Saint Thomas West Hospital
Saint Thomas West Hospital in Harding Pk Nashville, TN publishes cash prices for 339 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Tennessee median for 156 of 338 procedures and below it for 152. By typical cash price it ranks #46 of 88 Tennessee hospitals and #4 of 21 hospitals in the Nashville, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.
4220 Harding Pk Nashville TN 37205 Collected Sep 23, 2026 Source price file Check a bill from this hospital (615) 222-2111
Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 440082 · CMS hospital register NPI 1629025648
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Saint Thomas West Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT ADRENAL GLANDS W/WO | $1,020.09 | $3,400.30 | $221.14–$714.52 | 9% below | 70% |
| Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W | $1,020.27 | $3,400.90 | $221.14–$714.52 | 9% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | 52% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | 52% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR VAD ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | 52% below | 70% |
| Abdominal X-ray, 2 views CPT 74019 XR VAD ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | 52% below | 70% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR VAD ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | — | 70% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN TWO VIEWS | $83.18 | $277.25 | $15.96–$179.33 | — | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RIGHT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | 41% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE RIGHT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | 41% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LEFT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | 41% below | 70% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE LEFT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | 41% below | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE LEFT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | — | 70% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE RIGHT 3V MIN | $82.80 | $276.00 | $15.33–$127.70 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 VAS PPG ART LOWER EXTR BILAT | $204.98 | $683.25 | $35.49–$348.46 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 VAS PPG ART LOWER EXTR BILAT | $204.98 | $683.25 | $35.49–$348.46 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HRT PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HRT PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HRT PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HRT PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS PPG ARTERIAL EXTREMITY BIL | $204.98 | $683.25 | $35.49–$348.46 | 21% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VAS PPG ARTERIAL EXTREMITY BIL | $204.98 | $683.25 | $35.49–$348.46 | 21% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | 5% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HRT ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | 5% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | 5% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HRT ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | 5% below | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 VAS PPG ART LOWER EXTR BILAT | $204.98 | $683.25 | $35.49–$348.46 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HRT PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HRT PPG ART LOWER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 PPG ART UPPER EXTREM BILAT | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VAS PPG ARTERIAL EXTREMITY BIL | $204.98 | $683.25 | $35.49–$348.46 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HRT ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ANKLE PRESSURE ABI | $246.02 | $820.05 | $35.49–$418.23 | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | 17% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY RIGHT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | 17% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | 17% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY LEFT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | 17% below | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY RIGHT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | — | 70% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT EXTREMITY LEFT UPPER W/O | $573.59 | $1,911.95 | $140.34–$994.21 | — | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $173.00 | $576.65 | $33.33–$291.55 | 21% below | 70% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS | $173.00 | $576.65 | $33.33–$291.55 | 21% below | 70% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS | $173.00 | $576.65 | $33.33–$291.55 | — | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 N/M SCAN BONE X | $556.61 | $1,855.35 | $120.94–$719.70 | 18% below | 70% |
| Bone scan, whole body (nuclear medicine) CPT 78306 N/M SCAN BONE X | $556.61 | $1,855.35 | $120.94–$719.70 | 18% below | 70% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 N/M SCAN BONE X | $556.61 | $1,855.35 | $120.94–$719.70 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPL BILATERAL | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST COMPL BILATERAL | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $52.32–$300.68 | 100% above | 70% |
| Breast ultrasound, complete, one breast CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $52.32–$300.68 | 100% above | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $52.32–$188.95 | at median | 70% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 MAM BREAST US CPLT BILAT CODED | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST COMPL BILATERAL | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient CPT 76641 MAM BREAST ULTRASOUND CPLT BL | $346.94 | $1,156.45 | $52.32–$300.68 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT LT CODED | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT RT | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST ULTRASOUND CPLT LT | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 MAM BREAST US CPLT RT CODED | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT LT | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST COMPL UNILAT RT | $173.48 | $578.25 | $52.32–$188.95 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BREAST US LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) both sides CPT 76642 MAM BREAST US LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | at median | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 MAM BRST US LTD BILAT CODED | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 MAM BREAST US LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT | $330.39 | $1,101.30 | $40.06–$286.34 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD LT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST ULTRASOUND LTD RT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD RIGHT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST ULTRASOUND LTD LEFT | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED LT CODED | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 MAM BREAST US LIMITED RT CODED | $165.20 | $550.65 | $40.06–$143.98 | — | 70% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN + PELVIS | $1,707.77 | $5,692.55 | $333.14–$1,036.60 | at median | 70% |
| CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD | $779.51 | $2,598.35 | $204.63–$762.71 | 29% below | 70% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK | $779.51 | $2,598.35 | $204.63–$760.07 | 26% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO RECON | $868.77 | $2,895.90 | $251.30–$775.87 | 23% below | 70% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST TRIPLE STUDY | $868.77 | $2,895.90 | $251.30–$775.87 | 23% below | 70% |
| CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CCTA HEART + CORONARY ARTERIES | $1,085.27 | $3,617.55 | $322.49–$1,137.45 | 17% above | 70% |
| CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING | $101.15 | $337.15 | $44.48–$276.00 | at median | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMENPELVIS WO CONTRAST | $1,409.82 | $4,699.40 | $101.11–$562.76 | 2% below | 70% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT RENAL STONE ABD PELVIS | $1,409.82 | $4,699.40 | $101.11–$562.76 | 2% below | 70% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMENPELVIS W CONTRAST | $1,692.89 | $5,642.95 | $192.93–$818.54 | 10% below | 70% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMENPELVIS WWO CONTRAST | $1,946.21 | $6,487.35 | $255.01–$939.16 | 10% below | 70% |
| CT scan of the abdomen with contrast CPT 74160 CT ABD W | $874.64 | $2,915.45 | $188.12–$621.02 | 10% below | 70% |
| CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O | $784.58 | $2,615.25 | $100.82–$562.76 | 1% above | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT BRAINLAB SINUS WO | $554.03 | $1,846.75 | $133.73–$562.76 | 20% below | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WITHOUT CONTRAST | $554.03 | $1,846.75 | $133.73–$562.76 | 20% below | 70% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O | $554.03 | $1,846.75 | $133.73–$562.76 | 20% below | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O CONTRAST | $581.79 | $1,939.30 | $86.77–$562.76 | 18% below | 70% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT BRAINLAB W/O CONTRAST | $581.79 | $1,939.30 | $86.77–$562.76 | 18% below | 70% |
| CT scan of the head with contrast CPT 70460 CT BRAINLAB WITH | $746.24 | $2,487.45 | $120.17–$562.76 | 16% below | 70% |
| CT scan of the head with contrast CPT 70460 CT HEAD-W | $746.24 | $2,487.45 | $120.17–$562.76 | 16% below | 70% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD W/0 & W | $802.22 | $2,674.05 | $148.64–$562.76 | 26% below | 70% |
| CT scan of the head without and with contrast CPT 70470 CT BRAINLAB W/WO | $802.22 | $2,674.05 | $148.64–$562.76 | 26% below | 70% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O | $746.63 | $2,488.75 | $150.16–$562.76 | 6% below | 70% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O | $784.19 | $2,613.95 | $151.68–$562.76 | 11% below | 70% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W | $818.66 | $2,728.85 | $188.88–$622.36 | 7% below | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VAS CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 VAS CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HRT CAROTID DUPLEX BILATERAL | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HRT CAROTID DUPLEX BILATERAL | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 VAS CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAROTID DUPLEX BILAT | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HRT CAROTID DUPLEX BILATERAL | $461.81 | $1,539.35 | $108.35–$785.07 | — | 70% |
| Chest CT scan without and with contrast CPT 71270 CT CHEST W&W/O CONT | $970.16 | $3,233.85 | $234.81–$617.08 | 1% above | 70% |
| Chest CT scan without and with contrast CPT 71270 CT HIGH RES CHEST PLUS CHEST W | $1,044.56 | $3,481.85 | $234.81–$617.08 | 9% above | 70% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $115.77 | $385.90 | $14.38–$127.70 | 5% below | 70% |
| Chest X-ray, 2 views CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $115.77 | $385.90 | $14.38–$127.70 | 5% below | 70% |
| Chest X-ray, 2 views inpatient CPT 71046 XR CHEST PA LATERAL TWO VIEWS | $115.77 | $385.90 | $14.38–$127.70 | — | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW | $101.01 | $336.70 | $7.80–$127.70 | 10% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW | $101.01 | $336.70 | $7.80–$127.70 | 10% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW | $106.05 | $353.50 | $7.80–$127.70 | 6% below | 70% |
| Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW | $106.05 | $353.50 | $7.80–$127.70 | 6% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT | $90.29 | $300.95 | $7.80–$127.70 | 20% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS RIGHT | $90.29 | $300.95 | $7.80–$127.70 | 20% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT | $94.80 | $316.00 | $7.80–$127.70 | 16% below | 70% |
| Chest X-ray, single view one side CPT 71045 XR CHEST DECUBITUS LEFT | $94.80 | $316.00 | $7.80–$127.70 | 16% below | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW | $101.01 | $336.70 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE ONE VIEW | $106.05 | $353.50 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS RIGHT | $90.29 | $300.95 | $7.80–$127.70 | — | 70% |
| Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS LEFT | $94.80 | $316.00 | $7.80–$127.70 | — | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | 24% below | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | 24% below | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | 24% below | 70% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | 24% below | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LEFT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | — | 70% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RIGHT COMPLETE | $92.33 | $307.75 | $15.04–$127.70 | — | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL | $280.32 | $934.40 | $55.69–$203.95 | 2% above | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL | $280.32 | $934.40 | $55.69–$203.95 | 2% above | 70% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL | $280.32 | $934.40 | $55.69–$203.95 | — | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MAM BONE DENSITOMETRY DEXA | $161.37 | $537.90 | $41.22–$179.33 | 8% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 MAM BONE DENSITOMETRY DEXA | $161.37 | $537.90 | $41.22–$179.33 | 8% below | 70% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MAM BONE DENSITOMETRY DEXA | $161.37 | $537.90 | $41.22–$179.33 | — | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 MAM BONE DENSITOMETRY PERIPHER | $69.42 | $231.40 | $17.69–$127.70 | 18% below | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 MAM BONE DENSITOMETRY PERIPHER | $69.42 | $231.40 | $17.69–$127.70 | 18% below | 70% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 MAM BONE DENSITOMETRY PERIPHER | $69.42 | $231.40 | $17.69–$127.70 | — | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST W/O CONTRAST | $659.72 | $2,199.05 | $149.78–$562.76 | 10% below | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST HIGH RESOLUTION | $817.11 | $2,723.70 | $149.78–$562.76 | 11% above | 70% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT HI RESOLUT THORAX CHEST W/O | $817.11 | $2,723.70 | $149.78–$562.76 | 11% above | 70% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W/CONTRAST | $882.89 | $2,942.95 | $188.88–$562.76 | 7% below | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG ADD VIEW BILATERAL | $172.25 | $574.15 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG ADD VIEW BILATERAL | $172.25 | $574.15 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts CPT 77066 MAM ADD VIEW DIAG W TOMO BIL X | $172.25 | $574.15 | $88.85–$319.26 | 50% above | 70% |
| Diagnostic mammogram, both breasts CPT 77066 MAM ADD VIEW DIAG W TOMO BIL X | $172.25 | $574.15 | $88.85–$319.26 | 50% above | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIAG ADD VIEW BILATERAL | $172.25 | $574.15 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAM DIAG W CAD BILAT | $244.26 | $814.20 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MAM ADD VIEW DIAG W TOMO BIL X | $172.25 | $574.15 | $88.85–$319.26 | — | 70% |
| Diagnostic mammogram, one breast CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW W TOMO RT X | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW LEFT | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM ADD VIEW DIAG W TOMO LT X | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM ADD VIEW DIAG W TOMO LT X | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW RIGHT | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW LEFT | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW RIGHT | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG ADD VIEW W TOMO RT X | $143.58 | $478.60 | $69.43–$249.90 | 8% below | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | 38% above | 70% |
| Diagnostic mammogram, one breast inpatient CPT 77065 MAM MAMMO BIOPSY POST | $143.58 | $478.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG ADD VIEW LEFT | $143.58 | $478.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG ADD VIEW W TOMO RT X | $143.58 | $478.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG ADD VIEW RIGHT | $143.58 | $478.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM ADD VIEW DIAG W TOMO LT X | $143.58 | $478.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD LEFT | $215.58 | $718.60 | $69.43–$249.90 | — | 70% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIAG W CAD RIGHT | $215.58 | $718.60 | $69.43–$249.90 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART DUPLEX LOWER EXTR BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HRT ART DUPLEX LE BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART DUPLEX LOWER EXTR BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HRT ART DUPLEX LE BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 VAS ART DUP LOWER EXTR BILATRL | $389.69 | $1,298.95 | $108.35–$662.46 | 58% below | 70% |
| Duplex ultrasound of the leg arteries, both legs CPT 93925 VAS ART DUP LOWER EXTR BILATRL | $389.69 | $1,298.95 | $108.35–$662.46 | 58% below | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HRT ART DUPLEX LE BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART DUPLEX LOWER EXTR BILAT | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 VAS ART DUP LOWER EXTR BILATRL | $389.69 | $1,298.95 | $108.35–$662.46 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS VEN DUP UPPER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS VEN DUP LOWER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS VEN DUP UPPER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VAS VEN DUP LOWER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS DUPLEX UE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS DUPLEX LE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS DUPLEX UE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HRT VENOUS DUPLEX LE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX LOWER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | 13% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX UPPER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | 13% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX LOWER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | 13% below | 70% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 VENOUS DUPLEX UPPER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | 13% below | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HRT VENOUS MAPPING BILATERAL | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VAS VEN DUP UPPER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VAS VEN DUP LOWER EXT BILAT | $460.55 | $1,535.15 | $108.35–$782.93 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HRT VENOUS DUPLEX LE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HRT VENOUS DUPLEX UE BILAT | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX UPPER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VENOUS DUPLEX LOWER EXTR BIL | $552.62 | $1,842.05 | $108.35–$939.45 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE | $1,151.30 | $3,837.65 | $148.77–$1,957.20 | 2% below | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 2D ECHO COMPLETE | $1,151.30 | $3,837.65 | $148.77–$1,957.20 | 2% below | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/ DOPPLER COMPLETE | $1,618.32 | $5,394.40 | $148.77–$2,751.14 | 37% above | 70% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/ DOPPLER COMPLETE | $1,618.32 | $5,394.40 | $148.77–$2,751.14 | 37% above | 70% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 2D ECHO COMPLETE | $1,151.30 | $3,837.65 | $148.77–$1,957.20 | — | 70% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE W/ DOPPLER COMPLETE | $1,618.32 | $5,394.40 | $148.77–$2,751.14 | — | 70% |
| Elbow X-ray, 2 views one side CPT 73070 X/R ELBOW RIGHT 2V O/P | $87.41 | $291.35 | $15.04–$127.70 | 28% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 X/R ELBOW RIGHT 2V O/P | $87.41 | $291.35 | $15.04–$127.70 | 28% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 X/R ELBOW LEFT 2V OP | $87.41 | $291.35 | $15.04–$127.70 | 28% below | 70% |
