Hospital Waco, TX

Ascension Providence

Ascension Providence in Waco, TX publishes cash prices for 357 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 Texas median for 333 of 355 procedures and above it for 22. By typical cash price it ranks #36 of 299 Texas hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

6901 Medical Pkwy Waco TX 76712 Collected Sep 23, 2026 Source price file Check a bill from this hospital (254) 751-4000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 450042 · CMS hospital register NPI 1093708679

Financial assistance

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

Ascension Providence is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/-W/O CONTRAST	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast CPT 74170 CT ADRENAL	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast CPT 74170 CT ADRENAL	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast CPT 74170 CT ABDOMEN W/-W/O CONTRAST	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN BOTH	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast CPT 74170 ABDOMEN BOTH	$1,010.52	$2,807.00	$180.34–$1,599.99	65% below	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 ABDOMEN BOTH	$1,010.52	$2,807.00	$180.34–$1,599.99	—	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ADRENAL	$1,010.52	$2,807.00	$180.34–$1,599.99	—	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABDOMEN W/-W/O CONTRAST	$1,010.52	$2,807.00	$180.34–$1,599.99	—	64%
Abdominal X-ray, 2 views CPT 74019 KUB AP & OBLIQUE	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN AP OBLIQUES CONE VI	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN AP OBLIQUES CONE VI	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views CPT 74019 KUB AP & OBLIQUE	$149.22	$414.50	$31.41–$274.60	61% below	64%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN AP OBLIQUES CONE VI	$149.22	$414.50	$31.41–$274.60	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 KUB AP & OBLIQUE	$149.22	$414.50	$31.41–$274.60	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABDOMEN 2 VIEWS	$149.22	$414.50	$31.41–$274.60	—	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS MIN LEFT	$140.58	$390.50	$29.74–$222.59	61% below	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS MIN LEFT	$140.58	$390.50	$29.74–$222.59	61% below	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS MIN RIGHT	$140.58	$390.50	$29.74–$222.59	61% below	64%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR ANKLE 3 VIEWS MIN RIGHT	$140.58	$390.50	$29.74–$222.59	61% below	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS MIN RIGHT	$140.58	$390.50	$29.74–$222.59	—	64%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR ANKLE 3 VIEWS MIN LEFT	$140.58	$390.50	$29.74–$222.59	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US DOPPLER ANKLE BRACHIAL INDI	$176.04	$489.00	$180.99–$269.30	71% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 A & A INDEX	$193.68	$538.00	$180.99–$269.30	68% below	64%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UE W/O CONTRAST BILAT	$1,248.12	$3,467.00	$106.88–$2,074.94	—	64%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT UE W/O CONTRAST BILAT	$1,310.49	$3,640.25	$106.88–$2,074.94	—	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE W/O CONTRAST LEFT	$624.06	$1,733.50	$106.88–$1,037.54	62% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE W/O CONTRAST RIGHT	$624.06	$1,733.50	$106.88–$1,037.54	62% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE W/O CONTRAST RIGHT	$624.06	$1,733.50	$106.88–$1,037.54	62% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UE W/O CONTRAST LEFT	$624.06	$1,733.50	$106.88–$1,037.54	62% below	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT UE W/O CONTRAST BILAT	$1,248.12	$3,467.00	$106.88–$2,074.94	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE W/O CONTRAST RIGHT	$624.06	$1,733.50	$106.88–$1,037.54	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UE W/O CONTRAST LEFT	$624.06	$1,733.50	$106.88–$1,037.54	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR MBS W/ESOPHAGRAM	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM EIP	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM EIP	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM DR	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGUS BARIUM DR	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR MBS W/ESOPHAGRAM	$257.40	$715.00	$83.54–$446.44	49% below	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR MBS W/ESOPHAGRAM	$257.40	$715.00	$83.54–$446.44	—	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS BARIUM DR	$257.40	$715.00	$83.54–$446.44	—	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGUS BARIUM EIP	$257.40	$715.00	$83.54–$446.44	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$874.53	$2,429.25	$245.59–$663.09	44% below	64%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN WHOLE BODY	$874.53	$2,429.25	$245.59–$663.09	44% below	64%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN WHOLE BODY	$874.53	$2,429.25	$245.59–$663.09	—	64%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST IMPLANTS BILATERAL	$370.89	$1,030.25	$102.25–$587.24	—	64%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL	$370.89	$1,030.25	$102.25–$645.95	—	64%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST IMPLANTS BILATERAL	$370.89	$1,030.25	$102.25–$587.24	—	64%
Breast ultrasound, complete, one breast both sides CPT 76641 US BREAST BILATERAL	$407.97	$1,133.25	$102.25–$645.95	—	64%
Breast ultrasound, complete, one breast CPT 76641 CB US BREAST BIL COMPLETE	$370.89	$1,030.25	$102.25–$645.95	16% below	64%
Breast ultrasound, complete, one breast CPT 76641 CB US BREAST IMPLANTS BIL COMP	$370.89	$1,030.25	$102.25–$645.95	16% below	64%
Breast ultrasound, complete, one breast CPT 76641 CB US BREAST IMPLANTS BIL COMP	$370.89	$1,030.25	$102.25–$645.95	16% below	64%
Breast ultrasound, complete, one breast CPT 76641 CB US BREAST BIL COMPLETE	$407.97	$1,133.25	$102.25–$645.95	8% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 CB US BREAST LT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 CB US BREAST LT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US IMPLANT 6M FU LT COMPLETE	$185.40	$515.00	$102.25–$322.90	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE	$185.40	$515.00	$102.25–$322.90	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST IMPLANTS LT COMPLETE	$185.40	$515.00	$102.25–$322.90	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST IMPLANTS RT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LEFT COMPLETE	$185.40	$515.00	$102.25–$293.55	58% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 CB US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$293.55	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST IMPLANTS LT COMPLETE	$203.94	$566.50	$102.25–$322.90	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST LT COMPLETE	$203.94	$566.50	$102.25–$322.90	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$322.90	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$322.90	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST IMPLANTS RT COMPLETE	$203.94	$566.50	$102.25–$293.55	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US IMPLANT 6M FU LT COMPLETE	$203.94	$566.50	$102.25–$322.90	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST RIGHT COMPLETE	$203.94	$566.50	$102.25–$293.55	54% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 CB US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$293.55	54% below	64%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST BILATERAL	$370.89	$1,030.25	$102.25–$645.95	—	64%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US BREAST IMPLANTS BILATERAL	$370.89	$1,030.25	$102.25–$587.24	—	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 CB US BREAST IMPLANTS BIL COMP	$370.89	$1,030.25	$102.25–$645.95	—	64%
Breast ultrasound, complete, one breast inpatient CPT 76641 CB US BREAST BIL COMPLETE	$370.89	$1,030.25	$102.25–$645.95	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LEFT COMPLETE	$185.40	$515.00	$102.25–$293.55	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 CB US BREAST LT COMPLETE	$185.40	$515.00	$102.25–$293.55	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST LT COMPLETE	$185.40	$515.00	$102.25–$322.90	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST IMPLANTS RT COMPLETE	$185.40	$515.00	$102.25–$293.55	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 CB US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$293.55	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RIGHT COMPLETE	$203.94	$566.50	$102.25–$293.55	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US IMPLANT 6M FU LT COMPLETE	$203.94	$566.50	$102.25–$322.90	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST IMPLANTS LT COMPLETE	$203.94	$566.50	$102.25–$322.90	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST RT COMPLETE	$203.94	$566.50	$102.25–$322.90	—	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST 6M FUP RT LTD	$145.71	$404.75	$62.12–$253.79	58% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LTD	$145.71	$404.75	$62.12–$230.71	58% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST 6M FUP RT LTD	$145.71	$404.75	$62.12–$253.79	58% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LTD	$145.71	$404.75	$62.12–$230.71	58% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LTD	$145.71	$404.75	$62.12–$253.79	58% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST 6M FUP LT LTD	$160.29	$445.25	$62.12–$253.79	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LEFT LTD	$160.29	$445.25	$62.12–$253.79	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US IMPLANT 6M FU RT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US IMPLANT 6M FU RT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST 6M FUP LT LTD	$160.29	$445.25	$62.12–$253.79	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RIGHT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST RT LTD	$160.29	$445.25	$62.12–$230.71	54% below	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RIGHT LTD	$145.71	$404.75	$62.12–$230.71	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LEFT LTD	$145.71	$404.75	$62.12–$253.79	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST 6M FUP RT LTD	$145.71	$404.75	$62.12–$253.79	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST 6M FUP LT LTD	$160.29	$445.25	$62.12–$253.79	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LT LTD	$160.29	$445.25	$62.12–$230.71	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US IMPLANT 6M FU RT LTD	$160.29	$445.25	$62.12–$230.71	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST RT LTD	$160.29	$445.25	$62.12–$230.71	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 *CT ANGIO ABDOMEN/PELVIS(2)	$954.90	$2,652.50	$252.74–$1,603.45	76% below	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN/PELVIS (2)	$954.90	$2,652.50	$252.74–$1,603.45	76% below	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABDOMEN/PELVIS (2)	$1,002.69	$2,785.25	$252.74–$1,603.45	75% below	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 *CT ANGIO ABDOMEN/PELVIS(2)	$1,002.69	$2,785.25	$252.74–$1,603.45	75% below	64%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABDOMEN/PELVIS (2)	$954.90	$2,652.50	$252.74–$1,603.45	—	64%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 *CT ANGIO ABDOMEN/PELVIS(2)	$1,002.69	$2,785.25	$252.74–$1,603.45	—	64%
CT angiography (CTA) of the head CPT 70496 STROKE HEAD CTA	$1,114.20	$3,095.00	$180.34–$1,005.85	53% below	64%
CT angiography (CTA) of the head CPT 70496 STROKE HEAD CTA	$1,114.20	$3,095.00	$180.34–$1,005.85	53% below	64%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD	$1,114.20	$3,095.00	$180.34–$1,764.15	53% below	64%
CT angiography (CTA) of the head CPT 70496 CT ANGIO HEAD	$1,114.20	$3,095.00	$180.34–$1,764.15	53% below	64%
CT angiography (CTA) of the head inpatient CPT 70496 STROKE HEAD CTA	$1,114.20	$3,095.00	$180.34–$1,005.85	—	64%
CT angiography (CTA) of the head inpatient CPT 70496 CT ANGIO HEAD	$1,114.20	$3,095.00	$180.34–$1,764.15	—	64%
CT angiography (CTA) of the neck CPT 70498 CT NECK ANGIO	$954.90	$2,652.50	$180.34–$1,587.59	60% below	64%
CT angiography (CTA) of the neck CPT 70498 CT NECK ANGIO	$954.90	$2,652.50	$180.34–$1,587.59	60% below	64%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK	$954.90	$2,652.50	$180.34–$1,511.92	60% below	64%
CT angiography (CTA) of the neck CPT 70498 CT 4D PARATHYROID	$954.90	$2,652.50	$180.34–$1,511.92	60% below	64%
CT angiography (CTA) of the neck CPT 70498 CT 4D PARATHYROID	$1,002.69	$2,785.25	$180.34–$1,511.92	58% below	64%
CT angiography (CTA) of the neck CPT 70498 CT ANGIO NECK	$1,002.69	$2,785.25	$180.34–$1,511.92	58% below	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CT ANGIO NECK	$954.90	$2,652.50	$180.34–$1,511.92	—	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CT NECK ANGIO	$954.90	$2,652.50	$180.34–$1,587.59	—	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CT 4D PARATHYROID	$954.90	$2,652.50	$180.34–$1,511.92	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$962.19	$2,672.75	$180.34–$1,523.47	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST	$962.19	$2,672.75	$180.34–$1,523.47	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST EVAL AORTA	$962.19	$2,672.75	$180.34–$1,599.70	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST EVAL AORTA	$962.19	$2,672.75	$180.34–$1,599.70	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT TAVR SCAN	$962.19	$2,672.75	$180.34–$1,005.85	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST FOR PE	$962.19	$2,672.75	$180.34–$1,523.47	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIOGRAPHY(NON CORO)	$962.19	$2,672.75	$180.34–$1,599.70	63% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIO CHEST FOR PE	$1,010.34	$2,806.50	$180.34–$1,523.47	61% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT TAVR SCAN	$1,010.34	$2,806.50	$180.34–$1,005.85	61% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHEST ANGIOGRAPHY(NON CORO)	$1,010.34	$2,806.50	$180.34–$1,599.70	61% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST EVAL AORTA	$962.19	$2,672.75	$180.34–$1,599.70	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST	$962.19	$2,672.75	$180.34–$1,523.47	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT ANGIO CHEST FOR PE	$1,010.34	$2,806.50	$180.34–$1,523.47	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHEST ANGIOGRAPHY(NON CORO)	$1,010.34	$2,806.50	$180.34–$1,599.70	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT TAVR SCAN	$1,010.34	$2,806.50	$180.34–$1,005.85	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	72% below	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT VALVE CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	72% below	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT VALVE CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	72% below	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	72% below	64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT VALVE CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	—	64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$54.00	$150.00	$62.12–$134.08	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,396.53	$3,879.25	$189.79–$2,211.17	51% below	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 *CT ABD/PELVIS W/O CONTRAST(2)	$1,396.53	$3,879.25	$189.79–$2,321.75	51% below	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,396.53	$3,879.25	$189.79–$2,211.17	51% below	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 *CT ABD/PELVIS W/O CONTRAST(2)	$1,466.37	$4,073.25	$189.79–$2,321.75	48% below	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CONTRAST	$1,396.53	$3,879.25	$189.79–$2,211.17	—	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 *CT ABD/PELVIS W/O CONTRAST(2)	$1,396.53	$3,879.25	$189.79–$2,321.75	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST	$1,805.22	$5,014.50	$252.74–$3,001.19	53% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV PEDI APPENDICITIS	$1,895.49	$5,265.25	$252.74–$2,858.26	50% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 *CT ABD/PELVIS W CONTRAST(2)	$1,895.49	$5,265.25	$252.74–$3,001.19	50% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W CONTRAST	$1,895.49	$5,265.25	$252.74–$3,001.19	50% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELV PEDI APPENDICITIS	$1,895.49	$5,265.25	$252.74–$2,858.26	50% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 *CT ABD/PELVIS W CONTRAST(2)	$1,895.49	$5,265.25	$252.74–$3,001.19	50% below	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W CONTRAST	$1,805.22	$5,014.50	$252.74–$3,001.19	—	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 *CT ABD/PELVIS W CONTRAST(2)	$1,895.49	$5,265.25	$252.74–$3,001.19	—	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELV PEDI APPENDICITIS	$1,895.49	$5,265.25	$252.74–$2,858.26	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABD/PELVIS W/O+W CON(2)	$1,925.10	$5,347.50	$252.74–$3,200.55	49% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$1,925.10	$5,347.50	$252.74–$3,200.55	49% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABDOMEN W/+W/O CONTRAST(2)	$1,925.10	$5,347.50	$252.74–$3,048.07	49% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABD/PELVIS W-W/O CONTRAS	$1,925.10	$5,347.50	$252.74–$3,200.55	49% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABD/PELVIS W-W/O CONTRAS	$2,021.40	$5,615.00	$252.74–$3,200.55	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/O+W CON	$2,021.40	$5,615.00	$252.74–$3,048.07	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT UROGRAM	$2,021.40	$5,615.00	$252.74–$3,200.55	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W/O+W CON	$2,021.40	$5,615.00	$252.74–$3,048.07	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABDOMEN W/+W/O CONTRAST(2)	$2,021.40	$5,615.00	$252.74–$3,048.07	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 *CT ABD/PELVIS W/O+W CON(2)	$2,021.40	$5,615.00	$252.74–$3,200.55	47% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 *CT ABD/PELVIS W-W/O CONTRAS	$1,925.10	$5,347.50	$252.74–$3,200.55	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 *CT ABD/PELVIS W/O+W CON(2)	$1,925.10	$5,347.50	$252.74–$3,200.55	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT UROGRAM	$2,021.40	$5,615.00	$252.74–$3,200.55	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 *CT ABDOMEN W/+W/O CONTRAST(2)	$2,021.40	$5,615.00	$252.74–$3,048.07	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W/O+W CON	$2,021.40	$5,615.00	$252.74–$3,048.07	—	64%
