SelfPayRates
Hospital Nashville-Davidson--Murfreesboro--Franklin, TN

Saint Thomas Rutherford Hospital

Saint Thomas Rutherford Hospital in Murfreesboro, TN publishes cash prices for 344 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Tennessee median for 161 of 342 procedures and above it for 149. By typical cash price it ranks #45 of 88 Tennessee hospitals and #3 of 21 hospitals in the Nashville, TN area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1700 Medical Center Pkwy Murfreesboro TN 37129 Collected Sep 23, 2026 Source price file Check a bill from this hospital (615) 396-4100

Acute care hospital Nonprofit hospital Emergency department CMS star rating 3 of 5 CCN 440053 · CMS hospital register NPI 1164590386

Financial assistance

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

Saint Thomas Rutherford 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

ProcedureCash priceList priceInsurers payvs TennesseeOff list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/O & W $1,020.09 $3,400.30 $221.14–$964.43 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 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 X/R 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 X/R 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 X/R 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 X/R 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 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 inpatient one side CPT 73610 X/R ANKLE RIGHT 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 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 X-ray, complete, 3 or more views inpatient one side CPT 73610 X/R ANKLE LEFT 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 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 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 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 US ART DOPPLER LOWER SINGLE LE $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 US ART DOPPLER LOWER SINGLE LE $246.02 $820.05 $35.49–$418.23 5% below 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD UNI ART UP/LOW 1-2LVL BC $311.85 $1,039.50 $35.49–$530.14 20% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD UNI ART UP/LOW 1-2LVL BC $311.85 $1,039.50 $35.49–$530.14 20% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD BIL ART UP/LOW 1-2 LVL BC $311.85 $1,039.50 $35.49–$530.14 20% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD BIL ART UP/LOW 1-2 LVL BC $311.85 $1,039.50 $35.49–$530.14 20% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD BIL ART UP OR LOWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 34% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD UNI ART UP OR LWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 34% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD UNI ART UP OR LWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 34% above 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 LMTD BIL ART UP OR LOWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 34% above 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 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 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 US ART DOPPLER LOWER SINGLE LE $246.02 $820.05 $35.49–$418.23 — 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LMTD BIL ART UP/LOW 1-2 LVL BC $311.85 $1,039.50 $35.49–$530.14 — 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LMTD UNI ART UP/LOW 1-2LVL BC $311.85 $1,039.50 $35.49–$530.14 — 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LMTD BIL ART UP OR LOWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 — 70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 LMTD UNI ART UP OR LWR 1-2 LV $347.09 $1,156.95 $35.49–$590.04 — 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT JOINT SHOULDER WO RIGHT $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 FOREARM WO LEFT $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 HAND WO LEFT $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 HAND WO RIGHT $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 HAND WO RIGHT $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 FOREARM WO RIGHT $573.59 $1,911.95 $140.34–$648.07 17% below 70%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT EXTREMITY HUMEROUS WO RIGHT $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 HUMEROUS WO RIGHT $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 HUMEROUS WO LEFT $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 FOREARM WO LEFT $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 HUMEROUS WO LEFT $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 JOINT WRIST WO RIGHT $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 JOINT WRIST WO RIGHT $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 JOINT WRIST WO LEFT $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 JOINT WRIST WO LEFT $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 JOINT SHOULDER WO RIGHT $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 JOINT SHOULDER WO LEFT $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 JOINT SHOULDER WO LEFT $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 JOINT ELBOW WO RIGHT $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 JOINT ELBOW WO RIGHT $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 JOINT ELBOW WO LEFT $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 JOINT ELBOW WO LEFT $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 HAND WO LEFT $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 HAND WO LEFT $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 JOINT WRIST WO LEFT $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 FOREARM WO LEFT $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 JOINT ELBOW WO RIGHT $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 JOINT WRIST WO RIGHT $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 HAND WO RIGHT $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 HUMEROUS WO RIGHT $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 JOINT SHOULDER WO LEFT $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 JOINT SHOULDER WO RIGHT $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 JOINT ELBOW WO LEFT $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 HUMEROUS WO LEFT $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 BONE SCAN WHOLE BODY X $556.26 $1,854.20 $120.94–$719.70 18% below 70%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY X $556.26 $1,854.20 $120.94–$719.70 18% below 70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY X $556.26 $1,854.20 $120.94–$719.70 — 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 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 US BREAST COMPL UNILAT RT $173.48 $578.25 $52.32–$188.95 at median 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 one side CPT 76641 US BREAST COMPL UNILAT RT $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, 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) 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 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 LEFT $165.20 $550.65 $40.06–$143.98 at median 70%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US BREAST ULTRASOUND LTD BILAT $330.39 $1,101.30 $40.06–$286.34 — 70%
Breast ultrasound, limited (one breast or one area) inpatient 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 US BREAST ULTRASOUND LTD RIGHT $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–$1,399.15 at median 70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN + PELVIS $1,892.27 $6,307.55 $333.14–$1,399.15 11% above 70%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD $779.28 $2,597.60 $204.63–$1,029.47 29% below 70%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK $779.28 $2,597.60 $204.63–$1,025.91 26% below 70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA CHEST FOR PE $868.53 $2,895.10 $251.30–$1,047.23 23% below 70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST W/WO RECON $868.53 $2,895.10 $251.30–$1,047.23 23% below 70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA ANGIO CHEST W/WO RECON $868.77 $2,895.90 $251.30–$1,047.23 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–$1,535.28 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–$285.52 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–$568.06 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–$568.06 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–$1,104.83 10% below 70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ENTEROGRAPHY ABD/PELVIS W $1,692.89 $5,642.95 $192.93–$1,104.83 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–$1,267.63 10% below 70%
CT scan of the abdomen with contrast CPT 74160 CT ABD W $874.37 $2,914.55 $188.12–$838.22 10% below 70%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O $784.19 $2,613.95 $100.82–$562.76 1% above 70%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT LANDMARX SINUSES $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 SINUSES 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 SINUSES $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 $581.72 $1,939.05 $86.77–$562.76 18% below 70%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD STROKE PROTOCOL $581.79 $1,939.30 $86.77–$562.76 18% below 70%
CT scan of the head with contrast CPT 70460 CT HEAD-W $746.03 $2,486.75 $120.17–$562.76 16% below 70%
CT scan of the head without and with contrast CPT 70470 CT HEAD W/0 & W $802.19 $2,673.95 $148.64–$640.94 26% below 70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO $746.63 $2,488.75 $150.16–$649.81 6% below 70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERV SPINE WO $783.95 $2,613.15 $151.68–$656.94 12% below 70%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W $818.49 $2,728.30 $188.88–$840.03 7% below 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 US 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 US 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 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 US 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 $969.99 $3,233.30 $234.81–$832.91 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–$832.91 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 PORTABLE ONE VIEW $101.01 $336.70 $7.80–$127.70 10% below 70%
Chest X-ray, single view CPT 71045 XR CHEST PORTABLE ONE VIEW $101.01 $336.70 $7.80–$127.70 10% below 70%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW $106.05 $353.50 $7.80–$127.70 6% below 70%
Chest X-ray, single view CPT 71045 XR CHEST SINGLE VIEW $106.05 $353.50 $7.80–$127.70 6% 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 RIGHT $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 one side CPT 71045 XR CHEST DECUBITUS RIGHT $94.80 $316.00 $7.80–$127.70 16% below 70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST PORTABLE ONE VIEW $101.01 $336.70 $7.80–$127.70 — 70%
Chest X-ray, single view inpatient CPT 71045 XR CHEST SINGLE VIEW $106.05 $353.50 $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%
Chest X-ray, single view inpatient one side CPT 71045 XR CHEST DECUBITUS RIGHT $94.80 $316.00 $7.80–$127.70 — 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 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 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 MOB US RENAL $280.17 $933.90 $55.69–$203.95 2% above 70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 MOB US RENAL $280.17 $933.90 $55.69–$203.95 2% above 70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 MOB US RENAL $280.17 $933.90 $55.69–$203.95 — 70%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MAM BONE DENSITOMETRY DPA $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 DPA $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 DPA $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 $659.58 $2,198.60 $149.78–$562.76 10% below 70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT HI RESOLUT THORAX CHEST W/O $816.93 $2,723.10 $149.78–$562.76 11% above 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, with contrast dye CPT 71260 CT CHEST W/CONTRAST $882.81 $2,942.70 $188.88–$672.95 7% below 70%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG ADD VIEW BILATERAL $172.25 $574.15 $88.85–$319.26 — 70%
Diagnostic mammogram, both breasts both sides CPT 77066 MAM DIG 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 inpatient both sides CPT 77066 MAM DIG 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, 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 W CAD RIGHT $215.58 $718.60 $69.43–$249.90 38% above 70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT $215.58 $718.60 $69.43–$249.90 38% above 70%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIAG W CAD LEFT $215.58 $718.60 $69.43–$249.90 38% above 70%
Diagnostic mammogram, one breast 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 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 ART DUPLEX LOWER EXTR 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 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 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 US NECK VENOUS BILAT $552.62 $1,842.05 $108.35–$939.45 — 70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US NECK VENOUS 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 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 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 US VENOUS DOPPLER EXT LOW-BILA $556.46 $1,854.85 $108.35–$945.97 12% below 70%
Duplex ultrasound of the leg veins, both legs CPT 93970 US VENOUS DOPPLER EXT LOW-BILA $556.46 $1,854.85 $108.35–$945.97 12% 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 US NECK VENOUS BILAT $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%