| Elbow X-ray, 2 views one side CPT 73070 X/R ELBOW LEFT 2V OP | $87.41 | $291.35 | $15.04–$127.70 | 28% below | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X/R ELBOW RIGHT 2V O/P | $87.41 | $291.35 | $15.04–$127.70 | — | 70% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 X/R ELBOW LEFT 2V OP | $87.41 | $291.35 | $15.04–$127.70 | — | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | 41% below | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | 41% below | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW RIGHT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | 41% below | 70% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW LEFT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | 41% below | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW RIGHT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | — | 70% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW LEFT 3V MIN | $85.98 | $286.60 | $16.30–$127.70 | — | 70% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT SELLA EAR W/O | $540.69 | $1,802.30 | $133.73–$627.59 | 15% below | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3V MIN | $113.81 | $379.35 | $22.35–$179.33 | 29% below | 70% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES 3V MIN | $113.81 | $379.35 | $22.35–$179.33 | 29% below | 70% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES 3V MIN | $113.81 | $379.35 | $22.35–$179.33 | — | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | 30% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM LEFT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | 30% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | 30% below | 70% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM RIGHT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | 30% below | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM RIGHT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | — | 70% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM LEFT 2V MIN | $86.67 | $288.90 | $15.04–$127.70 | — | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING X | $647.19 | $2,157.30 | $213.75–$811.16 | at median | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING X | $647.19 | $2,157.30 | $213.75–$811.16 | at median | 70% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM HEPATOBILIARY IMAGING X | $647.19 | $2,157.30 | $213.75–$811.16 | — | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT | $87.17 | $290.55 | $14.21–$179.33 | 34% below | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LEFT | $87.17 | $290.55 | $14.21–$179.33 | — | 70% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RIGHT | $87.17 | $290.55 | $14.21–$179.33 | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | 40% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | 40% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | 40% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | 40% below | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL LEFT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | — | 70% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL RIGHT 2V MIN | $75.41 | $251.35 | $13.64–$127.70 | — | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 TYPE III UNATTENDED SLEEP TEST | $354.93 | $1,183.10 | $150.07–$698.03 | 36% above | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 TYPE III UNATTENDED SLEEP TEST | $354.93 | $1,183.10 | $150.07–$698.03 | 36% above | 70% |
| Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 TYPE III UNATTENDED SLEEP TEST | $354.93 | $1,183.10 | $150.07–$698.03 | — | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $90.93 | $303.10 | $16.30–$127.70 | 36% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $90.93 | $303.10 | $16.30–$127.70 | 36% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V LT | $90.93 | $303.10 | $16.30–$127.70 | 36% below | 70% |
| Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 V RT | $90.93 | $303.10 | $16.30–$127.70 | 36% below | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V RT | $90.93 | $303.10 | $16.30–$127.70 | — | 70% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 V LT | $90.93 | $303.10 | $16.30–$127.70 | — | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RIGHT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | 22% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LEFT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | 22% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE RIGHT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | 22% below | 70% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE LEFT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | 22% below | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE LEFT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | — | 70% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE RIGHT 4V MIN | $120.17 | $400.55 | $17.71–$179.33 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | 9% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY RIGHT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | 9% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | 9% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT EXTREMITY LEFT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | 9% below | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY LEFT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | — | 70% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT EXTREMITY RIGHT LOWER W/O | $640.52 | $2,135.05 | $140.34–$1,110.23 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SP ULTRASOUND ABDOMINAL LTD | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SP ULTRASOUND ABDOMINAL LTD | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $227.85 | $759.50 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LTD | $227.85 | $759.50 | $40.08–$179.33 | 15% below | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US GALLBLADDER | $227.54 | $758.45 | $40.08–$179.33 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SP ULTRASOUND ABDOMINAL LTD | $227.54 | $758.45 | $40.08–$179.33 | — | 70% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LTD | $227.85 | $759.50 | $40.08–$179.33 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MAM EXTREMITY NON VAS LTD RT | $209.33 | $697.75 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MAM EXTREMITY NON VAS LTD RT | $209.33 | $697.75 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MAM US EXTRM NON VAS LTD LEFT | $209.33 | $697.75 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 MAM US EXTRM NON VAS LTD LEFT | $209.33 | $697.75 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VAS LTD RIGHT | $209.46 | $698.20 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VAS LTD LEFT | $209.46 | $698.20 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VAS LTD LEFT | $209.46 | $698.20 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VAS LTD RIGHT | $209.46 | $698.20 | $7.72–$179.33 | 1% above | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MAM US EXTRM NON VAS LTD LEFT | $209.33 | $697.75 | $7.72–$179.33 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 MAM EXTREMITY NON VAS LTD RT | $209.33 | $697.75 | $7.72–$179.33 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VAS LTD LEFT | $209.46 | $698.20 | $7.72–$179.33 | — | 70% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VAS LTD RIGHT | $209.46 | $698.20 | $7.72–$179.33 | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA-FIBULA LEFT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | 29% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA-FIBULA RIGHT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | 29% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA-FIBULA RIGHT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | 29% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA-FIBULA LEFT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | 29% below | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA-FIBULA RIGHT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | — | 70% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA-FIBULA LEFT 2V MIN | $88.44 | $294.80 | $15.04–$127.70 | — | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD WO | $780.39 | $2,601.30 | $312.58–$995.80 | 18% below | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD AND NECK WO X | $780.50 | $2,601.65 | $312.58–$995.80 | 18% below | 70% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO + MRA NECK WWO X | $780.50 | $2,601.65 | $312.58–$995.80 | 18% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LEFT | $735.74 | $2,452.45 | $198.37–$1,275.27 | 23% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RIGHT | $735.74 | $2,452.45 | $198.37–$1,275.27 | 23% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O RIGHT | $735.74 | $2,452.45 | $198.37–$1,275.27 | 23% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI LOW EXT JOINT W/O LEFT | $735.74 | $2,452.45 | $198.37–$1,275.27 | 23% below | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O RIGHT | $735.74 | $2,452.45 | $198.37–$1,275.27 | — | 70% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI LOW EXT JOINT W/O LEFT | $735.74 | $2,452.45 | $198.37–$1,275.27 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W O AND W RT | $972.87 | $3,242.90 | $402.97–$1,686.31 | 23% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W O AND W LT | $972.87 | $3,242.90 | $402.97–$1,686.31 | 23% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W O AND W LT | $972.87 | $3,242.90 | $402.97–$1,686.31 | 23% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI LOW EXT JOINT W O AND W RT | $972.87 | $3,242.90 | $402.97–$1,686.31 | 23% below | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W O AND W RT | $972.87 | $3,242.90 | $402.97–$1,686.31 | — | 70% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI LOW EXT JOINT W O AND W LT | $972.87 | $3,242.90 | $402.97–$1,686.31 | — | 70% |
| MRI of the abdomen without contrast CPT 74181 MRI MRCP | $943.89 | $3,146.30 | $256.25–$779.03 | at median | 70% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST W/MRCP | $943.95 | $3,146.50 | $256.25–$779.03 | at median | 70% |
| MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN | $943.97 | $3,146.55 | $256.25–$779.03 | at median | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITHOUT AND WITH | $1,248.42 | $4,161.40 | $434.48–$1,180.16 | 2% below | 70% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CNTRST W MRCP | $1,248.42 | $4,161.40 | $434.48–$1,180.16 | 2% below | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI CSF CINE FLOW STUDY WO | $1,146.95 | $3,823.15 | $182.43–$582.81 | at median | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN LAB WITHOUT | $1,146.95 | $3,823.15 | $182.43–$582.81 | at median | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO CONT SPECTRSCPY X | $1,146.95 | $3,823.15 | $182.43–$582.81 | at median | 70% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN WO | $1,146.95 | $3,823.15 | $182.43–$582.81 | at median | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO CONT SPCTRSCO X | $1,516.56 | $5,055.20 | $297.06–$981.30 | 2% above | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO | $1,516.56 | $5,055.20 | $297.06–$981.30 | 2% above | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO + PERFUSION | $1,553.91 | $5,179.70 | $297.06–$981.30 | 4% above | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO + CSF FLOW STDY | $1,553.91 | $5,179.70 | $297.06–$981.30 | 4% above | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/WO+BRAINLAB+PERF | $1,553.91 | $5,179.70 | $297.06–$981.30 | 4% above | 70% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAINLAB + HEAD W/WO | $1,553.91 | $5,179.70 | $297.06–$981.30 | 4% above | 70% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE WO | $1,002.12 | $3,340.40 | $179.77–$559.14 | 2% above | 70% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE WO & W | $1,325.22 | $4,417.40 | $295.54–$985.24 | 7% below | 70% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE WO | $1,002.12 | $3,340.40 | $179.77–$560.44 | 3% above | 70% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV SPINE WO & W | $1,325.22 | $4,417.40 | $297.44–$989.22 | 9% below | 70% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERV SPINE WO | $1,002.12 | $3,340.40 | $179.77–$559.14 | 2% above | 70% |
| MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W W/O | $1,090.92 | $3,636.40 | $432.58–$1,176.18 | 18% below | 70% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O | $824.88 | $2,749.60 | $317.94–$906.80 | 6% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LEFT | $861.18 | $2,870.60 | $197.99–$1,492.71 | 9% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O LEFT | $861.18 | $2,870.60 | $197.99–$1,492.71 | 9% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RIGHT | $861.18 | $2,870.60 | $197.99–$1,492.71 | 9% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI UPPER EXT JOINT W/O RIGHT | $861.18 | $2,870.60 | $197.99–$1,492.71 | 9% below | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O LEFT | $861.18 | $2,870.60 | $197.99–$1,492.71 | — | 70% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI UPPER EXT JOINT W/O RIGHT | $861.18 | $2,870.60 | $197.99–$1,492.71 | — | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL (4V MIN) | $146.24 | $487.45 | $25.31–$179.33 | 31% below | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL (4V MIN) | $146.24 | $487.45 | $25.31–$179.33 | 31% below | 70% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL (4V MIN) | $146.24 | $487.45 | $25.31–$179.33 | — | 70% |
| Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W | $807.32 | $2,691.05 | $160.16–$562.76 | 4% below | 70% |
| Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE WO | $707.07 | $2,356.90 | $133.73–$562.76 | 2% below | 70% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $94.07 | $313.55 | $11.95–$127.70 | 23% below | 70% |
| Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE | $94.07 | $313.55 | $11.95–$127.70 | 23% below | 70% |
| Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE | $94.07 | $313.55 | $11.95–$127.70 | — | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM REST & STRESS W/WM W/EF | $2,450.22 | $8,167.40 | $217.02–$2,035.50 | 27% above | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM REST & STRESS W/WM W/EF | $2,450.22 | $8,167.40 | $217.02–$2,035.50 | 27% above | 70% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM REST & STRESS W/WM W/EF | $2,450.22 | $8,167.40 | $217.02–$2,035.50 | — | 70% |
| OCT scan of the retina (optical coherence tomography) CPT 92134 OCT POSTERIOR SEGMENT RETINA | $57.29 | $190.95 | $11.64 | 48% above | 70% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O | $625.65 | $2,085.50 | $103.10–$562.76 | 11% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED | $156.23 | $520.75 | $29.66–$179.33 | 18% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED | $156.23 | $520.75 | $29.66–$179.33 | 18% below | 70% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED | $156.23 | $520.75 | $29.66–$179.33 | — | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $286.97 | $956.55 | $43.30–$202.10 | at median | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE | $286.97 | $956.55 | $43.30–$202.10 | at median | 70% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE | $286.97 | $956.55 | $43.30–$202.10 | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRANSABDOMINAL FIRST | $253.16 | $843.85 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1ST TRANSABDOMINAL FIRST | $253.16 | $843.85 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB PELVIS 1ST TRIMESTER | $253.32 | $844.40 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB PELVIS 1ST TRIMESTER | $253.32 | $844.40 | $29.75–$196.47 | 3% above | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1ST TRANSABDOMINAL FIRST | $253.16 | $843.85 | $29.75–$196.47 | — | 70% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB PELVIS 1ST TRIMESTER | $253.32 | $844.40 | $29.75–$196.47 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $163.01 | $543.35 | $40.08–$179.33 | at median | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LIMITED | $163.01 | $543.35 | $40.08–$179.33 | at median | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 2ND OR 3D TRI | $163.28 | $544.25 | $40.08–$179.33 | at median | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 2ND OR 3D TRI | $163.28 | $544.25 | $40.08–$179.33 | at median | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LIMITED | $163.01 | $543.35 | $40.08–$179.33 | — | 70% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD 2ND OR 3D TRI | $163.28 | $544.25 | $40.08–$179.33 | — | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | 26% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | 26% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | 26% below | 70% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | 26% below | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS RIGHT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | — | 70% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS LEFT 2 VIEWS | $104.31 | $347.70 | $16.30–$127.70 | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB SERIES RIGHT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | 27% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB SERIES LEFT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | 27% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB SERIES LEFT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | 27% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIB SERIES RIGHT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | 27% below | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIB SERIES RIGHT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | — | 70% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIB SERIES LEFT 3V MIN | $111.00 | $370.00 | $19.13–$179.33 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | 145% above | 70% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MAM SCREENING W CAD BILATERAL | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient CPT 77067 MAM SCREEN ECKLUND W CAD | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD RIGHT | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD LEFT | $189.54 | $631.80 | $73.36–$263.95 | — | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LEFT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RIGHT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER LEFT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER RIGHT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $94.07 | $313.55 | $16.30–$127.70 | 29% below | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS RIGHT | $94.07 | $313.55 | $16.30–$127.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER LEFT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 3 VIEWS LEFT | $94.07 | $313.55 | $16.30–$127.70 | — | 70% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER RIGHT 2V MIN | $94.07 | $313.55 | $16.30–$127.70 | — | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3V MIN | $130.37 | $434.55 | $22.35–$127.70 | 23% below | 70% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3V MIN | $130.37 | $434.55 | $22.35–$127.70 | 23% below | 70% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3V MIN | $130.37 | $434.55 | $22.35–$127.70 | — | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL TWO VIEW | $95.84 | $319.45 | $17.71–$179.33 | 21% below | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL TWO VIEW | $95.84 | $319.45 | $17.71–$179.33 | 21% below | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL ROUTINE LESS 4V | $95.84 | $319.45 | $17.71–$179.33 | 21% below | 70% |
| Skull X-ray, fewer than 4 views CPT 70250 XR SKULL ROUTINE LESS 4V | $95.84 | $319.45 | $17.71–$179.33 | 21% below | 70% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL ROUTINE LESS 4V | $95.84 | $319.45 | $17.71–$179.33 | — | 70% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL TWO VIEW | $95.84 | $319.45 | $17.71–$179.33 | — | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR FLUORO SWALLOW STUDY WSP | $167.01 | $556.70 | $36.83–$291.55 | 22% below | 70% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 XR FLUORO SWALLOW STUDY WSP | $167.01 | $556.70 | $36.83–$291.55 | 22% below | 70% |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR FLUORO SWALLOW STUDY WSP | $167.01 | $556.70 | $36.83–$291.55 | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RIGHT | $106.05 | $353.50 | $16.61–$127.70 | 3% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR RIGHT | $106.05 | $353.50 | $16.61–$127.70 | 3% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LEFT | $106.05 | $353.50 | $16.61–$127.70 | 3% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR LEFT | $106.05 | $353.50 | $16.61–$127.70 | 3% above | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR RIGHT | $106.05 | $353.50 | $16.61–$127.70 | — | 70% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR LEFT | $106.05 | $353.50 | $16.61–$127.70 | — | 70% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O | $710.19 | $2,367.30 | $150.92–$562.76 | 4% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES LEFT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | 32% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES RIGHT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | 32% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES LEFT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | 32% below | 70% |