CT scan of the abdomen with contrast CPT 74160 ABD CONTRAST EIM	$923.22	$2,564.50	$180.34–$1,534.87	63% below	64%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$923.22	$2,564.50	$180.34–$1,534.87	63% below	64%
CT scan of the abdomen with contrast CPT 74160 ABD CONTRAST EIM	$969.39	$2,692.75	$180.34–$1,534.87	61% below	64%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/ CONTRAST	$969.39	$2,692.75	$180.34–$1,534.87	61% below	64%
CT scan of the abdomen with contrast inpatient CPT 74160 ABD CONTRAST EIM	$923.22	$2,564.50	$180.34–$1,534.87	—	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABDOMEN W/ CONTRAST	$969.39	$2,692.75	$180.34–$1,534.87	—	64%
CT scan of the abdomen without contrast CPT 74150 ABD NON-CONTRAST EIM	$698.22	$1,939.50	$106.88–$1,160.81	65% below	64%
CT scan of the abdomen without contrast CPT 74150 ABD NON-CONTRAST EIM	$733.14	$2,036.50	$106.88–$1,160.81	64% below	64%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	64% below	64%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	64% below	64%
CT scan of the abdomen without contrast inpatient CPT 74150 ABD NON-CONTRAST EIM	$698.22	$1,939.50	$106.88–$1,160.81	—	64%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABDOMEN W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$499.32	$1,387.00	$106.88–$790.59	70% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST	$499.32	$1,387.00	$106.88–$790.59	70% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN FACIAL BONES	$499.32	$1,387.00	$106.88–$830.06	70% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES NO CONTRAST	$499.32	$1,387.00	$106.88–$790.59	70% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUSES NO CONTRAST	$499.32	$1,387.00	$106.88–$790.59	70% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN FACIAL BONES	$524.25	$1,456.25	$106.88–$830.06	68% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT STEALTH SINUSES	$524.25	$1,456.25	$106.88–$830.06	68% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$524.25	$1,456.25	$106.88–$790.59	68% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT STEALTH SINUSES	$524.25	$1,456.25	$106.88–$830.06	68% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS W/O CONTRAST	$524.25	$1,456.25	$106.88–$790.59	68% below	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUSES NO CONTRAST	$499.32	$1,387.00	$106.88–$790.59	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONTRAST	$499.32	$1,387.00	$106.88–$790.59	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS W/O CONTRAST	$499.32	$1,387.00	$106.88–$790.59	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SCAN FACIAL BONES	$499.32	$1,387.00	$106.88–$830.06	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT STEALTH SINUSES	$524.25	$1,456.25	$106.88–$830.06	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 OR OPERATIVE CT HEAD	$662.13	$1,839.25	$106.88–$618.68	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN LAB HEAD	$662.13	$1,839.25	$106.88–$618.68	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT BRAIN LAB HEAD	$662.13	$1,839.25	$106.88–$618.68	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD SCAN NON-CONTRASTEIM	$662.13	$1,839.25	$106.88–$1,100.81	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 HEAD SCAN NON-CONTRASTEIM	$662.13	$1,839.25	$106.88–$1,100.81	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$662.13	$1,839.25	$106.88–$1,048.37	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$662.13	$1,839.25	$106.88–$1,048.37	60% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 OR OPERATIVE CT HEAD	$695.25	$1,931.25	$106.88–$618.68	58% below	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT BRAIN LAB HEAD	$662.13	$1,839.25	$106.88–$618.68	—	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN W/O CONTRAST	$662.13	$1,839.25	$106.88–$1,048.37	—	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HEAD SCAN NON-CONTRASTEIM	$662.13	$1,839.25	$106.88–$1,100.81	—	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 OR OPERATIVE CT HEAD	$695.25	$1,931.25	$106.88–$618.68	—	64%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$724.23	$2,011.75	$153.36–$1,146.70	57% below	64%
CT scan of the head with contrast CPT 70460 HEAD SCAN CONTRAST EIM	$760.41	$2,112.25	$153.36–$1,146.70	55% below	64%
CT scan of the head with contrast CPT 70460 HEAD SCAN CONTRAST EIM	$760.41	$2,112.25	$153.36–$1,146.70	55% below	64%
CT scan of the head with contrast CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$760.41	$2,112.25	$153.36–$1,146.70	55% below	64%
CT scan of the head with contrast inpatient CPT 70460 HEAD SCAN CONTRAST EIM	$760.41	$2,112.25	$153.36–$1,146.70	—	64%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD OR BRAIN W/ CONTRAST	$760.41	$2,112.25	$153.36–$1,146.70	—	64%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/-W/O CONT	$846.81	$2,352.25	$180.34–$1,340.78	59% below	64%
CT scan of the head without and with contrast CPT 70470 HEAD SCAN BOTH EIM	$846.81	$2,352.25	$180.34–$1,407.76	59% below	64%
CT scan of the head without and with contrast CPT 70470 CT HEAD OR BRAIN W/-W/O CONT	$889.11	$2,469.75	$180.34–$1,340.78	56% below	64%
CT scan of the head without and with contrast CPT 70470 HEAD SCAN BOTH EIM	$889.11	$2,469.75	$180.34–$1,407.76	56% below	64%
CT scan of the head without and with contrast inpatient CPT 70470 HEAD SCAN BOTH EIM	$846.81	$2,352.25	$180.34–$1,407.76	—	64%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD OR BRAIN W/-W/O CONT	$889.11	$2,469.75	$180.34–$1,340.78	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$730.26	$2,028.50	$106.88–$1,156.24	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 OR OPERATIVE CT LUMBAR	$730.26	$2,028.50	$106.88–$618.68	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT BRAIN LAB L/SPINE	$730.26	$2,028.50	$106.88–$618.68	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CTSCAN-LUMBAR SPINE EIM	$730.26	$2,028.50	$106.88–$1,214.10	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$730.26	$2,028.50	$106.88–$1,156.24	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 OR OPERATIVE CT LUMBAR	$730.26	$2,028.50	$106.88–$618.68	58% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT BRAIN LAB L/SPINE	$766.80	$2,130.00	$106.88–$618.68	56% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CTSCAN-LUMBAR SPINE EIM	$766.80	$2,130.00	$106.88–$1,214.10	56% below	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPINE LUMBAR W/O CONTRAST	$730.26	$2,028.50	$106.88–$1,156.24	—	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 OR OPERATIVE CT LUMBAR	$730.26	$2,028.50	$106.88–$618.68	—	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CTSCAN-LUMBAR SPINE EIM	$730.26	$2,028.50	$106.88–$1,214.10	—	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT BRAIN LAB L/SPINE	$730.26	$2,028.50	$106.88–$618.68	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTSCAN-CERVICAL SPINE EIM	$749.52	$2,082.00	$106.88–$1,186.74	63% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$749.52	$2,082.00	$106.88–$1,186.74	63% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$749.52	$2,082.00	$106.88–$1,186.74	63% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 OR OPERATIVE CT CERVICAL	$786.96	$2,186.00	$106.88–$618.68	61% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 OR OPERATIVE CT CERVICAL	$786.96	$2,186.00	$106.88–$618.68	61% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CTSCAN-CERVICAL SPINE EIM	$786.96	$2,186.00	$106.88–$1,186.74	61% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT BRAIN LAB C/SPINE	$786.96	$2,186.00	$106.88–$618.68	61% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT BRAIN LAB C/SPINE	$786.96	$2,186.00	$106.88–$618.68	61% below	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPINE CERVICAL W/O CONTRAST	$749.52	$2,082.00	$106.88–$1,186.74	—	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT BRAIN LAB C/SPINE	$786.96	$2,186.00	$106.88–$618.68	—	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CTSCAN-CERVICAL SPINE EIM	$786.96	$2,186.00	$106.88–$1,186.74	—	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 OR OPERATIVE CT CERVICAL	$786.96	$2,186.00	$106.88–$618.68	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$450.90	$1,252.50	$180.34–$1,005.85	79% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/ CONTRAST	$450.90	$1,252.50	$180.34–$1,005.85	79% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 *CT PELVIS W CONTRAST-2	$450.90	$1,252.50	$180.34–$1,005.85	79% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 *CT PELVIS W CONTRAST-2	$473.49	$1,315.25	$180.34–$1,005.85	78% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS CONTRAST EIM	$473.49	$1,315.25	$180.34–$1,005.85	78% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 PELVIS CONTRAST EIM	$473.49	$1,315.25	$180.34–$1,005.85	78% below	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 *CT PELVIS W CONTRAST-2	$450.90	$1,252.50	$180.34–$1,005.85	—	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/ CONTRAST	$450.90	$1,252.50	$180.34–$1,005.85	—	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 PELVIS CONTRAST EIM	$473.49	$1,315.25	$180.34–$1,005.85	—	64%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILAT	$550.44	$1,529.00	$190.45–$405.92	—	64%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US CAROTID DUPLEX BILAT	$550.44	$1,529.00	$190.45–$405.92	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX CAROTID ARTERY U/S Q71	$550.44	$1,529.00	$190.45–$405.92	48% below	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DUPLEX CAROTID ARTERY U/S Q71	$550.44	$1,529.00	$190.45–$405.92	48% below	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US CAROTID DUPLEX BILAT	$550.44	$1,529.00	$190.45–$405.92	—	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DUPLEX CAROTID ARTERY U/S Q71	$550.44	$1,529.00	$190.45–$405.92	—	64%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/-W/O CONTRAST	$1,020.87	$2,835.75	$180.34–$1,616.38	60% below	64%
Chest CT scan without and with contrast CPT 71270 THORAX BOTH	$1,020.87	$2,835.75	$180.34–$1,697.17	60% below	64%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/-W/O CONTRAST	$1,071.90	$2,977.50	$180.34–$1,616.38	58% below	64%
Chest CT scan without and with contrast CPT 71270 THORAX BOTH	$1,071.90	$2,977.50	$180.34–$1,697.17	58% below	64%
Chest CT scan without and with contrast inpatient CPT 71270 THORAX BOTH	$1,020.87	$2,835.75	$180.34–$1,697.17	—	64%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/-W/O CONTRAST	$1,020.87	$2,835.75	$180.34–$1,616.38	—	64%
Chest X-ray, 2 views both sides CPT 71046 XR CHEST DECUBITUS BILAT	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, 2 views both sides CPT 71046 XR CHEST DECUBITUS BILAT	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW E1D	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views CPT 71046 IR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views CPT 71046 IR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views CPT 71046 XR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW E1D	$148.77	$413.25	$28.74–$235.55	62% below	64%
Chest X-ray, 2 views inpatient both sides CPT 71046 XR CHEST DECUBITUS BILAT	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW E1D	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, 2 views inpatient CPT 71046 IR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, 2 views inpatient CPT 71046 XR CHEST 2 VIEWS	$148.77	$413.25	$28.74–$235.55	—	64%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 IR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 IR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW E1D	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 CHEST 1 VIEW E1D	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR INFANT CHAB	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS 1V	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR CHEST DECUBITUS 1V	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR INFANT CHAB	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR PEDI CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view CPT 71045 XR PEDI CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	63% below	64%
Chest X-ray, single view inpatient CPT 71045 XR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	—	64%
Chest X-ray, single view inpatient CPT 71045 XR INFANT CHAB	$120.69	$335.25	$20.71–$195.53	—	64%
Chest X-ray, single view inpatient CPT 71045 IR CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	—	64%
Chest X-ray, single view inpatient CPT 71045 CHEST 1 VIEW E1D	$120.69	$335.25	$20.71–$195.53	—	64%
Chest X-ray, single view inpatient CPT 71045 XR CHEST DECUBITUS 1V	$120.69	$335.25	$20.71–$195.53	—	64%
Chest X-ray, single view inpatient CPT 71045 XR PEDI CHEST 1 VIEW	$120.69	$335.25	$20.71–$195.53	—	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2V LEFT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE 2V LEFT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RIGHT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LEFT	$117.99	$327.75	$26.40–$195.53	61% below	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RIGHT	$117.99	$327.75	$26.40–$195.53	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LEFT	$117.99	$327.75	$26.40–$195.53	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE 2V LEFT	$117.99	$327.75	$26.40–$195.53	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$292.14	$811.50	$106.88–$462.56	58% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL Q75	$321.39	$892.75	$106.88–$508.87	54% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 RENAL Q75	$321.39	$892.75	$106.88–$508.87	54% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMPLETE	$321.39	$892.75	$106.88–$462.56	54% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 RENAL Q75	$321.39	$892.75	$106.88–$508.87	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMPLETE	$321.39	$892.75	$106.88–$462.56	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY, AXIAL	$233.55	$648.75	$38.09–$617.75	41% below	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY, AXIAL	$233.55	$648.75	$38.09–$617.75	41% below	64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DXA BONE DENSITY, AXIAL	$233.55	$648.75	$38.09–$617.75	—	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY PERIPHERAL	$75.42	$209.50	$26.73–$119.42	66% below	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BONE DENSITY PERIPHERAL	$75.42	$209.50	$26.73–$119.42	66% below	64%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BONE DENSITY PERIPHERAL	$75.42	$209.50	$26.73–$119.42	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANCY COMPLETE W DETAIL	$313.29	$870.25	$114.46–$545.63	54% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB,DETAILED,SINGLE FETUS	$313.29	$870.25	$114.46–$545.63	54% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB,DETAILED,SINGLE FETUS	$344.61	$957.25	$114.46–$545.63	50% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREGNANCY COMPLETE W DETAIL	$344.61	$957.25	$114.46–$545.63	50% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB,DETAILED,SINGLE FETUS	$313.29	$870.25	$114.46–$545.63	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREGNANCY COMPLETE W DETAIL	$344.61	$957.25	$114.46–$545.63	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX ION	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX HIGH RES	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX HIGH RES	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LUNG SCREEN SELF-PAY	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX OLYMPUS	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT LUNG SCREEN SELF-PAY	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX OLYMPUS	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX ZEPHYR	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX ZEPHYR	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT STEALTH LUNG	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX W/O CONTRAST	$698.22	$1,939.50	$106.88–$1,160.81	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 OR OPERATIVE CT LUNG	$698.22	$1,939.50	$106.88–$618.68	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX LIMITED(STERNUM)	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX LIMITED(STERNUM)	$698.22	$1,939.50	$106.88–$1,105.52	54% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT STEALTH LUNG	$733.14	$2,036.50	$106.88–$1,105.52	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX SD	$733.14	$2,036.50	$106.88–$1,160.81	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX ION	$733.14	$2,036.50	$106.88–$1,105.52	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX NON CONTRAST EIM	$733.14	$2,036.50	$106.88–$1,105.52	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX SD	$733.14	$2,036.50	$106.88–$1,160.81	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 THORAX NON CONTRAST EIM	$733.14	$2,036.50	$106.88–$1,105.52	52% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 OR OPERATIVE CT LUNG	$733.14	$2,036.50	$106.88–$618.68	52% below	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX HIGH RES	$698.22	$1,939.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT STEALTH LUNG	$698.22	$1,939.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX W/O CONTRAST	$698.22	$1,939.50	$106.88–$1,160.81	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX ZEPHYR	$698.22	$1,939.50	$106.88–$1,160.81	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX LIMITED(STERNUM)	$698.22	$1,939.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT LUNG SCREEN SELF-PAY	$698.22	$1,939.50	$106.88–$1,160.81	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX OLYMPUS	$698.22	$1,939.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX ION	$733.14	$2,036.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX SD	$733.14	$2,036.50	$106.88–$1,160.81	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 THORAX NON CONTRAST EIM	$733.14	$2,036.50	$106.88–$1,105.52	—	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 OR OPERATIVE CT LUNG	$733.14	$2,036.50	$106.88–$618.68	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST	$1,002.60	$2,785.00	$173.08–$1,587.45	50% below	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX W/ CONTRAST	$1,052.73	$2,924.25	$173.08–$1,587.45	47% below	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX CONTRAST EIM	$1,052.73	$2,924.25	$173.08–$1,666.82	47% below	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 THORAX CONTRAST EIM	$1,052.73	$2,924.25	$173.08–$1,666.82	47% below	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 THORAX CONTRAST EIM	$1,052.73	$2,924.25	$173.08–$1,666.82	—	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX W/ CONTRAST	$1,052.73	$2,924.25	$173.08–$1,587.45	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG IMPLANT W/CAD BILAT	$180.72	$502.00	$94.30–$294.91	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC W/CAD BILAT	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 POST BX/NEEDLE LOC DIAG MAM BI	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 POST US BX/LOC DIAG MAM BI	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 POST US BX/LOC DIAG MAM BI	$198.81	$552.25	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAGNOSTIC W/CAD BILAT	$198.81	$552.25	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 POST BX/NEEDLE LOC DIAG MAM BI	$198.81	$552.25	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMMO DIAG IMPLANT W/CAD BILAT	$198.81	$552.25	$94.30–$294.91	—	64%