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 US VENOUS DOPPLER EXT LOW-BILA $556.46 $1,854.85 $108.35–$945.97 — 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 TRANST ECHO W/WO M-MODE COMP $1,618.32 $5,394.40 $148.77–$2,751.14 37% above 70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TRANST ECHO W/WO M-MODE COMP $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 TRANST ECHO W/WO M-MODE COMP $1,618.32 $5,394.40 $148.77–$2,751.14 — 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LEFT 2V MIN $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 MIN $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 MIN $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 MIN $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 MIN $87.41 $291.35 $15.04–$127.70 28% below 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW LEFT 2V MIN $87.41 $291.35 $15.04–$127.70 28% below 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RIGHT 2V MIN $87.41 $291.35 $15.04–$127.70 28% below 70%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW RIGHT 2V MIN $87.41 $291.35 $15.04–$127.70 28% below 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 X/R ELBOW LEFT 2V MIN $87.41 $291.35 $15.04–$127.70 — 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 X/R ELBOW RIGHT 2V MIN $87.41 $291.35 $15.04–$127.70 — 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW RIGHT 2V MIN $87.41 $291.35 $15.04–$127.70 — 70%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW LEFT 2V MIN $87.41 $291.35 $15.04–$127.70 — 70%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VIEWS MINIMUM LEFT $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 3 VIEWS MINIMUM RIGHT $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 3 VIEWS MINIMUM RIGHT $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 3 VIEWS MINIMUM LEFT $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 3 VIEWS MINIMUM LEFT $85.98 $286.60 $16.30–$127.70 — 70%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 VIEWS MINIMUM RIGHT $85.98 $286.60 $16.30–$127.70 — 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT TEMPORAL BONES WO $540.45 $1,801.50 $133.73–$847.09 15% below 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA WO $540.69 $1,802.30 $133.73–$847.09 15% below 70%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO $540.69 $1,802.30 $133.73–$847.09 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 CPT 70150 XR ZYGOMATIC ARCH 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 ZYGOMATIC ARCH 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 ZYGOMATIC ARCH 3V MIN $113.81 $379.35 $22.35–$179.33 — 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 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 X/R 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 X/R 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 X/R 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 X/R 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 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 inpatient one side CPT 73090 X/R FOREARM LEFT 2V MIN $86.67 $288.90 $15.04–$127.70 — 70%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 X/R 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%
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%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING X $647.03 $2,156.75 $213.75–$811.16 at median 70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM HEPATOBILIARY IMAGING X $647.03 $2,156.75 $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 $647.03 $2,156.75 $213.75–$811.16 — 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT $66.59 $221.95 $14.21–$179.33 50% below 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT $66.59 $221.95 $14.21–$179.33 50% below 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT $66.59 $221.95 $14.21–$179.33 50% below 70%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT $66.59 $221.95 $14.21–$179.33 50% below 70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LEFT $66.59 $221.95 $14.21–$179.33 — 70%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RIGHT $66.59 $221.95 $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 RIGHT 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 LEFT 2V MIN $75.41 $251.35 $13.64–$127.70 — 70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE - MINIMUM 3 VIEWS - LT $90.93 $303.10 $16.30–$127.70 36% below 70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE - MINIMUM 3 VIEW - RT $90.93 $303.10 $16.30–$127.70 36% below 70%
Knee X-ray, 3 views one side CPT 73562 XR KNEE - MINIMUM 3 VIEW - 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 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 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 - MINIMUM 3 VIEWS - LT $90.93 $303.10 $16.30–$127.70 36% below 70%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE - MINIMUM 3 VIEW - 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, 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 - MINIMUM 3 VIEWS - LT $90.93 $303.10 $16.30–$127.70 — 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 X/R 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 X/R 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 X/R 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 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 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 X/R 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 X/R KNEE RIGHT 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%
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 X/R KNEE LEFT 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 JOINT HIP WO RIGHT $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 JOINT KNEE WO RIGHT $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 TIB FIB WO RIGHT $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 FEMUR WO RIGHT $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 TIB FIB WO RIGHT $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 FEMUR WO LEFT $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 JOINT ANKLE WO LEFT $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 JOINT ANKLE WO LEFT $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 FOOT WO RIGHT $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 JOINT ANKLE WO RIGHT $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 JOINT KNEE WO RIGHT $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 FOOT WO LEFT $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 JOINT KNEE WO LEFT $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 FOOT WO LEFT $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 FEMUR WO RIGHT $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 TIB FIB WO LEFT $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 TIB FIB WO LEFT $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 JOINT ANKLE WO RIGHT $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 FOOT WO RIGHT $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 JOINT KNEE WO LEFT $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 JOINT HIP WO LEFT $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 JOINT HIP WO LEFT $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 FEMUR WO LEFT $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 JOINT HIP WO RIGHT $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 FEMUR WO RIGHT $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 FEMUR WO LEFT $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 FOOT WO LEFT $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 FOOT WO RIGHT $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 TIB FIB WO LEFT $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 TIB FIB WO RIGHT $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 JOINT ANKLE WO LEFT $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 JOINT ANKLE WO RIGHT $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 JOINT HIP WO LEFT $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 JOINT KNEE WO RIGHT $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 JOINT KNEE WO LEFT $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 JOINT HIP WO RIGHT $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 ABDOMEN LTD $227.54 $758.45 $40.08–$179.33 15% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 IR 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 IR 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 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 $227.54 $758.45 $40.08–$179.33 15% below 70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 IR 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 $227.54 $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 GALLBLADDER $227.54 $758.45 $40.08–$179.33 — 70%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY 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 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 $209.33 $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 $209.33 $697.75 $7.72–$179.33 1% above 70%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VAS LTD RIGHT $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 $209.33 $697.75 $7.72–$179.33 — 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 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 X/R 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 X/R 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 X/R 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 X/R 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 LEFT 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 X/R 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 X/R TIBIA-FIBULA LEFT 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 RIGHT 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–$1,344.08 18% below 70%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD CIRCLE OF WILLIS WO $780.39 $2,601.30 $312.58–$1,344.08 18% below 70%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI JOINT HIP WO 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 JOINT HIP WO 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 JOINT ANKLE WO 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 JOINT HIP WO 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 JOINT HIP WO 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 JOINT ANKLE WO 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 JOINT KNEE WO 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 JOINT KNEE WO 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 JOINT ANKLE WO 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 JOINT KNEE WO 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 JOINT KNEE WO 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 JOINT ANKLE WO 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 JOINT KNEE WO 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 JOINT ANKLE WO LEFT $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 JOINT ANKLE WO 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 JOINT HIP WO LEFT $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 JOINT HIP WO 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 JOINT KNEE WO 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 JOINT KNEE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT HIP W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT HIP W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI JOINT KNEE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 23% below 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT HIP W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT ANKLE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT ANKLE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT KNEE W/WO LEFT $972.87 $3,242.90 $402.97–$1,822.21 — 70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI JOINT KNEE W/WO RIGHT $972.87 $3,242.90 $402.97–$1,822.21 — 70%
MRI of the abdomen without contrast CPT 74181 MOB MRI ABDOMEN $943.89 $3,146.30 $256.25–$1,051.50 at median 70%
MRI of the abdomen without contrast CPT 74181 MRI MRCP $943.89 $3,146.30 $256.25–$1,051.50 at median 70%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN WO CONTRAST W/MRCP $943.95 $3,146.50 $256.25–$1,051.50 at median 70%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN WITHOUT AND WITH $1,248.29 $4,160.95 $434.48–$1,592.93 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–$1,592.93 2% below 70%
MRI of the brain, no contrast dye CPT 70551 MRI - BRAIN WO $1,146.57 $3,821.90 $182.43–$786.65 at median 70%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN IAC WO $1,146.95 $3,823.15 $182.43–$786.65 at median 70%
MRI of the brain, with and without contrast dye CPT 70553 MRI - BRAIN-W/WO C $1,516.35 $5,054.50 $297.06–$1,324.51 2% above 70%
MRI of the brain, with and without contrast dye CPT 70553 MRI STEALTH STERIO BRAIN $1,516.35 $5,054.50 $297.06–$1,324.51 2% above 70%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN PITUITARY W/WO $1,516.56 $5,055.20 $297.06–$1,324.51 2% above 70%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN IAC W/WO $1,516.56 $5,055.20 $297.06–$1,324.51 2% above 70%
MRI of the lower back, no contrast dye CPT 72148 MRI - LUMBAR W/O $1,001.88 $3,339.60 $179.77–$754.70 2% above 70%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI - LUMBAR W/WO $1,324.91 $4,416.35 $295.54–$1,329.83 7% below 70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI - THORACIC WO $1,001.88 $3,339.60 $179.77–$756.46 3% above 70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI - CERV W/WO $1,324.91 $4,416.35 $297.44–$1,335.20 9% below 70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI - CERV WO $1,001.88 $3,339.60 $179.77–$754.70 2% above 70%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W W/O $1,090.56 $3,635.20 $432.58–$1,587.55 18% below 70%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O $824.63 $2,748.75 $317.94–$1,223.96 6% below 70%
MRI of the pelvis, no contrast dye CPT 72195 MRI - PELVIS WO $824.63 $2,748.75 $317.94–$1,223.96 6% below 70%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI JOINT WRIST WO 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 JOINT WRIST WO 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 JOINT SHOULDER WO 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 JOINT SHOULDER WO 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 JOINT WRIST WO 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 JOINT WRIST WO 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 JOINT SHOULDER WO 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 JOINT SHOULDER WO 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 JOINT ELBOW WO 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 JOINT ELBOW WO 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 JOINT ELBOW WO 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 JOINT ELBOW WO 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 inpatient one side CPT 73221 MRI JOINT ELBOW WO RIGHT $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 JOINT SHOULDER WO 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 JOINT WRIST WO RIGHT $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 JOINT WRIST WO 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 JOINT SHOULDER WO RIGHT $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 JOINT ELBOW WO LEFT $861.18 $2,870.60 $197.99–$1,492.71 — 70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERV (4V MINIMUM) $146.24 $487.45 $25.31–$179.33 31% below 70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERV (4V MINIMUM) $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 CERV (4V MINIMUM) $146.24 $487.45 $25.31–$179.33 — 70%
Neck soft tissue CT scan with contrast CPT 70491 CT NECK SOFT TISSUE W $807.06 $2,690.20 $160.16–$671.14 4% below 70%