| Toe X-ray, 2 or more views one side CPT 73660 XR TOES RIGHT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | 32% below | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES LEFT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | — | 70% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES RIGHT 2V MIN | $82.13 | $273.75 | $11.95–$127.70 | — | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $195.35 | $651.15 | $43.30–$233.01 | 30% below | 70% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $195.35 | $651.15 | $43.30–$233.01 | 30% below | 70% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $195.35 | $651.15 | $43.30–$233.01 | — | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $304.19 | $1,013.95 | $41.51–$179.33 | 35% above | 70% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL | $304.19 | $1,013.95 | $41.51–$179.33 | 35% above | 70% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL | $304.19 | $1,013.95 | $41.51–$179.33 | — | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $226.31 | $754.35 | $55.69–$218.95 | 38% below | 70% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $226.31 | $754.35 | $55.69–$218.95 | 38% below | 70% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $226.31 | $754.35 | $55.69–$218.95 | — | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $264.30 | $881.00 | $43.30–$179.33 | 1% below | 70% |
| Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE | $264.30 | $881.00 | $43.30–$179.33 | 1% below | 70% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE | $264.30 | $881.00 | $43.30–$179.33 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUES | $200.28 | $667.60 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUES | $200.28 | $667.60 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | 19% below | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUES | $200.28 | $667.60 | $40.08–$235.83 | — | 70% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID | $200.45 | $668.15 | $40.08–$235.83 | — | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES | $217.79 | $725.95 | $41.49–$291.55 | 16% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UGI SERIES | $217.79 | $725.95 | $41.49–$291.55 | 16% below | 70% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UGI SERIES | $217.79 | $725.95 | $41.49–$291.55 | — | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT 2 V MIN | $97.26 | $324.20 | $16.30–$127.70 | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT 2V MIN | $97.26 | $324.20 | $16.30–$127.70 | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT 2 V MIN | $97.26 | $324.20 | $16.30–$127.70 | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT 2V MIN | $97.26 | $324.20 | $16.30–$127.70 | 15% below | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LEFT 2 V MIN | $97.26 | $324.20 | $16.30–$127.70 | — | 70% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RIGHT 2V MIN | $97.26 | $324.20 | $16.30–$127.70 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HRT VENOUS UPR/LOWR EXTR LTD | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS UPPER/LOW EXTR LIMITED | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING LOWER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING UPPER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HRT VENOUS UPR/LOWR EXTR LTD | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VENOUS UPPER/LOW EXTR LIMITED | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING UPPER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING LOWER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | 4% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX LE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX UE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LOWER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX LE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX LE RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LOWER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX UE RIGHT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX LE RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LOWER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UPPER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX LOWER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UPPER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UPPER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS DUPLEX UPPER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS UPPER/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX UE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HRT VENOUS DUPLEX UE RIGHT | $451.85 | $1,506.15 | $108.35–$768.14 | 25% above | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN MAPPING UPPER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VENOUS UPPER/LOW EXTR LIMITED | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN MAPPING LOWER EXTR | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HRT VENOUS UPR/LOWR EXTR LTD | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP RIGHT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP LEFT UPPER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR | $376.53 | $1,255.10 | $108.35–$640.10 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS DUPLEX UE RIGHT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS DUPLEX LE RT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS UP/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS DUPLEX UE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HRT VENOUS DUPLEX LE LEFT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS UPPER/LOW EXTR LTD RT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS UPPER/LOW EXTR LTD LT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX UPPER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX UPPER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX LOWER EXTR RT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS DUPLEX LOWER EXTR LT | $451.85 | $1,506.15 | $108.35–$768.14 | — | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT | $61.31 | $204.35 | $14.21–$127.70 | 48% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT | $61.31 | $204.35 | $14.21–$127.70 | 48% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT | $103.49 | $344.95 | $14.21–$127.70 | 12% below | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LEFT | $61.31 | $204.35 | $14.21–$127.70 | — | 70% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RIGHT | $103.49 | $344.95 | $14.21–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RIGHT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST RIGHT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W NAVIC RT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W NAVIC LT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W NAVIC RT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LEFT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST LEFT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST W NAVIC LT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | 38% below | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST LEFT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST W NAVIC LT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST RIGHT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | — | 70% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST W NAVIC RT 3V MIN | $84.90 | $283.00 | $15.33–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP 2-3 VIEW L WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP 2-3 VIEW L WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2+ VIEWS RIGHT (PELVIS) | $191.21 | $637.35 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2+ VIEWS RIGHT (PELVIS) | $191.21 | $637.35 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2+ VIEWS LEFT (PELVIS) | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2+ VIEWS LEFT (PELVIS) | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | 41% above | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP 2-3 VIEW L WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2+ VIEWS RIGHT (PELVIS) | $191.21 | $637.35 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2+ VIEWS LEFT (PELVIS) | $191.36 | $637.85 | $21.83–$127.70 | — | 70% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW RT WO PELVIS | $191.36 | $637.85 | $21.83–$127.70 | — | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN DECUBITUS 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR LINE PLACE ABDOMEN 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR LINE PLACE ABDOMEN 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN DECUBITUS 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN ONE VIEW | $99.72 | $332.40 | $13.33–$127.70 | 27% below | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR LINE PLACE ABDOMEN 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN ONE VIEW | $99.72 | $332.40 | $13.33–$127.70 | — | 70% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN DECUBITUS 1 VIEW | $99.72 | $332.40 | $13.33–$127.70 | — | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT | $81.39 | $271.30 | $14.21–$127.70 | 36% below | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LEFT | $81.39 | $271.30 | $14.21–$127.70 | — | 70% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RIGHT | $81.39 | $271.30 | $14.21–$127.70 | — | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X/R FINGER RIGHT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | 38% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X/R FINGER RIGHT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | 38% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X/R FINGER LEFT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | 38% below | 70% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 X/R FINGER LEFT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | 38% below | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X/R FINGER RIGHT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | — | 70% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 X/R FINGER LEFT 2V MIN | $75.41 | $251.35 | $11.95–$127.70 | — | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT | $66.95 | $223.15 | $14.21–$127.70 | 47% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT | $66.95 | $223.15 | $14.21–$127.70 | 47% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT | $66.95 | $223.15 | $14.21–$127.70 | 47% below | 70% |
| X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT | $66.95 | $223.15 | $14.21–$127.70 | 47% below | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LEFT | $66.95 | $223.15 | $14.21–$127.70 | — | 70% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RIGHT | $66.95 | $223.15 | $14.21–$127.70 | — | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | 41% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT LEFT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | 41% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | 41% below | 70% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT RIGHT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | 41% below | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT RIGHT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | — | 70% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT LEFT 3V MIN | $82.13 | $273.75 | $15.33–$127.70 | — | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT 3V MIN | $86.67 | $288.90 | $15.33–$127.70 | 39% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND RIGHT 3V MIN | $86.67 | $288.90 | $15.33–$127.70 | 39% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3V LEFT MIN | $86.67 | $288.90 | $15.33–$127.70 | 39% below | 70% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3V LEFT MIN | $86.67 | $288.90 | $15.33–$127.70 | 39% below | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3V LEFT MIN | $86.67 | $288.90 | $15.33–$127.70 | — | 70% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND RIGHT 3V MIN | $86.67 | $288.90 | $15.33–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 VIEW LEFT | $94.07 | $313.55 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 VIEW RIGHT | $94.07 | $313.55 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 VIEW RIGHT | $94.07 | $313.55 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 VIEW LEFT | $94.07 | $313.55 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RIGHT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE RIGHT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LEFT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE LEFT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | 27% below | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 VIEW LEFT | $94.07 | $313.55 | $15.04–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 VIEW RIGHT | $94.07 | $313.55 | $15.04–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE LEFT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | — | 70% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE RIGHT 1V OR 2V | $94.44 | $314.80 | $15.04–$127.70 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | 29% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 3 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | 29% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 3 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | 29% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBAR 2 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | 29% below | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 2 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | — | 70% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBAR 3 VIEWS | $122.97 | $409.90 | $19.13–$179.33 | — | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | $25.87–$179.33 | 19% below | 70% |
| X-ray of the lower back, 4 or more views CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | $25.87–$179.33 | 19% below | 70% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR L-SPINE 4 + VIEWS | $180.05 | $600.15 | $25.87–$179.33 | — | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X R SPINE THORACIC 2 VIEWS | $108.20 | $360.65 | $18.57–$179.33 | 18% below | 70% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X R SPINE THORACIC 2 VIEWS | $108.20 | $360.65 | $18.57–$179.33 | 18% below | 70% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X R SPINE THORACIC 2 VIEWS | $108.20 | $360.65 | $18.57–$179.33 | — | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3V MIN | $91.26 | $304.20 | $15.04–$127.70 | 25% below | 70% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES 3V MIN | $91.26 | $304.20 | $15.04–$127.70 | 25% below | 70% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES 3V MIN | $91.26 | $304.20 | $15.04–$127.70 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | 7% below | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 3 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | — | 70% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 VIEWS | $127.55 | $425.15 | $17.15–$127.70 | — | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $90.57 | $301.90 | $15.04–$179.33 | 30% below | 70% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS | $90.57 | $301.90 | $15.04–$179.33 | 30% below | 70% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1/2 VIEWS | $90.57 | $301.90 | $15.04–$179.33 | — | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2V MIN | $125.45 | $418.15 | $16.30–$127.70 | 11% below | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM COCCYX 2V MIN | $125.45 | $418.15 | $16.30–$127.70 | 11% below | 70% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM COCCYX 2V MIN | $125.45 | $418.15 | $16.30–$127.70 | — | 70% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $34.76–$149.01 | 13% below | 70% |
| ACTH blood test CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $34.76–$149.01 | 13% below | 70% |
| ACTH blood test inpatient CPT 82024 ACTH PLASMA | $96.72 | $322.40 | $34.76–$149.01 | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 46% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | 46% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 158% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | 158% above | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT) | $40.26 | $134.20 | $4.77–$20.32 | — | 70% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALANINE AMINOTRANSFERASE | $71.16 | $237.20 | $4.77–$20.32 | — | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $40.26 | $134.20 | $4.66–$20.32 | 51% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT) | $40.26 | $134.20 | $4.66–$20.32 | 51% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $4.66–$20.32 | 167% above | 70% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $4.66–$20.32 | 167% above | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT) | $40.26 | $134.20 | $4.66–$20.32 | — | 70% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 ASPARTATE AMINOTRANSFERASE | $71.16 | $237.20 | $4.66–$20.32 | — | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $322.85 | $1,076.15 | $42.87–$183.99 | 103% above | 70% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL | $322.85 | $1,076.15 | $42.87–$183.99 | 103% above | 70% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL | $322.85 | $1,076.15 | $42.87–$183.99 | — | 70% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $4.46–$19.17 | at median | 70% |
| Albumin blood test CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $4.46–$19.17 | at median | 70% |
| Albumin blood test CPT 82040 ALBUMIN | $27.45 | $91.50 | $4.46–$19.17 | 56% above | 70% |
| Albumin blood test CPT 82040 ALBUMIN | $27.45 | $91.50 | $4.46–$19.17 | 56% above | 70% |
| Albumin blood test inpatient CPT 82040 ALBUMIN SERUM | $17.54 | $58.45 | $4.46–$19.17 | — | 70% |
| Albumin blood test inpatient CPT 82040 ALBUMIN | $27.45 | $91.50 | $4.46–$19.17 | — | 70% |
| Aldosterone blood test CPT 82088 ALDERSTERONE SERUM | $79.34 | $264.45 | $29.36–$158.03 | 3% above | 70% |
| Aldosterone blood test CPT 82088 ALDERSTERONE SERUM | $79.34 | $264.45 | $29.36–$158.03 | 3% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE UPRIGHT | $111.60 | $372.00 | $29.36–$158.03 | 46% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE UPRIGHT | $111.60 | $372.00 | $29.36–$158.03 | 46% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SUPINE | $111.60 | $372.00 | $29.36–$158.03 | 46% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE SUPINE | $111.60 | $372.00 | $29.36–$158.03 | 46% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $29.36–$158.03 | 55% above | 70% |
| Aldosterone blood test CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $29.36–$158.03 | 55% above | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDERSTERONE SERUM | $79.34 | $264.45 | $29.36–$158.03 | — | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SUPINE | $111.60 | $372.00 | $29.36–$158.03 | — | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE UPRIGHT | $111.60 | $372.00 | $29.36–$158.03 | — | 70% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24 HR UR | $118.79 | $395.95 | $29.36–$158.03 | — | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $4.66–$20.32 | 17% below | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $4.66–$20.32 | 17% below | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $4.66–$20.32 | 9% above | 70% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $4.66–$20.32 | 9% above | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTAL | $20.91 | $69.70 | $4.66–$20.32 | — | 70% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $27.60 | $92.00 | $4.66–$20.32 | — | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $4.70–$21.57 | 28% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $4.70–$21.57 | 28% below | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $4.70–$21.57 | 155% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $4.70–$21.57 | 155% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $4.70–$21.57 | 187% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $4.70–$21.57 | 187% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $4.70–$21.57 | 292% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $4.70–$21.57 | 292% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $4.70–$21.57 | 336% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $4.70–$21.57 | 336% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $4.70–$21.57 | 426% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $4.70–$21.57 | 426% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $59.96 | $199.85 | $4.70–$21.57 | 440% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE | $59.96 | $199.85 | $4.70–$21.57 | 440% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $4.70–$21.57 | 608% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $4.70–$21.57 | 608% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $4.70–$21.57 | 1052% above | 70% |