Diagnostic mammogram, both breasts CPT 77066 CB MAMMO DIAGNOSTIC BIL	$180.72	$502.00	$94.30–$294.91	51% below	64%
Diagnostic mammogram, both breasts CPT 77066 CB MAMMO DIAG IMPLANT BIL	$180.72	$502.00	$94.30–$294.91	51% below	64%
Diagnostic mammogram, both breasts CPT 77066 CB MAMMO DIAG IMPLANT BIL	$198.81	$552.25	$94.30–$294.91	46% below	64%
Diagnostic mammogram, both breasts CPT 77066 CB MAMMO DIAGNOSTIC BIL	$198.81	$552.25	$94.30–$294.91	46% below	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 POST US BX/LOC DIAG MAM BI	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAGNOSTIC W/CAD BILAT	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 POST BX/NEEDLE LOC DIAG MAM BI	$180.72	$502.00	$94.30–$314.78	—	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMMO DIAG IMPLANT W/CAD BILAT	$198.81	$552.25	$94.30–$294.91	—	64%
Diagnostic mammogram, both breasts inpatient CPT 77066 CB MAMMO DIAG IMPLANT BIL	$198.81	$552.25	$94.30–$294.91	—	64%
Diagnostic mammogram, both breasts inpatient CPT 77066 CB MAMMO DIAGNOSTIC BIL	$198.81	$552.25	$94.30–$294.91	—	64%
Diagnostic mammogram, one breast one side CPT 77065 CB MAMMO DIAG IMPLANT RT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG IMPLANT W/CAD LEFT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC W/CAD RIGHT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAGNOSTIC W/CAD LEFT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 POST US BX/NEEDLE LOC MAM LT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 POST US BX/NEEDLE LOC MAM RT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAMMO DIAG IMPLANT W/CAD RIGHT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 POST BX/NEEDLE LOC DIAG MAM RT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 CB MAMMO DIAG IMPLANT LT	$118.62	$329.50	$158.03–$230.45	56% below	64%
Diagnostic mammogram, one breast one side CPT 77065 CB MAMMO DIAGNOSTIC LT	$130.50	$362.50	$158.03–$230.45	52% below	64%
Diagnostic mammogram, one breast one side CPT 77065 POST BX/NEEDLE LOC DIAG MAM LT	$130.50	$362.50	$158.03–$230.45	52% below	64%
Diagnostic mammogram, one breast one side CPT 77065 CB MAMMO DIAGNOSTIC RT	$130.50	$362.50	$158.03–$230.45	52% below	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERY EXTREMITY BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE BYPS GRFT/STENT BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ARTERY EXTREMITY BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE BYPASS GRAFT/STENT BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE BYPASS GRAFT/STENT BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE ARTERIAL DUPLEX BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE ARTERIAL DUPLEX BILAT	$580.41	$1,612.25	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE BYPS GRFT/STENT BILAT	$580.41	$1,612.25	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE BYPASS GRAFT/STENT BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ARTERY EXTREMITY BILAT	$527.67	$1,465.75	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE BYPS GRFT/STENT BILAT	$580.41	$1,612.25	$230.56–$545.67	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE ARTERIAL DUPLEX BILAT	$580.41	$1,612.25	$230.56–$545.67	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS EXTREMITY BILAT Q74	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE VENOUS DUPLEX BILAT	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE VENOUS DUPLEX BILAT	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE VENOUS DUPLEX BILAT	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS EXTREMITY BILAT Q74	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS INSUFFICIENCY STUDY BI	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE VENOUS DUPLEX BILAT	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VENOUS INSUFFICIENCY STUDY BI	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEIN MAPPING LE BILATERAL	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VEIN MAPPING LE BILATERAL	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE VENOUS DUPLEX BILAT	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS EXTREMITY BILAT Q74	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE VENOUS DUPLEX BILAT	$507.33	$1,409.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VENOUS INSUFFICIENCY STUDY BI	$558.09	$1,550.25	$184.44–$404.14	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VEIN MAPPING LE BILATERAL	$558.09	$1,550.25	$184.44–$404.14	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-TTE W/WO FOL W/CON&DOPLR	$1,378.53	$3,829.25	$136.74–$334.71	28% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-ECHO 2D,M MODE,COMPLETE	$1,378.53	$3,829.25	$136.74–$334.71	28% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-PEDI ECHO 2D,MMODE,COMP	$1,378.53	$3,829.25	$136.74–$334.71	28% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-TTE W/WO FOL W/CON&DOPLR	$1,378.53	$3,829.25	$136.74–$334.71	28% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-ECHO 2D,M MODE,COMPLETE	$1,378.53	$3,829.25	$136.74–$334.71	28% below	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 93306-PEDI ECHO 2D,MMODE,COMP	$1,516.41	$4,212.25	$136.74–$334.71	21% below	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306-ECHO 2D,M MODE,COMPLETE	$1,378.53	$3,829.25	$136.74–$334.71	—	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306-TTE W/WO FOL W/CON&DOPLR	$1,378.53	$3,829.25	$136.74–$334.71	—	64%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 93306-PEDI ECHO 2D,MMODE,COMP	$1,516.41	$4,212.25	$136.74–$334.71	—	64%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT	$117.99	$327.75	$25.73–$195.53	63% below	64%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS LEFT	$117.99	$327.75	$25.73–$195.53	63% below	64%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RIGHT	$117.99	$327.75	$25.73–$195.53	63% below	64%
Elbow X-ray, 2 views one side CPT 73070 XR ELBOW 2 VIEWS RIGHT	$117.99	$327.75	$25.73–$195.53	63% below	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS LEFT	$117.99	$327.75	$25.73–$195.53	—	64%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR ELBOW 2 VIEWS RIGHT	$117.99	$327.75	$25.73–$195.53	—	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VIEWS MIN RIGHT	$124.74	$346.50	$29.74–$197.50	67% below	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VIEWS MIN LEFT	$124.74	$346.50	$29.74–$197.50	67% below	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VIEWS MIN RIGHT	$124.74	$346.50	$29.74–$197.50	67% below	64%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR ELBOW 3 VIEWS MIN LEFT	$124.74	$346.50	$29.74–$197.50	67% below	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 VIEWS MIN RIGHT	$124.74	$346.50	$29.74–$197.50	—	64%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR ELBOW 3 VIEWS MIN LEFT	$124.74	$346.50	$29.74–$197.50	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 INTERNAL AUDITORIES NO C	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA W/O CONTRAST	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC W/O CONTRAST	$529.47	$1,470.75	$106.88–$838.33	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC W/O CONTRAST	$529.47	$1,470.75	$106.88–$838.33	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 INTERNAL AUDITORIES NO C	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 SELLA PITUITARY NO CNTRST	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBITS W/O CONTRAST	$529.47	$1,470.75	$106.88–$880.22	64% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 SELLA PITUITARY NO CNTRST	$555.93	$1,544.25	$106.88–$880.22	62% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SELLA W/O CONTRAST	$555.93	$1,544.25	$106.88–$880.22	62% below	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 SELLA PITUITARY NO CNTRST	$529.47	$1,470.75	$106.88–$880.22	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC W/O CONTRAST	$529.47	$1,470.75	$106.88–$838.33	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBITS W/O CONTRAST	$529.47	$1,470.75	$106.88–$880.22	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 INTERNAL AUDITORIES NO C	$529.47	$1,470.75	$106.88–$880.22	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SELLA W/O CONTRAST	$555.93	$1,544.25	$106.88–$880.22	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 4 VIEWS E1T	$139.23	$386.75	$39.09–$274.60	64% below	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES MINIMUM 3 VIEW	$139.23	$386.75	$39.09–$274.60	64% below	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL BONES MINIMUM 3 VIEW	$139.23	$386.75	$39.09–$274.60	64% below	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES 4 VIEWS E1T	$139.23	$386.75	$39.09–$274.60	64% below	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES 4 VIEWS E1T	$139.23	$386.75	$39.09–$274.60	—	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL BONES MINIMUM 3 VIEW	$139.23	$386.75	$39.09–$274.60	—	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RIGHT	$134.37	$373.25	$24.39–$212.75	64% below	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT	$134.37	$373.25	$24.39–$212.75	64% below	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS RIGHT	$134.37	$373.25	$24.39–$212.75	64% below	64%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR FOREARM 2 VIEWS LEFT	$134.37	$373.25	$24.39–$212.75	64% below	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS RIGHT	$134.37	$373.25	$24.39–$212.75	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR FOREARM 2 VIEWS LEFT	$134.37	$373.25	$24.39–$212.75	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN WITHOUT CCK	$1,122.75	$3,118.75	$303.06–$748.74	30% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SCAN WITHOUT CCK	$1,122.75	$3,118.75	$303.06–$748.74	30% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SCAN WITHOUT CCK	$1,122.75	$3,118.75	$303.06–$748.74	—	64%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT	$140.58	$390.50	$26.73–$274.60	56% below	64%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS RIGHT	$140.58	$390.50	$26.73–$274.60	56% below	64%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT	$140.58	$390.50	$26.73–$274.60	56% below	64%
Hand X-ray, 2 views one side CPT 73120 XR HAND 2 VIEWS LEFT	$140.58	$390.50	$26.73–$274.60	56% below	64%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS RIGHT	$140.58	$390.50	$26.73–$274.60	—	64%
Hand X-ray, 2 views inpatient one side CPT 73120 XR HAND 2 VIEWS LEFT	$140.58	$390.50	$26.73–$274.60	—	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT	$127.08	$353.00	$25.73–$201.21	56% below	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL RIGHT	$127.08	$353.00	$25.73–$201.21	56% below	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT	$127.08	$353.00	$25.73–$201.21	56% below	64%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR HEEL LEFT	$127.08	$353.00	$25.73–$201.21	56% below	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL LEFT	$127.08	$353.00	$25.73–$201.21	—	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR HEEL RIGHT	$127.08	$353.00	$25.73–$201.21	—	64%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HOME SLEEP STUDY/95806	$369.72	$1,027.00	$148.96–$587.00	46% below	64%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 6 AND OLDER CPAP	$2,684.07	$7,455.75	$874.02–$2,940.00	36% below	64%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$134.37	$373.25	$33.75–$212.75	64% below	64%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS LEFT	$134.37	$373.25	$33.75–$212.75	64% below	64%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$134.37	$373.25	$33.75–$212.75	64% below	64%
Knee X-ray, 3 views one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$134.37	$373.25	$33.75–$212.75	64% below	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS RIGHT	$134.37	$373.25	$33.75–$212.75	—	64%
Knee X-ray, 3 views inpatient one side CPT 73562 XR KNEE 3 VIEWS LEFT	$134.37	$373.25	$33.75–$212.75	—	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS MIN RIGHT	$147.60	$410.00	$37.43–$274.60	65% below	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS MIN RIGHT	$147.60	$410.00	$37.43–$274.60	65% below	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS MIN LEFT	$147.60	$410.00	$37.43–$274.60	65% below	64%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR KNEE 4 VIEWS MIN LEFT	$147.60	$410.00	$37.43–$274.60	65% below	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS MIN RIGHT	$147.60	$410.00	$37.43–$274.60	—	64%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR KNEE 4 VIEWS MIN LEFT	$147.60	$410.00	$37.43–$274.60	—	64%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LE W/O CONTRAST BILAT	$1,336.86	$3,713.50	$106.88–$2,116.70	—	64%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT LE W/O CONTRAST BILAT	$1,403.73	$3,899.25	$106.88–$2,116.70	—	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE W/O CONTRAST LEFT	$668.43	$1,856.75	$106.88–$1,111.21	59% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE W/O CONTRAST LEFT	$668.43	$1,856.75	$106.88–$1,111.21	59% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE W/O CONTRAST RIGHT	$668.43	$1,856.75	$106.88–$1,111.21	59% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LE W/O CONTRAST RIGHT	$701.82	$1,949.50	$106.88–$1,111.21	57% below	64%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT LE W/O CONTRAST BILAT	$1,403.73	$3,899.25	$106.88–$2,116.70	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE W/O CONTRAST LEFT	$668.43	$1,856.75	$106.88–$1,111.21	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LE W/O CONTRAST RIGHT	$668.43	$1,856.75	$106.88–$1,111.21	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN ECHO Q76	$341.91	$949.75	$87.21–$541.36	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALLBLAD Q72	$341.91	$949.75	$87.21–$595.51	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 FATTY LIVER	$341.91	$949.75	$87.21–$541.36	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$341.91	$949.75	$87.21–$595.51	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LIMITED	$341.91	$949.75	$87.21–$595.51	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS Q74	$341.91	$949.75	$87.21–$595.51	43% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 SPLEEN ECHO Q76	$376.11	$1,044.75	$87.21–$541.36	38% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 GALLBLAD Q72	$376.11	$1,044.75	$87.21–$595.51	38% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 PANCREAS Q74	$376.11	$1,044.75	$87.21–$595.51	38% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 FATTY LIVER	$376.11	$1,044.75	$87.21–$541.36	38% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LIMITED	$341.91	$949.75	$87.21–$595.51	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 GALLBLAD Q72	$341.91	$949.75	$87.21–$595.51	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 SPLEEN ECHO Q76	$341.91	$949.75	$87.21–$541.36	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 FATTY LIVER	$376.11	$1,044.75	$87.21–$541.36	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 PANCREAS Q74	$376.11	$1,044.75	$87.21–$595.51	—	64%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US GROIN NON-VASCULAR BILAT	$334.17	$928.25	$22.78–$529.10	—	64%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US GROIN NON-VASCULAR BILAT	$334.17	$928.25	$22.78–$529.10	—	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASCULAR RIGH	$167.04	$464.00	$22.78–$274.60	57% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASCULAR RIGH	$167.04	$464.00	$22.78–$274.60	57% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASCULAR BILA	$303.75	$843.75	$22.78–$480.94	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY NON-VASCULAR BILA	$303.75	$843.75	$22.78–$480.94	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR LT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR RT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR RT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US GROIN NON-VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US GROIN NON-VASCULAR RIGHT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US GROIN NON-VASCULAR RIGHT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR LT	$151.83	$421.75	$22.78–$274.60	61% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON VASCULAR LEFT	$167.04	$464.00	$22.78–$274.60	57% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US GROIN NON-VASCULAR LEFT	$167.04	$464.00	$22.78–$274.60	57% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXTREMITY NON-VASCULAR LEFT	$167.04	$464.00	$22.78–$274.60	57% below	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US GROIN NON-VASCULAR BILAT	$334.17	$928.25	$22.78–$529.10	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NON-VASCULAR RIGH	$167.04	$464.00	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY NON-VASCULAR BILA	$303.75	$843.75	$22.78–$480.94	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON-VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US GROIN NON-VASCULAR LEFT	$151.83	$421.75	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VASCULAR