Neck soft tissue CT scan without contrast CPT 70490 CT NECK SOFT TISSUE WO $706.80 $2,356.00 $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 $2,450.19 $8,167.30 $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 $2,450.19 $8,167.30 $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 $2,450.19 $8,167.30 $217.02–$2,035.50 — 70%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO $625.58 $2,085.25 $103.10–$562.76 11% below 70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED $156.05 $520.15 $29.66–$179.33 18% below 70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS LIMITED $156.05 $520.15 $29.66–$179.33 18% below 70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS LIMITED $156.05 $520.15 $29.66–$179.33 — 70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE $286.94 $956.45 $43.30–$202.10 at median 70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC COMPLETE $286.94 $956.45 $43.30–$202.10 at median 70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC COMPLETE $286.94 $956.45 $43.30–$202.10 — 70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI $253.16 $843.85 $59.47–$245.22 12% below 70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG AFTER 1ST TRI $253.16 $843.85 $59.47–$245.22 12% below 70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG AFTER 1ST TRI $253.16 $843.85 $59.47–$245.22 — 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 MOB US OB PELV 1ST TRIMESTER $253.16 $843.85 $29.75–$196.47 3% above 70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 MOB US OB PELV 1ST TRIMESTER $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 $304.01 $1,013.35 $29.75–$196.47 23% above 70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB PELVIS 1ST TRIMESTER $304.01 $1,013.35 $29.75–$196.47 23% 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 MOB US OB PELV 1ST TRIMESTER $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 $304.01 $1,013.35 $29.75–$196.47 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND OB AT BS $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 $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD 2ND OR 3D TRI $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB ULTRASOUND $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S-AMNIOTIC WITHOUT SCAN $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND OB AT BS OBT STR $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND OB AT BS $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 U/S-AMNIOTIC WITHOUT SCAN $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB ULTRASOUND $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND OB AT BS OBT STR $163.01 $543.35 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD W CORD DOPP X $163.02 $543.40 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB LTD W CORD DOPP X $163.02 $543.40 $40.08–$179.33 at median 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 U/S-AMNIOTIC WITHOUT SCAN $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 $163.01 $543.35 $40.08–$179.33 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB ULTRASOUND $163.01 $543.35 $40.08–$179.33 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND OB AT BS $163.01 $543.35 $40.08–$179.33 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND OB AT BS OBT STR $163.01 $543.35 $40.08–$179.33 — 70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB LTD W CORD DOPP X $163.02 $543.40 $40.08–$179.33 — 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS $109.59 $365.30 $16.30–$127.70 22% below 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS $109.59 $365.30 $16.30–$127.70 22% below 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS RIGHT 2 VIEWS $109.59 $365.30 $16.30–$127.70 22% below 70%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS LEFT 2 VIEWS $109.59 $365.30 $16.30–$127.70 22% below 70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS LEFT 2 VIEWS $109.59 $365.30 $16.30–$127.70 — 70%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS RIGHT 2 VIEWS $109.59 $365.30 $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 W/CHEST RT $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 W/CHEST RT $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 W/CHEST LT $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 W/CHEST LT $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 W/CHEST LT $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 W/CHEST RT $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 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 RIGHT $189.54 $631.80 $73.36–$263.95 145% above 70%
Screening mammogram, both breasts one side CPT 77067 MAM SCREENING W CAD LEFT $189.54 $631.80 $73.36–$263.95 145% above 70%
Screening mammogram, both breasts inpatient both sides CPT 77067 MAM SCREENING W CAD BILATERAL $189.54 $631.80 $73.36–$263.95 — 70%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD LEFT $189.54 $631.80 $73.36–$263.95 — 70%
Screening mammogram, both breasts inpatient one side CPT 77067 MAM SCREENING W CAD RIGHT $189.54 $631.80 $73.36–$263.95 — 70%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 3 VIEWS 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 X/R 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 X/R 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 X/R 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 X/R 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 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 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 X/R 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 RIGHT 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 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 X/R 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 3 VIEW MINIMUM $130.37 $434.55 $22.35–$127.70 23% below 70%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES 3 VIEW MINIMUM $130.37 $434.55 $22.35–$127.70 23% below 70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES 3 VIEW MINIMUM $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 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 W/SP $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 W/SP $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 W/SP $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 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 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 inpatient one side CPT 73552 XR FEMUR LEFT $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 RIGHT $106.05 $353.50 $16.61–$127.70 — 70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THOR SPINE WO C $709.85 $2,366.15 $150.92–$653.38 4% below 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 VIEWS MINIMUM RIGHT $82.13 $273.75 $11.95–$127.70 32% below 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 VIEWS MINIMUM LEFT $82.13 $273.75 $11.95–$127.70 32% below 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 VIEWS MINIMUM RIGHT $82.13 $273.75 $11.95–$127.70 32% below 70%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES 2 VIEWS MINIMUM LEFT $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 2 VIEWS MINIMUM RIGHT $82.13 $273.75 $11.95–$127.70 — 70%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES 2 VIEWS MINIMUM LEFT $82.13 $273.75 $11.95–$127.70 — 70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $195.29 $650.95 $43.30–$233.01 30% below 70%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL $195.29 $650.95 $43.30–$233.01 30% below 70%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL $195.29 $650.95 $43.30–$233.01 — 70%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL $304.01 $1,013.35 $41.51–$179.33 35% above 70%
Transvaginal ultrasound during pregnancy CPT 76817 US OB TRANSVAGINAL $304.01 $1,013.35 $41.51–$179.33 35% above 70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB TRANSVAGINAL $304.01 $1,013.35 $41.51–$179.33 — 70%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $226.28 $754.25 $55.69–$218.95 38% below 70%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE $226.28 $754.25 $55.69–$218.95 38% below 70%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE $226.28 $754.25 $55.69–$218.95 — 70%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE $264.11 $880.35 $43.30–$179.33 1% below 70%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICLE $264.11 $880.35 $43.30–$179.33 1% below 70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICLE $264.11 $880.35 $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 THYROID $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 $200.28 $667.60 $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 THYROID $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 HEAD/NECK SOFT TISSUES $200.28 $667.60 $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 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 X/R 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 X/R 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 X/R 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 X/R 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 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 inpatient one side CPT 73060 X/R HUMERUS RIGHT 2V MIN $97.26 $324.20 $16.30–$127.70 — 70%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 X/R 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 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 US VEIN MAPPING LOWER EXTR $293.46 $978.20 $108.35–$498.88 19% below 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US VEIN MAPPING LOWER EXTR $293.46 $978.20 $108.35–$498.88 19% below 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 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 NECK VENOUS EVALUATION $523.35 $1,744.50 $108.35–$889.70 45% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 US NECK VENOUS EVALUATION $523.35 $1,744.50 $108.35–$889.70 45% 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 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 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 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 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 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 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 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 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 VAS VEN DUP RIGHT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 26% above 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 US VEIN MAPPING LOWER EXTR $293.46 $978.20 $108.35–$498.88 — 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 NECK VENOUS EVALUATION $523.35 $1,744.50 $108.35–$889.70 — 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 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 DUPLEX LOWER 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 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 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 VAS VEN DUP LEFT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP RIGHT UPPER EXTR $455.21 $1,517.35 $108.35–$773.85 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP RIGHT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 — 70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VAS VEN DUP LEFT LOWER EXTR $455.21 $1,517.35 $108.35–$773.85 — 70%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR SERIES - LT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES - LT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR SERIES - LT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views one side CPT 73100 NAVICULAR SERIES - LT $61.31 $204.35 $14.21–$127.70 48% below 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 NAVICULAR SERIES - LT $61.31 $204.35 $14.21–$127.70 — 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 — 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR NAVICULAR SERIES - RT $61.31 $204.35 $14.21–$127.70 — 70%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR NAVICULAR SERIES - LT $61.31 $204.35 $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 X/R 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 X/R 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 3 VIEWS W NAVICULA LT $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 3 VIEWS W NAVICULA LT $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 3 VIEWS W NAVICULA RT $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 3 VIEWS W NAVICULA RT $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 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 X/R 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 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 3 VIEWS W NAVICULA LT $84.90 $283.00 $15.33–$127.70 — 70%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 VIEWS W NAVICULA RT $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 $191.21 $637.35 $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 $191.21 $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 2-3 VIEW RT WO 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) $191.21 $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) $191.21 $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 2-3 VIEW RT WO 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 inpatient CPT 73502 XR HIP 2-3 VIEW L WO 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 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 2-3 VIEW RT WO 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) $191.21 $637.35 $21.83–$127.70 — 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 ABDOMEN DECUBITUS ONE VIEW $99.72 $332.40 $13.33–$127.70 27% below 70%
X-ray of the abdomen, 1 view CPT 74018 XR INFANT TORSO PORT $99.72 $332.40 $13.33–$127.70 27% below 70%