| Allergy blood test, specific IgE, per allergen CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $4.70–$21.57 | 1052% above | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE GAO | $8.04 | $26.80 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #5 | $28.25 | $94.15 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #2 | $31.91 | $106.35 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE #3 | $43.50 | $145.00 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALPHA GAL PANEL | $48.42 | $161.40 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE 4 | $58.41 | $194.70 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE | $59.96 | $199.85 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN SEED IGE | $78.62 | $262.05 | $4.70–$21.57 | — | 70% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CANTALOPE IGE | $127.83 | $426.10 | $4.70–$21.57 | — | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $15.09–$65.46 | 45% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $15.09–$65.46 | 45% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $15.09–$65.46 | 57% above | 70% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $15.09–$65.46 | 57% above | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETO PROTEIN TUMOR | $73.86 | $246.20 | $15.09–$65.46 | — | 70% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL SCREEN | $80.12 | $267.05 | $15.09–$65.46 | — | 70% |
| Ammonia blood test CPT 82140 AMMONIA | $48.83 | $162.75 | $13.11–$56.45 | at median | 70% |
| Ammonia blood test CPT 82140 AMMONIA | $48.83 | $162.75 | $13.11–$56.45 | at median | 70% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $48.83 | $162.75 | $13.11–$56.45 | — | 70% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $5.83–$24.85 | 56% above | 70% |
| Amylase blood test CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $5.83–$24.85 | 56% above | 70% |
| Amylase blood test CPT 82150 AMYLASE | $55.14 | $183.80 | $5.83–$24.85 | 66% above | 70% |
| Amylase blood test CPT 82150 AMYLASE | $55.14 | $183.80 | $5.83–$24.85 | 66% above | 70% |
| Amylase blood test CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $5.83–$24.85 | 158% above | 70% |
| Amylase blood test CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $5.83–$24.85 | 158% above | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID | $51.87 | $172.90 | $5.83–$24.85 | — | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $55.14 | $183.80 | $5.83–$24.85 | — | 70% |
| Amylase blood test inpatient CPT 82150 AMYLASE URINE | $85.65 | $285.50 | $5.83–$24.85 | — | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRALLINATED PEPTIDE | $99.14 | $330.45 | $11.66–$49.66 | 152% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRALLINATED PEPTIDE | $99.14 | $330.45 | $11.66–$49.66 | 152% above | 70% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRALLINATED PEPTIDE | $99.14 | $330.45 | $11.66–$49.66 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $10.19 | $33.95 | $10.88–$32.16 | 72% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT | $10.19 | $33.95 | $10.88–$32.16 | 72% below | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $59.01 | $196.70 | $10.88–$46.28 | 60% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN | $59.01 | $196.70 | $10.88–$46.28 | 60% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $10.88–$46.28 | 85% above | 70% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $10.88–$46.28 | 85% above | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA DIRECT | $10.19 | $33.95 | $10.88–$32.16 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN | $59.01 | $196.70 | $10.88–$46.28 | — | 70% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SCREEN BODY FLUID | $68.30 | $227.65 | $10.88–$46.28 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $102.84 | $342.80 | $35.33–$130.95 | 15% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PRO BNP | $102.84 | $342.80 | $35.33–$130.95 | 15% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP | $113.60 | $378.65 | $35.33–$130.95 | 27% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYPE NP | $113.60 | $378.65 | $35.33–$130.95 | 27% above | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PRO BNP | $102.84 | $342.80 | $35.33–$130.95 | — | 70% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYPE NP | $113.60 | $378.65 | $35.33–$130.95 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $7.76–$33.86 | 2% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $7.76–$33.86 | 2% below | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $7.76–$33.86 | 46% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $7.76–$33.86 | 46% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $7.76–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $7.76–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $7.76–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $7.76–$33.86 | 76% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $7.76–$33.86 | 106% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $7.76–$33.86 | 106% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GYN | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE GYN | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $7.76–$33.86 | 109% above | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBE | $37.28 | $124.25 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE LEGIONELLA | $55.32 | $184.40 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CATH TIP | $66.86 | $222.85 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BRUCELLA | $66.86 | $222.85 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 ENVIRONMENTAL CULTURE | $78.35 | $261.15 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE RESPIRATORY | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPUTUM | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE EPIDEMIOLOGY | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE BONE MARROW | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE GYN | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE THROAT | $79.47 | $264.90 | $7.76–$33.86 | — | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $7.61–$32.75 | 2% above | 70% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $7.61–$32.75 | 2% above | 70% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $75.09 | $250.30 | $7.61–$32.75 | — | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL | $49.29 | $164.30 | $4.52–$19.17 | 79% above | 70% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN-TOTAL | $49.29 | $164.30 | $4.52–$19.17 | 79% above | 70% |
| Bilirubin blood test, total CPT 82247 BILLIRUBIN BODY FLUID | $59.54 | $198.45 | $4.52–$19.17 | 116% above | 70% |
| Bilirubin blood test, total CPT 82247 BILLIRUBIN BODY FLUID | $59.54 | $198.45 | $4.52–$19.17 | 116% above | 70% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN-TOTAL | $49.29 | $164.30 | $4.52–$19.17 | — | 70% |
| Bilirubin blood test, total inpatient CPT 82247 BILLIRUBIN BODY FLUID | $59.54 | $198.45 | $4.52–$19.17 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | 58% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | 58% below | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | 49% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | 49% above | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 CELL BLOCK | $31.71 | $105.70 | $15.18–$94.34 | — | 70% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL LEVEL IV | $112.20 | $374.00 | $15.18–$94.34 | — | 70% |
| Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $9.29–$39.50 | 47% above | 70% |
| Blood culture for bacteria CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $9.29–$39.50 | 47% above | 70% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH) | $100.97 | $336.55 | $9.29–$39.50 | 86% above | 70% |
| Blood culture for bacteria CPT 87040 BLOOD CULTURE (EACH) | $100.97 | $336.55 | $9.29–$39.50 | 86% above | 70% |
| Blood culture for bacteria inpatient CPT 87040 TRANSFUSION REACTION CULTURE | $79.82 | $266.05 | $9.29–$39.50 | — | 70% |
| Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE (EACH) | $100.97 | $336.55 | $9.29–$39.50 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | 32% above | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION BLOOD | $11.99 | $39.95 | $2.70–$14.00 | — | 70% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $11.99 | $39.95 | $2.70–$14.00 | — | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $50.82 | $169.40 | $3.54–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $50.82 | $169.40 | $3.54–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $3.54–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $3.54–$14.69 | 125% above | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE | $50.82 | $169.40 | $3.54–$14.69 | — | 70% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING | $50.82 | $169.40 | $3.54–$14.69 | — | 70% |
| Blood lead test CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $10.90–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $10.90–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $10.90–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $10.90–$47.40 | 17% above | 70% |
| Blood lead test CPT 83655 LEAD | $66.27 | $220.90 | $10.90–$47.40 | 80% above | 70% |
| Blood lead test CPT 83655 LEAD | $66.27 | $220.90 | $10.90–$47.40 | 80% above | 70% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $66.27 | $220.90 | $10.90–$47.40 | 80% above | 70% |
| Blood lead test CPT 83655 LEAD CAPILLARY | $66.27 | $220.90 | $10.90–$47.40 | 80% above | 70% |
| Blood lead test inpatient CPT 83655 LEAD LEVEL | $42.98 | $143.25 | $10.90–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 HEAVY METAL LEAD | $42.98 | $143.25 | $10.90–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 LEAD CAPILLARY | $66.27 | $220.90 | $10.90–$47.40 | — | 70% |
| Blood lead test inpatient CPT 83655 LEAD | $66.27 | $220.90 | $10.90–$47.40 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE | $55.14 | $183.80 | $6.77–$29.34 | 3% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY URINE | $55.14 | $183.80 | $6.77–$29.34 | 3% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY | $62.90 | $209.65 | $6.77–$29.34 | 17% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY | $62.90 | $209.65 | $6.77–$29.34 | 17% above | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY URINE | $55.14 | $183.80 | $6.77–$29.34 | — | 70% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY | $62.90 | $209.65 | $6.77–$29.34 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | 10% above | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (ABO) | $83.03 | $276.75 | $2.69–$11.28 | — | 70% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO-R | $83.03 | $276.75 | $2.69–$11.28 | — | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $3.56–$15.80 | 39% above | 70% |
| Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $3.56–$15.80 | 39% above | 70% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD | $32.96 | $109.85 | $3.56–$15.80 | — | 70% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $18.73–$80.14 | 25% above | 70% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $18.73–$80.14 | 25% above | 70% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $79.41 | $264.70 | $18.73–$80.14 | — | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $4.66–$20.32 | 144% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $4.66–$20.32 | 144% above | 70% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN (CRP) | $52.04 | $173.45 | $4.66–$20.32 | — | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $33.54–$135.44 | 126% above | 70% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $33.54–$135.44 | 126% above | 70% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF BY DNA SCREEN | $197.91 | $659.70 | $33.54–$135.44 | — | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $18.73–$80.14 | 19% above | 70% |
| CA 19-9 blood test (tumor marker) CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $18.73–$80.14 | 19% above | 70% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CARBOHYDRATE AG 19-9 | $83.06 | $276.85 | $18.73–$80.14 | — | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $18.73–$80.14 | at median | 70% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $18.73–$80.14 | at median | 70% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125 CA 125 | $69.66 | $232.20 | $18.73–$80.14 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | 35% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | 35% below | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | 33% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | 33% above | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 2019 CORONAVIRUS SARS-COV-2 RA | $36.24 | $120.80 | $46.18–$79.02 | — | 70% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 MICRO CEPHEID | $73.83 | $246.10 | $46.18–$79.02 | — | 70% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.32 | $91.05 | $4.64–$20.32 | at median | 70% |
| Calcium blood test, total CPT 82310 CALCIUM | $27.32 | $91.05 | $4.64–$20.32 | at median | 70% |
| Calcium blood test, total CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $4.64–$20.32 | 21% above | 70% |
| Calcium blood test, total CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $4.64–$20.32 | 21% above | 70% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM | $27.32 | $91.05 | $4.64–$20.32 | — | 70% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM URINE | $32.96 | $109.85 | $4.64–$20.32 | — | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $17.06–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $17.06–$73.36 | at median | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA BF | $67.25 | $224.15 | $17.06–$73.36 | 6% above | 70% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA BF | $67.25 | $224.15 | $17.06–$73.36 | 6% above | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC AG (CEA) | $63.44 | $211.45 | $17.06–$73.36 | — | 70% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BF | $67.25 | $224.15 | $17.06–$73.36 | — | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $11.59–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $11.59–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $11.59–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $11.59–$49.66 | 10% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $75.56 | $251.85 | $11.59–$49.66 | 92% above | 70% |
| Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB IGG | $75.56 | $251.85 | $11.59–$49.66 | 92% above | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB IGM CSF | $43.47 | $144.90 | $11.59–$49.66 | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VZV AB IGG CSF | $43.47 | $144.90 | $11.59–$49.66 | — | 70% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB IGG | $75.56 | $251.85 | $11.59–$49.66 | — | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | 44% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | 44% below | 70% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | $12.05–$36.41 | 76% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $11.10 | $37.00 | $12.05–$36.41 | 76% below | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $12.05–$51.92 | 120% above | 70% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $12.05–$51.92 | 120% above | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $11.10 | $37.00 | $12.05–$36.41 | — | 70% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE | $101.43 | $338.10 | $12.05–$51.92 | — | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $6.99–$30.48 | 56% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $6.99–$30.48 | 56% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $6.99–$30.48 | 74% above | 70% |
| Complete blood count (CBC) with differential CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $6.99–$30.48 | 74% above | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFFERENTIAL | $67.02 | $223.40 | $6.99–$30.48 | — | 70% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W MANUAL DIFF | $74.75 | $249.15 | $6.99–$30.48 | — | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | $5.82–$24.85 | 102% above | 70% |
| Complete blood count (CBC), no differential CPT 85027 CBC | $52.43 | $174.75 | $5.82–$24.85 | 102% above | 70% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC | $52.43 | $174.75 | $5.82–$24.85 | — | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $9.50–$40.65 | 85% above | 70% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $9.50–$40.65 | 85% above | 70% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $179.18 | $597.25 | $9.50–$40.65 | — | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.60 | $182.00 | $14.67–$63.20 | at median | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL | $54.60 | $182.00 | $14.67–$63.20 | at median | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $14.67–$63.20 | 75% above | 70% |
| Cortisol blood test, total CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $14.67–$63.20 | 75% above | 70% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL | $54.60 | $182.00 | $14.67–$63.20 | — | 70% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA | $95.76 | $319.20 | $14.67–$63.20 | — | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $5.86–$24.85 | at median | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $5.86–$24.85 | at median | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $32.63 | $108.75 | $5.86–$24.85 | 4% above | 70% |
| Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE TOTAL | $32.63 | $108.75 | $5.86–$24.85 | 4% above | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATININE KINASE | $31.46 | $104.85 | $5.86–$24.85 | — | 70% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE KINASE TOTAL | $32.63 | $108.75 | $5.86–$24.85 | — | 70% |
| Creatinine blood test CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $4.61–$20.32 | 26% below | 70% |
| Creatinine blood test CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $4.61–$20.32 | 26% below | 70% |
| Creatinine blood test CPT 82565 CREATININE | $27.32 | $91.05 | $4.61–$20.32 | 21% above | 70% |
| Creatinine blood test CPT 82565 CREATININE | $27.32 | $91.05 | $4.61–$20.32 | 21% above | 70% |
| Creatinine blood test CPT 82565 CREATININE POC | $34.11 | $113.70 | $4.61–$20.32 | 52% above | 70% |
| Creatinine blood test CPT 82565 CREATININE POC | $34.11 | $113.70 | $4.61–$20.32 | 52% above | 70% |
| Creatinine blood test inpatient CPT 82565 YYCYSTATIN C REFLEX | $16.59 | $55.30 | $4.61–$20.32 | — | 70% |
| Creatinine blood test inpatient CPT 82565 CREATININE | $27.32 | $91.05 | $4.61–$20.32 | — | 70% |
| Creatinine blood test inpatient CPT 82565 CREATININE POC | $34.11 | $113.70 | $4.61–$20.32 | — | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $51.12 | $170.40 | $12.95–$55.30 | 17% above | 70% |
| Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG | $51.12 | $170.40 | $12.95–$55.30 | 17% above | 70% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG | $51.12 | $170.40 | $12.95–$55.30 | — | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $9.16–$39.50 | 1% above | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $9.16–$39.50 | 1% above | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE | $114.30 | $381.00 | $9.16–$39.50 | 120% above | 70% |