LT	$151.83	$421.75	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US GROIN NON-VASCULAR RIGHT	$151.83	$421.75	$22.78–$274.60	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXTREMITY NON VASCULAR RT	$151.83	$421.75	$22.78–$274.60	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LD LUNG CANCER SCREEN	$666.45	$1,851.25	$80.90–$1,004.91	177% above	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LD LUNG CANCER SCREEN	$666.45	$1,851.25	$80.90–$1,004.91	177% above	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LD LUNG CANCER SCREEN	$666.45	$1,851.25	$80.90–$1,004.91	—	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LEFT	$134.37	$373.25	$27.06–$212.75	61% below	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA LEFT	$134.37	$373.25	$27.06–$212.75	61% below	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA RIGHT	$134.37	$373.25	$27.06–$212.75	61% below	64%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA RIGHT	$134.37	$373.25	$27.06–$212.75	61% below	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA RIGHT	$134.37	$373.25	$27.06–$212.75	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA LEFT	$134.37	$373.25	$27.06–$212.75	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O	$872.37	$2,423.25	$224.54–$1,319.12	51% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$872.37	$2,423.25	$224.54–$1,319.12	51% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRV HEAD W/O	$872.37	$2,423.25	$224.54–$1,319.12	51% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 *MRA CAROTIDS WO CONT (2)	$959.58	$2,665.50	$224.54–$1,319.12	46% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA CAROTID W/O	$959.58	$2,665.50	$224.54–$1,319.12	46% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA CAROTID W/O	$959.58	$2,665.50	$224.54–$1,319.12	46% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$959.58	$2,665.50	$224.54–$1,319.12	46% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 *MRA CAROTIDS WO CONT (2)	$959.58	$2,665.50	$224.54–$1,319.12	46% below	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$872.37	$2,423.25	$224.54–$1,319.12	—	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV HEAD W/O	$872.37	$2,423.25	$224.54–$1,319.12	—	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 *MRA CAROTIDS WO CONT (2)	$959.58	$2,665.50	$224.54–$1,319.12	—	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA CAROTID W/O	$959.58	$2,665.50	$224.54–$1,319.12	—	64%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO CONTRAST	$1,594.89	$4,430.25	$618.23–$1,617.36	—	64%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI BREAST BILAT W/WO CONTRAST	$1,594.89	$4,430.25	$618.23–$1,617.36	—	64%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST SCREENING	$746.91	$2,074.75	$618.23–$1,617.36	45% below	64%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI BREAST SCREENING	$821.61	$2,282.25	$618.23–$1,617.36	39% below	64%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI BREAST BILAT W/WO CONTRAST	$1,594.89	$4,430.25	$618.23–$1,617.36	—	64%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI BREAST SCREENING	$746.91	$2,074.75	$618.23–$1,617.36	—	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JOINT W/O CONTRAST	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOW EXT JOINT W/O CONTRAST	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LEFT W/O	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RIGHT W/O	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LEFT W/O	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE LEFT W/O	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE VISIONAIRE LEFT	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE VISIONAIRE RIGHT	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE VISIONAIRE RIGHT	$872.37	$2,423.25	$210.84–$1,319.12	60% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LEFT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI ANKLE LEFT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP LEFT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI HIP RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI KNEE VISIONAIRE LEFT	$959.58	$2,665.50	$210.84–$1,319.12	56% below	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOW EXT JOINT W/O CONTRAST	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP RIGHT W/O	$872.37	$2,423.25	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE VISIONAIRE RIGHT	$872.37	$2,423.25	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE LEFT W/O	$872.37	$2,423.25	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI HIP LEFT W/O	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI ANKLE LEFT W/O	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE RIGHT W/O	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI KNEE VISIONAIRE LEFT	$959.58	$2,665.50	$210.84–$1,319.12	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT BOTH	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LOW EXT JOINT BOTH	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RIGHT W/ W/O	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LEFT W/O W/	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP RIGHT W/ W/O	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RIGHT W/O W/	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RIGHT W/O W/	$1,327.68	$3,688.00	$368.43–$2,107.81	56% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE RIGHT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE RIGHT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI KNEE LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI ANKLE LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI HIP LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	51% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LOW EXT JOINT BOTH	$1,327.68	$3,688.00	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP RIGHT W/ W/O	$1,327.68	$3,688.00	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE RIGHT W/O W/	$1,327.68	$3,688.00	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE LEFT W/O W/	$1,327.68	$3,688.00	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI ANKLE RIGHT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI KNEE LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI HIP LEFT W/O W/	$1,460.43	$4,056.75	$368.43–$2,107.81	—	64%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRCP	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRI PANCREAS W/O	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRI ADRENALS W/O	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRI LIVER W/O	$872.37	$2,423.25	$204.83–$1,319.12	57% below	64%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI KIDNEYS W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI LIVER W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRCP	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI PANCREAS W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI ADRENALS W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast CPT 74181 MRI KIDNEYS W/O	$959.58	$2,665.50	$204.83–$1,319.12	53% below	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ADRENALS W/O	$872.37	$2,423.25	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRCP	$872.37	$2,423.25	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI LIVER W/O	$959.58	$2,665.50	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI PANCREAS W/O	$959.58	$2,665.50	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI KIDNEYS W/O	$959.58	$2,665.50	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST	$959.58	$2,665.50	$204.83–$1,319.12	—	64%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABDOMEN W/O	$959.58	$2,665.50	$204.83–$1,319.12	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI LIVER W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI PANCREAS W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI KIDNEYS W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI PANCREAS W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI LIVER W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	57% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ADRENALS W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI KIDNEYS W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRCP W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD BOTH	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O W	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD BOTH	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/O W	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ADRENALS W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	52% below	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI LIVER W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI PANCREAS W/O W/	$1,327.68	$3,688.00	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ADRENALS W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI KIDNEYS W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABD BOTH	$1,460.43	$4,056.75	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRCP W/O W/	$1,460.43	$4,056.75	$354.51–$2,107.81	—	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/O W	$1,460.43	$4,056.75	$354.51–$2,107.81	—	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/ORBITS W/O	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/TRIGEMINAL W/O CONT	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/TRIGEMINAL W/O CONT	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/STEALTH W/O	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/IACS W/O	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O(STEALTH MARKERS)	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O (MS PROTOCOL)	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN PIT W/O	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$445.95	$1,238.75	$204.15–$1,319.12	76% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/ORBITS W/O	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/STEALTH W/O	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/IACS W/O	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O(STEALTH MARKERS)	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O (MS PROTOCOL)	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN PIT W/O	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST	$490.59	$1,362.75	$204.15–$1,319.12	73% below	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/TRIGEMINAL W/O CONT	$445.95	$1,238.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN PIT W/O	$445.95	$1,238.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O	$445.95	$1,238.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/IACS W/O	$445.95	$1,238.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O(STEALTH MARKERS)	$445.95	$1,238.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/ORBITS W/O	$490.59	$1,362.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST	$490.59	$1,362.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O (MS PROTOCOL)	$490.59	$1,362.75	$204.15–$1,319.12	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/STEALTH W/O	$490.59	$1,362.75	$204.15–$1,319.12	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN TRIGEM NEURAL W W/O	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/IACS W/O W/	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BOTH (MS PROTOCOL)	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/PITUITARY W/O W	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ W/O	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/ORBITS W/O W/	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BOTH STEALTH MARKERS	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/PITUITARY W/O W	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST	$1,327.68	$3,688.00	$332.80–$2,107.81	53% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN TRIGEMINAL W/O W	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/ORBITS W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN/IACS W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BOTH (MS PROTOCOL)	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/ W/O	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN BOTH STEALTH MARKERS	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN TRIGEM NEURAL W W/O	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN TRIGEMINAL W/O W	$1,460.43	$4,056.75	$332.80–$2,107.81	48% below	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/ W/O	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN TRIGEM NEURAL W W/O	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BOTH STEALTH MARKERS	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN BOTH (MS PROTOCOL)	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/ORBITS W/O W/	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/PITUITARY W/O W	$1,327.68	$3,688.00	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN TRIGEMINAL W/O W	$1,460.43	$4,056.75	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN/IACS W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN W/O W/	$1,460.43	$4,056.75	$332.80–$2,107.81	—	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST	$872.37	$2,423.25	$199.14–$1,319.12	60% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE VERTEBROPLASTY-LTD	$872.37	$2,423.25	$199.14–$1,319.12	60% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O	$872.37	$2,423.25	$199.14–$1,319.12	60% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI THORACOLUMBAR W/O	$872.37	$2,423.25	$199.14–$1,319.12	60% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O	$959.58	$2,665.50	$199.14–$1,319.12	56% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR W/O CONTRAST	$959.58	$2,665.50	$199.14–$1,319.12	56% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI THORACOLUMBAR W/O	$959.58	$2,665.50	$199.14–$1,319.12	56% below	64%
MRI of the lower back, no contrast dye CPT 72148 MRI SPINE VERTEBROPLASTY-LTD	$959.58	$2,665.50	$199.14–$1,319.12	56% below	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE VERTEBROPLASTY-LTD	$872.37	$2,423.25	$199.14–$1,319.12	—	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O CONTRAST	$872.37	$2,423.25	$199.14–$1,319.12	—	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR W/O	$959.58	$2,665.50	$199.14–$1,319.12	—	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI THORACOLUMBAR W/O	$959.58	$2,665.50	$199.14–$1,319.12	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/O W/	$1,327.68	$3,688.00	$333.80–$2,107.81	58% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR W/O W/	$1,327.68	$3,688.00	$333.80–$2,107.81	58% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI THORACOLUMBAR W/O W/	$1,327.68	$3,688.00	$333.80–$2,107.81	58% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WO/W CONTRAST	$1,460.43	$4,056.75	$333.80–$2,107.81	54% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WO/W CONTRAST	$1,460.43	$4,056.75	$333.80–$2,107.81	54% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI THORACOLUMBAR W/O W/	$1,460.43	$4,056.75	$333.80–$2,107.81	54% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR AXIAL LOAD W/O W/	$1,460.43	$4,056.75	$333.80–$2,107.81	54% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR AXIAL LOAD W/O W/	$1,460.43	$4,056.75	$333.80–$2,107.81	54% below	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR W/O W/	$1,327.68	$3,688.00	$333.80–$2,107.81	—	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR WO/W CONTRAST	$1,460.43	$4,056.75	$333.80–$2,107.81	—	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI THORACOLUMBAR W/O W/	$1,460.43	$4,056.75	$333.80–$2,107.81	—	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR AXIAL LOAD W/O W/	$1,460.43	$4,056.75	$333.80–$2,107.81	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC AXIAL LOAD W/O	$872.37	$2,423.25	$198.48–$1,319.12	57% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTRAST	$872.37	$2,423.25	$198.48–$1,319.12	57% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O CONTRAST	$959.58	$2,665.50	$198.48–$1,319.12	53% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O	$959.58	$2,665.50	$198.48–$1,319.12	53% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC AXIAL LOAD W/O	$959.58	$2,665.50	$198.48–$1,319.12	53% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC W/O	$959.58	$2,665.50	$198.48–$1,319.12	53% below	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC AXIAL LOAD W/O	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O CONTRAST	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC W/O	$959.58	$2,665.50	$198.48–$1,319.12	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL WO/W CONTRAST	$1,327.68	$3,688.00	$334.46–$2,107.81	59% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 *MRI SPINE SCREEN WO/W (3)	$1,327.68	$3,688.00	$334.46–$2,107.81	59% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/O W/	$1,327.68	$3,688.00	$334.46–$2,107.81	59% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE SCREEN W/O W/	$1,327.68	$3,688.00	$334.46–$2,107.81	59% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICOTHORACIC W/ W/O	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 *MRI SPINE SCREEN WO/W (3)	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL W/O W/	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL WO/W CONTRAST	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SPINE SCREEN W/O W/	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICOTHORACIC W/ W/O	$1,460.43	$4,056.75	$334.46–$2,107.81	55% below	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 *MRI SPINE SCREEN WO/W (3)	$1,327.68	$3,688.00	$334.46–$2,107.81	—	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI SPINE SCREEN W/O W/	$1,327.68	$3,688.00	$334.46–$2,107.81	—	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL W/O W/	$1,460.43	$4,056.75	$334.46–$2,107.81	—	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL WO/W CONTRAST	$1,460.43	$4,056.75	$334.46–$2,107.81	—	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICOTHORACIC W/ W/O	$1,460.43	$4,056.75	$334.46–$2,107.81	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE SCREEN W/O	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 *MRI SPINE SCREEN W/O (3)	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 *MRI SPINE SCREEN W/O (3)	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O CONTRAST	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICOTHORACIC W/O GAD	$872.37	$2,423.25	$198.48–$1,319.12	61% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICOTHORACIC W/O GAD	$959.58	$2,665.50	$198.48–$1,319.12	58% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SPINE SCREEN W/O	$959.58	$2,665.50	$198.48–$1,319.12	58% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL W/O	$959.58	$2,665.50	$198.48–$1,319.12	58% below	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI SPINE SCREEN W/O	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 *MRI SPINE SCREEN W/O (3)	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICOTHORACIC W/O GAD	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O CONTRAST	$872.37	$2,423.25	$198.48–$1,319.12	—	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI CERVICAL W/O	$959.58	$2,665.50	$198.48–$1,319.12	—	64%