X-ray of the abdomen, 1 view CPT 74018 XR INFANT TORSO PORT $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 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 ONE VIEW $99.72 $332.40 $13.33–$127.70 27% below 70%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN DECUBITUS ONE VIEW $99.72 $332.40 $13.33–$127.70 27% below 70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR INFANT TORSO PORT $99.72 $332.40 $13.33–$127.70 — 70%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR LINE PLACE ABDOMEN ONE 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 ONE 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 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 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 inpatient one side CPT 73600 XR ANKLE 2 VIEWS RIGHT $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 LEFT $81.39 $271.30 $14.21–$127.70 — 70%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER OR FINGERS MIN 2V RT $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 XR FINGER OR FINGERS MIN 2V LT $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 XR FINGER OR FINGERS MIN 2V RT $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 XR FINGER OR FINGERS MIN 2V LT $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 XR FINGER OR FINGERS MIN 2V LT $75.41 $251.35 $11.95–$127.70 — 70%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER OR FINGERS MIN 2V RT $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 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 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 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 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 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 X/R 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 X/R 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 X/R 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 X/R 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 X/R 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 X/R FOOT LEFT 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 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 hand, 3 or more views one side CPT 73130 X/R 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 one side CPT 73130 X/R 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 RIGHT 3V 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 X/R HAND RIGHT 3V 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 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 X/R 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 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 one side CPT 73560 X/R 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 X/R 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 X/R 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 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 knee, 1 or 2 views inpatient one side CPT 73560 X/R KNEE RIGHT 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 X/R KNEE LEFT 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 3V $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 3V $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 inpatient CPT 72100 XR SPINE LUMBAR 3 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 3V $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 XR 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 XR 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 XR 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 $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 $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 $91.26 $304.20 $15.04–$127.70 — 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 3 VIEWS $127.55 $425.15 $17.15–$127.70 7% below 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR CERVICAL SPINE 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 CERVICAL SPINE 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 CERVICAL SPINE 3 VIEWS $127.55 $425.15 $17.15–$127.70 7% below 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE - 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 CERVICAL SPINE - 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 CERVICAL SPINE (3 VIEWS) $127.55 $425.15 $17.15–$127.70 7% below 70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL SPINE (3 VIEWS) $127.55 $425.15 $17.15–$127.70 7% below 70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL SPINE - 2 VIEWS $127.55 $425.15 $17.15–$127.70 — 70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 2 VIEWS $127.55 $425.15 $17.15–$127.70 — 70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR CERVICAL SPINE 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 CERVICAL SPINE (3 VIEWS) $127.55 $425.15 $17.15–$127.70 — 70%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1/2 VIEWS $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

ProcedureCash priceList priceInsurers payvs TennesseeOff 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 ACUTE 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, ACUTE $322.85 $1,076.15 $42.87–$183.99 103% above 70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PANEL, ACUTE $322.85 $1,076.15 $42.87–$183.99 103% above 70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE 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 ACUTE HEPATITIS PANEL $322.85 $1,076.15 $42.87–$183.99 — 70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS PANEL, ACUTE $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 ALDOSTERONE SERUM $79.34 $264.45 $29.36–$158.03 3% above 70%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM $79.34 $264.45 $29.36–$158.03 3% 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 ALDOSTERONE SERUM $79.34 $264.45 $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 $17.73 $59.10 $4.70–$21.57 60% above 70%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE $17.73 $59.10 $4.70–$21.57 60% 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 #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 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 $17.73 $59.10 $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 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 FETOPROTEIN TUMOR MARKER $59.58 $198.60 $15.09–$65.46 17% above 70%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR MARKER $59.58 $198.60 $15.09–$65.46 17% 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 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 FETOPROTEIN TUMOR MARKER $59.58 $198.60 $15.09–$65.46 — 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 CITRIC CITRULLATED PEPTIDE $99.14 $330.45 $11.66–$49.66 152% above 70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CITRIC CITRULLATED PEPTIDE $99.14 $330.45 $11.66–$49.66 152% above 70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CITRIC CITRULLATED 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–$33.80 72% below 70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA DIRECT $10.19 $33.95 $10.88–$33.80 72% below 70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB $42.62 $142.05 $10.88–$46.28 15% above 70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR AB $42.62 $142.05 $10.88–$46.28 15% 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 $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–$33.80 — 70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR AB $42.62 $142.05 $10.88–$46.28 — 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 BNP MPOC $86.76 $289.20 $35.33–$130.95 3% below 70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP MPOC $86.76 $289.20 $35.33–$130.95 3% below 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 $113.58 $378.60 $35.33–$130.95 27% above 70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE NP $113.58 $378.60 $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) 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 BNP MPOC $86.76 $289.20 $35.33–$130.95 — 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 $113.58 $378.60 $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 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 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 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 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 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 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 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 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 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 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 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 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-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-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 RESPIRATORY $79.49 $264.95 $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 $79.49 $264.95 $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 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 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 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 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%
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-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 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 RESPIRATORY $79.49 $264.95 $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 CPT 87040 BACTERIAL CULTURE BLOOD $100.97 $336.55 $9.29–$39.50 86% above 70%
Blood culture for bacteria CPT 87040 BACTERIAL CULTURE BLOOD $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 culture for bacteria inpatient CPT 87040 BACTERIAL CULTURE BLOOD $100.97 $336.55 $9.29–$39.50 — 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE OBT STR $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNTURE CCU $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE LD STR $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE OBT STR $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 ER $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECTION $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE LD STR $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 VENIPUNTURE CCU $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ROUTINE OB $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECTION $11.99 $39.95 $2.70–$14.00 32% above 70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE ER $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 ROUTINE OB $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 BLOOD COLLECTION $11.99 $39.95 $2.70–$14.00 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE OB $11.99 $39.95 $2.70–$14.00 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE LD STR $11.99 $39.95 $2.70–$14.00 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNTURE CCU $11.99 $39.95 $2.70–$14.00 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ROUTINE OBT STR $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 ROUTINE VENIPUNCTURE $11.99 $39.95 $2.70–$14.00 — 70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE ER $11.99 $39.95 $2.70–$14.00 — 70%
Blood glucose (sugar) test CPT 82947 GLUCOSE $29.42 $98.05 $3.54–$14.69 30% above 70%
Blood glucose (sugar) test CPT 82947 GLUCOSE $29.42 $98.05 $3.54–$14.69 30% above 70%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $29.42 $98.05 $3.54–$14.69 30% above 70%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING $29.42 $98.05 $3.54–$14.69 30% above 70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE $29.42 $98.05 $3.54–$14.69 — 70%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING $29.42 $98.05 $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 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 CPT 83655 LEAD $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 $66.27 $220.90 $10.90–$47.40 — 70%
Blood lead test inpatient CPT 83655 LEAD CAPILLARY $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 AND RH $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) 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 AND RH $83.03 $276.75 $2.69–$11.28 10% above 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO AND RH $83.03 $276.75 $2.69–$11.28 — 70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPE (ABO) $83.03 $276.75 $2.69–$11.28 — 70%
Blood 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 CORONVIRUS SARS-COV-2 RAP $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 2019 CORONVIRUS SARS-COV-2 RAP $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 CORONVIRUS SARS-COV-2 RAP $36.24 $120.80 $46.18–$79.02 — 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 BODY FLUID $63.50 $211.65 $17.06–$73.36 at median 70%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID $63.50 $211.65 $17.06–$73.36 at median 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 BODY FLUID $63.50 $211.65 $17.06–$73.36 — 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 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 VARICELLA ZOSTER AB $75.56 $251.85 $11.59–$49.66 92% above 70%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB $75.56 $251.85 $11.59–$49.66 92% above 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 VZV AB IGM CSF $43.47 $144.90 $11.59–$49.66 — 70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB $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–$105.09 44% below 70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY AMPLIFIED PROBE $33.48 $111.60 $31.58–$105.09 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–$105.09 — 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 $67.02 $223.40 $6.99–$30.48 56% above 70%
Complete blood count (CBC) with differential CPT 85025 CBC $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 $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- NO DIFFERENTIAL $21.69 $72.30 $5.82–$24.85 17% below 70%
Complete blood count (CBC), no differential CPT 85027 CBC- NO DIFFERENTIAL $21.69 $72.30 $5.82–$24.85 17% below 70%
Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL $33.81 $112.70 $5.82–$24.85 30% above 70%
Complete blood count (CBC), no differential CPT 85027 CBC-NO DIFFERENTIAL $33.81 $112.70 $5.82–$24.85 30% above 70%
Complete blood count (CBC), no differential CPT 85027 CBC W/PLT $33.81 $112.70 $5.82–$24.85 30% above 70%
Complete blood count (CBC), no differential CPT 85027 CBC W/PLT $33.81 $112.70 $5.82–$24.85 30% 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 CPT 85027 CBC $52.43 $174.75 $5.82–$24.85 102% above 70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC- NO DIFFERENTIAL $21.69 $72.30 $5.82–$24.85 — 70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC W/PLT $33.81 $112.70 $5.82–$24.85 — 70%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC-NO DIFFERENTIAL $33.81 $112.70 $5.82–$24.85 — 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 COMPREHESIVE 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) CPT 80053 COMPREHENSIVE METABOLIC PANEL $179.18 $597.25 $9.50–$40.65 85% above 70%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHESIVE 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%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHESIVE 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 CREATININE KINASE TOTAL $32.63 $108.75 $5.86–$24.85 4% above 70%
Creatine kinase (CK) blood test, total CPT 82550 CREATININE 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 CREATININE 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 CREAT WHOLE BLOOD $34.11 $113.70 $4.61–$20.32 52% above 70%
