $57.60 | $192.00 | — | 24% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Isokenetic Exercise 15 Min | $57.60 | $192.00 | — | 24% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Isokenetic Exercise 15 Min | $57.60 | $192.00 | — | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Vr Exer Therapeutic 15 Min | $57.60 | $192.00 | — | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise Ea 15 Min | $57.60 | $192.00 | — | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Cpm Exercise | $57.60 | $192.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess W/Sympt 3-10Min | $21.00 | $70.00 | — | 40% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Sbg Smok Cess W/Osymp 3-10 Min | $22.20 | $74.00 | — | 37% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess W/ Symp 3-10Mn | $25.50 | $85.00 | — | 27% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess W/O Symp 3-10 Min | $25.50 | $85.00 | — | 27% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess W/O Sym 3-10Min | $25.50 | $85.00 | — | 27% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cess Intermed 3-10Min | $28.20 | $94.00 | — | 20% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cess W/Sympt 3-10Min | $21.00 | $70.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Sbg Smok Cess W/Osymp 3-10 Min | $22.20 | $74.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cess W/ Symp 3-10Mn | $25.50 | $85.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cess W/O Symp 3-10 Min | $25.50 | $85.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cess W/O Sym 3-10Min | $25.50 | $85.00 | — | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cess Intermed 3-10Min | $28.20 | $94.00 | — | — | 70% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT Clinic Visit LVL3 | $58.59 | $195.30 | — | 61% below | 70% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Est Clinic Visit Lvl3 | $64.80 | $216.00 | — | 57% below | 70% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 EST PT Clinic Visit LVL3 | $58.59 | $195.30 | — | — | 70% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Est Clinic Visit Lvl3 | $64.80 | $216.00 | — | — | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EST PT Clinic Visit LVL4 | $58.59 | $195.30 | — | 66% below | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Est Clinic Visit Lvl4 | $94.20 | $314.00 | — | 45% below | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EST PT Clinic Visit LVL4 | $58.59 | $195.30 | — | — | 70% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Est Clinic Visit Lvl4 | $94.20 | $314.00 | — | — | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Est Clinic Visit Lvl 2 | $47.70 | $159.00 | — | 62% below | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT Clinic Visit LVL2 | $58.59 | $195.30 | — | 53% below | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Est Clinic Visit Lvl 2 | $47.70 | $159.00 | — | — | 70% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 EST PT Clinic Visit LVL2 | $58.59 | $195.30 | — | — | 70% |
| Speech and language evaluation CPT 92523 Eval Speech Sound/Comp/Exprss | $235.80 | $786.00 | — | 3% below | 70% |
| Speech and language evaluation inpatient CPT 92523 Eval Speech Sound/Comp/Exprss | $235.80 | $786.00 | — | — | 70% |
| Speech therapy session, individual CPT 92507 St Individual Thpy | $178.50 | $595.00 | — | 29% above | 70% |
| Speech therapy session, individual inpatient CPT 92507 St Individual Thpy | $178.50 | $595.00 | — | — | 70% |
| Spirometry (breathing test) CPT 94010 Spirometry | $146.40 | $488.00 | — | 40% below | 70% |
| Spirometry (breathing test) CPT 94010 Pft Bedside | $146.40 | $488.00 | — | 40% below | 70% |
| Spirometry (breathing test) inpatient CPT 94010 Spirometry | $146.40 | $488.00 | — | — | 70% |
| Spirometry (breathing test) inpatient CPT 94010 Pft Bedside | $146.40 | $488.00 | — | — | 70% |
| Spirometry before and after a bronchodilator CPT 94060 Pft B/A Bronchodilator | $173.10 | $577.00 | — | 58% below | 70% |
| Spirometry before and after a bronchodilator CPT 94060 Pft B/A Bronchodilator Bedsid | $173.10 | $577.00 | — | 58% below | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft B/A Bronchodilator | $173.10 | $577.00 | — | — | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft B/A Bronchodilator Bedsid | $173.10 | $577.00 | — | — | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Dir Therapeutic Activs 15 Min | $53.40 | $178.00 | — | 26% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities 15 Min | $53.40 | $178.00 | — | 26% below | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Dir Therapeutic Activs 15 Min | $53.40 | $178.00 | — | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities 15 Min | $53.40 | $178.00 | — | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapuetic Phlebotomy | $211.50 | $705.00 | — | 18% above | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic | $211.50 | $705.00 | — | 18% above | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $211.50 | $705.00 | — | 18% above | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapuetic Phlebotomy | $211.50 | $705.00 | — | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $211.50 | $705.00 | — | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic | $211.50 | $705.00 | — | — | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Georgia | Off list |
|---|---|---|---|---|---|
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX DTAP SYRINGE | $28.20 | $94.00 | — | 51% below | 70% |
| DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX DTAP SYRINGE | $28.20 | $94.00 | — | — | 70% |
| HPV vaccine, 9-valent (Gardasil 9) CPT 90651 GARDASIL 9 SYRINGE | $241.50 | $805.00 | — | 78% below | 70% |
| HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 GARDASIL 9 SYRINGE | $241.50 | $805.00 | — | — | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 HAVRIX 1,440 UNITS/ML SYRINGE | $80.70 | $269.00 | — | 50% below | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HAVRIX 1,440 UNITS/ML SYRINGE | $80.70 | $269.00 | — | — | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HAVRIX 720 UNITS/0.5 ML VIAL | $37.80 | $126.00 | — | 74% below | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HAVRIX 720 UNITS/0.5 ML VIAL | $37.80 | $126.00 | — | — | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED VL | $28.50 | $95.00 | — | 58% below | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 ENGERIX-B PEDI 10 MCG/0.5 SYRN | $28.50 | $95.00 | — | 58% below | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B 10 MCG/0.5 ML PED VL | $28.50 | $95.00 | — | — | 70% |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 ENGERIX-B PEDI 10 MCG/0.5 SYRN | $28.50 | $95.00 | — | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAXHIB VACCINE 7.5mcg/0.5mL SDV | $30.30 | $101.00 | — | 62% below | 70% |
| Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAXHIB VACCINE 7.5mcg/0.5mL SDV | $30.30 | $101.00 | — | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIBERIX VACCINE VIAL | $45.30 | $151.00 | — | 21% above | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB VACCINE WITH DILUENT | $45.30 | $151.00 | — | 21% above | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB VACCINE VIAL | $45.30 | $151.00 | — | 21% above | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB VACCINE WITH DILUENT | $45.30 | $151.00 | — | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HIBERIX VACCINE VIAL | $45.30 | $151.00 | — | — | 70% |
| Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 ACTHIB VACCINE VIAL | $45.30 | $151.00 | — | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Fluzone High Dose 2018-2019 syr | $14.10 | $47.00 | — | 87% below | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FluZONE High Dose 2020-2021 syr | $46.80 | $156.00 | — | 58% below | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Fluzone High Dose 2018-2019 syr | $14.10 | $47.00 | — | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 FluZONE High Dose 2020-2021 syr | $46.80 | $156.00 | — | — | 70% |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II VACCINE WITH DILUENT | $81.90 | $273.00 | — | 54% below | 70% |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 M-M-R II VACCINE WITH DILUENT | $81.90 | $273.00 | — | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP VIAL KT | $141.90 | $473.00 | — | 58% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENVEO A-C-Y-W-135-DIP VIAL | $141.90 | $473.00 | — | 58% below | 70% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A-C-Y-W-135-DIP VIAL | $141.90 | $473.00 | — | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENVEO A-C-Y-W-135-DIP VIAL KT | $141.90 | $473.00 | — | — | 70% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 BEXSERO PREFILLED SYRINGE | $163.50 | $545.00 | — | 64% below | 70% |
| Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 BEXSERO PREFILLED SYRINGE | $163.50 | $545.00 | — | — | 70% |
| Meningococcal B vaccine (Trumenba) CPT 90621 TRUMENBA 120 MCG/0.5 ML VACCIN | $207.60 | $692.00 | — | 61% below | 70% |
| Meningococcal B vaccine (Trumenba) inpatient CPT 90621 TRUMENBA 120 MCG/0.5 ML VACCIN | $207.60 | $692.00 | — | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20- Val Conj vaccine 0.5ml syringe | $266.10 | $887.00 | — | 52% below | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 Prevnar 20- Val Conj vaccine 0.5ml syringe | $266.10 | $887.00 | — | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 VIAL | $113.40 | $378.00 | — | 63% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX 23 SYRINGE | $113.40 | $378.00 | — | 63% below | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 VIAL | $113.40 | $378.00 | — | — | 70% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX 23 SYRINGE | $113.40 | $378.00 | — | — | 70% |
| Polio vaccine, inactivated (IPV) CPT 90713 IPOL VIAL | $41.40 | $138.00 | — | 77% below | 70% |
| Polio vaccine, inactivated (IPV) inpatient CPT 90713 IPOL VIAL | $41.40 | $138.00 | — | — | 70% |
| Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 SHINGRIX GE ANTIGEN COMPONENT | $172.80 | $576.00 | — | 75% below | 70% |
| Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 SHINGRIX GE ANTIGEN COMPONENT | $172.80 | $576.00 | — | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC SYRINGE | $28.50 | $95.00 | — | 80% below | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC VIAL | $28.50 | $95.00 | — | 80% below | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC VIAL | $28.50 | $95.00 | — | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC SYRINGE | $28.50 | $95.00 | — | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 ADACEL TDAP VIAL | $51.60 | $172.00 | — | 47% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP VACCINE SYRINGE | $51.60 | $172.00 | — | 47% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP VACCINE VIAL | $51.60 | $172.00 | — | 47% below | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 ADACEL TDAP VIAL | $51.60 | $172.00 | — | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP VACCINE SYRINGE | $51.60 | $172.00 | — | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP VACCINE VIAL | $51.60 | $172.00 | — | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunizatn Adm Initl Vaccine | $15.30 | $51.00 | — | 68% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Initial | $15.30 | $51.00 | — | 68% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 6N Vaccine Admin Initial | $15.30 | $51.00 | — | 68% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Injection: Immunization | $15.30 | $51.00 | — | 68% below | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 6N Vaccine Admin Initial | $15.30 | $51.00 | — | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Injection: Immunization | $15.30 | $51.00 | — | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunizatn Adm Initl Vaccine | $15.30 | $51.00 | — | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Initial | $15.30 | $51.00 | — | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Ea Addl | $29.40 | $98.00 | — | 24% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Additional | $29.40 | $98.00 | — | 24% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Vaccine Admin Addl | $29.40 | $98.00 | — | 24% below | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin Addl | $29.40 | $98.00 | — | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin Additional | $29.40 | $98.00 | — | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Vaccine Admin Ea Addl | $29.40 | $98.00 | — | — | 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.