MRI of the pelvis without and with contrast both sides CPT 72197 MRI HIP BILAT W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast both sides CPT 72197 MRI HIP BILAT W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS BOTH	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS HIPS W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI UTERUS W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS BOTH	$1,327.68	$3,688.00	$353.18–$2,107.81	57% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS HIPS W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM/COCCYX W/ W/O	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI SACRUM/COCCYX W/ W/O	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI UTERUS W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	53% below	64%
MRI of the pelvis without and with contrast inpatient both sides CPT 72197 MRI HIP BILAT W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS BOTH	$1,327.68	$3,688.00	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS HIPS W/O W/	$1,327.68	$3,688.00	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI UTERUS W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI SACRUM/COCCYX W/ W/O	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE W/O W/	$1,460.43	$4,056.75	$353.18–$2,107.81	—	64%
MRI of the pelvis, no contrast dye both sides CPT 72195 MRI HIP BILAT W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye both sides CPT 72195 MRI HIP BILAT W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O	$872.37	$2,423.25	$232.31–$1,319.12	63% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS HIPS W/O	$872.37	$2,423.25	$232.31–$1,319.12	63% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$872.37	$2,423.25	$232.31–$1,319.12	63% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM/COCCYX W/O	$872.37	$2,423.25	$232.31–$1,319.12	63% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI SACRUM/COCCYX W/O	$872.37	$2,423.25	$232.31–$1,319.12	63% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI UTERUS W/O	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI UTERUS W/O	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O CONTRAST	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS HIPS W/O	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE W/O	$959.58	$2,665.50	$232.31–$1,319.12	59% below	64%
MRI of the pelvis, no contrast dye inpatient both sides CPT 72195 MRI HIP BILAT W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI SACRUM/COCCYX W/O	$872.37	$2,423.25	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O	$872.37	$2,423.25	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI UTERUS W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS W/O CONTRAST	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PELVIS HIPS W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE W/O	$959.58	$2,665.50	$232.31–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONTRA	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O CONTRA	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RIGHT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	51% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI SHOULDER RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST LEFT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI WRIST RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI ELBOW RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	46% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O CONTRA	$872.37	$2,423.25	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW RIGHT W/O	$872.37	$2,423.25	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI ELBOW LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER LEFT W/O	$872.37	$2,423.25	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST LEFT W/O	$959.58	$2,665.50	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI WRIST RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI SHOULDER RIGHT W/O	$959.58	$2,665.50	$211.18–$1,319.12	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL MINIMUM 4 VI	$226.17	$628.25	$42.78–$358.10	59% below	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SPINE CERVICAL MINIMUM 4 VI	$226.17	$628.25	$42.78–$358.10	59% below	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL 4V W/SWIMMERS	$226.17	$628.25	$42.78–$358.10	59% below	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 CERVICAL 4V W/SWIMMERS	$226.17	$628.25	$42.78–$358.10	59% below	64%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SPINE CERVICAL MINIMUM 4 VI	$226.17	$628.25	$42.78–$358.10	—	64%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 CERVICAL 4V W/SWIMMERS	$226.17	$628.25	$42.78–$358.10	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONTRAS	$783.81	$2,177.25	$180.34–$1,241.03	60% below	64%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/ CONTRAS	$822.96	$2,286.00	$180.34–$1,241.03	59% below	64%
Neck soft tissue CT scan with contrast CPT 70491 NECK SOFT TISSUE W/ CONTRAST	$822.96	$2,286.00	$180.34–$1,303.02	59% below	64%
Neck soft tissue CT scan with contrast CPT 70491 NECK SOFT TISSUE W/ CONTRAST	$822.96	$2,286.00	$180.34–$1,303.02	59% below	64%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFT TISSUE NECK W/ CONTRAS	$822.96	$2,286.00	$180.34–$1,241.03	—	64%
Neck soft tissue CT scan with contrast inpatient CPT 70491 NECK SOFT TISSUE W/ CONTRAST	$822.96	$2,286.00	$180.34–$1,303.02	—	64%
Neck soft tissue CT scan without contrast CPT 70490 NECK SOFT TISSUE NO CNTRS	$604.53	$1,679.25	$106.88–$957.17	61% below	64%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRA	$604.53	$1,679.25	$106.88–$957.17	61% below	64%
Neck soft tissue CT scan without contrast CPT 70490 NECK SOFT TISSUE NO CNTRS	$634.77	$1,763.25	$106.88–$957.17	59% below	64%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O CONTRA	$634.77	$1,763.25	$106.88–$957.17	59% below	64%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFT TISSUE NECK W/O CONTRA	$634.77	$1,763.25	$106.88–$957.17	—	64%
Neck soft tissue CT scan without contrast inpatient CPT 70490 NECK SOFT TISSUE NO CNTRS	$634.77	$1,763.25	$106.88–$957.17	—	64%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	31% below	64%
Neck soft tissue X-ray CPT 70360 NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	31% below	64%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	31% below	64%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	31% below	64%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	—	64%
Neck soft tissue X-ray inpatient CPT 70360 NECK SOFT TISSUE	$164.70	$457.50	$26.73–$260.77	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452-SPECT MULTI GATED REST/S	$2,208.96	$6,136.00	$438.05–$1,007.46	47% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 78452-SPECT MULTI GATED REST/S	$2,429.82	$6,749.50	$438.05–$1,007.46	41% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 78452-SPECT MULTI GATED REST/S	$2,208.96	$6,136.00	$438.05–$1,007.46	—	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT SKULL BASE TO MID-THIGH	$2,763.18	$7,675.50	$1,321.53–$7,593.37	36% below	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET-CT SKULL BASE TO MID-THIGH	$2,763.18	$7,675.50	$1,321.53–$7,593.37	36% below	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET-CT SKULL BASE TO MID-THIGH	$2,763.18	$7,675.50	$1,321.53–$7,593.37	—	64%
Pelvic CT scan without contrast CPT 72192 PELVIS NON CONTRAST EIM	$698.22	$1,939.50	$106.88–$1,160.81	57% below	64%
Pelvic CT scan without contrast CPT 72192 CT CYSTOGRAM	$698.22	$1,939.50	$106.88–$618.68	57% below	64%
Pelvic CT scan without contrast CPT 72192 *CT PELVIS WO CONTRAST-2	$698.22	$1,939.50	$106.88–$1,160.81	57% below	64%
Pelvic CT scan without contrast CPT 72192 CT SACRUM,COCCYX	$698.22	$1,939.50	$106.88–$1,160.81	57% below	64%
Pelvic CT scan without contrast CPT 72192 CT POST BRACHTHERAPY	$733.14	$2,036.50	$106.88–$618.68	55% below	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	55% below	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	55% below	64%
Pelvic CT scan without contrast CPT 72192 PELVIS NON CONTRAST EIM	$733.14	$2,036.50	$106.88–$1,160.81	55% below	64%
Pelvic CT scan without contrast CPT 72192 CT SACRUM,COCCYX	$733.14	$2,036.50	$106.88–$1,160.81	55% below	64%
Pelvic CT scan without contrast CPT 72192 *CT PELVIS WO CONTRAST-2	$733.14	$2,036.50	$106.88–$1,160.81	55% below	64%
Pelvic CT scan without contrast CPT 72192 CT CYSTOGRAM	$733.14	$2,036.50	$106.88–$618.68	55% below	64%
Pelvic CT scan without contrast CPT 72192 CT POST BRACHTHERAPY	$733.14	$2,036.50	$106.88–$618.68	55% below	64%
Pelvic CT scan without contrast inpatient CPT 72192 PELVIS NON CONTRAST EIM	$698.22	$1,939.50	$106.88–$1,160.81	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT CYSTOGRAM	$698.22	$1,939.50	$106.88–$618.68	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT SACRUM,COCCYX	$733.14	$2,036.50	$106.88–$1,160.81	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS W/O CONTRAST	$733.14	$2,036.50	$106.88–$1,105.52	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT POST BRACHTHERAPY	$733.14	$2,036.50	$106.88–$618.68	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 *CT PELVIS WO CONTRAST-2	$733.14	$2,036.50	$106.88–$1,160.81	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED	$241.56	$671.00	$50.79–$420.66	50% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 URIN BLAD Q76	$265.68	$738.00	$50.79–$382.47	45% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 URIN BLAD Q76	$265.68	$738.00	$50.79–$382.47	45% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIS NON-OB LIMITED	$265.68	$738.00	$50.79–$420.66	45% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIS NON-OB LIMITED	$241.56	$671.00	$50.79–$420.66	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 URIN BLAD Q76	$265.68	$738.00	$50.79–$382.47	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$261.27	$725.75	$96.28–$455.00	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS NON-OB COMPLETE	$261.27	$725.75	$96.28–$455.00	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$261.27	$725.75	$96.28–$455.00	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIS	$261.27	$725.75	$96.28–$455.00	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS NON-OB COMPLETE	$261.27	$725.75	$96.28–$455.00	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIS	$261.27	$725.75	$96.28–$455.00	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB>=14 WKS,SINGLE FETUS	$261.27	$725.75	$106.88–$455.00	57% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB>=14 WKS,SINGLE FETUS	$261.27	$725.75	$106.88–$455.00	57% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY > 14 WEEKS	$287.37	$798.25	$106.88–$455.00	53% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANCY > 14 WEEKS	$287.37	$798.25	$106.88–$455.00	53% below	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB>=14 WKS,SINGLE FETUS	$261.27	$725.75	$106.88–$455.00	—	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANCY > 14 WEEKS	$287.37	$798.25	$106.88–$455.00	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY LESS THAN 14 WEEK	$186.39	$517.75	$106.88–$295.12	68% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY 1ST TRIMESTER	$186.39	$517.75	$106.88–$324.62	68% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 PREGNANCY 1ST TRIMESTER	$205.02	$569.50	$106.88–$324.62	65% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREGNANCY LESS THAN 14 WEEK	$205.02	$569.50	$106.88–$295.12	65% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 PREGNANCY 1ST TRIMESTER	$205.02	$569.50	$106.88–$324.62	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREGNANCY LESS THAN 14 WEEK	$205.02	$569.50	$106.88–$295.12	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$118.53	$329.25	$80.53–$274.60	74% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL POSITION LIMITED	$118.53	$329.25	$80.53–$274.60	74% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FETAL POSITION LIMITED	$118.53	$329.25	$80.53–$274.60	74% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND - O/B	$118.53	$329.25	$80.53–$274.60	74% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 ULTRASOUND - O/B	$118.53	$329.25	$80.53–$274.60	74% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LIMITED	$130.41	$362.25	$80.53–$274.60	72% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FETAL POSITION LIMITED	$118.53	$329.25	$80.53–$274.60	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 ULTRASOUND - O/B	$118.53	$329.25	$80.53–$274.60	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LIMITED	$118.53	$329.25	$80.53–$274.60	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS LEFT	$173.07	$480.75	$31.41–$274.03	42% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS LEFT	$173.07	$480.75	$31.41–$274.03	42% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS RIGHT	$173.07	$480.75	$31.41–$274.03	42% below	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS 2 VIEWS RIGHT	$173.07	$480.75	$31.41–$274.03	42% below	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VIEWS RIGHT	$173.07	$480.75	$31.41–$274.03	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS 2 VIEWS LEFT	$173.07	$480.75	$31.41–$274.03	—	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/ PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/ PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/ PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS W/ PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	52% below	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/ PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/ PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/PA CHEST RIGHT	$189.27	$525.75	$36.09–$299.68	—	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS W/PA CHEST LEFT	$189.27	$525.75	$36.09–$299.68	—	64%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO W/CAD BILAT	$150.30	$417.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts both sides CPT 77067 SCREENING MAMMO W/CAD BILAT	$150.30	$417.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts CPT 77067 SCREEN MAMMO IMPLANT W/CAD BIL	$136.62	$379.50	$78.03–$243.70	54% below	64%
Screening mammogram, both breasts CPT 77067 SCREEN MAMMO IMPLANT W/CAD BIL	$150.30	$417.50	$78.03–$243.70	49% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING IMPLANT UNI LT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING IMPLANT UNI LT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING IMPLANT UNI RT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO W/CAD RT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD LT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD LT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING IMPLANT UNI RT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO W/CAD RT	$118.62	$329.50	$78.03–$243.70	60% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNI LT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO W/CAD LT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNI RT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD RT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD RT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO W/CAD LT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNI LT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts one side CPT 77067 SCREENING MAMMO UNI RT	$130.50	$362.50	$78.03–$243.70	56% below	64%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCREENING MAMMO W/CAD BILAT	$150.30	$417.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient CPT 77067 SCREEN MAMMO IMPLANT W/CAD BIL	$150.30	$417.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING IMPLANT UNI RT	$118.62	$329.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING IMPLANT UNI LT	$118.62	$329.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD LT	$118.62	$329.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO W/CAD RT	$118.62	$329.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREEN MAMMO IMPLANT W/CAD RT	$130.50	$362.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO W/CAD LT	$130.50	$362.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO UNI LT	$130.50	$362.50	$78.03–$243.70	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCREENING MAMMO UNI RT	$130.50	$362.50	$78.03–$243.70	—	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN LEFT	$131.67	$365.75	$27.74–$208.48	59% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN RIGHT	$131.67	$365.75	$27.74–$208.48	59% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN LEFT	$131.67	$365.75	$27.74–$208.48	59% below	64%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR SHOULDER 2 VIEWS MIN RIGHT	$131.67	$365.75	$27.74–$208.48	59% below	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS MIN LEFT	$131.67	$365.75	$27.74–$208.48	—	64%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR SHOULDER 2 VIEWS MIN RIGHT	$131.67	$365.75	$27.74–$208.48	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 4 VIEWS E3X	$145.98	$405.50	$35.41–$231.13	64% below	64%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE	$145.98	$405.50	$35.41–$231.13	64% below	64%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUSES PARANASAL COMPLETE	$145.98	$405.50	$35.41–$231.13	64% below	64%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES 4 VIEWS E3X	$145.98	$405.50	$35.41–$231.13	64% below	64%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUSES PARANASAL COMPLETE	$145.98	$405.50	$35.41–$231.13	—	64%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES 4 VIEWS E3X	$145.98	$405.50	$35.41–$231.13	—	64%