Creatinine blood test CPT 82565 CREAT WHOLE BLOOD $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 CREAT WHOLE BLOOD $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 $50.52 $168.40 $9.16–$39.50 3% below 70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER, QUANTITATIVE $50.52 $168.40 $9.16–$39.50 3% below 70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY $50.55 $168.50 $9.16–$39.50 3% below 70%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER ASSAY $50.55 $168.50 $9.16–$39.50 3% below 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) inpatient CPT 85379 D-DIMER, QUANTITATIVE $50.52 $168.40 $9.16–$39.50 — 70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER ASSAY $50.55 $168.50 $9.16–$39.50 — 70%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE REFLEX $52.41 $174.70 $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 ALCOHOL, URINE $43.49 $144.95 $55.93–$142.86 39% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL, URINE $43.49 $144.95 $55.93–$142.86 39% 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 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 WL DRUG SCREEN, URINE $52.37 $174.55 $55.93–$170.00 26% below 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 WL DRUG SCREEN, URINE $52.37 $174.55 $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 ALCOHOL $153.38 $511.25 $55.93–$170.00 116% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL $153.38 $511.25 $55.93–$170.00 116% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL $153.38 $511.25 $55.93–$170.00 116% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL $153.38 $511.25 $55.93–$170.00 116% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ACETAMINOPHEN LEVEL $153.38 $511.25 $55.93–$170.00 116% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SALICYLATE LEVEL $153.38 $511.25 $55.93–$170.00 116% 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 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 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 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 DRUG SCREEN MEDICARE $448.49 $1,494.95 $55.93–$170.00 531% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN. $448.49 $1,494.95 $55.93–$170.00 531% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 URINE DRUG SCREEN. $448.49 $1,494.95 $55.93–$170.00 531% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN MEDICARE $448.49 $1,494.95 $55.93–$170.00 531% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MED $495.35 $1,651.15 $55.93–$170.00 597% above 70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN COMPREHENSIVE MED $495.35 $1,651.15 $55.93–$170.00 597% above 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL, URINE $43.49 $144.95 $55.93–$142.86 — 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 WL DRUG SCREEN, URINE $52.37 $174.55 $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 ALCOHOL $153.38 $511.25 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SALICYLATE LEVEL $153.38 $511.25 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ACETAMINOPHEN LEVEL $153.38 $511.25 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG PANEL $257.87 $859.55 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECLIZINE SCREEN $427.80 $1,426.00 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID URIN $433.50 $1,445.00 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 FLUNITRAZEPAM & METABOLITES $433.50 $1,445.00 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GAMMA HYDROXYBUTYRIC ACID SERU $433.50 $1,445.00 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN MEDICARE $448.49 $1,494.95 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 URINE DRUG SCREEN. $448.49 $1,494.95 $55.93–$170.00 — 70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN COMPREHENSIVE MED $495.35 $1,651.15 $55.93–$170.00 — 70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES $56.25 $187.50 $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) 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 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–$78.15 72% below 70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL $23.54 $78.45 $25.15–$78.15 72% below 70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM $94.50 $315.00 $25.15–$108.37 11% above 70%
Estradiol blood test CPT 82670 ESTRADIOL LEVEL SERUM $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–$78.15 — 70%
Estradiol blood test inpatient CPT 82670 ESTRADIOL LEVEL SERUM $94.50 $315.00 $25.15–$108.37 — 70%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE $62.25 $207.50 $16.72–$72.24 at median 70%
FSH (follicle-stimulating hormone) test CPT 83001 FSH-FOLICAL STIM HORMONE $62.25 $207.50 $16.72–$72.24 at median 70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH-FOLICAL STIM HORMONE $62.25 $207.50 $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 $48.21 $160.70 $8.75–$32.75 at median 70%
Fibrinogen blood test CPT 85384 FIBRINOGEN $48.21 $160.70 $8.75–$32.75 at median 70%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN $48.21 $160.70 $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–$67.25 65% below 70%
Free testosterone test CPT 84402 TESTOSTERONE FREE $22.67 $75.55 $22.92–$67.25 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–$67.25 — 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 challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 68% above 70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 68% above 70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 68% above 70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 68% above 70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -2 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 — 70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE -1 HOUR POSTPRANDIAL $50.82 $169.40 $4.28–$18.06 — 70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR $48.56 $161.85 $11.58–$49.66 11% above 70%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE $48.56 $161.85 $11.58–$49.66 11% above 70%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE 1 HOUR $48.56 $161.85 $11.58–$49.66 11% above 70%
Glucose tolerance test, 3 samples CPT 82951 TOLERANCE BASELINE $48.56 $161.85 $11.58–$49.66 11% above 70%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE 1 HOUR $48.56 $161.85 $11.58–$49.66 — 70%
Glucose tolerance test, 3 samples inpatient CPT 82951 TOLERANCE BASELINE $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–$105.09 46% below 70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY AMPLIFIED PROBE $33.48 $111.60 $31.58–$105.09 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–$105.09 — 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 2,4TH GENERATION $90.14 $300.45 $12.34–$53.04 138% above 70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB $90.14 $300.45 $12.34–$53.04 138% above 70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1 AND HIV 2,4TH GENERATION $90.14 $300.45 $12.34–$53.04 138% above 70%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1 AND HIV-2 AB $90.14 $300.45 $12.34–$53.04 138% above 70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-1 AND HIV-2 AB $90.14 $300.45 $12.34–$53.04 — 70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1 AND HIV 2,4TH GENERATION $90.14 $300.45 $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 HEMOGLOBIN A1C $41.96 $139.85 $8.74–$37.24 at median 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C $41.96 $139.85 $8.74–$37.24 at median 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C POC $71.00 $236.65 $8.74–$37.24 69% above 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C POC $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 HEMOGLOBIN A1C $41.96 $139.85 $8.74–$37.24 — 70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C POC $71.00 $236.65 $8.74–$37.24 — 70%
Hemoglobin blood test CPT 85018 HEMOGLOBULIN $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 CPT 85018 HEMOGLOBIN $37.20 $124.00 $2.13–$9.01 93% above 70%
Hemoglobin blood test CPT 85018 HEMOGLOBULIN $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%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBULIN $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 HEP B SURFACE ANTIBODY $63.26 $210.85 $9.67–$41.76 35% above 70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY $63.26 $210.85 $9.67–$41.76 35% above 70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY $63.26 $210.85 $9.67–$41.76 — 70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN $55.35 $184.50 $9.30–$39.50 45% above 70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN $55.35 $184.50 $9.30–$39.50 45% above 70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN $55.35 $184.50 $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 HERPES SIMPLEX TYPE 2 $50.96 $169.85 $17.42–$74.51 25% above 70%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 $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 HERPES SIMPLEX TYPE 2 $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 TISSUE $247.92 $826.40 $5.82–$24.85 908% above 70%
Iron blood test (serum iron) CPT 83540 IRON TISSUE $247.92 $826.40 $5.82–$24.85 908% 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 TISSUE $247.92 $826.40 $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 LEUTINIZING HORMONE $62.01 $206.70 $16.67–$72.24 at median 70%
LH (luteinizing hormone) test CPT 83002 LEUTINIZING HORMONE $62.01 $206.70 $16.67–$72.24 at median 70%
LH (luteinizing hormone) test inpatient CPT 83002 LEUTINIZING HORMONE $62.01 $206.70 $16.67–$72.24 — 70%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BLOOD $37.61 $125.35 $10.41–$41.76 at median 70%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID BLOOD $37.61 $125.35 $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 (LACTATE) $37.62 $125.40 $10.41–$41.76 at median 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 BLOOD $37.61 $125.35 $10.41–$41.76 — 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 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 BODY FLUID $27.60 $92.00 $5.44–$23.70 22% above 70%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD BODY FLUID $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 BODY FLUID $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 LEVEL $41.90 $139.65 $6.20–$27.07 19% above 70%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE LEVEL $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) 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%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE LEVEL $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 LYME AB SCREEN W/REFLEX TO WB $210.80 $702.65 $15.33–$65.46 409% above 70%
Lyme disease antibody test CPT 86618 LYME AB SCREEN W/REFLEX TO WB $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 LYME AB SCREEN W/REFLEX TO WB $210.80 $702.65 $15.33–$65.46 — 70%
Magnesium blood test CPT 83735 MAGNESIUM RBC $5.64 $18.80 $6.03–$18.74 73% below 70%
Magnesium blood test CPT 83735 MAGNESIUM RBC $5.64 $18.80 $6.03–$18.74 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 RANDUM URINE $26.96 $89.85 $6.03–$25.96 30% above 70%
Magnesium blood test CPT 83735 MAGNESIUM RANDUM URINE $26.96 $89.85 $6.03–$25.96 30% 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–$18.74 — 70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM $25.76 $85.85 $6.03–$25.96 — 70%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RANDUM URINE $26.96 $89.85 $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 CPT 86765 RUBEOLA IGM $74.43 $248.10 $11.59–$49.66 89% above 70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG $74.43 $248.10 $11.59–$49.66 89% above 70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG $74.43 $248.10 $11.59–$49.66 89% above 70%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM $74.43 $248.10 $11.59–$49.66 89% 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%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG $74.43 $248.10 $11.59–$49.66 — 70%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM $74.43 $248.10 $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 MONSPOT $59.15 $197.15 $4.66–$20.32 56% above 70%
Mono test (heterophile antibody, Monospot) CPT 86308 MONSPOT $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 MONSPOT $59.15 $197.15 $4.66–$20.32 — 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 IGG 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 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 IGM CSF $82.49 $274.95 $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%
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 PROSTATIC SPECIFIC ANTIGEN $61.53 $205.10 $13.41–$71.10 9% above 70%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SPECIFIC ANTIGEN $61.53 $205.10 $13.41–$71.10 9% 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 TOTAL PSA $65.19 $217.30 $13.41–$71.10 16% above 70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SPECIFIC ANTIGEN $61.53 $205.10 $13.41–$71.10 — 70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 TOTAL PSA $65.19 $217.30 $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–$115.44 71% below 70%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE ASPIRATE $34.77 $115.90 $37.15–$115.44 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–$115.44 — 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 $34.04 $113.45 $5.41–$23.70 30% above 70%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT $34.04 $113.45 $5.41–$23.70 30% 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 $34.04 $113.45 $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 inpatient CPT 84132 POTASSIUM $42.81 $142.70 $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 LEVEL SERUM $69.86 $232.85 $18.77–$81.26 10% above 70%
Progesterone blood test CPT 84144 PROGESTERONE LEVEL SERUM $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 LEVEL SERUM $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 INR $40.08 $133.60 $3.86–$14.69 97% above 70%
Prothrombin time (PT/INR) clotting test CPT 85610 INR $40.08 $133.60 $3.86–$14.69 97% above 70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT $40.08 $133.60 $3.86–$14.69 97% above 70%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME-PT $40.08 $133.60 $3.86–$14.69 97% 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 inpatient CPT 85610 PROTHROMBIN TIME $9.66 $32.20 $3.86–$14.69 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR $40.08 $133.60 $3.86–$14.69 — 70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME-PT $40.08 $133.60 $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%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP $38.37 $127.90 $14.88–$51.92 7% above 70%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP $38.37 $127.90 $14.88–$51.92 7% above 70%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP $38.37 $127.90 $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 ANTI-D $23.84 $79.45 $2.69–$11.28 22% below 70%