| D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIVE | $114.30 | $381.00 | $9.16–$39.50 | 120% above | 70% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE REFLEX | $52.41 | $174.70 | $9.16–$39.50 | — | 70% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIVE | $114.30 | $381.00 | $9.16–$39.50 | — | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $20.01–$85.78 | at median | 70% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $20.01–$85.78 | at median | 70% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $71.87 | $239.55 | $20.01–$85.78 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | 26% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | 26% below | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | at median | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | at median | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | 91% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | 91% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | 97% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | 97% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | 106% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | 106% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MEDI | $163.05 | $543.50 | $55.93–$170.00 | 130% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MEDI | $163.05 | $543.50 | $55.93–$170.00 | 130% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | 263% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | 263% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | 502% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | 502% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | 510% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | 531% above | 70% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG OF ABUSE SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | 531% above | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRESMP CHEM ANALYZER | $52.32 | $174.40 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTI DEPRESSANT SCRE | $71.16 | $237.20 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAGEMENT PANEL SCREEN | $135.66 | $452.20 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE SCREEN URINE | $139.80 | $466.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CLINICAL 1 | $146.00 | $486.65 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COMPREHENSIVE MEDI | $163.05 | $543.50 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG PANEL | $257.87 | $859.55 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECLIZINE SCREEN | $427.80 | $1,426.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM & METABOLITES | $433.50 | $1,445.00 | $55.93–$170.00 | — | 70% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG OF ABUSE SCREEN MEDICARE | $448.49 | $1,494.95 | $55.93–$170.00 | — | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $6.31–$27.07 | 22% above | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $6.31–$27.07 | 22% above | 70% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES | $56.25 | $187.50 | $6.31–$27.07 | — | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $16.33–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $16.33–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $16.33–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $16.33–$69.98 | 6% above | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR (VCA) IGG | $53.03 | $176.75 | $16.33–$69.98 | — | 70% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR (VCA) IGM | $53.03 | $176.75 | $16.33–$69.98 | — | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $25.15–$74.33 | 72% below | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $25.15–$74.33 | 72% below | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL | $94.50 | $315.00 | $25.15–$108.37 | 11% above | 70% |
| Estradiol blood test CPT 82670 ESTRADIOL | $94.50 | $315.00 | $25.15–$108.37 | 11% above | 70% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL | $23.54 | $78.45 | $25.15–$74.33 | — | 70% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $94.50 | $315.00 | $25.15–$108.37 | — | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $115.23 | $384.10 | $16.72–$72.24 | 85% above | 70% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $115.23 | $384.10 | $16.72–$72.24 | 85% above | 70% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $115.23 | $384.10 | $16.72–$72.24 | — | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $17.67–$75.62 | 226% above | 70% |
| Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $17.67–$75.62 | 226% above | 70% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL | $328.46 | $1,094.85 | $17.67–$75.62 | — | 70% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $44.07 | $146.90 | $12.27–$53.04 | 3% below | 70% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $44.07 | $146.90 | $12.27–$53.04 | 3% below | 70% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $44.07 | $146.90 | $12.27–$53.04 | — | 70% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $51.15 | $170.50 | $8.75–$32.75 | 6% above | 70% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY | $51.15 | $170.50 | $8.75–$32.75 | 6% above | 70% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY | $51.15 | $170.50 | $8.75–$32.75 | — | 70% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $13.23–$56.45 | at median | 70% |
| Folate (folic acid) blood test CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $13.23–$56.45 | at median | 70% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLATE (FOLIC ACID) | $49.34 | $164.45 | $13.23–$56.45 | — | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $82.88 | $276.25 | $15.25–$65.46 | 47% above | 70% |
| Free T3 thyroid hormone test CPT 84481 T3 FREE | $82.88 | $276.25 | $15.25–$65.46 | 47% above | 70% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE | $82.88 | $276.25 | $15.25–$65.46 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $8.12–$35.01 | 47% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $8.12–$35.01 | 47% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $8.12–$35.01 | 379% above | 70% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $8.12–$35.01 | 379% above | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE (FREE) | $49.55 | $165.15 | $8.12–$35.01 | — | 70% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE DIRECT DIALYSIS | $161.18 | $537.25 | $8.12–$35.01 | — | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $22.92–$74.50 | 65% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $22.92–$74.50 | 65% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $22.92–$89.46 | 57% below | 70% |
| Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $22.92–$89.46 | 57% below | 70% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE | $22.67 | $75.55 | $22.92–$74.50 | — | 70% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEMALE/CHILD | $27.24 | $90.80 | $22.92–$89.46 | — | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.82 | $169.40 | $6.48–$28.22 | 53% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $50.82 | $169.40 | $6.48–$28.22 | 53% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $6.48–$28.22 | 177% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $6.48–$28.22 | 177% above | 70% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $50.82 | $169.40 | $6.48–$28.22 | — | 70% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GLUTAMYL TRANSFERASE | $92.03 | $306.75 | $6.48–$28.22 | — | 70% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE-2H | $48.56 | $161.85 | $11.58–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE-2H | $48.56 | $161.85 | $11.58–$49.66 | 11% above | 70% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE-2H | $48.56 | $161.85 | $11.58–$49.66 | — | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | 46% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | 46% below | 70% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY AMPLIFIED PROBE | $33.48 | $111.60 | $31.58–$104.30 | — | 70% |
| H. pylori stool antigen test CPT 87338 H. PYLORI FECAL | $157.94 | $526.45 | $12.94–$55.30 | 158% above | 70% |
| H. pylori stool antigen test CPT 87338 H. PYLORI FECAL | $157.94 | $526.45 | $12.94–$55.30 | 158% above | 70% |
| H. pylori stool antigen test inpatient CPT 87338 H. PYLORI FECAL | $157.94 | $526.45 | $12.94–$55.30 | — | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $75.70–$329.59 | 86% above | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $75.70–$329.59 | 86% above | 70% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT BY PCR | $295.05 | $983.50 | $75.70–$329.59 | — | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2 | $84.83 | $282.75 | $12.34–$53.04 | 124% above | 70% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2 | $84.83 | $282.75 | $12.34–$53.04 | 124% above | 70% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND HIV 2 | $84.83 | $282.75 | $12.34–$53.04 | — | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $21.67–$93.68 | 98% above | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $21.67–$93.68 | 98% above | 70% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1-2 4TH GENERATION | $111.00 | $370.00 | $21.67–$93.68 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK THIN PREP | $116.43 | $388.10 | $31.58–$135.44 | 168% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK THIN PREP | $116.43 | $388.10 | $31.58–$135.44 | 168% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $31.58–$135.44 | 169% above | 70% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $31.58–$135.44 | 169% above | 70% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK THIN PREP | $116.43 | $388.10 | $31.58–$135.44 | — | 70% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HR BY TMA | $116.97 | $389.90 | $31.58–$135.44 | — | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C HEMOGLOBIN | $71.00 | $236.65 | $8.74–$37.24 | 69% above | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 A1C HEMOGLOBIN | $71.00 | $236.65 | $8.74–$37.24 | 69% above | 70% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 A1C HEMOGLOBIN | $71.00 | $236.65 | $8.74–$37.24 | — | 70% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $2.13–$9.01 | 93% above | 70% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $2.13–$9.01 | 93% above | 70% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $37.20 | $124.00 | $2.13–$9.01 | — | 70% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $10.85–$46.28 | 116% above | 70% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $10.85–$46.28 | 116% above | 70% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $79.34 | $264.45 | $10.85–$46.28 | — | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $79.34 | $264.45 | $9.67–$41.76 | 69% above | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $79.34 | $264.45 | $9.67–$41.76 | 69% above | 70% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $79.34 | $264.45 | $9.67–$41.76 | — | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $50.94 | $169.80 | $9.30–$39.50 | 34% above | 70% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $50.94 | $169.80 | $9.30–$39.50 | 34% above | 70% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $50.94 | $169.80 | $9.30–$39.50 | — | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $12.84–$55.30 | 23% above | 70% |
| Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $12.84–$55.30 | 23% above | 70% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB | $54.26 | $180.85 | $12.84–$55.30 | — | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $38.56–$165.93 | 10% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $38.56–$165.93 | 10% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $38.56–$165.93 | 81% above | 70% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $38.56–$165.93 | 81% above | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA PCR QUANT | $170.93 | $569.75 | $38.56–$165.93 | — | 70% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT | $280.20 | $934.00 | $38.56–$165.93 | — | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $11.87–$50.81 | 1% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $11.87–$50.81 | 1% below | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB, IGG | $34.74 | $115.80 | $11.87–$50.81 | 3% above | 70% |
| Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 GLYCOPROTEIN G AB, IGG | $34.74 | $115.80 | $11.87–$50.81 | 3% above | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TYPE 1 IGG | $33.36 | $111.20 | $11.87–$50.81 | — | 70% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 GLYCOPROTEIN G AB, IGG | $34.74 | $115.80 | $11.87–$50.81 | — | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $17.42–$74.51 | 20% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $17.42–$74.51 | 20% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPROTEIN G AB, IGG | $50.96 | $169.85 | $17.42–$74.51 | 25% above | 70% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 GLYCOPROTEIN G AB, IGG | $50.96 | $169.85 | $17.42–$74.51 | 25% above | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX TYPE 2 IGG | $48.96 | $163.20 | $17.42–$74.51 | — | 70% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 GLYCOPROTEIN G AB, IGG | $50.96 | $169.85 | $17.42–$74.51 | — | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $52.16 | $173.85 | $11.66–$49.66 | 29% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP HIGH SENSITIVITY | $52.16 | $173.85 | $11.66–$49.66 | 29% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS, CSF | $204.95 | $683.15 | $11.66–$49.66 | 408% above | 70% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C REACTIVE PROTEIN HS, CSF | $204.95 | $683.15 | $11.66–$49.66 | 408% above | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP HIGH SENSITIVITY | $52.16 | $173.85 | $11.66–$49.66 | — | 70% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C REACTIVE PROTEIN HS, CSF | $204.95 | $683.15 | $11.66–$49.66 | — | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | 50% below | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | 50% below | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | 16% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | 16% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | 82% above | 70% |
| Homocysteine blood test CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | 82% above | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE SERUM | $25.95 | $86.50 | $6.58–$65.46 | — | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $60.08 | $200.25 | $6.58–$65.46 | — | 70% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE/CYSTINE 24 HR UR | $94.23 | $314.10 | $6.58–$65.46 | — | 70% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $10.29–$44.02 | 75% above | 70% |
| Insulin blood test CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $10.29–$44.02 | 75% above | 70% |
| Insulin blood test inpatient CPT 83525 INSULIN LEVEL | $72.20 | $240.65 | $10.29–$44.02 | — | 70% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.96 | $109.85 | $5.82–$24.85 | 34% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON | $32.96 | $109.85 | $5.82–$24.85 | 34% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $5.82–$24.85 | 1727% above | 70% |
| Iron blood test (serum iron) CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $5.82–$24.85 | 1727% above | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $32.96 | $109.85 | $5.82–$24.85 | — | 70% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER | $449.37 | $1,497.90 | $5.82–$24.85 | — | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $7.87–$33.86 | 20% above | 70% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $7.87–$33.86 | 20% above | 70% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $49.31 | $164.35 | $7.87–$33.86 | — | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $7.81–$33.86 | 8% above | 70% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $7.81–$33.86 | 8% above | 70% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $72.72 | $242.40 | $7.81–$33.86 | — | 70% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $107.61 | $358.70 | $16.67–$72.24 | 74% above | 70% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $107.61 | $358.70 | $16.67–$72.24 | 74% above | 70% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $107.61 | $358.70 | $16.67–$72.24 | — | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) | $37.62 | $125.40 | $10.41–$41.76 | at median | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID (LACTATE) | $37.62 | $125.40 | $10.41–$41.76 | at median | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID STHEPOC | $42.51 | $141.70 | $10.41–$41.76 | 13% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID STHEPOC | $42.51 | $141.70 | $10.41–$41.76 | 13% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $10.41–$41.76 | 64% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $10.41–$41.76 | 64% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $10.41–$41.76 | 81% above | 70% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $10.41–$41.76 | 81% above | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID (LACTATE) | $37.62 | $125.40 | $10.41–$41.76 | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID STHEPOC | $42.51 | $141.70 | $10.41–$41.76 | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID CSF | $61.70 | $205.65 | $10.41–$41.76 | — | 70% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID BF | $68.00 | $226.65 | $10.41–$41.76 | — | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF | $20.25 | $67.50 | $5.44–$23.70 | 11% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD CSF | $20.25 | $67.50 | $5.44–$23.70 | 11% below | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD BF | $27.60 | $92.00 | $5.44–$23.70 | 22% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD BF | $27.60 | $92.00 | $5.44–$23.70 | 22% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $5.44–$23.70 | 27% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $5.44–$23.70 | 27% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $5.44–$23.70 | 51% above | 70% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $5.44–$23.70 | 51% above | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD CSF | $20.25 | $67.50 | $5.44–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD BF | $27.60 | $92.00 | $5.44–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD (LACTATE DEHYDROGENASE) | $28.68 | $95.60 | $5.44–$23.70 | — | 70% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTATE DEHYDROGENASE | $34.23 | $114.10 | $5.44–$23.70 | — | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.90 | $139.65 | $6.20–$27.07 | 19% above | 70% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $41.90 | $139.65 | $6.20–$27.07 | 19% above | 70% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $41.90 | $139.65 | $6.20–$27.07 | — | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $7.35–$31.60 | 39% above | 70% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $7.35–$31.60 | 39% above | 70% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $105.26 | $350.85 | $7.35–$31.60 | — | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 40% above | 70% |
| Lyme disease antibody test CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | 40% above | 70% |
| Lyme disease antibody test CPT 86618 B BURGDORFERI IGG | $210.80 | $702.65 | $15.33–$65.46 | 409% above | 70% |
| Lyme disease antibody test CPT 86618 B BURGDORFERI IGG | $210.80 | $702.65 | $15.33–$65.46 | 409% above | 70% |
| Lyme disease antibody test inpatient CPT 86618 LYME AB SCREEN W REFLEX WB | $57.81 | $192.70 | $15.33–$65.46 | — | 70% |
| Lyme disease antibody test inpatient CPT 86618 B BURGDORFERI IGG | $210.80 | $702.65 | $15.33–$65.46 | — | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $6.03–$17.82 | 73% below | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $6.03–$17.82 | 73% below | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM | $25.76 | $85.85 | $6.03–$25.96 | 25% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM | $25.76 | $85.85 | $6.03–$25.96 | 25% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $6.03–$25.96 | 255% above | 70% |
| Magnesium blood test CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $6.03–$25.96 | 255% above | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC | $5.64 | $18.80 | $6.03–$17.82 | — | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM | $25.76 | $85.85 | $6.03–$25.96 | — | 70% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM 24 HR URINE | $73.44 | $244.80 | $6.03–$25.96 | — | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $60.69 | $202.30 | $11.59–$49.66 | 54% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGG | $60.69 | $202.30 | $11.59–$49.66 | 54% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGM | $64.07 | $213.55 | $11.59–$49.66 | 63% above | 70% |
| Measles (rubeola) antibody test CPT 86765 MEASLES IGM | $64.07 | $213.55 | $11.59–$49.66 | 63% above | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGG | $60.69 | $202.30 | $11.59–$49.66 | — | 70% |
| Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGM | $64.07 | $213.55 | $11.59–$49.66 | — | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $59.15 | $197.15 | $4.66–$20.32 | 56% above | 70% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOSPOT | $59.15 | $197.15 | $4.66–$20.32 | 56% above | 70% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOSPOT | $59.15 | $197.15 | $4.66–$20.32 | — | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $69.41 | $231.35 | $11.75–$50.81 | 75% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGG | $69.41 | $231.35 | $11.75–$50.81 | 75% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $78.15 | $260.50 | $11.75–$50.81 | 97% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS IGM | $78.15 | $260.50 | $11.75–$50.81 | 97% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $11.75–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $11.75–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $11.75–$50.81 | 108% above | 70% |
| Mumps immunity blood test CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $11.75–$50.81 | 108% above | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGG | $69.41 | $231.35 | $11.75–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS IGM | $78.15 | $260.50 | $11.75–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGG CSF | $82.49 | $274.95 | $11.75–$50.81 | — | 70% |
| Mumps immunity blood test inpatient CPT 86735 MUMPS AB IGM CSF | $82.49 | $274.95 | $11.75–$50.81 | — | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | 36% above | 70% |
| Obstetric blood test panel CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | 36% above | 70% |
| Obstetric blood test panel inpatient CPT 80055 PRENATAL PANEL | $97.91 | $326.35 | $14.45–$185.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | $16.55–$71.10 | 32% above | 70% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 FREE PSA | $65.19 | $217.30 | $16.55–$71.10 | 32% above | 70% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 FREE PSA | $65.19 | $217.30 | $16.55–$71.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | $13.41–$71.10 | 16% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 TOTAL PSA | $65.19 | $217.30 | $13.41–$71.10 | 16% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG-TOTAL | $87.71 | $292.35 | $13.41–$71.10 | 56% above | 70% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC AG-TOTAL | $87.71 | $292.35 | $13.41–$71.10 | 56% above | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA | $65.19 | $217.30 | $13.41–$71.10 | — | 70% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC AG-TOTAL | $87.71 | $292.35 | $13.41–$71.10 | — | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $18.23–$77.88 | 12% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $18.23–$77.88 | 12% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $18.23–$77.88 | 244% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $18.23–$77.88 | 244% above | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTOLOGY SM FLUID BASE THIN PR | $39.51 | $131.70 | $18.23–$77.88 | — | 70% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 REFERENCE THIN PREP PAP | $121.64 | $405.45 | $18.23–$77.88 | — | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $37.15–$109.80 | 71% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $37.15–$109.80 | 71% below | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $138.12 | $460.40 | $37.15–$160.29 | 14% above | 70% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT | $138.12 | $460.40 | $37.15–$160.29 | 14% above | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE ASPIRATE | $34.77 | $115.90 | $37.15–$109.80 | — | 70% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT | $138.12 | $460.40 | $37.15–$160.29 | — | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $5.41–$23.70 | 63% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $5.41–$23.70 | 63% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $5.41–$23.70 | 58% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $5.41–$23.70 | 58% below | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $46.49 | $154.95 | $5.41–$23.70 | 78% above | 70% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $46.49 | $154.95 | $5.41–$23.70 | 78% above | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-LA SCREEN | $9.74 | $32.45 | $5.41–$23.70 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN | $11.01 | $36.70 | $5.41–$23.70 | — | 70% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $46.49 | $154.95 | $5.41–$23.70 | — | 70% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $4.27–$18.06 | 51% above | 70% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $4.27–$18.06 | 51% above | 70% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS INORGANIC | $42.81 | $142.70 | $4.27–$18.06 | — | 70% |
| Potassium blood test CPT 84132 POTASSIUM | $42.81 | $142.70 | $4.28–$18.06 | 105% above | 70% |
| Potassium blood test CPT 84132 POTASSIUM | $42.81 | $142.70 | $4.28–$18.06 | 105% above | 70% |
| Potassium blood test CPT 84132 POTASSIUM POC | $64.82 | $216.05 | $4.28–$18.06 | 210% above | 70% |
| Potassium blood test CPT 84132 POTASSIUM POC | $64.82 | $216.05 | $4.28–$18.06 | 210% above | 70% |
| Potassium blood test inpatient CPT 84132 POTASSIUM | $42.81 | $142.70 | $4.28–$18.06 | — | 70% |
| Potassium blood test inpatient CPT 84132 POTASSIUM POC | $64.82 | $216.05 | $4.28–$18.06 | — | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $18.77–$81.26 | at median | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $18.77–$81.26 | at median | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE | $69.86 | $232.85 | $18.77–$81.26 | 10% above | 70% |
| Progesterone blood test CPT 84144 PROGESTERONE | $69.86 | $232.85 | $18.77–$81.26 | 10% above | 70% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE LC/MS/MS | $63.71 | $212.35 | $18.77–$81.26 | — | 70% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $69.86 | $232.85 | $18.77–$81.26 | — | 70% |
| Prolactin blood test CPT 84146 PROLACTIN | $136.59 | $455.30 | $17.44–$74.51 | 96% above | 70% |
| Prolactin blood test CPT 84146 PROLACTIN | $136.59 | $455.30 | $17.44–$74.51 | 96% above | 70% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $136.59 | $455.30 | $17.44–$74.51 | — | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $3.86–$14.69 | 52% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $3.86–$14.69 | 52% below | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RAPID COAG POC FINGER STICK | $21.87 | $72.90 | $3.86–$14.69 | 8% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 RAPID COAG POC FINGER STICK | $21.87 | $72.90 | $3.86–$14.69 | 8% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (AS INR) | $42.47 | $141.55 | $3.86–$14.69 | 109% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME (AS INR) | $42.47 | $141.55 | $3.86–$14.69 | 109% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT (INR) | $46.70 | $155.65 | $3.86–$14.69 | 130% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PT (INR) | $46.70 | $155.65 | $3.86–$14.69 | 130% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR HEP ABSORBED | $51.71 | $172.35 | $3.86–$14.69 | 155% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 INR HEP ABSORBED | $51.71 | $172.35 | $3.86–$14.69 | 155% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | $3.86–$14.69 | 158% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | $3.86–$14.69 | 158% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN (INR) POC | $52.58 | $175.25 | $3.86–$14.69 | 159% above | 70% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN (INR) POC | $52.58 | $175.25 | $3.86–$14.69 | 159% above | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $9.66 | $32.20 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 RAPID COAG POC FINGER STICK | $21.87 | $72.90 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME (AS INR) | $42.47 | $141.55 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT (INR) | $46.70 | $155.65 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR HEP ABSORBED | $51.71 | $172.35 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 CL PROTMIE/INR | $52.46 | $174.85 | $3.86–$14.69 | — | 70% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN (INR) POC | $52.58 | $175.25 | $3.86–$14.69 | — | 70% |
| Rapid flu test (influenza antigen) CPT 87804 POC LAB INFLUENZA A & B | $25.56 | $85.20 | $12.87–$51.92 | 31% below | 70% |
| Rapid flu test (influenza antigen) CPT 87804 POC LAB INFLUENZA A & B | $25.56 | $85.20 | $12.87–$51.92 | 31% below | 70% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 POC LAB INFLUENZA A & B | $25.56 | $85.20 | $12.87–$51.92 | — | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC LAB STREP A | $26.79 | $89.30 | $14.88–$51.92 | 26% below | 70% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC LAB STREP A | $26.79 | $89.30 | $14.88–$51.92 | 26% below | 70% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC LAB STREP A | $26.79 | $89.30 | $14.88–$51.92 | — | 70% |
| Renin blood test CPT 84244 RENIN | $111.60 | $372.00 | $19.79–$84.67 | 80% above | 70% |
| Renin blood test CPT 84244 RENIN | $111.60 | $372.00 | $19.79–$84.67 | 80% above | 70% |
| Renin blood test inpatient CPT 84244 RENIN | $111.60 | $372.00 | $19.79–$84.67 | — | 70% |
| Rh blood typing CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | 22% below | 70% |
| Rh blood typing CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | 22% below | 70% |
| Rh blood typing CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | 130% above | 70% |
| Rh blood typing CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | 130% above | 70% |
| Rh blood typing inpatient CPT 86901 BLOOD TYPE (RH) | $23.87 | $79.55 | $2.69–$11.28 | — | 70% |
| Rh blood typing inpatient CPT 86901 RH-R | $70.43 | $234.75 | $2.69–$11.28 | — | 70% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $5.10–$21.44 | 30% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $5.10–$21.44 | 30% below | 70% |
| Rheumatoid factor (RF) test CPT 86431 RA | $44.87 | $149.55 | $5.10–$21.44 | 52% above | 70% |
| Rheumatoid factor (RF) test CPT 86431 RA | $44.87 | $149.55 | $5.10–$21.44 | 52% above | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACT | $20.64 | $68.80 | $5.10–$21.44 | — | 70% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RA | $44.87 | $149.55 | $5.10–$21.44 | — | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG AB REFLEX | $36.12 | $120.40 | $9.33–$55.30 | 17% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG AB REFLEX | $36.12 | $120.40 | $9.33–$55.30 | 17% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | 70% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | 70% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | 137% above | 70% |
| Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | 137% above | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG AB REFLEX | $36.12 | $120.40 | $9.33–$55.30 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY | $52.40 | $174.65 | $9.33–$55.30 | — | 70% |
| Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY | $73.10 | $243.65 | $9.33–$55.30 | — | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $11.08–$46.28 | at median | 70% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $11.08–$46.28 | at median | 70% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS | $62.78 | $209.25 | $11.08–$46.28 | — | 70% |
| Sodium blood test CPT 84295 SODIUM | $26.93 | $89.75 | $4.33–$19.17 | at median | 70% |
| Sodium blood test CPT 84295 SODIUM | $26.93 | $89.75 | $4.33–$19.17 | at median | 70% |
| Sodium blood test CPT 84295 SODIUM POC | $64.82 | $216.05 | $4.33–$19.17 | 141% above | 70% |
| Sodium blood test CPT 84295 SODIUM POC | $64.82 | $216.05 | $4.33–$19.17 | 141% above | 70% |
| Sodium blood test inpatient CPT 84295 SODIUM | $26.93 | $89.75 | $4.33–$19.17 | — | 70% |
| Sodium blood test inpatient CPT 84295 SODIUM POC | $64.82 | $216.05 | $4.33–$19.17 | — | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $8.01–$35.01 | 4% below | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $8.01–$35.01 | 4% below | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $8.01–$35.01 | 104% above | 70% |
| Stool ova and parasites exam CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $8.01–$35.01 | 104% above | 70% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE, FECAL INTERP | $30.00 | $100.00 | $8.01–$35.01 | — | 70% |
| Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE | $63.83 | $212.75 | $8.01–$35.01 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLD | $5.57 | $18.55 | $3.94–$13.54 | 71% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLD | $5.57 | $18.55 | $3.94–$13.54 | 71% below | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $3.94–$13.54 | 146% above | 70% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $3.94–$13.54 | 146% above | 70% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLD | $5.57 | $18.55 | $3.94–$13.54 | — | 70% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD SCREEN 1 3 | $46.43 | $154.75 | $3.94–$13.54 | — | 70% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $14.33–$32.82 | 67% below | 70% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $14.33–$32.82 | 67% below | 70% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 FECAL OCCULT BLOOD IMMUNOASSAY | $10.13 | $33.75 | $14.33–$32.82 | — | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $11.92–$50.81 | 8% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $11.92–$50.81 | 8% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $71.87 | $239.55 | $11.92–$50.81 | 136% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS | $71.87 | $239.55 | $11.92–$50.81 | 136% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $119.52 | $398.40 | $11.92–$50.81 | 293% above | 70% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM AB | $119.52 | $398.40 | $11.92–$50.81 | 293% above | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS SEROLOGY | $32.81 | $109.35 | $11.92–$50.81 | — | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS | $71.87 | $239.55 | $11.92–$50.81 | — | 70% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM AB | $119.52 | $398.40 | $11.92–$50.81 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $43.98 | $146.60 | $3.84–$16.95 | 70% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL | $43.98 | $146.60 | $3.84–$16.95 | 70% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $52.64 | $175.45 | $3.84–$16.95 | 104% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR | $52.64 | $175.45 | $3.84–$16.95 | 104% above | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL | $43.98 | $146.60 | $3.84–$16.95 | — | 70% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR | $52.64 | $175.45 | $3.84–$16.95 | — | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $55.78–$240.43 | 31% above | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $55.78–$240.43 | 31% above | 70% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON TB GOLD | $166.46 | $554.85 | $55.78–$240.43 | — | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $22.67 | $75.55 | $23.23–$75.02 | 69% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL | $22.67 | $75.55 | $23.23–$75.02 | 69% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $23.23–$77.37 | 62% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $23.23–$77.37 | 62% below | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $139.34 | $464.45 | $23.23–$100.47 | 94% above | 70% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE | $139.34 | $464.45 | $23.23–$100.47 | 94% above | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL | $22.67 | $75.55 | $23.23–$75.02 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL | $27.24 | $90.80 | $23.23–$77.37 | — | 70% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE | $139.34 | $464.45 | $23.23–$100.47 | — | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $13.10–$56.45 | 27% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $13.10–$56.45 | 27% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $13.10–$56.45 | 116% above | 70% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $13.10–$56.45 | 116% above | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB | $51.71 | $172.35 | $13.10–$56.45 | — | 70% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY-MICROSOME AUTOABS | $88.13 | $293.75 | $13.10–$56.45 | — | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $15.12–$65.46 | 46% above | 70% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $15.12–$65.46 | 46% above | 70% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $74.27 | $247.55 | $15.12–$65.46 | — | 70% |
| Total IgE blood test CPT 82785 IGE | $68.25 | $227.50 | $14.81–$63.20 | 16% above | 70% |
| Total IgE blood test CPT 82785 IGE | $68.25 | $227.50 | $14.81–$63.20 | 16% above | 70% |
| Total IgE blood test inpatient CPT 82785 IGE | $68.25 | $227.50 | $14.81–$63.20 | — | 70% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.92–$16.95 | 157% above | 70% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.92–$16.95 | 157% above | 70% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $53.36 | $177.85 | $3.92–$16.95 | — | 70% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $6.18–$27.07 | 67% above | 70% |
| Total thyroxine (T4) blood test CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $6.18–$27.07 | 67% above | 70% |
| Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE (T4) | $44.97 | $149.90 | $6.18–$27.07 | — | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 | $52.46 | $174.85 | $12.76–$55.30 | 8% above | 70% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 | $52.46 | $174.85 | $12.76–$55.30 | 8% above | 70% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 | $52.46 | $174.85 | $12.76–$55.30 | — | 70% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $11.48–$49.66 | 79% above | 70% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $11.48–$49.66 | 79% above | 70% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $92.46 | $308.20 | $11.48–$49.66 | — | 70% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $31.58–$135.44 | 180% above | 70% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $31.58–$135.44 | 180% above | 70% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS TMA | $178.68 | $595.60 | $31.58–$135.44 | — | 70% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $5.17–$22.59 | 82% above | 70% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $5.17–$22.59 | 82% above | 70% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE | $42.81 | $142.70 | $5.17–$22.59 | — | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $11.22–$43.45 | 33% below | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $11.22–$43.45 | 33% below | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $11.22–$43.45 | 35% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $11.22–$43.45 | 35% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $74.66 | $248.85 | $11.22–$43.45 | 62% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN T | $74.66 | $248.85 | $11.22–$43.45 | 62% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN POC | $77.15 | $257.15 | $11.22–$43.45 | 68% above | 70% |
| Troponin test, quantitative CPT 84484 TROPONIN POC | $77.15 | $257.15 | $11.22–$43.45 | 68% above | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN, HIGH SENSITIVITY | $30.96 | $103.20 | $11.22–$43.45 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN 1 | $62.28 | $207.60 | $11.22–$43.45 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN T | $74.66 | $248.85 | $11.22–$43.45 | — | 70% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN POC | $77.15 | $257.15 | $11.22–$43.45 | — | 70% |
| Uric acid blood test CPT 84550 URIC ACID | $42.81 | $142.70 | $4.07–$18.06 | 51% above | 70% |
| Uric acid blood test CPT 84550 URIC ACID | $42.81 | $142.70 | $4.07–$18.06 | 51% above | 70% |
| Uric acid blood test inpatient CPT 84550 URIC ACID | $42.81 | $142.70 | $4.07–$18.06 | — | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | 57% above | 70% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | 57% above | 70% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS | $48.14 | $160.45 | $2.22–$12.42 | — | 70% |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN BLOOD URINE | $22.23 | $74.10 | $1.79–$9.01 | 106% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN BLOOD URINE | $22.23 | $74.10 | $1.79–$9.01 | 106% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES | $26.24 | $87.45 | $1.79–$9.01 | 143% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 KETONES | $26.24 | $87.45 | $1.79–$9.01 | 143% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | $1.79–$9.01 | 161% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $28.19 | $93.95 | $1.79–$9.01 | 161% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE | $29.93 | $99.75 | $1.79–$9.01 | 177% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE | $29.93 | $99.75 | $1.79–$9.01 | 177% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.79–$9.01 | 204% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.79–$9.01 | 204% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.79–$9.01 | 222% above | 70% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.79–$9.01 | 222% above | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HEMOGLOBIN BLOOD URINE | $22.23 | $74.10 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES | $26.24 | $87.45 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $28.19 | $93.95 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN URINE | $29.93 | $99.75 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 SPECIFIC GRAVITY URINE | $32.81 | $109.35 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS W/OUT MICROSCOPIC | $34.80 | $116.00 | $1.79–$9.01 | — | 70% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK | $5.76 | $19.20 | $3.13–$11.28 | 27% below | 70% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK | $5.76 | $19.20 | $3.13–$11.28 | 27% below | 70% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK | $5.76 | $19.20 | $3.13–$11.28 | — | 70% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $36.56 | $121.85 | $7.26–$31.60 | 5% below | 70% |
| Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE | $36.56 | $121.85 | $7.26–$31.60 | 5% below | 70% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE | $36.56 | $121.85 | $7.26–$31.60 | — | 70% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.80–$36.68 | 28% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.80–$36.68 | 28% below | 70% |
| Urine microalbumin (albumin) test CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.80–$36.68 | 269% above | 70% |
| Urine microalbumin (albumin) test CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.80–$36.68 | 269% above | 70% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN 24 HR URINE | $14.07 | $46.90 | $4.80–$36.68 | — | 70% |
| Urine microalbumin (albumin) test inpatient CPT 82043 MIRCOALBUMIN QUANT URINE | $71.75 | $239.15 | $4.80–$36.68 | — | 70% |
| Urine pregnancy test, read by color change CPT 81025 POC LAB PREGNANCY | $14.24 | $47.45 | $6.72–$27.07 | 63% below | 70% |
| Urine pregnancy test, read by color change CPT 81025 POC LAB PREGNANCY | $14.24 | $47.45 | $6.72–$27.07 | 63% below | 70% |
| Urine pregnancy test, read by color change inpatient CPT 81025 POC LAB PREGNANCY | $14.24 | $47.45 | $6.72–$27.07 | — | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (CYANOCOBALAMIN) | $41.66 | $138.85 | $13.57–$58.71 | 17% below | 70% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 (CYANOCOBALAMIN) | $41.66 | $138.85 | $13.57–$58.71 | 17% below | 70% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 (CYANOCOBALAMIN) | $41.66 | $138.85 | $13.57–$58.71 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $26.64–$115.12 | 1% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $26.64–$115.12 | 1% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $26.64–$115.12 | 12% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $26.64–$115.12 | 12% above | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYD D2 D3 | $74.27 | $247.55 | $26.64–$115.12 | — | 70% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY | $81.87 | $272.90 | $26.64–$115.12 | — | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $34.65–$149.01 | at median | 70% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $34.65–$149.01 | at median | 70% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25 DIHYDROXY | $109.88 | $366.25 | $34.65–$149.01 | — | 70% |
| Zinc blood test CPT 84630 ZINC | $74.40 | $248.00 | $10.25–$44.02 | 112% above | 70% |
| Zinc blood test CPT 84630 ZINC | $74.40 | $248.00 | $10.25–$44.02 | 112% above | 70% |
| Zinc blood test inpatient CPT 84630 ZINC | $74.40 | $248.00 | $10.25–$44.02 | — | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $13.55–$58.71 | 88% above | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $13.55–$58.71 | 88% above | 70% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG-QUANTITATIVE | $104.48 | $348.25 | $13.55–$58.71 | — | 70% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY RIGHT | $3,536.63 | $11,788.75 | $1,468.50–$3,411.00 | 135% above | 70% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STERO BIOPSY LEFT | $3,536.63 | $11,788.75 | $1,468.50–$3,411.00 | 135% above | 70% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC | $7,673.82 | $25,579.40 | $560.10–$11,857.00 | 45% above | 70% |
| Cardiac catheterization with coronary angiogram CPT 93458 LHC | $7,673.82 | $25,579.40 | $560.10–$11,857.00 | 45% above | 70% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 LHC | $7,673.82 | $25,579.40 | $560.10–$11,857.00 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION IN EP LAB | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION IN EP LAB | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDVERSN SP 2C2D | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTVE CARDIOVRSION-ELECTRCAL | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTVE CARDIOVRSION-ELECTRCAL | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDVERSN SP 2C2D | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | 50% above | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDVERSN SP 2C2D | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION IN EP LAB | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | — | 70% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTVE CARDIOVRSION-ELECTRCAL | $1,045.46 | $3,484.85 | $130.97–$2,090.91 | — | 70% |
| Catheter ablation for atrial fibrillation CPT 93656 ABLATION AF PULM VEIN | $22,914.50 | $76,381.65 | $50.30–$58,050.05 | 34% above | 70% |
| Catheter ablation for atrial fibrillation CPT 93656 ABLATION AF PULM VEIN | $22,914.50 | $76,381.65 | $50.30–$58,050.05 | 34% above | 70% |
| Catheter ablation for atrial fibrillation inpatient CPT 93656 ABLATION AF PULM VEIN | $22,914.50 | $76,381.65 | $50.30–$58,050.05 | — | 70% |
| Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/EUS | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | 15% above | 70% |
| Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/LESION RMVL SNARE | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | at median | 70% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLON DC BEFORE ANESTHESIA | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLONSCOPY W/WO BRUSH WASH | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | at median | 70% |
| Colonoscopy, diagnostic CPT 45378 COLON DC AFTER ANESTHESIA | $1,261.31 | $4,204.35 | $1,185.00–$3,284.00 | at median | 70% |
| Coronary stent placement, one artery CPT 92928 PTCA/STNT INITIAL | $13,239.59 | $44,131.95 | $489.99–$16,976.00 | 68% above | 70% |
| Coronary stent placement, one artery CPT 92928 PTCA/STNT INITIAL | $13,239.59 | $44,131.95 | $489.99–$16,976.00 | 68% above | 70% |
| Coronary stent placement, one artery inpatient CPT 92928 PTCA/STNT INITIAL | $13,239.59 | $44,131.95 | $489.99–$16,976.00 | — | 70% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SP INJ FACET JT 1ST LVL L OR S | $1,572.59 | $5,241.95 | $954.50–$1,614.00 | 125% above | 70% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT INJ FACET JT 1ST LVL L OR S | $1,572.59 | $5,241.95 | $954.50–$1,614.00 | 125% above | 70% |
| Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG W/WO BRUSH/WASH | $672.71 | $2,242.35 | $37.88–$1,614.00 | at median | 70% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 SP INJ SGL TENDON SHEATH/LGMNT | $454.92 | $1,516.40 | $20.30–$1,467.00 | 93% above | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 SP ARTHCNTS/ASP/INJ MJR WO US | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ASPIRATION JOINT MAJOR | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR ASPRINJ JOINT LT MAJOR | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR ASPRINJ JOINT RT MAJOR | $395.57 | $1,318.55 | $20.30–$1,004.50 | 22% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SP ARTHCNTS/ASP/INJ ITRM WO US | $395.57 | $1,318.55 | $18.94–$1,004.50 | 35% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT ASPIRATION JOINT INTERMEDIA | $395.57 | $1,318.55 | $18.94–$1,004.50 | 35% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR ASPRINJ JNT LT MED | $388.16 | $1,293.85 | $18.94–$1,004.50 | 33% above | 70% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR ASPRINJ JNT RT MED | $388.16 | $1,293.85 | $18.94–$1,004.50 | 33% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 SP ARTHCNTS/ASP/INJ SM WO US | $395.57 | $1,318.55 | $18.94–$1,004.50 | 38% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CT ASPIRATION JOINT SMALL | $395.57 | $1,318.55 | $18.94–$1,004.50 | 38% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR ASPRINJ JNT LT SMALL | $388.16 | $1,293.85 | $18.94–$1,004.50 | 36% above | 70% |
| Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR ASPRINJ JNT RT SMALL | $388.16 | $1,293.85 | $18.94–$1,004.50 | 36% above | 70% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 LASER CAPSULOTOMY | $1,473.14 | $4,910.45 | $1,185.00–$3,284.00 | 66% above | 70% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | $462.57–$11,857.00 | 111% above | 70% |
| Left heart catheterization, diagnostic CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | $462.57–$11,857.00 | 111% above | 70% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LHC W/ LV ONLY | $6,832.68 | $22,775.60 | $462.57–$11,857.00 | — | 70% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SP INJ TRNSFRMNL L/S W IMAG | $1,258.05 | $4,193.50 | $954.50–$1,614.00 | 77% above | 70% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT TRANSFOR L/S EPIDUR INJ INI | $1,258.05 | $4,193.50 | $954.50–$1,614.00 | 77% above | 70% |
| Occipital nerve block (injection for headaches) CPT 64405 SP INJ GRT OCCIPITAL NERVE | $970.02 | $3,233.40 | $35.18–$1,614.00 | 236% above | 70% |
| Pacemaker implant (dual chamber) CPT 33208 PCM INS INITIAL DUAL W/LEADS | $5,107.53 | $17,025.10 | $1,752.88–$14,952.00 | 1% below | 70% |
| Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS WITH IMAGING | $1,668.08 | $5,560.25 | $954.50–$1,614.00 | 184% above | 70% |
| Paracentesis with imaging guidance CPT 49083 US PARACENTESIS WITH IMAGING | $1,668.08 | $5,560.25 | $954.50–$1,614.00 | 184% above | 70% |
| Paracentesis with imaging guidance CPT 49083 SP PARACENTESIS WITH IMAGING | $1,668.08 | $5,560.25 | $954.50–$1,614.00 | 184% above | 70% |
| Prostate biopsy CPT 55700 CT BIOPSY PROSTATE | $1,282.16 | $4,273.85 | $1,185.00–$3,284.00 | 103% above | 70% |
| Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONSC NO RISK FX | $1,093.16 | $3,643.85 | $237.14–$3,284.00 | 13% below | 70% |
| Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONSCPY HI RISK | $1,093.16 | $3,643.85 | $237.14–$3,284.00 | 11% below | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $3,613.00–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $3,613.00–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | 26% above | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 LITHOTRIPSY (ESWL) BILATERAL | $9,885.59 | $32,951.95 | $3,613.00–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRIPSY (ESWL) LT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | — | 70% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 LITHOTRIPSY (ESWL) RT | $6,590.39 | $21,967.95 | $3,613.00–$18,315.00 | — | 70% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE-DIAGNOSTIC | $519.47 | $1,731.55 | $29.77–$1,614.00 | 29% above | 70% |
| Thoracentesis with imaging guidance both sides CPT 32555 US THORACENTESIS BILATERAL | $1,164.23 | $3,880.75 | $954.50–$1,614.00 | — | 70% |
| Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING | $1,476.80 | $4,922.65 | $954.50–$1,614.00 | 133% above | 70% |
| Thoracentesis with imaging guidance CPT 32555 SP THORACENTESIS W IMAGING | $1,476.80 | $4,922.65 | $954.50–$1,614.00 | 133% above | 70% |
| Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS W IMAGING | $1,476.80 | $4,922.65 | $954.50–$1,614.00 | 133% above | 70% |
| Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS RIGHT | $633.65 | $2,112.15 | $954.50–$1,614.00 | at median | 70% |
| Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS LEFT | $633.65 | $2,112.15 | $954.50–$1,614.00 | at median | 70% |
| Trigger point injections, 1 or 2 muscles CPT 20552 US TRIGGER PT INJECT 1 OR 2 | $422.87 | $1,409.55 | $395.88–$1,004.50 | 70% above | 70% |
| Trigger point injections, 1 or 2 muscles CPT 20552 SP INJ TRGR PT 1 OR 2 MUSCLES | $422.87 | $1,409.55 | $395.88–$1,004.50 | 70% above | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US BRST BX 1ST LESION | $3,012.38 | $10,041.25 | $1,468.50–$3,411.00 | 199% above | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY RIGHT | $3,012.38 | $10,041.25 | $1,468.50–$3,411.00 | 199% above | 70% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY LEFT | $3,012.38 | $10,041.25 | $1,468.50–$3,411.00 | 199% above | 70% |
| Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 EGD W/BAL DIL ESO < 30MM | $1,093.16 | $3,643.85 | $1,185.00–$3,284.00 | at median | 70% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY | $1,093.16 | $3,643.85 | $1,185.00–$3,284.00 | 11% above | 70% |
| Upper endoscopy (EGD) with injection into the lining CPT 43236 EGD W/SUBMUCOSAL INJ(S) ANY | $1,093.16 | $3,643.85 | $1,141.72–$3,284.00 | at median | 70% |
| Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD W/REMOVAL LESION BY SNARE | $1,093.16 | $3,643.85 | $1,185.00–$3,284.00 | 19% below | 70% |
| Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD W/ESOPH DILATION GUIDEWIRE | $1,093.16 | $3,643.85 | $1,185.00–$3,284.00 | at median | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCBA | $1,093.16 | $3,643.85 | $954.50–$1,614.00 | 13% above | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX W/WO BRUSH/WASH | $1,093.16 | $3,643.85 | $954.50–$1,614.00 | 13% above | 70% |
| Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCAA | $1,093.16 | $3,643.85 | $954.50–$1,614.00 | 13% above | 70% |
| Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 EGD DRN PSCYST INC EUS/STENT | $1,099.37 | $3,664.55 | $1,185.00–$3,284.00 | 8% below | 70% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,141.72 | 6% below | 70% |
| Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,141.72 | 6% below | 70% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCT ADMINISTRATION | $375.00 | $1,250.00 | $30.61–$1,141.72 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PR-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-SPUTUM INDUCTION | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PAP INHALATION | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RC-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | 27% below | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PAP INHALATION | $72.00 | $240.00 | $12.53–$43.93 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PR-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB | $72.00 | $240.00 | $12.53–$43.93 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-AEROSOL TX | $72.00 | $240.00 | $12.53–$43.93 | — | 70% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RC-SPUTUM INDUCTION | $72.00 | $240.00 | $12.53–$43.93 | — | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | 20% below | 70% |
| Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | 20% below | 70% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 TO 74 MIN | $976.02 | $3,253.40 | $326.00–$1,483.00 | — | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 NDT AWAKE/DROWSY EEG | $297.48 | $991.60 | $40.40–$717.20 | at median | 70% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 NDT AWAKE/DROWSY EEG | $297.48 | $991.60 | $40.40–$717.20 | at median | 70% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 NDT AWAKE/DROWSY EEG | $297.48 | $991.60 | $40.40–$717.20 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - SCREENING | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG - SCREENING | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | at median | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG | $106.86 | $356.20 | $13.36–$181.66 | — | 70% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG - SCREENING | $106.86 | $356.20 | $13.36–$181.66 | — | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I | $207.68 | $692.25 | $19.26–$692.25 | 41% above | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I | $207.68 | $692.25 | $19.26–$692.25 | 41% above | 70% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 ER CARE I | $207.68 | $692.25 | $19.26–$692.25 | — | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II | $573.00 | $1,910.00 | $37.71–$1,910.00 | 149% above | 70% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 ER CARE II | $573.00 | $1,910.00 | $37.71–$1,910.00 | 149% above | 70% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 ER CARE II | $573.00 | $1,910.00 | $37.71–$1,910.00 | — | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | 66% above | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | 66% above | 70% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 ER CARE III | $735.00 | $2,450.00 | $56.40–$2,450.00 | — | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 31% above | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | 31% above | 70% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 EMER RM CARE IV | $945.00 | $3,150.00 | $107.34–$3,150.00 | — | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V | $960.00 | $3,200.00 | $158.13–$3,200.00 | 3% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMER RM CARE V | $960.00 | $3,200.00 | $158.13–$3,200.00 | 3% below | 70% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 EMER RM CARE V | $960.00 | $3,200.00 | $158.13–$3,200.00 | — | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EXERCISE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EX TEST TREADMILL | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EX | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGICAL CHALLENGE | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMALOGIC CHALLENGE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGICAL CHALLENGE | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMALOGIC CHALLENGE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EXERCISE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EX | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EX TEST TREADMILL | $614.06 | $2,046.85 | $51.25–$1,043.89 | 46% above | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EX TEST TREADMILL | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 THALLIUM EXERCISE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMALOGIC CHALLENGE STH | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TEST | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMACOLOGICAL CHALLENGE | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 THALLIUM EX | $614.06 | $2,046.85 | $51.25–$1,043.89 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT HOUR 3A | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT HOUR 3A | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL HR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INITIAL HR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $43.83–$439.07 | at median | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HR | $148.43 | $494.75 | $43.83–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INIT UP TO 1H | $148.43 | $494.75 | $43.83–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INFUSION HYDRATION INIT HOUR | $148.43 | $494.75 | $43.83–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INIT HOUR 3A | $148.43 | $494.75 | $43.83–$439.07 | — | 70% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRAT INITIAL HR | $148.43 | $494.75 | $43.83–$439.07 | — | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL HOUR 3A | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INF INITIAL DRUG INITIAL HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 IV INITIAL HOUR 3A | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour CPT 96365 INF INITIAL DRUG INITIAL HR | $148.43 | $494.75 | $53.47–$95.00 | 4% below | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG INIT HOUR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INITIAL HOUR 3A | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 IV INITIAL UP TO 1 HOUR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL DRUG INIT HR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV infusion of a medicine, first hour inpatient CPT 96365 INF INITIAL DRUG INITIAL HR | $148.43 | $494.75 | $53.47–$95.00 | — | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INTIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG 3A | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 IVP SINGLE/INITIAL DRUG 3A | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJ IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJ IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug CPT 96374 INJECTION IV INTIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | 14% above | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV INTIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IVPUSH OTHR THN CHEMO INIT DRG | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IVP SINGLE/INITIAL DRUG 3A | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 IVP SINGLE/INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| IV push of a medicine, first drug inpatient CPT 96374 INJ IV INITIAL DRUG | $127.74 | $425.80 | $42.46–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SQ ADMINISTRATION | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SC INJECTION | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SC INJECTION | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ 3A | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ 3A | $55.98 | $186.60 | $16.71–$95.00 | at median | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC SUBQ/IM | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SC INJECTION | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ADMINISTRATION ANTIBIOTIC | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SQ ADMINISTRATION | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ 3A | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ | $55.98 | $186.60 | $16.71–$95.00 | — | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NDT NERVE CONDUCTION STUDY/ 7 | $848.03 | $2,826.75 | $62.15–$188.92 | 133% above | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NDT NERVE CONDUCTION STUDY/ 7 | $848.03 | $2,826.75 | $62.15–$188.92 | 133% above | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NDT NERVE CONDUCTION STUDY/ 8 | $969.20 | $3,230.65 | $62.15–$188.92 | 166% above | 70% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 NDT NERVE CONDUCTION STUDY/ 8 | $969.20 | $3,230.65 | $62.15–$188.92 | 166% above | 70% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NDT NERVE CONDUCTION STUDY/ 7 | $848.03 | $2,826.75 | $62.15–$188.92 | — | 70% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 NDT NERVE CONDUCTION STUDY/ 8 | $969.20 | $3,230.65 | $62.15–$188.92 | — | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 CL PT NEURM EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | 16% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 CL PT NEURM EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | 16% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 CL OT NROMSC EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | 16% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 CL OT NROMSC EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | 16% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 BD OT NEUROMUSCULR REED 15 MIN | $42.78 | $142.60 | $15.11–$85.72 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 BD OT NEUROMUSCULR REED 15 MIN | $42.78 | $142.60 | $15.11–$85.72 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$85.72 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$85.72 | 8% below | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$85.72 | at median | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 BD PT NEUROMUSCULAR REED 15 MN | $46.65 | $155.50 | $15.11–$85.72 | at median | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$85.72 | at median | 70% |
| Neuromuscular re-education, 15 minutes CPT 97112 BD PT NEUROMUSCULAR REED 15 MN | $46.65 | $155.50 | $15.11–$85.72 | at median | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 CL OT NROMSC EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 CL PT NEURM EXER 1 UNIT 15MIN | $39.26 | $130.85 | $15.11–$85.72 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 BD OT NEUROMUSCULR REED 15 MIN | $42.78 | $142.60 | $15.11–$85.72 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 COTA NEUROMUSCULAR RE-ED | $42.80 | $142.65 | $15.11–$85.72 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 BD PT NEUROMUSCULAR REED 15 MN | $46.65 | $155.50 | $15.11–$85.72 | — | 70% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PTA NEUROMUSCULAR RE-ED | $46.65 | $155.50 | $15.11–$85.72 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT 1/4 HR INDIV | $23.82 | $79.40 | $22.70–$76.31 | 11% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT 1/4 HR INDIV | $23.82 | $79.40 | $22.70–$76.31 | 11% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHL MNT INIT FACE2FACE CONS | $25.07 | $83.55 | $22.70–$82.95 | 6% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL FACETOFACE CONSULT | $25.07 | $83.55 | $22.70–$82.95 | 6% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL FACETOFACE CONSULT | $25.07 | $83.55 | $22.70–$82.95 | 6% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHL MNT INIT FACE2FACE CONS | $25.07 | $83.55 | $22.70–$82.95 | 6% below | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT 1/4 HR INDIV | $23.82 | $79.40 | $22.70–$76.31 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL FACETOFACE CONSULT | $25.07 | $83.55 | $22.70–$82.95 | — | 70% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELEHL MNT INIT FACE2FACE CONS | $25.07 | $83.55 | $22.70–$82.95 | — | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $64.77–$200.72 | 51% below | 70% |
| Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $64.77–$200.72 | 51% below | 70% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $64.77–$200.72 | — | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 49% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 49% below | 70% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | — | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 46% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 46% below | 70% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | — | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 46% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | 46% below | 70% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD COMPLEXITY | $69.56 | $231.85 | $66.74–$206.82 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL PT MNUAL THRPY 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | 16% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL OT MANUAL THER 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | 16% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL PT MNUAL THRPY 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | 16% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 CL OT MANUAL THER 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | 16% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD OT MANUAL THERAPY 15 MIN | $42.78 | $142.60 | $19.99–$76.84 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$76.84 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$76.84 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD OT MANUAL THERAPY 15 MIN | $42.78 | $142.60 | $19.99–$76.84 | 8% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD PT MNUAL THRPY 15MIN | $46.07 | $153.55 | $19.99–$76.84 | 1% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD PT MNUAL THRPY 15MIN | $46.07 | $153.55 | $19.99–$76.84 | 1% below | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD PT MANUAL THERAPY 15 MIN | $52.62 | $175.40 | $19.99–$76.84 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD PT MANUAL THERAPY 15 MIN | $52.62 | $175.40 | $19.99–$76.84 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$76.84 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$76.84 | 13% above | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 CL PT MNUAL THRPY 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 CL OT MANUAL THER 1 UNIT 15MIN | $39.26 | $130.85 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 BD OT MANUAL THERAPY 15 MIN | $42.78 | $142.60 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 COTA MANUAL THERAPY | $42.78 | $142.60 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 BD PT MNUAL THRPY 15MIN | $46.07 | $153.55 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 BD PT MANUAL THERAPY 15 MIN | $52.62 | $175.40 | $19.99–$76.84 | — | 70% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PTA MANUAL THERAPY | $52.62 | $175.40 | $19.99–$76.84 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | $20.30–$82.24 | 16% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | $20.30–$82.24 | 16% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | $20.30–$82.24 | 16% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | $20.30–$82.24 | 16% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EX | $42.78 | $142.60 | $20.30–$82.24 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN | $42.78 | $142.60 | $20.30–$82.24 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN | $42.78 | $142.60 | $20.30–$82.24 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 COTA THERAPEUTIC EX | $42.78 | $142.60 | $20.30–$82.24 | 9% below | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN | $46.82 | $156.05 | $20.30–$82.24 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$82.24 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN | $46.82 | $156.05 | $20.30–$82.24 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$82.24 | at median | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL OT THER EXER 1 UNIT 15 MIN | $39.26 | $130.85 | $20.30–$82.24 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER 1 UNIT 15MIN | $39.26 | $130.85 | $20.30–$82.24 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD OT THER EXER 15 MIN | $42.78 | $142.60 | $20.30–$82.24 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 COTA THERAPEUTIC EX | $42.78 | $142.60 | $20.30–$82.24 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EXERCISE | $46.82 | $156.05 | $20.30–$82.24 | — | 70% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD PT THER EXER 15MIN | $46.82 | $156.05 | $20.30–$82.24 | — | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION < 10MIN | $16.83 | $56.10 | $11.74–$36.37 | 40% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION < 10MIN | $16.83 | $56.10 | $11.74–$36.37 | 40% below | 70% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION < 10MIN | $16.83 | $56.10 | $11.74–$36.37 | — | 70% |
| Speech and language evaluation CPT 92523 BD ST EVALUATION 15 MIN | $58.23 | $194.10 | $159.52 | 69% below | 70% |
| Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 15 MIN | $42.78 | $142.60 | $28.05–$140.19 | 72% below | 70% |
| Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 15 MIN | $42.78 | $142.60 | $28.05–$140.19 | 72% below | 70% |
| Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY | $51.89 | $172.95 | $28.05–$164.57 | 66% below | 70% |
| Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY | $51.89 | $172.95 | $28.05–$164.57 | 66% below | 70% |
| Speech therapy session, individual CPT 92507 CL ST SPEECH THERAPY | $96.68 | $322.25 | $28.05–$205.71 | 36% below | 70% |
| Speech therapy session, individual CPT 92507 CL ST SPEECH THERAPY | $96.68 | $322.25 | $28.05–$205.71 | 36% below | 70% |
| Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 15 MIN | $42.78 | $142.60 | $28.05–$140.19 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY | $51.89 | $172.95 | $28.05–$164.57 | — | 70% |
| Speech therapy session, individual inpatient CPT 92507 CL ST SPEECH THERAPY | $96.68 | $322.25 | $28.05–$205.71 | — | 70% |
| Spirometry (breathing test) CPT 94010 PF SPIROMETRY/ COMPLETE | $383.45 | $1,278.15 | $12.81–$66.53 | 165% above | 70% |
| Spirometry (breathing test) CPT 94010 PF SPIROMETRY/ COMPLETE | $383.45 | $1,278.15 | $12.81–$66.53 | 165% above | 70% |
| Spirometry (breathing test) inpatient CPT 94010 PF SPIROMETRY/ COMPLETE | $383.45 | $1,278.15 | $12.81–$66.53 | — | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PF-BRONCHOSPASM EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | 49% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 PF-BRONCHOSPASM EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | 49% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 COMPLETE TEST W/BRONCH EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | 49% above | 70% |
| Spirometry before and after a bronchodilator CPT 94060 COMPLETE TEST W/BRONCH EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | 49% above | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PF-BRONCHOSPASM EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | — | 70% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 COMPLETE TEST W/BRONCH EVAL | $510.81 | $1,702.70 | $28.35–$115.16 | — | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CL OT THER ACTIV 1 UNIT 15 MIN | $39.26 | $130.85 | $22.01–$89.10 | 15% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CL PT THER ACTIV 1 UNIT 15MIN | $39.26 | $130.85 | $22.01–$89.10 | 15% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CL PT THER ACTIV 1 UNIT 15MIN | $39.26 | $130.85 | $22.01–$89.10 | 15% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 CL OT THER ACTIV 1 UNIT 15 MIN | $39.26 | $130.85 | $22.01–$89.10 | 15% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$89.10 | 12% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$89.10 | 12% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BD OT THER ACTIVITY 15 MIN | $42.78 | $142.60 | $22.01–$89.10 | 8% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BD OT THER ACTIVITY 15 MIN | $42.78 | $142.60 | $22.01–$89.10 | 8% below | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$89.10 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$89.10 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BD PT THER ACTIVITY 15MIN | $46.82 | $156.05 | $22.01–$89.10 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 BD PT THER ACTIVITY 15MIN | $46.82 | $156.05 | $22.01–$89.10 | 1% above | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 CL OT THER ACTIV 1 UNIT 15 MIN | $39.26 | $130.85 | $22.01–$89.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 CL PT THER ACTIV 1 UNIT 15MIN | $39.26 | $130.85 | $22.01–$89.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 COTA THER ACTIVITY | $40.92 | $136.40 | $22.01–$89.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 BD OT THER ACTIVITY 15 MIN | $42.78 | $142.60 | $22.01–$89.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PTA THER ACTIVITY | $46.82 | $156.05 | $22.01–$89.10 | — | 70% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 BD PT THER ACTIVITY 15MIN | $46.82 | $156.05 | $22.01–$89.10 | — | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $126.38 | $421.25 | $13.42–$237.92 | 35% above | 70% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY | $126.38 | $421.25 | $13.42–$237.92 | 35% above | 70% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY | $126.38 | $421.25 | $13.42–$237.92 | — | 70% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED GOLDMANN | $136.85 | $456.15 | $8.61–$87.37 | 28% below | 70% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED/HUMPHREY | $136.85 | $456.15 | $8.61–$87.37 | 28% below | 70% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED/HUMPHREY | $136.85 | $456.15 | $8.61–$87.37 | 28% below | 70% |
| Visual field test, extended CPT 92083 VISUAL FIELD EXTENDED GOLDMANN | $136.85 | $456.15 | $8.61–$87.37 | 28% below | 70% |
| Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXTENDED/HUMPHREY | $136.85 | $456.15 | $8.61–$87.37 | — | 70% |
| Visual field test, extended inpatient CPT 92083 VISUAL FIELD EXTENDED GOLDMANN | $136.85 | $456.15 | $8.61–$87.37 | — | 70% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Tennessee | Off list |
|---|---|---|---|---|---|
| COVID-19 vaccine (Moderna), age 12 and older CPT 91322 SPIKEVAX VAC 50 MCG/0.5ML IM | $275.10 | $917.00 | $178.02–$313.73 | 31% above | 70% |
| COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 COMIRNATY VAC 30MCG TRS-SUC IM | $247.16 | $823.85 | $159.94–$281.87 | 49% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $15.84–$35.26 | 46% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $15.84–$35.26 | 46% below | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $15.84–$35.26 | 31% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $15.84–$35.26 | 31% above | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VACC (FLULAVAL) | $18.36 | $61.20 | $15.84–$35.26 | — | 70% |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC (FLUZONE) | $44.18 | $147.25 | $15.84–$35.26 | — | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC 1,440UNITS/ML | $177.83 | $592.75 | $81.13–$151.34 | 146% above | 70% |
| Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VAC 1,440UNITS/ML | $177.83 | $592.75 | $81.13–$151.34 | 146% above | 70% |
| Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VAC 1,440UNITS/ML | $177.83 | $592.75 | $81.13–$151.34 | — | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC PED 25U IN | $83.21 | $277.35 | $40.58–$89.55 | 81% above | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACC PED 25U IN | $83.21 | $277.35 | $40.58–$89.55 | 81% above | 70% |
| Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACC PED 25U IN | $83.21 | $277.35 | $40.58–$89.55 | — | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC 10MCG/1 ML | $147.62 | $492.05 | $65.04–$151.32 | 20% above | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC 10MCG/1 ML | $147.62 | $492.05 | $65.04–$151.32 | 20% above | 70% |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC 10MCG/1 ML | $147.62 | $492.05 | $65.04–$151.32 | — | 70% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5ML | $317.28 | $1,057.60 | $94.61–$361.85 | 84% above | 70% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC 20MCG/0.5ML | $317.28 | $1,057.60 | $94.61–$361.85 | 84% above | 70% |
| Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC 20MCG/0.5ML | $317.28 | $1,057.60 | $94.61–$361.85 | — | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $50.56–$157.81 | 84% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $50.56–$157.81 | 84% above | 70% |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 INFLUENZA VACC (FLUZONE HD) | $157.41 | $524.70 | $50.56–$157.81 | — | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACC(MEN | $337.91 | $1,126.35 | $221.78–$390.85 | 64% above | 70% |
| Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL CONJ VACC(MEN | $337.91 | $1,126.35 | $221.78–$390.85 | 64% above | 70% |
| Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL CONJ VACC(MEN | $337.91 | $1,126.35 | $221.78–$390.85 | — | 70% |
| Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL VACC 0.5ML | $579.50 | $1,931.65 | $363.61–$640.79 | 88% above | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $204.82–$727.75 | 63% above | 70% |
| Rabies vaccine, one dose CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $204.82–$727.75 | 63% above | 70% |
| Rabies vaccine, one dose inpatient CPT 90675 RABIES VAC CHICK 2.5 UNITS | $889.58 | $2,965.25 | $204.82–$727.75 | — | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 0.5 ML INJ | $79.20 | $264.00 | $24.14–$69.53 | 37% above | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 0.5 ML INJ | $79.20 | $264.00 | $24.14–$69.53 | 37% above | 70% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 0.5 ML INJ | $79.20 | $264.00 | $24.14–$69.53 | — | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$81.74 | 9% above | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$81.74 | 9% above | 70% |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX (TET-DIP-PERT)VACCINE | $101.06 | $336.85 | $46.71–$81.74 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL 3A | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FLU VACCINE | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL 3A | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMINISTRATION | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$62.13 | 21% above | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FLU VACCINE | $43.88 | $146.25 | $4.06–$62.13 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INITIAL 3A | $43.88 | $146.25 | $4.06–$62.13 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMINISTRATION | $43.88 | $146.25 | $4.06–$62.13 | — | 70% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN INITIAL | $43.88 | $146.25 | $4.06–$62.13 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL 3A | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL 3A | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$31.51 | 29% above | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EA ADDITIONAL | $43.89 | $146.30 | $4.57–$31.51 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EACH ADDL 3A | $43.89 | $146.30 | $4.57–$31.51 | — | 70% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 VACCINE ADMIN EACH ADDL | $43.89 | $146.30 | $4.57–$31.51 | — | 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.