Skull X-ray, fewer than 4 views CPT 70250 IR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 IR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SHUNT SERIES	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 *SHUNT SERIES (3)	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 *SHUNT SERIES (3)	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SHUNT SERIES	$124.74	$346.50	$34.41–$274.60	61% below	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 *SHUNT SERIES (3)	$124.74	$346.50	$34.41–$274.60	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL 2V E4A	$124.74	$346.50	$34.41–$274.60	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 IR SKULL < 4 VIEWS	$124.74	$346.50	$34.41–$274.60	—	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SHUNT SERIES	$124.74	$346.50	$34.41–$274.60	—	64%
Sleep study in a lab (polysomnography) CPT 95810 6 AND OLDER PSG	$2,684.07	$7,455.75	$831.54–$2,940.00	35% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION	$107.37	$298.25	$106.64–$170.00	82% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 SWALLOWING FUNCTION	$107.37	$298.25	$106.64–$170.00	82% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGRAM MOTILITY	$107.37	$298.25	$106.64–$170.00	82% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 ESOPHAGRAM MOTILITY	$107.37	$298.25	$106.64–$170.00	82% below	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 SWALLOWING FUNCTION	$107.37	$298.25	$106.64–$170.00	—	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 ESOPHAGRAM MOTILITY	$107.37	$298.25	$106.64–$170.00	—	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR RESEARCH FEMUR 3V	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR RESEARCH FEMUR 3V	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V RIGHT	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V LEFT	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V RIGHT	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR FEMUR 2V LEFT	$124.74	$346.50	$31.08–$197.50	62% below	64%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR RESEARCH FEMUR 3V	$124.74	$346.50	$31.08–$197.50	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2V RIGHT	$124.74	$346.50	$31.08–$197.50	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR FEMUR 2V LEFT	$124.74	$346.50	$31.08–$197.50	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 OR OPERATIVE CT THORACIC	$383.13	$1,064.25	$106.88–$618.68	80% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$383.13	$1,064.25	$106.88–$618.68	80% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT BRAIN LAB T/SPINE	$383.13	$1,064.25	$106.88–$618.68	80% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPINE THORACIC W/O CONTRAST	$402.30	$1,117.50	$106.88–$618.68	79% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT BRAIN LAB T/SPINE	$402.30	$1,117.50	$106.88–$618.68	79% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CTSCAN DORSAL SPINE EIM	$402.30	$1,117.50	$106.88–$636.98	79% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CTSCAN DORSAL SPINE EIM	$402.30	$1,117.50	$106.88–$636.98	79% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 OR OPERATIVE CT THORACIC	$402.30	$1,117.50	$106.88–$618.68	79% below	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 OR OPERATIVE CT THORACIC	$383.13	$1,064.25	$106.88–$618.68	—	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPINE THORACIC W/O CONTRAST	$402.30	$1,117.50	$106.88–$618.68	—	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT BRAIN LAB T/SPINE	$402.30	$1,117.50	$106.88–$618.68	—	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CTSCAN DORSAL SPINE EIM	$402.30	$1,117.50	$106.88–$636.98	—	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES LEFT	$124.74	$346.50	$26.73–$197.50	54% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES LEFT	$124.74	$346.50	$26.73–$197.50	54% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES RIGHT	$124.74	$346.50	$26.73–$197.50	54% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOES RIGHT	$124.74	$346.50	$26.73–$197.50	54% below	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES LEFT	$124.74	$346.50	$26.73–$197.50	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOES RIGHT	$124.74	$346.50	$26.73–$197.50	—	64%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ULTRASOUND	$241.47	$670.75	$106.88–$420.52	60% below	64%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$241.47	$670.75	$106.88–$382.33	60% below	64%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL ULTRASOUND	$241.47	$670.75	$106.88–$420.52	60% below	64%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL	$265.59	$737.75	$106.88–$382.33	56% below	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 TRANSVAGINAL ULTRASOUND	$241.47	$670.75	$106.88–$420.52	—	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL	$241.47	$670.75	$106.88–$382.33	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$194.76	$541.00	$92.55–$308.37	62% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 OB/TRANSVAG	$214.20	$595.00	$92.55–$339.15	58% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 OB/TRANSVAG	$214.20	$595.00	$92.55–$339.15	58% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 US PREGNANCY TRANSVAGINAL	$214.20	$595.00	$92.55–$308.37	58% below	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US PREGNANCY TRANSVAGINAL	$194.76	$541.00	$92.55–$308.37	—	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB/TRANSVAG	$214.20	$595.00	$92.55–$339.15	—	64%
Ultrasound of the abdomen, complete CPT 76700 ABDOM COMP Q70	$360.09	$1,000.25	$106.88–$627.14	54% below	64%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$360.09	$1,000.25	$106.88–$570.14	54% below	64%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE	$360.09	$1,000.25	$106.88–$570.14	54% below	64%
Ultrasound of the abdomen, complete CPT 76700 ABDOM COMP Q70	$396.09	$1,100.25	$106.88–$627.14	50% below	64%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE	$360.09	$1,000.25	$106.88–$570.14	—	64%
Ultrasound of the abdomen, complete inpatient CPT 76700 ABDOM COMP Q70	$396.09	$1,100.25	$106.88–$627.14	—	64%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM-CONTENTS	$262.98	$730.50	$64.49–$458.00	57% below	64%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR U/S	$262.98	$730.50	$64.49–$416.38	57% below	64%
Ultrasound of the scrotum and testicles CPT 76870 TESTICULAR U/S	$289.26	$803.50	$64.49–$416.38	53% below	64%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM-CONTENTS	$289.26	$803.50	$64.49–$458.00	53% below	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 TESTICULAR U/S	$262.98	$730.50	$64.49–$416.38	—	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM-CONTENTS	$289.26	$803.50	$64.49–$458.00	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID ECHO	$187.29	$520.25	$106.88–$296.54	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID ECHO	$187.29	$520.25	$106.88–$296.54	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK	$187.29	$520.25	$106.88–$326.18	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ECH Q76	$187.29	$520.25	$106.88–$296.54	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 THYROID ECH Q76	$187.29	$520.25	$106.88–$296.54	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE	$187.29	$520.25	$106.88–$296.54	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK Q73	$187.29	$520.25	$106.88–$326.18	70% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK Q73	$206.01	$572.25	$106.88–$326.18	67% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NECK SOFT TISSUE	$206.01	$572.25	$106.88–$296.54	67% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US SOFT TISSUE NECK	$206.01	$572.25	$106.88–$326.18	67% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK Q73	$187.29	$520.25	$106.88–$326.18	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 THYROID ECH Q76	$187.29	$520.25	$106.88–$296.54	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NECK SOFT TISSUE	$187.29	$520.25	$106.88–$296.54	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID ECHO	$187.29	$520.25	$106.88–$296.54	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US SOFT TISSUE NECK	$206.01	$572.25	$106.88–$326.18	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/WATER SOLUBLE DR	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/WATER SOLUBLE DR	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI DR	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI DR	$262.08	$728.00	$106.59–$446.44	63% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/WATER SOLUBLE DR	$262.08	$728.00	$106.59–$446.44	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI	$262.08	$728.00	$106.59–$446.44	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI DR	$262.08	$728.00	$106.59–$446.44	—	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT	$117.99	$327.75	$27.40–$195.53	66% below	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT	$117.99	$327.75	$27.40–$195.53	66% below	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS RIGHT	$117.99	$327.75	$27.40–$195.53	66% below	64%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR HUMERUS LEFT	$117.99	$327.75	$27.40–$195.53	66% below	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS LEFT	$117.99	$327.75	$27.40–$195.53	—	64%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR HUMERUS RIGHT	$117.99	$327.75	$27.40–$195.53	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFICIENCY STUDY LT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE VENOUS DUPLEX RIGHT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX LEFT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING LE RIGHT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING LE RIGHT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFICIENCY STUDY RT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFICIENCY STUDY RT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX RIGHT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX RIGHT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING LE LEFT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VENOUS INSUFFICIENCY STUDY LT	$319.05	$886.25	$106.88–$247.47	59% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE VENOUS DUPLEX RIGHT	$351.00	$975.00	$106.88–$247.47	55% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE VENOUS DUPLEX LEFT	$351.00	$975.00	$106.88–$247.47	55% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE VENOUS DUPLEX LEFT	$351.00	$975.00	$106.88–$247.47	55% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE VENOUS DUPLEX LEFT	$351.00	$975.00	$106.88–$247.47	55% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VEIN MAPPING LE LEFT	$351.00	$975.00	$106.88–$247.47	55% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE VENOUS DUPLEX RIGHT	$319.05	$886.25	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFICIENCY STUDY RT	$319.05	$886.25	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VENOUS INSUFFICIENCY STUDY LT	$319.05	$886.25	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEIN MAPPING LE RIGHT	$319.05	$886.25	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE VENOUS DUPLEX LEFT	$351.00	$975.00	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE VENOUS DUPLEX LEFT	$351.00	$975.00	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VEIN MAPPING LE LEFT	$351.00	$975.00	$106.88–$247.47	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE VENOUS DUPLEX RIGHT	$351.00	$975.00	$106.88–$247.47	—	64%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT	$140.58	$390.50	$29.74–$222.59	53% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT	$140.58	$390.50	$29.74–$222.59	53% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS LEFT	$140.58	$390.50	$29.74–$222.59	53% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR WRIST 2 VIEWS RIGHT	$140.58	$390.50	$29.74–$222.59	53% below	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS RIGHT	$140.58	$390.50	$29.74–$222.59	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR WRIST 2 VIEWS LEFT	$140.58	$390.50	$29.74–$222.59	—	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS MIN LEFT	$140.58	$390.50	$33.08–$222.59	62% below	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS MIN RIGHT	$140.58	$390.50	$33.08–$222.59	62% below	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS MIN RIGHT	$140.58	$390.50	$33.08–$222.59	62% below	64%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR WRIST 3 VIEWS MIN LEFT	$140.58	$390.50	$33.08–$222.59	62% below	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 VIEWS MIN RIGHT	$140.58	$390.50	$33.08–$222.59	—	64%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR WRIST 3 VIEWS MIN LEFT	$140.58	$390.50	$33.08–$222.59	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RIGHT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RIGHT W/PELVIS	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RIGHT W/PELVIS	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3VIEW LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP OPERATIVE 2V RIGHT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP OPERATIVE 2V RIGHT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3VIEW LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP OPERATIVE 2V LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 OR HIP OPERATIVE 2V LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW LEFT W/PELVIS	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW LEFT W/PELVIS	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW LEFT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR HIP 2-3 VIEW RIGHT	$194.76	$541.00	$39.09–$308.37	47% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 OR HIP OPERATIVE 2V LEFT	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW LEFT	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW RIGHT W/PELVIS	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW LEFT W/PELVIS	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3 VIEW RIGHT	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 OR HIP OPERATIVE 2V RIGHT	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR HIP 2-3VIEW LEFT	$194.76	$541.00	$39.09–$308.37	—	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view CPT 74018 KUB E2K	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW E0A	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN 1 VIEW E0A	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view CPT 74018 KUB E2K	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABDOMEN AP	$233.55	$648.75	$25.73–$369.79	31% below	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN 1 VIEW E0A	$233.55	$648.75	$25.73–$369.79	—	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 KUB E2K	$233.55	$648.75	$25.73–$369.79	—	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABDOMEN AP	$233.55	$648.75	$25.73–$369.79	—	64%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$95.04	$264.00	$28.06–$195.53	68% below	64%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$95.04	$264.00	$28.06–$195.53	68% below	64%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$95.04	$264.00	$28.06–$195.53	68% below	64%
X-ray of the ankle, 2 views one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$95.04	$264.00	$28.06–$195.53	68% below	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS LEFT	$95.04	$264.00	$28.06–$195.53	—	64%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR ANKLE 2 VIEWS RIGHT	$95.04	$264.00	$28.06–$195.53	—	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RIGHT	$123.12	$342.00	$30.40–$195.53	49% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LEFT	$123.12	$342.00	$30.40–$195.53	49% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS LEFT	$123.12	$342.00	$30.40–$195.53	49% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGERS RIGHT	$123.12	$342.00	$30.40–$195.53	49% below	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS LEFT	$123.12	$342.00	$30.40–$195.53	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGERS RIGHT	$123.12	$342.00	$30.40–$195.53	—	64%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$102.69	$285.25	$24.73–$195.53	69% below	64%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$102.69	$285.25	$24.73–$195.53	69% below	64%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT	$102.69	$285.25	$24.73–$195.53	69% below	64%
X-ray of the foot, 2 views one side CPT 73620 XR FOOT 2 VIEWS LEFT	$102.69	$285.25	$24.73–$195.53	69% below	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS LEFT	$102.69	$285.25	$24.73–$195.53	—	64%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR FOOT 2 VIEWS RIGHT	$102.69	$285.25	$24.73–$195.53	—	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN LEFT	$140.58	$390.50	$27.74–$222.59	62% below	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN RIGHT	$140.58	$390.50	$27.74–$222.59	62% below	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN LEFT	$140.58	$390.50	$27.74–$222.59	62% below	64%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR FOOT 3 VIEWS MIN RIGHT	$140.58	$390.50	$27.74–$222.59	62% below	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS MIN RIGHT	$140.58	$390.50	$27.74–$222.59	—	64%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR FOOT 3 VIEWS MIN LEFT	$140.58	$390.50	$27.74–$222.59	—	64%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN LEFT	$115.20	$320.00	$30.08–$195.53	70% below	64%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN RIGHT	$115.20	$320.00	$30.08–$195.53	70% below	64%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN RIGHT	$115.20	$320.00	$30.08–$195.53	70% below	64%
X-ray of the hand, 3 or more views one side CPT 73130 XR HAND 3 VIEWS MIN LEFT	$115.20	$320.00	$30.08–$195.53	70% below	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS MIN LEFT	$115.20	$320.00	$30.08–$195.53	—	64%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR HAND 3 VIEWS MIN RIGHT	$115.20	$320.00	$30.08–$195.53	—	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$121.50	$337.50	$29.40–$195.53	59% below	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE 1 OR 2 VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$121.50	$337.50	$29.40–$195.53	—	64%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$121.50	$337.50	$29.40–$195.53	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR 2V/3V	$196.11	$544.75	$33.08–$310.51	56% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VI	$196.11	$544.75	$33.08–$310.51	56% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VI	$196.11	$544.75	$33.08–$310.51	56% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR 2V/3V	$196.11	$544.75	$33.08–$310.51	56% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SPINE LUMBOSACRAL 2 OR 3 VI	$196.11	$544.75	$33.08–$310.51	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 LUMBAR 2V/3V	$196.11	$544.75	$33.08–$310.51	—	64%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR W/OBLIQUES 5 V E4H	$236.52	$657.00	$46.11–$374.49	58% below	64%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4	$236.52	$657.00	$46.11–$374.49	58% below	64%