Rh blood typing CPT 86901 ANTI-D $23.84 $79.45 $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 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 ANTI-D $23.84 $79.45 $2.69–$11.28 — 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 IGM AB $29.87 $99.55 $9.33–$55.30 3% below 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM AB $29.87 $99.55 $9.33–$55.30 3% below 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB $51.12 $170.40 $9.33–$55.30 65% above 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA VIRUS IGG AB $51.12 $170.40 $9.33–$55.30 65% above 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY $52.40 $174.65 $9.33–$55.30 70% above 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG ANTIBODY $52.40 $174.65 $9.33–$55.30 70% above 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY $73.10 $243.65 $9.33–$55.30 137% above 70%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGM ANTIBODY $73.10 $243.65 $9.33–$55.30 137% above 70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM AB $29.87 $99.55 $9.33–$55.30 — 70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA VIRUS IGG AB $51.12 $170.40 $9.33–$55.30 — 70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG ANTIBODY $52.40 $174.65 $9.33–$55.30 — 70%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGM ANTIBODY $73.10 $243.65 $9.33–$55.30 — 70%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS $62.78 $209.25 $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 inpatient CPT 84295 SODIUM $26.93 $89.75 $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 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 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 ANTIBODIES $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 SYPHILIS ANTIBODIES $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 PAALIDUM AB $119.52 $398.40 $11.92–$50.81 293% above 70%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PAALIDUM AB $119.52 $398.40 $11.92–$50.81 293% above 70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS ANTIBODIES $32.81 $109.35 $11.92–$50.81 — 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 PAALIDUM 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 FEMALE/CHIL $27.24 $90.80 $23.23–$77.95 62% below 70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL $27.24 $90.80 $23.23–$77.95 62% below 70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $139.34 $464.45 $23.23–$100.47 94% above 70%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE TOTAL $139.34 $464.45 $23.23–$100.47 94% above 70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL FEMALE/CHIL $27.24 $90.80 $23.23–$77.95 — 70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE TOTAL $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 TSH $74.24 $247.45 $15.12–$65.46 45% above 70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH $74.24 $247.45 $15.12–$65.46 45% 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 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 TSH $74.24 $247.45 $15.12–$65.46 — 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 IMMUNOGLOBULIM IGE $56.15 $187.15 $14.81–$63.20 5% below 70%
Total IgE blood test CPT 82785 IMMUNOGLOBULIM IGE $56.15 $187.15 $14.81–$63.20 5% below 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 IMMUNOGLOBULIM IGE $56.15 $187.15 $14.81–$63.20 — 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 CPT 84436 T4, TOTAL $44.97 $149.90 $6.18–$27.07 67% above 70%
Total thyroxine (T4) blood test CPT 84436 T4, TOTAL $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 thyroxine (T4) blood test inpatient CPT 84436 T4, TOTAL $44.97 $149.90 $6.18–$27.07 — 70%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $48.96 $163.20 $12.76–$55.30 at median 70%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL $48.96 $163.20 $12.76–$55.30 at median 70%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE $52.46 $174.85 $12.76–$55.30 8% above 70%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE $52.46 $174.85 $12.76–$55.30 8% above 70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL $48.96 $163.20 $12.76–$55.30 — 70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE $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 I $62.27 $207.55 $11.22–$43.45 35% above 70%
Troponin test, quantitative CPT 84484 TROPONIN I $62.27 $207.55 $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 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 I $62.27 $207.55 $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 WITH MICROSCOPICS $48.14 $160.45 $2.22–$12.42 57% above 70%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS WITH MICROSCOPICS $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 CPT 81001 URINALYSIS $48.14 $160.45 $2.22–$12.42 57% above 70%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS WITH MICROSCOPICS $48.14 $160.45 $2.22–$12.42 — 70%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS $48.14 $160.45 $2.22–$12.42 — 70%
Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE $26.24 $87.45 $1.79–$9.01 143% above 70%
Urinalysis without microscope exam, automated CPT 81003 KETONES-URINE $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 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 WO MICROSCOPICS $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 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 WO MICROSCOPICS $34.80 $116.00 $1.79–$9.01 222% above 70%
Urinalysis without microscope exam, automated inpatient CPT 81003 KETONES-URINE $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 SPECIFIC GRAVITY URINE $32.81 $109.35 $1.79–$9.01 — 70%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS WO MICROSCOPICS $34.80 $116.00 $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%
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%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 $50.55 $168.50 $13.57–$58.71 1% above 70%
Vitamin B12 (cobalamin) blood test CPT 82607 B-12 $50.55 $168.50 $13.57–$58.71 1% above 70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B-12 $50.55 $168.50 $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 HCG $53.36 $177.85 $13.55–$58.71 4% below 70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG $53.36 $177.85 $13.55–$58.71 4% below 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) 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 HCG $53.36 $177.85 $13.55–$58.71 — 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%
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

ProcedureCash priceList priceInsurers payvs TennesseeOff list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY LT NON CODED $3,536.63 $11,788.75 $1,468.50–$4,319.00 135% above 70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY RT NON CODED $3,536.63 $11,788.75 $1,468.50–$4,319.00 135% above 70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY LEFT CODED $3,536.63 $11,788.75 $1,468.50–$4,319.00 135% above 70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY RIGHT CODED $3,536.63 $11,788.75 $1,468.50–$4,319.00 135% above 70%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MAM STEREO BIOPSY LEFT $3,536.63 $11,788.75 $1,468.50–$4,319.00 135% above 70%
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–$4,319.00 135% 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 IN EP LAB $1,045.46 $3,484.85 $130.97–$2,090.91 50% above 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION PROC $1,045.46 $3,484.85 $130.97–$2,090.91 50% above 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION PROC $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 ELECTIVE CARDIOVERSION EXT $1,045.46 $3,484.85 $130.97–$2,090.91 50% above 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELECTIVE CARDIOVERSION EXT $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 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 ELEC CARDIOVERSION $1,045.47 $3,484.90 $130.97–$2,090.94 50% above 70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 ELEC CARDIOVERSION $1,045.47 $3,484.90 $130.97–$2,090.94 50% above 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 ELEC CARDIOVERSION PROC $1,045.46 $3,484.85 $130.97–$2,090.91 — 70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ELECTIVE CARDIOVERSION EXT $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 ELEC CARDIOVERSION $1,045.47 $3,484.90 $130.97–$2,090.94 — 70%
Catheter ablation for atrial fibrillation CPT 93656 ABLATION AF PULM VEIN $22,914.50 $76,381.65 $51.20–$58,050.05 34% above 70%
Catheter ablation for atrial fibrillation CPT 93656 ABLATION AF PULM VEIN $22,914.50 $76,381.65 $51.20–$58,050.05 34% above 70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 ABLATION AF PULM VEIN $22,914.50 $76,381.65 $51.20–$58,050.05 — 70%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/EUS $1,261.31 $4,204.35 $1,185.00–$3,638.00 15% above 70%
Colonoscopy with polyp removal CPT 45385 COLONSCOPY W/LESION RMVL SNARE $1,261.31 $4,204.35 $1,185.00–$3,638.00 at median 70%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY W/BIOPSY $1,261.31 $4,204.35 $1,185.00–$3,638.00 at median 70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCBA $1,261.31 $4,204.35 $1,185.00–$3,638.00 at median 70%
Colonoscopy, diagnostic CPT 45378 INCOMPLETE COLONOSCOPY $1,261.31 $4,204.35 $1,185.00–$3,638.00 at median 70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY DCAA $1,261.31 $4,204.35 $1,185.00–$3,638.00 at median 70%
Colonoscopy, diagnostic CPT 45378 COLONSCOPY W/WO BRUSH WASH $1,261.31 $4,204.35 $1,185.00–$3,638.00 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 CT INJ FACET JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$2,183.00 125% above 70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR INJ FACT JT 1ST LVL L OR S $1,572.59 $5,241.95 $954.50–$2,183.00 125% above 70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCBA $672.71 $2,242.35 $37.88–$2,183.00 at median 70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG W/WO BRUSH/WASH $672.71 $2,242.35 $37.88–$2,183.00 at median 70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 FLEX SIG DCAA $672.71 $2,242.35 $37.88–$2,183.00 at median 70%
Hemorrhoid banding (rubber band ligation) CPT 46221 HEMORRHOIDECTOMY / BAND LIGAT $672.71 $2,242.35 $954.50–$2,183.00 34% below 70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAPHY $1,380.96 $4,603.20 $1,217.22–$2,225.50 797% above 70%
Incision and drainage of a simple or single skin abscess CPT 10060 IR ABSCESS INCSN DRNGE SPL/SGL $106.47 $354.90 $25.71–$45.00 52% below 70%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D SIMPLE $646.71 $2,155.70 $25.71–$2,138.50 194% 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 CPT 20610 IR 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 one side CPT 20610 XR ASPIR INJ JOINT MAJOR RT $395.57 $1,318.55 $20.30–$1,004.50 22% above 70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR ASPIR INJ JOINT MAJOR LT $395.57 $1,318.55 $20.30–$1,004.50 22% above 70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR ARTHCNTS/ASP/INJ ITRM WO US $369.45 $1,231.50 $18.94–$1,004.50 26% above 70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 SC INJECT INTERMEDIATE JOINT $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 ASPIRATION INJ JOINT MED LT $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 ASPIRATION INJ JOINT MED RT $395.57 $1,318.55 $18.94–$1,004.50 35% 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) CPT 20600 IR 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) one side CPT 20600 XR ASPIR INJ JOINT SMALL LT $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 ASPIR INJ JOINT SMALL RT $395.57 $1,318.55 $18.94–$1,004.50 38% 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 IR INJ TRNSFRMNL L/S W IMAG $1,258.05 $4,193.50 $954.50–$2,183.00 77% above 70%
Nail removal (partial or complete), one nail CPT 11730 AVULSION OF NAIL PLATE-1 $351.18 $1,170.60 $25.71–$394.86 165% above 70%
Pacemaker implant (dual chamber) CPT 33208 PCM REPLACE DUAL W/LEADS $5,107.53 $17,025.10 $1,869.19–$15,244.00 1% below 70%
Pacemaker implant (dual chamber) CPT 33208 PCM INS INITIAL DUAL W/LEADS $5,107.53 $17,025.10 $1,869.19–$15,244.00 1% below 70%
Paracentesis with imaging guidance CPT 49083 CT PARACENTESIS WITH IMAGING $1,668.08 $5,560.25 $954.50–$2,183.00 184% above 70%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH IMAGING $1,668.08 $5,560.25 $954.50–$2,183.00 184% above 70%
Paracentesis with imaging guidance CPT 49083 US PARACENTESIS WITH IMAGING $1,668.08 $5,560.25 $954.50–$2,183.00 184% above 70%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS WITH IMAGING $1,668.08 $5,560.25 $954.50–$2,183.00 184% above 70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION NAIL PLATE PART/COMP $442.46 $1,474.85 $62.24–$1,467.00 16% above 70%
Prostate biopsy CPT 55700 US BIOPSY PROSTATE $845.97 $2,819.90 $1,185.00–$1,636.56 34% above 70%
Removal of a foreign object under the skin, simple CPT 10120 RMV FOREIGN BODY SIMPLE $1,272.15 $4,240.50 $45.00–$2,225.50 321% above 70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAB $1,093.16 $3,643.85 $237.14–$3,638.00 13% below 70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREEN COLONSC NO RISK FX DCAA $1,093.16 $3,643.85 $237.14–$3,638.00 13% below 70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 SCREENING COLONSC NO RISK FX $1,093.16 $3,643.85 $237.14–$3,638.00 13% below 70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCAA $1,093.16 $3,643.85 $237.14–$3,638.00 11% below 70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREEN COLONSC HIGH RISK DCBA $1,093.16 $3,643.85 $237.14–$3,638.00 11% below 70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 SCREENING COLONSCPY HI RISK $1,093.16 $3,643.85 $237.14–$3,638.00 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 $6,590.42 $21,968.05 $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 $6,590.42 $21,968.05 $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 $6,590.42 $21,968.05 $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 $6,590.42 $21,968.05 $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) RT $6,590.42 $21,968.05 $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 $6,590.42 $21,968.05 $3,613.00–$18,315.00 — 70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE-DIAG $401.66 $1,338.85 $29.77–$1,217.22 at median 70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W IMAGING $1,476.80 $4,922.65 $954.50–$2,183.00 133% above 70%
Thoracentesis with imaging guidance CPT 32555 CT THORACENTESIS W IMAGING $1,476.80 $4,922.65 $954.50–$2,183.00 133% above 70%
Thoracentesis with imaging guidance CPT 32555 IR THORACENTESIS W IMAGING $1,476.80 $4,922.65 $954.50–$2,183.00 133% above 70%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH IMAGING $1,476.80 $4,922.65 $954.50–$2,183.00 133% above 70%
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS LEFT $633.65 $2,112.15 $954.50–$2,002.00 at median 70%
Thoracentesis with imaging guidance one side CPT 32555 US THORACENTESIS RIGHT $633.65 $2,112.15 $954.50–$2,002.00 at median 70%
Trigger point injections, 1 or 2 muscles CPT 20552 XR TRIGGER PT INJ 1-2 MUSC X $422.87 $1,409.55 $394.86–$1,004.50 70% above 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY RT CODED $3,012.38 $10,041.25 $1,468.50–$4,319.00 199% above 70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 MAM ULTRASOUND BIOPSY LEFT COD $3,012.38 $10,041.25 $1,468.50–$4,319.00 199% 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–$4,319.00 199% 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–$4,319.00 199% 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–$3,638.00 at median 70%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD W/BIOPSY $1,093.16 $3,643.85 $1,185.00–$3,638.00 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 $1,185.00–$3,638.00 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–$3,638.00 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–$3,638.00 at median 70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCAA $1,093.16 $3,643.85 $954.50–$2,183.00 13% above 70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD FLEX W/WO BRUSH/WASH $1,093.16 $3,643.85 $954.50–$2,183.00 13% above 70%
Upper endoscopy (EGD), diagnostic CPT 43235 EGD DCBA $1,093.16 $3,643.85 $954.50–$2,183.00 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–$3,638.00 8% below 70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ 20 SQ CM < LESS $538.44 $1,794.80 $71.51–$1,636.56 25% above 70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ 20 SQ CM < LESS $538.44 $1,794.80 $71.51–$1,636.56 25% above 70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SQ 20 SQ CM < LESS $538.44 $1,794.80 $71.51–$1,636.56 — 70%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs TennesseeOff list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION $375.00 $1,250.00 $30.61–$1,217.22 6% below 70%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT ADMINISTRATION $375.00 $1,250.00 $30.61–$1,217.22 6% below 70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD PRODUCT ADMINISTRATION $375.00 $1,250.00 $30.61–$1,217.22 — 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 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 PNEUMATIC NEB $72.00 $240.00 $12.53–$43.93 27% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PNEUMATIC NEB $72.00 $240.00 $12.53–$43.93 27% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT $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 PAP INHALATION $72.00 $240.00 $12.53–$43.93 27% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI VENT $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 AEROSOL TREATMENT $72.00 $240.00 $12.53–$43.93 27% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TREATMENT $72.00 $240.00 $12.53–$43.93 27% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX $75.56 $251.85 $12.53–$43.93 23% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AEROSOL TX $75.56 $251.85 $12.53–$43.93 23% below 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI VENT $72.00 $240.00 $12.53–$43.93 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PNEUMATIC NEB $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%
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 PAP INHALATION $72.00 $240.00 $12.53–$43.93 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TREATMENT $72.00 $240.00 $12.53–$43.93 — 70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AEROSOL TX $75.56 $251.85 $12.53–$43.93 — 70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSIN INIT DRUG 1ST HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUSION UP TO 1 HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUS UP TO 1 HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSN INIT DRUG INIT HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICAID INFUSION INITIAL HOUR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSIN INIT DRUG 1ST HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSN INIT DRUG INIT HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUSION UP TO 1 HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUS UP TO 1 HR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICAID INFUSION INITIAL HOUR $251.42 $838.05 $132.81–$427.41 3% below 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUSION 1ST HR $360.60 $1,202.00 $132.81–$613.02 38% above 70%
Chemotherapy IV infusion, first hour CPT 96413 REMICADE INFUSION 1ST HR $360.60 $1,202.00 $132.81–$613.02 38% above 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSIN INIT DRUG 1ST HR $251.42 $838.05 $132.81–$427.41 — 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 REMICAID INFUSION INITIAL HOUR $251.42 $838.05 $132.81–$427.41 — 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSN INIT DRUG INIT HR $251.42 $838.05 $132.81–$427.41 — 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 REMICADE INFUS UP TO 1 HR $251.42 $838.05 $132.81–$427.41 — 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 REMICADE INFUSION UP TO 1 HR $251.42 $838.05 $132.81–$427.41 — 70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 REMICADE INFUSION 1ST HR $360.60 $1,202.00 $132.81–$613.02 — 70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN $976.02 $3,253.40 $326.00–$1,483.00 20% below 70%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30 TO 74 MIN $976.02 $3,253.40 $326.00–$1,483.00 20% below 70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CRITICAL CARE 30 TO 74 MIN $976.02 $3,253.40 $326.00–$1,483.00 — 70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG $297.45 $991.50 $40.40–$717.20 at median 70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 ROUTINE EEG $297.45 $991.50 $40.40–$717.20 at median 70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 ROUTINE EEG $297.45 $991.50 $40.40–$717.20 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT BY DIFF MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT BY SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT DIFFERENT MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG-SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT DIFFERENT MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG- DIFFERENT MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 REPEAT EKG- DIFFERENT MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT BY SAME MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG REPEAT BY DIFF MD $106.86 $356.20 $13.36–$181.66 at median 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG-SAME MD $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REPEAT BY SAME MD $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REPEAT BY DIFF MD $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REPEAT SAME MD $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG REPEAT DIFFERENT MD $106.86 $356.20 $13.36–$181.66 — 70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 REPEAT EKG- DIFFERENT MD $106.86 $356.20 $13.36–$181.66 — 70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 ER CARE I $207.68 $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 CARDIOVASCULAR STRESS TEST $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EXERCISE $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMALOGIC CHALLENGE $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMALOGIC CHALLENGE $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 THALLIUM EXERCISE $614.00 $2,046.65 $51.25–$1,043.79 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TRACE WO INT $614.06 $2,046.85 $51.25–$1,043.89 46% above 70%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TRACE WO INT $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 $614.00 $2,046.65 $51.25–$1,043.79 — 70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 THALLIUM EXERCISE $614.00 $2,046.65 $51.25–$1,043.79 — 70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PHARMALOGIC CHALLENGE $614.00 $2,046.65 $51.25–$1,043.79 — 70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TRACE WO INT $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 HYDRATION INITIAL 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 IV 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 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 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 IV HYDRATION 1ST 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 IV HYDRATION 1ST 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 IV HYDRATION INITIAL 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 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 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 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 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 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 HYDRATION INITIAL 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 HYDRATION 1ST HOUR $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 infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR $148.43 $494.75 $53.47–$95.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG INIT HOUR $148.43 $494.75 $53.47–$95.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INITIAL DRUG INIT HR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 INFUSION INIT DRUG 1ST HOUR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR $148.43 $494.75 $53.47–$95.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INITIAL UP TO 1 HOUR $148.43 $494.75 $53.47–$95.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INF 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 INF INIT DRUG INIT HOUR $148.43 $494.75 $53.47–$95.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 NON CHEMO INFUSE INIT DRUG &HR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 NON CHEMO INFUSE INIT DRUG &HR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST DRUG INIT HR $148.43 $494.75 $53.47–$87.00 4% below 70%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION 1ST DRUG INIT HR $148.43 $494.75 $53.47–$87.00 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 UP TO 1 HOUR $148.43 $494.75 $53.47–$95.00 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF INIT DRUG INIT HOUR $148.43 $494.75 $53.47–$95.00 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 NON CHEMO INFUSE INIT DRUG &HR $148.43 $494.75 $53.47–$87.00 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION 1ST DRUG INIT HR $148.43 $494.75 $53.47–$87.00 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INIT DRUG 1ST HOUR $148.43 $494.75 $53.47–$87.00 — 70%
IV infusion of a medicine, first hour inpatient CPT 96365 INFUSION INITIAL DRUG INIT HR $148.43 $494.75 $53.47–$87.00 — 70%
IV push of a medicine, first drug CPT 96374 IV PUSH NOT CHEMO INIT DRUG $127.74 $425.80 $42.46–$95.00 14% above 70%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL DRUG $127.74 $425.80 $42.46–$95.00 14% above 70%
IV push of a medicine, first drug CPT 96374 IV PUSH OTHR THN CHEMO INIT DR $127.74 $425.80 $42.46–$87.00 14% above 70%
IV push of a medicine, first drug CPT 96374 IV PUSH NOT CHEMO INIT DRUG $127.74 $425.80 $42.46–$95.00 14% above 70%
IV push of a medicine, first drug CPT 96374 IV PUSH 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 IV PUSH OTHR THN CHEMO INIT DR $127.74 $425.80 $42.46–$87.00 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 INJECTION IV INITIAL DRUG $127.74 $425.80 $42.46–$87.00 14% above 70%
IV push of a medicine, first drug CPT 96374 INJECTION IV INITIAL DRUG $127.74 $425.80 $42.46–$87.00 14% above 70%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION IV INITIAL DRUG $127.74 $425.80 $42.46–$87.00 — 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 IV PUSH INITIAL DRUG $127.74 $425.80 $42.46–$95.00 — 70%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH OTHR THN CHEMO INIT DR $127.74 $425.80 $42.46–$87.00 — 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 IV PUSH NOT CHEMO INIT DRUG $127.74 $425.80 $42.46–$95.00 — 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP PROPHYL DIAG INJ IM SQ $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM $55.98 $186.60 $16.71–$95.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION THERAPEUTIC SUBQ/IM $55.98 $186.60 $16.71–$95.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION SQ/IM $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION IM OR SQ $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ $55.98 $186.60 $16.71–$95.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ $55.98 $186.60 $16.71–$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–$87.00 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–$87.00 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 INJECTION SC 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 SC 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 OF 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 INJECTION OF 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 THERAP PROPHYL DIAG INJ IM SQ $55.98 $186.60 $16.71–$87.00 at median 70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM / SQ 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 / SQ 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 INJ IM 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 INJ IM ANTIBIOTIC $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 IM SQ ADMINISTRATION $55.98 $186.60 $16.71–$87.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION THERAPEUTIC SUBQ/IM $55.98 $186.60 $16.71–$95.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION SQ/IM $55.98 $186.60 $16.71–$87.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION IM OR SQ $55.98 $186.60 $16.71–$87.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAP/PROPHYL/DIAG INJ IM/SQ $55.98 $186.60 $16.71–$95.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ IM 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 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 THERAP PROPHYL DIAG INJ IM SQ $55.98 $186.60 $16.71–$87.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION OF 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 INJECTION SC IM $55.98 $186.60 $16.71–$95.00 — 70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM ADMINISTRATION ANTIBIOTIC $55.98 $186.60 $16.71–$95.00 — 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 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 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 PTA NEUROMUSCULAR RE-ED $46.82 $156.05 $15.11–$85.72 at median 70%
Neuromuscular re-education, 15 minutes CPT 97112 PTA NEUROMUSCULAR RE-ED $46.82 $156.05 $15.11–$85.72 at median 70%
Neuromuscular re-education, 15 minutes CPT 97112 BD PT NEUROMUSCULAR REED 15 MN $52.62 $175.40 $15.11–$85.72 13% above 70%