X-ray of the lower back, 4 or more views CPT 72110 LUMBAR W/OBLIQUES 5 V E4H	$236.52	$657.00	$46.11–$374.49	58% below	64%
X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4	$236.52	$657.00	$46.11–$374.49	58% below	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 LUMBAR W/OBLIQUES 5 V E4H	$236.52	$657.00	$46.11–$374.49	—	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MINIMUM 4	$236.52	$657.00	$46.11–$374.49	—	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SPINE E4F	$139.95	$388.75	$32.08–$274.60	65% below	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$139.95	$388.75	$32.08–$274.60	65% below	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SPINE THORACIC 2 VIEWS	$139.95	$388.75	$32.08–$274.60	65% below	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 DORSAL SPINE E4F	$139.95	$388.75	$32.08–$274.60	65% below	64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SPINE THORACIC 2 VIEWS	$139.95	$388.75	$32.08–$274.60	—	64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 DORSAL SPINE E4F	$139.95	$388.75	$32.08–$274.60	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 NOSE E3B	$113.94	$316.50	$31.08–$195.53	59% below	64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$113.94	$316.50	$31.08–$195.53	59% below	64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$113.94	$316.50	$31.08–$195.53	59% below	64%
X-ray of the nasal bones, 3 or more views CPT 70160 NOSE E3B	$113.94	$316.50	$31.08–$195.53	59% below	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MINIMUM 3 VIEWS	$113.94	$316.50	$31.08–$195.53	—	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NOSE E3B	$113.94	$316.50	$31.08–$195.53	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL 3V	$190.71	$529.75	$31.41–$301.96	48% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$190.71	$529.75	$31.41–$301.96	48% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$190.71	$529.75	$31.41–$301.96	48% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL 3V	$190.71	$529.75	$31.41–$301.96	48% below	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 CERVICAL 3V	$190.71	$529.75	$31.41–$301.96	—	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SPINE CERVICAL 2 OR 3 VIEWS	$190.71	$529.75	$31.41–$301.96	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$123.12	$342.00	$28.06–$274.60	61% below	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V/2V	$123.12	$342.00	$28.06–$274.60	61% below	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 1V/2V	$123.12	$342.00	$28.06–$274.60	61% below	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1 OR 2 VIEWS	$123.12	$342.00	$28.06–$274.60	61% below	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1 OR 2 VIEWS	$123.12	$342.00	$28.06–$274.60	—	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 1V/2V	$123.12	$342.00	$28.06–$274.60	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX E1K	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2VIEW	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIE	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIE	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR COCCYX	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX MINIMUM 2VIEW	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM E3S	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM E3S	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 COCCYX E1K	$110.16	$306.00	$26.73–$195.53	64% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX MINIMUM 2 VIE	$110.16	$306.00	$26.73–$195.53	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM E3S	$110.16	$306.00	$26.73–$195.53	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 COCCYX E1K	$110.16	$306.00	$26.73–$195.53	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX MINIMUM 2VIEW	$110.16	$306.00	$26.73–$195.53	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM	$110.16	$306.00	$26.73–$195.53	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR COCCYX	$110.16	$306.00	$26.73–$195.53	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTH	$142.47	$395.75	$32.44–$170.31	33% below	64%
ACTH blood test CPT 82024 ACTH	$142.47	$395.75	$32.44–$170.31	33% below	64%
ACTH blood test inpatient CPT 82024 ACTH	$142.47	$395.75	$32.44–$170.31	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$15.48	$43.00	$4.45–$23.37	69% below	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$16.29	$45.25	$4.45–$23.37	67% below	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$16.29	$45.25	$4.45–$23.37	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$19.08	$53.00	$4.35–$22.84	63% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$19.08	$53.00	$4.35–$22.84	63% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROMETER+FIBROSCANVCTE-84450	$40.32	$112.00	$4.35–$22.84	22% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 FIBROMETER+FIBROSCANVCTE-84450	$40.32	$112.00	$4.35–$22.84	22% below	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$19.08	$53.00	$4.35–$22.84	—	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 FIBROMETER+FIBROSCANVCTE-84450	$40.32	$112.00	$4.35–$22.84	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL IH	$74.70	$207.50	$40.01–$210.05	80% below	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL IH	$78.48	$218.00	$40.01–$210.05	79% below	64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL IH	$74.70	$207.50	$40.01–$210.05	—	64%
Albumin blood test CPT 82040 ALBUMIN LEVEL	$18.18	$50.50	$4.16–$21.83	51% below	64%
Albumin blood test CPT 82040 ALBUMIN LEVEL	$18.18	$50.50	$4.16–$21.83	51% below	64%
Albumin blood test CPT 82040 CNSSIG+IGGCSF+OLIGOC 82040	$19.89	$55.25	$4.16–$21.83	47% below	64%
Albumin blood test CPT 82040 CNSSIG+IGGCSF+OLIGOC 82040	$19.89	$55.25	$4.16–$21.83	47% below	64%
Albumin blood test inpatient CPT 82040 ALBUMIN LEVEL	$18.18	$50.50	$4.16–$21.83	—	64%
Albumin blood test inpatient CPT 82040 CNSSIG+IGGCSF+OLIGOC 82040	$19.89	$55.25	$4.16–$21.83	—	64%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$135.72	$377.00	$34.23–$179.71	2% above	64%
Aldosterone blood test CPT 82088 ALDOSTERONE SERUM	$135.72	$377.00	$34.23–$179.71	2% above	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE SERUM	$135.72	$377.00	$34.23–$179.71	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$15.48	$43.00	$4.35–$22.84	68% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE	$16.29	$45.25	$4.35–$22.84	66% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALP ISOENZYMES - 84075	$23.31	$64.75	$4.35–$22.84	51% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALP ISOENZYMES - 84075	$23.31	$64.75	$4.35–$22.84	51% below	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE	$16.29	$45.25	$4.35–$22.84	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALP ISOENZYMES - 84075	$23.31	$64.75	$4.35–$22.84	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING	$39.24	$109.00	$4.38–$23.02	64% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, POTATO	$39.24	$109.00	$4.38–$23.02	64% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, POTATO	$39.24	$109.00	$4.38–$23.02	64% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING FOOD	$39.24	$109.00	$4.38–$23.02	64% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGY TESTING FOOD	$39.24	$109.00	$4.38–$23.02	64% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, RICE	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN TESTING	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOLD A. FUMIGATUS	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, MILK (COW'S)	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, MILK (COW'S)	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN MOLD A. FUMIGATUS	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FOOD, RICE	$41.22	$114.50	$4.38–$23.02	72% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN REG10 RESPI IGE-86003	$121.14	$336.50	$4.38–$23.02	405% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN REG10 RESPI IGE-86003	$121.14	$336.50	$4.38–$23.02	405% above	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN TESTING	$39.24	$109.00	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, POTATO	$39.24	$109.00	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGY TESTING FOOD	$39.24	$109.00	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, MILK (COW'S)	$41.22	$114.50	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FOOD, RICE	$41.22	$114.50	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN MOLD A. FUMIGATUS	$41.22	$114.50	$4.38–$23.02	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN REG10 RESPI IGE-86003	$121.14	$336.50	$4.38–$23.02	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR	$59.58	$165.50	$14.09–$73.96	44% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN MATERNAL	$59.58	$165.50	$14.09–$73.96	44% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN TUMOR	$59.58	$165.50	$14.09–$73.96	44% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN MATERNAL	$62.55	$173.75	$14.09–$73.96	41% below	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN TUMOR	$59.58	$165.50	$14.09–$73.96	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN MATERNAL	$62.55	$173.75	$14.09–$73.96	—	64%
Ammonia blood test CPT 82140 AMMONIA: VENOUS	$54.90	$152.50	$12.24–$64.25	61% below	64%
Ammonia blood test CPT 82140 AMMONIA	$54.90	$152.50	$12.24–$64.25	61% below	64%
Ammonia blood test CPT 82140 AMMONIA	$54.90	$152.50	$12.24–$64.25	61% below	64%
Ammonia blood test CPT 82140 AMMONIA: VENOUS	$57.69	$160.25	$12.24–$64.25	59% below	64%
Ammonia blood test inpatient CPT 82140 AMMONIA: VENOUS	$54.90	$152.50	$12.24–$64.25	—	64%
Ammonia blood test inpatient CPT 82140 AMMONIA	$54.90	$152.50	$12.24–$64.25	—	64%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$45.81	$127.25	$5.44–$28.58	41% below	64%
Amylase blood test CPT 82150 AMYLASE BODY FLUID	$45.81	$127.25	$5.44–$28.58	41% below	64%
Amylase blood test CPT 82150 AMYLASE SERUM	$48.06	$133.50	$5.44–$28.58	38% below	64%
Amylase blood test CPT 82150 AMYLASE SERUM	$48.06	$133.50	$5.44–$28.58	38% below	64%
Amylase blood test inpatient CPT 82150 AMYLASE BODY FLUID	$45.81	$127.25	$5.44–$28.58	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$48.06	$133.50	$5.44–$28.58	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLILC CITRULLINATED PEPTIDE	$32.31	$89.75	$10.88–$57.11	42% below	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLILC CITRULLINATED PEPTIDE	$33.93	$94.25	$10.88–$57.11	39% below	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLILC CITRULLINATED PEPTIDE	$33.93	$94.25	$10.88–$57.11	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$36.90	$102.50	$10.16–$53.32	52% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA	$36.90	$102.50	$10.16–$53.32	52% below	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA	$36.90	$102.50	$10.16–$53.32	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$95.85	$266.25	$10.85–$173.14	39% below	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$95.85	$266.25	$10.85–$173.14	39% below	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$99.36	$276.00	$10.85–$173.14	36% below	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NT-PROBNP	$99.36	$276.00	$10.85–$173.14	36% below	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$95.85	$266.25	$10.85–$173.14	—	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NT-PROBNP	$99.36	$276.00	$10.85–$173.14	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA SPECIES CULTURE	$52.56	$146.00	$5.61–$38.01	22% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA SPECIES CULTURE	$52.56	$146.00	$5.61–$38.01	22% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPINAL FLUID	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE BIOPSY	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE SPINAL FLUID	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE TISSUE BIOPSY	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT CATH TIP	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT CATH TIP	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT GENITAL	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT THROAT	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT WOUND/ABCESS	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT BODY FLUID	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT BODY FLUID	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT RESPIRATORY	$57.06	$158.50	$5.61–$38.01	15% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT MISCELLANEOUS	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT GENITAL	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT THROAT	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT RESPIRATORY	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT MISCELLANEOUS	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) one side CPT 87070 CULTURE RT WOUND/ABCESS	$59.94	$166.50	$5.61–$38.01	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA SPECIES CULTURE	$52.56	$146.00	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE TISSUE BIOPSY	$57.06	$158.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE SPINAL FLUID	$59.94	$166.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT THROAT	$57.06	$158.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT BODY FLUID	$57.06	$158.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT CATH TIP	$57.06	$158.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT GENITAL	$59.94	$166.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT RESPIRATORY	$59.94	$166.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT WOUND/ABCESS	$59.94	$166.50	$5.61–$38.01	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient one side CPT 87070 CULTURE RT MISCELLANEOUS	$59.94	$166.50	$5.61–$38.01	—	64%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC	$96.03	$266.75	$7.11–$37.31	54% below	64%
Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC	$96.03	$266.75	$7.11–$37.31	54% below	64%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC	$96.03	$266.75	$7.11–$37.31	—	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID	$30.78	$85.50	$4.22–$22.14	46% below	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN BODY FLUID	$32.31	$89.75	$4.22–$22.14	43% below	64%
Bilirubin blood test, total CPT 82247 NEONATAL BILIRUBIN TOTAL	$38.79	$107.75	$4.22–$22.14	32% below	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$38.79	$107.75	$4.22–$22.14	32% below	64%
Bilirubin blood test, total CPT 82247 NEONATAL BILIRUBIN TOTAL	$40.77	$113.25	$4.22–$22.14	29% below	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$40.77	$113.25	$4.22–$22.14	29% below	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN BODY FLUID	$32.31	$89.75	$4.22–$22.14	—	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$40.77	$113.25	$4.22–$22.14	—	64%
Bilirubin blood test, total inpatient CPT 82247 NEONATAL BILIRUBIN TOTAL	$40.77	$113.25	$4.22–$22.14	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH CELL BLOCK	$117.54	$326.50	$79.04–$218.16	60% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4(88305)	$140.49	$390.25	$79.04–$218.16	53% below	64%
Blood culture for bacteria CPT 87040 CULTURE ROUTINE BLOOD	$115.56	$321.00	$7.37–$45.51	43% below	64%
Blood culture for bacteria CPT 87040 CULTURE ROUTINE BLOOD	$115.56	$321.00	$7.37–$45.51	43% below	64%
Blood culture for bacteria inpatient CPT 87040 CULTURE ROUTINE BLOOD	$115.56	$321.00	$7.37–$45.51	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW/VENIPUNCTURE	$18.63	$51.75	$5.04–$5.35	3% above	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD COLLECTION	$19.53	$54.25	$5.04–$5.35	8% above	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415-VENIPUNCTURE	$19.53	$54.25	$5.04–$5.35	8% above	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415-BLOOD COLLECTION	$19.53	$54.25	$5.04–$5.35	8% above	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENOUS BLOOD DRAW	$19.53	$54.25	$5.04–$5.35	8% above	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$35.46	$98.50	$3.30–$17.33	15% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP	$35.46	$98.50	$3.30–$17.33	15% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE 2HR PP	$35.46	$98.50	$3.30–$17.33	15% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$35.46	$98.50	$3.30–$17.33	15% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$35.46	$98.50	$3.30–$17.33	15% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE BLOOD	$37.26	$103.50	$3.30–$17.33	11% below	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE 2HR PP	$35.46	$98.50	$3.30–$17.33	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BLOOD	$35.46	$98.50	$3.30–$17.33	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$35.46	$98.50	$3.30–$17.33	—	64%
Blood lead test CPT 83655 LEAD,BLOOD,PEDIATRIC	$56.34	$156.50	$10.17–$53.41	21% above	64%
Blood lead test CPT 83655 LEAD LEVEL SERUM	$56.34	$156.50	$10.17–$53.41	21% above	64%
Blood lead test CPT 83655 LEAD URINE	$59.13	$164.25	$10.17–$53.41	27% above	64%
Blood lead test CPT 83655 LEAD LEVEL SERUM	$59.13	$164.25	$10.17–$53.41	27% above	64%
Blood lead test CPT 83655 LEAD,BLOOD,PEDIATRIC	$59.13	$164.25	$10.17–$53.41	27% above	64%
Blood lead test CPT 83655 LEAD URINE	$59.13	$164.25	$10.17–$53.41	27% above	64%
Blood lead test inpatient CPT 83655 LEAD LEVEL SERUM	$59.13	$164.25	$10.17–$53.41	—	64%
Blood lead test inpatient CPT 83655 LEAD URINE	$59.13	$164.25	$10.17–$53.41	—	64%
Blood lead test inpatient CPT 83655 LEAD,BLOOD,PEDIATRIC	$59.13	$164.25	$10.17–$53.41	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG SERUM QUAL	$42.30	$117.50	$6.32–$33.16	69% below	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREG SERUM QUAL	$42.30	$117.50	$6.32–$33.16	69% below	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREG SERUM QUAL	$42.30	$117.50	$6.32–$33.16	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD ABO	$62.19	$172.75	$2.51–$7.30	30% below	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$18.18	$50.50	$3.32–$17.42	66% below	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$18.18	$50.50	$3.32–$17.42	66% below	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$18.18	$50.50	$3.32–$17.42	—	64%