Neuromuscular re-education, 15 minutes CPT 97112 BD PT NEUROMUSCULAR REED 15 MN $52.62 $175.40 $15.11–$85.72 13% above 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 CL OT NROMSC 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 PTA NEUROMUSCULAR RE-ED $46.82 $156.05 $15.11–$85.72 — 70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 BD PT NEUROMUSCULAR REED 15 MN $52.62 $175.40 $15.11–$85.72 — 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT 1/4 HR INDIV $28.59 $95.30 $22.70–$89.59 7% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT 1/4 HR INDIV $28.59 $95.30 $22.70–$89.59 7% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP DIET INSTRUCTION-15 MIN $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP DIET INSTRUCTION-15 MIN $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHLTH MNT 1/4 HR IND DIAB $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 TELEHLTH MNT 1/4 HR IND DIAB $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESSMENT-15 MIN $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MNT INITIAL ASSESSMENT-15 MIN $30.08 $100.25 $22.70–$89.59 13% above 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT 1/4 HR INDIV $28.59 $95.30 $22.70–$89.59 — 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 MNT INITIAL ASSESSMENT-15 MIN $30.08 $100.25 $22.70–$89.59 — 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 TELEHLTH MNT 1/4 HR IND DIAB $30.08 $100.25 $22.70–$89.59 — 70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 OP DIET INSTRUCTION-15 MIN $30.08 $100.25 $22.70–$89.59 — 70%
Occupational therapy evaluation, low complexity CPT 97165 CL OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 51% below 70%
Occupational therapy evaluation, low complexity CPT 97165 BD OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 51% below 70%
Occupational therapy evaluation, low complexity CPT 97165 BD OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 51% below 70%
Occupational therapy evaluation, low complexity CPT 97165 CL OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 51% below 70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 BD OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 — 70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 CL OT EVAL LOW COMPLEXITY $69.56 $231.85 $64.77–$200.72 — 70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 BD PT EVAL HIGH COMPLEXITY $69.56 $231.85 $66.74–$206.82 49% below 70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 CL PT EVAL HIGH COMPLEXITY $69.56 $231.85 $66.74–$206.82 49% below 70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 CL PT EVAL HIGH COMPLEXITY $69.56 $231.85 $66.74–$206.82 49% below 70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 BD PT EVAL 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 CL PT EVAL HIGH COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 BD PT EVAL HIGH COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 BD PT EVAL LOW COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 CL PT EVAL LOW COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 CL PT EVAL LOW COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 BD PT EVAL 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 BD PT EVAL LOW COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 70%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 CL PT EVAL LOW COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 BD PT EVAL MOD COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 CL PT EVAL MODERATE COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 CL PT EVAL MODERATE COMPLEXITY $69.56 $231.85 $66.74–$206.82 46% below 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 BD PT EVAL 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 CL PT EVAL MODERATE COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 BD PT EVAL MOD COMPLEXITY $69.56 $231.85 $66.74–$206.82 — 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 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 PTA MANUAL THERAPY $46.82 $156.05 $19.99–$76.84 at median 70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PTA MANUAL THERAPY $46.82 $156.05 $19.99–$76.84 at median 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 BD PT MNUAL THRPY 1 UNIT 15MIN $52.89 $176.30 $19.99–$76.84 13% above 70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD PT MNUAL THRPY 1 UNIT 15MIN $52.89 $176.30 $19.99–$76.84 13% above 70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD OT MANUAL THERAPY 15 MIN $57.02 $190.05 $19.99–$76.84 22% above 70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 BD OT MANUAL THERAPY 15 MIN $57.02 $190.05 $19.99–$76.84 22% above 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 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 PTA MANUAL THERAPY $46.82 $156.05 $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 BD PT MNUAL THRPY 1 UNIT 15MIN $52.89 $176.30 $19.99–$76.84 — 70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 BD OT MANUAL THERAPY 15 MIN $57.02 $190.05 $19.99–$76.84 — 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 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 PTA THER EXERCISE $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 CL PT THER EXER UNIT2 15MIN $50.00 $166.65 $20.30–$82.24 7% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER UNIT2 15MIN $50.00 $166.65 $20.30–$82.24 7% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN $61.58 $205.25 $20.30–$82.24 31% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD OT THER EXER 15 MIN $61.58 $205.25 $20.30–$82.24 31% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN $62.37 $207.90 $20.30–$82.24 33% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BD PT THER EXER 15MIN $62.37 $207.90 $20.30–$82.24 33% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 3 UNIT 45MIN X $106.61 $355.35 $20.30–$82.24 127% above 70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 CL PT THER EXER 3 UNIT 45MIN X $106.61 $355.35 $20.30–$82.24 127% above 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 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 PTA THER EXERCISE $46.82 $156.05 $20.30–$82.24 — 70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER UNIT2 15MIN $50.00 $166.65 $20.30–$82.24 — 70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD OT THER EXER 15 MIN $61.58 $205.25 $20.30–$82.24 — 70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BD PT THER EXER 15MIN $62.37 $207.90 $20.30–$82.24 — 70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 CL PT THER EXER 3 UNIT 45MIN X $106.61 $355.35 $20.30–$82.24 — 70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN $20.19 $67.30 $11.74–$36.37 28% below 70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION <10 MIN $20.19 $67.30 $11.74–$36.37 28% below 70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESSATION <10 MIN $20.19 $67.30 $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 and language evaluation CPT 92523 CL ST EVAL VOICE/LANGUAGE $146.49 $488.30 $159.52–$457.73 21% below 70%
Speech and language evaluation CPT 92523 CL ST EVAL VOICE/LANGUAGE $146.49 $488.30 $159.52–$457.73 21% below 70%
Speech and language evaluation inpatient CPT 92523 CL ST EVAL VOICE/LANGUAGE $146.49 $488.30 $159.52–$457.73 — 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 15 MIN $50.00 $166.65 $28.05–$164.57 67% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 15 MIN $50.00 $166.65 $28.05–$164.57 67% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 30 MIN $59.49 $198.30 $28.05–$190.47 61% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 30 MIN $59.49 $198.30 $28.05–$190.47 61% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 45 MIN $72.71 $242.35 $28.05–$205.71 52% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 45 MIN $72.71 $242.35 $28.05–$205.71 52% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 60 MIN $91.71 $305.70 $28.05–$205.71 39% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 60 MIN $91.71 $305.70 $28.05–$205.71 39% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 90 MIN $93.38 $311.25 $28.05–$205.71 38% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 90 MIN $93.38 $311.25 $28.05–$205.71 38% 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 CPT 92507 BD ST SPEECH THERAPY 75 MIN $111.56 $371.85 $28.05–$205.71 26% below 70%
Speech therapy session, individual CPT 92507 BD ST SPEECH THERAPY 75 MIN $111.56 $371.85 $28.05–$205.71 26% below 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 15 MIN $50.00 $166.65 $28.05–$164.57 — 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 30 MIN $59.49 $198.30 $28.05–$190.47 — 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 45 MIN $72.71 $242.35 $28.05–$205.71 — 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 60 MIN $91.71 $305.70 $28.05–$205.71 — 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 90 MIN $93.38 $311.25 $28.05–$205.71 — 70%
Speech therapy session, individual inpatient CPT 92507 CL ST SPEECH THERAPY $96.68 $322.25 $28.05–$205.71 — 70%
Speech therapy session, individual inpatient CPT 92507 BD ST SPEECH THERAPY 75 MIN $111.56 $371.85 $28.05–$205.71 — 70%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W BRONCHODILATOR $536.34 $1,787.80 $28.35–$115.16 57% above 70%
Spirometry before and after a bronchodilator CPT 94060 SPIROMETRY W BRONCHODILATOR $536.34 $1,787.80 $28.35–$115.16 57% above 70%
Spirometry before and after a bronchodilator inpatient CPT 94060 SPIROMETRY W BRONCHODILATOR $536.34 $1,787.80 $28.35–$115.16 — 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 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 BD PT FUNC ACTIV 1 UNIT 15 MIN $42.15 $140.50 $22.01–$89.10 9% below 70%
Therapeutic activities (functional training), 15 minutes CPT 97530 BD PT FUNC ACTIV 1 UNIT 15 MIN $42.15 $140.50 $22.01–$89.10 9% below 70%
Therapeutic activities (functional training), 15 minutes CPT 97530 BD OT FUNCT ACTIV 15 MIN $42.56 $141.85 $22.01–$89.10 8% below 70%
Therapeutic activities (functional training), 15 minutes CPT 97530 BD OT FUNCT ACTIV 15 MIN $42.56 $141.85 $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 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 PT THER ACTIVITY 15MIN $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 PTA THER ACTIVITY $46.82 $156.05 $22.01–$89.10 1% above 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 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 BD PT FUNC ACTIV 1 UNIT 15 MIN $42.15 $140.50 $22.01–$89.10 — 70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 BD OT FUNCT ACTIV 15 MIN $42.56 $141.85 $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 THERAPUTIC PHLEBTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 62% above 70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 — 70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY $151.64 $505.45 $13.42–$237.92 — 70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBTOMY $151.64 $505.45 $13.42–$237.92 — 70%

Vaccines

ProcedureCash priceList priceInsurers payvs TennesseeOff 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%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX VACCINE 0.5 ML $61.08 $203.60 $32.47–$74.22 7% above 70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 INFANRIX VACCINE 0.5 ML $61.08 $203.60 $32.47–$74.22 7% above 70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 INFANRIX VACCINE 0.5 ML $61.08 $203.60 $32.47–$74.22 — 70%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VACCINE 0.5ML $209.21 $697.35 $138.85–$244.69 66% above 70%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 PEDIARIX VACCINE 0.5ML $209.21 $697.35 $138.85–$244.69 66% above 70%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 PEDIARIX VACCINE 0.5ML $209.21 $697.35 $138.85–$244.69 — 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, 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%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC 5MCG PED 0.5M $59.81 $199.35 $25.48–$66.16 8% above 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC 5MCG PED 0.5M $59.81 $199.35 $25.48–$66.16 8% above 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC 10MCG/ML 1M $147.62 $492.05 $25.48–$66.16 166% above 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC 10MCG/ML 1M $147.62 $492.05 $25.48–$66.16 166% above 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VACC 5MCG PED 0.5M $59.81 $199.35 $25.48–$66.16 — 70%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC 10MCG/ML 1M $147.62 $492.05 $25.48–$66.16 — 70%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B CONJ VACCINE $27.24 $90.80 $41.13–$76.33 53% below 70%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B CONJ VACCINE $27.24 $90.80 $41.13–$76.33 53% below 70%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B CONJ VACCINE $27.24 $90.80 $41.13–$76.33 — 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%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLAVACCINE $203.79 $679.30 $54.12–$237.66 76% above 70%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES/MUMPS/RUBELLAVACCINE $203.79 $679.30 $54.12–$237.66 76% above 70%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES/MUMPS/RUBELLAVACCINE $203.79 $679.30 $54.12–$237.66 — 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%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC 0.5 ML SYR $251.64 $838.80 $20.30–$286.96 61% above 70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC 0.5 ML SYR $251.64 $838.80 $20.30–$286.96 61% above 70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC 0.5 ML SYR $251.64 $838.80 $20.30–$286.96 — 70%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VAC INACT 0.5ML $91.38 $304.60 $52.57–$109.69 33% above 70%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VAC INACT 0.5ML $91.38 $304.60 $52.57–$109.69 33% above 70%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VAC INACT 0.5ML $91.38 $304.60 $52.57–$109.69 — 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 $86.10 $287.00 $24.14–$69.53 48% above 70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TENIVAC 0.5 ML INJ $86.10 $287.00 $24.14–$69.53 48% above 70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TENIVAC 0.5 ML INJ $86.10 $287.00 $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 IMMUNIZATION RABIES $43.88 $146.25 $4.06–$62.13 21% above 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION RABIES $43.88 $146.25 $4.06–$62.13 21% above 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS $43.88 $146.25 $4.06–$62.13 21% above 70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION TETANUS $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 VACCINE ADMIN INITIAL $43.88 $146.25 $4.06–$62.13 — 70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION TETANUS $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 IMMUNIZATION RABIES $43.88 $146.25 $4.06–$62.13 — 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 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 $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 EACH ADDL $43.89 $146.30 $4.57–$31.51 — 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%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/620475842_saint-thomas-rutherford-hospital_standardcharges.csv