C-peptide blood test CPT 84681 C PEPTIDE	$57.33	$159.25	$10.84–$91.77	21% below	64%
C-peptide blood test CPT 84681 C PEPTIDE	$57.33	$159.25	$10.84–$91.77	21% below	64%
C-peptide blood test inpatient CPT 84681 C PEPTIDE	$57.33	$159.25	$10.84–$91.77	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$28.44	$79.00	$4.35–$22.84	45% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACTIVE PROTEIN	$29.88	$83.00	$4.35–$22.84	43% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACTIVE PROTEIN	$29.88	$83.00	$4.35–$22.84	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE	$54.90	$152.50	$31.31–$150.57	69% below	64%
C. difficile toxin gene test (stool PCR) CPT 87493 CLOSTRIDIUM DIFFICILE	$57.69	$160.25	$31.31–$150.57	67% below	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CLOSTRIDIUM DIFFICILE	$54.90	$152.50	$31.31–$150.57	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$61.56	$171.00	$17.48–$91.77	54% below	64%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$64.62	$179.50	$17.48–$91.77	51% below	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$64.62	$179.50	$17.48–$91.77	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$79.92	$222.00	$17.48–$91.77	47% below	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA-125	$79.92	$222.00	$17.48–$91.77	47% below	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA-125	$79.92	$222.00	$17.48–$91.77	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BIOFIRE RESP PANEL 2.1 - 87635	$57.78	$160.50	$51.31–$119.55	37% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 HIGH THROUGHPUT	$69.21	$192.25	$51.31–$119.55	25% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 SARS-COV-2 RT-PCR DXPNL NONCDC	$72.63	$201.75	$51.31–$119.55	21% below	64%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$18.18	$50.50	$4.33–$22.76	68% below	64%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$19.08	$53.00	$4.33–$22.76	67% below	64%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM	$19.08	$53.00	$4.33–$22.76	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$68.76	$191.00	$15.93–$83.61	49% below	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$68.76	$191.00	$15.93–$83.61	49% below	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$68.76	$191.00	$15.93–$83.61	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGG	$15.12	$42.00	$10.82–$30.01	75% below	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER IGG	$15.84	$44.00	$10.82–$30.01	74% below	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER IGG	$15.84	$44.00	$10.82–$30.01	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS (IH)	$54.90	$152.50	$16.84–$154.75	56% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS (IH)	$54.90	$152.50	$16.84–$154.75	56% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS APTIMA	$57.69	$160.25	$16.84–$154.75	54% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS APTIMA	$57.69	$160.25	$16.84–$154.75	54% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS (IH)	$54.90	$152.50	$16.84–$154.75	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS APTIMA	$57.69	$160.25	$16.84–$154.75	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE+LIPIDS 80061	$55.08	$153.00	$11.25–$59.05	63% below	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 NMR LIPOPROFILE+LIPIDS 80061	$57.87	$160.75	$11.25–$59.05	61% below	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID SCREEN	$91.08	$253.00	$11.25–$59.05	39% below	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID SCREEN	$95.67	$265.75	$11.25–$59.05	35% below	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 NMR LIPOPROFILE+LIPIDS 80061	$55.08	$153.00	$11.25–$59.05	—	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID SCREEN	$95.67	$265.75	$11.25–$59.05	—	64%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$44.10	$122.50	$1.99–$34.27	52% below	64%
Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF	$44.10	$122.50	$1.99–$34.27	52% below	64%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF	$44.10	$122.50	$1.99–$34.27	—	64%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$30.33	$84.25	$1.99–$28.53	68% below	64%
Complete blood count (CBC), no differential CPT 85027 CBC NO DIFF	$30.33	$84.25	$1.99–$28.53	68% below	64%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC NO DIFF	$30.33	$84.25	$1.99–$28.53	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC	$115.38	$320.50	$8.87–$46.57	53% below	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC	$115.38	$320.50	$8.87–$46.57	53% below	64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC	$115.38	$320.50	$8.87–$46.57	—	64%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA	$25.29	$70.25	$13.69–$71.88	69% below	64%
Cortisol blood test, total CPT 82533 CORTISOL PLASMA	$26.55	$73.75	$13.69–$71.88	68% below	64%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL,MS	$58.95	$163.75	$13.69–$71.88	28% below	64%
Cortisol blood test, total CPT 82533 SALIVARY CORTISOL,MS	$58.95	$163.75	$13.69–$71.88	28% below	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL PLASMA	$26.55	$73.75	$13.69–$71.88	—	64%
Cortisol blood test, total inpatient CPT 82533 SALIVARY CORTISOL,MS	$58.95	$163.75	$13.69–$71.88	—	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$18.18	$50.50	$5.47–$28.71	72% below	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL	$18.18	$50.50	$5.47–$28.71	72% below	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK TOTAL	$18.18	$50.50	$5.47–$28.71	—	64%
Creatinine blood test CPT 82565 CREATININE SERUM	$18.18	$50.50	$4.30–$22.58	66% below	64%
Creatinine blood test CPT 82565 CREATININE SERUM	$19.08	$53.00	$4.30–$22.58	64% below	64%
Creatinine blood test CPT 82565 POCT CREATININE	$19.08	$53.00	$4.30–$22.58	64% below	64%
Creatinine blood test CPT 82565 POCT CREATININE	$19.08	$53.00	$4.30–$22.58	64% below	64%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$18.18	$50.50	$4.30–$22.58	—	64%
Creatinine blood test inpatient CPT 82565 POCT CREATININE	$19.08	$53.00	$4.30–$22.58	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG	$58.68	$163.00	$10.18–$63.46	17% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV-IGG	$58.68	$163.00	$10.18–$63.46	17% below	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV-IGG	$58.68	$163.00	$10.18–$63.46	—	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$56.34	$156.50	$8.55–$44.89	67% below	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$56.34	$156.50	$8.55–$44.89	67% below	64%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$56.34	$156.50	$8.55–$44.89	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - SULFATE	$73.17	$203.25	$18.67–$98.03	51% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA - SULFATE	$76.86	$213.50	$18.67–$98.03	49% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$76.86	$213.50	$18.67–$98.03	49% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$76.86	$213.50	$18.67–$98.03	49% below	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$76.86	$213.50	$18.67–$98.03	—	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA - SULFATE	$76.86	$213.50	$18.67–$98.03	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS B IMMUNO	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP SCREEN URINE	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN - URINE	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN UA	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 80307-ETHYL ALCH SCREEN W/CONF	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MULTIPLE CLASSES	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG MULTIPLE CLASSES	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SING/MULT NOS	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS A IMMUNO	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 80307-ETHYL ALCH SCREEN W/CONF	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE SCREEN URINE	$30.51	$84.75	$52.20	51% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MARIJUANA SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS A IMMUNO	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN SING/MULT NOS	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 INDUSTRIAL DRUG SCREEN 5:URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS B IMMUNO	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATE SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE SCREEN UA	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE SCREEN - URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MARIJUANA SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 INDUSTRIAL DRUG SCREEN 5:URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE SCREEN URINE	$32.04	$89.00	$52.20	48% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL-MEC,SCRNW/FLXTOCONF	$60.93	$169.25	$52.20–$144.79	2% below	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG PANEL-MEC,SCRNW/FLXTOCONF	$63.99	$177.75	$52.20–$144.79	3% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG DET PANEL-UMBILICAL, QUAL	$118.17	$328.25	$52.20–$274.04	90% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG DET PANEL-UMBILICAL, QUAL	$118.17	$328.25	$52.20–$274.04	90% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE, URINE	$119.61	$332.25	$52.20–$274.04	92% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE METABOLITE, URINE	$125.55	$348.75	$52.20–$274.04	102% above	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 80307-ETHYL ALCH SCREEN W/CONF	$30.51	$84.75	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN SING/MULT NOS	$30.51	$84.75	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG MULTIPLE CLASSES	$30.51	$84.75	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATE SCREEN URINE	$30.51	$84.75	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE SCREEN URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINE SCREEN UA	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PCP SCREEN URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE SCREEN - URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATE SCREEN URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 INDUSTRIAL DRUG SCREEN 5:URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CLASS A IMMUNO	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MARIJUANA SCREEN URINE	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CLASS B IMMUNO	$32.04	$89.00	$52.20	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG PANEL-MEC,SCRNW/FLXTOCONF	$60.93	$169.25	$52.20–$144.79	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG DET PANEL-UMBILICAL, QUAL	$118.17	$328.25	$52.20–$274.04	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE METABOLITE, URINE	$125.55	$348.75	$52.20–$274.04	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL 4T	$80.01	$222.25	$5.89–$30.91	50% below	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES PANEL 4T	$80.01	$222.25	$5.89–$30.91	50% below	64%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES PANEL 4T	$80.01	$222.25	$5.89–$30.91	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG	$13.77	$38.25	$11.02–$39.40	84% below	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM	$13.77	$38.25	$11.02–$39.40	84% below	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM	$13.77	$38.25	$11.02–$39.40	84% below	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG	$14.49	$40.25	$11.02–$39.40	83% below	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGG	$13.77	$38.25	$11.02–$39.40	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM	$13.77	$38.25	$11.02–$39.40	—	64%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE	$72.09	$200.25	$23.47–$123.22	42% below	64%
Estradiol blood test CPT 82670 ESTRADIOL, SENSITIVE	$75.69	$210.25	$23.47–$123.22	39% below	64%
Estradiol blood test CPT 82670 ESTRADIOL	$86.85	$241.25	$23.47–$123.22	30% below	64%
Estradiol blood test CPT 82670 ESTRADIOL	$91.17	$253.25	$23.47–$123.22	27% below	64%
Estradiol blood test inpatient CPT 82670 ESTRADIOL, SENSITIVE	$75.69	$210.25	$23.47–$123.22	—	64%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$91.17	$253.25	$23.47–$123.22	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$54.81	$152.25	$15.61–$81.94	65% below	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH SERUM	$54.81	$152.25	$15.61–$81.94	65% below	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH SERUM	$54.81	$152.25	$15.61–$81.94	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$134.64	$374.00	$14.11–$86.57	37% below	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$134.64	$374.00	$14.11–$86.57	37% below	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$134.64	$374.00	$14.11–$86.57	—	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$51.57	$143.25	$11.45–$60.11	38% below	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$51.57	$143.25	$11.45–$60.11	38% below	64%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$51.57	$143.25	$11.45–$60.11	—	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$36.18	$100.50	$8.16–$42.87	58% below	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$36.18	$100.50	$8.16–$42.87	58% below	64%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$36.18	$100.50	$8.16–$42.87	—	64%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$51.48	$143.00	$12.35–$64.83	36% below	64%
Folate (folic acid) blood test CPT 82746 FOLATE SERUM	$51.48	$143.00	$12.35–$64.83	36% below	64%
Folate (folic acid) blood test inpatient CPT 82746 FOLATE SERUM	$51.48	$143.00	$12.35–$64.83	—	64%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$166.77	$463.25	$5.43–$74.71	20% above	64%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$166.77	$463.25	$5.43–$74.71	20% above	64%
Free T3 thyroid hormone test CPT 84481 FREE T3 (IH)	$175.14	$486.50	$5.43–$74.71	26% above	64%
Free T3 thyroid hormone test CPT 84481 FREE T3 (IH)	$175.14	$486.50	$5.43–$74.71	26% above	64%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$166.77	$463.25	$5.43–$74.71	—	64%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T3 (IH)	$175.14	$486.50	$5.43–$74.71	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4-FREE	$50.94	$141.50	$5.77–$39.78	32% below	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4-FREE	$50.94	$141.50	$5.77–$39.78	32% below	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4-FREE	$50.94	$141.50	$5.77–$39.78	—	64%
Free testosterone test CPT 84402 TESTOSTERONE, FREE, DIRECT	$55.26	$153.50	$9.69–$112.32	48% below	64%
Free testosterone test CPT 84402 TESTOSTERONE, FREE, DIRECT	$58.05	$161.25	$9.69–$112.32	45% below	64%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$68.04	$189.00	$9.69–$112.32	36% below	64%
Free testosterone test CPT 84402 TESTOSTERONE-FREE	$68.04	$189.00	$9.69–$112.32	36% below	64%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$68.04	$189.00	$9.69–$112.32	36% below	64%
Free testosterone test CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$68.04	$189.00	$9.69–$112.32	36% below	64%
Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE, DIRECT	$55.26	$153.50	$9.69–$112.32	—	64%
Free testosterone test inpatient CPT 84402 TESTOSTERONE-FREE	$68.04	$189.00	$9.69–$112.32	—	64%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE FEMALE/CHILD	$68.04	$189.00	$9.69–$112.32	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$31.41	$87.25	$6.05–$31.75	47% below	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$31.41	$87.25	$6.05–$31.75	47% below	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROMETER+FIBROSCANVCTE-82977	$46.08	$128.00	$6.05–$31.75	22% below	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 FIBROMETER+FIBROSCANVCTE-82977	$48.42	$134.50	$6.05–$31.75	18% below	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$31.41	$87.25	$6.05–$31.75	—	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 FIBROMETER+FIBROSCANVCTE-82977	$46.08	$128.00	$6.05–$31.75	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL DIABETIC SCREEN	$25.83	$71.75	$3.99–$20.95	67% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GESTATIONAL DIABETIC SCREEN	$25.83	$71.75	$3.99–$20.95	67% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GESTATIONAL DIABETIC SCREEN	$25.83	$71.75	$3.99–$20.95	—	64%
Glucose tolerance test, 3 samples CPT 82951 GTT DOSE/3 SPEC	$58.86	$163.50	$10.81–$56.76	61% below	64%
Glucose tolerance test, 3 samples CPT 82951 GTT DOSE/3 SPEC	$61.83	$171.75	$10.81–$56.76	59% below	64%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT DOSE/3 SPEC	$61.83	$171.75	$10.81–$56.76	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE (IH)	$54.90	$152.50	$16.84–$154.75	58% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC APTIMA	$54.90	$152.50	$16.84–$154.75	58% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE (IH)	$57.69	$160.25	$16.84–$154.75	56% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC APTIMA	$57.69	$160.25	$16.84–$154.75	56% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC APTIMA	$54.90	$152.50	$16.84–$154.75	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE (IH)	$57.69	$160.25	$16.84–$154.75	—	64%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN FECAL	$75.42	$209.50	$10.06–$63.42	7% below	64%
H. pylori stool antigen test CPT 87338 H PYLORI ANTIGEN FECAL	$75.42	$209.50	$10.06–$63.42	7% below	64%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI ANTIGEN FECAL	$75.42	$209.50	$10.06–$63.42	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR	$159.84	$444.00	$29.48–$375.29	47% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA BY PCR	$167.85	$466.25	$29.48–$375.29	45% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA PCR QUANT	$216.81	$602.25	$29.48–$375.29	29% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA PCR QUANT	$227.61	$632.25	$29.48–$375.29	25% below	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA BY PCR	$167.85	$466.25	$29.48–$375.29	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA PCR QUANT	$227.61	$632.25	$29.48–$375.29	—	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1,2 ANTIBODY	$34.92	$97.00	$7.47–$60.46	60% below	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID	$34.92	$97.00	$7.47–$60.46	60% below	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV1,2 ANTIBODY	$36.63	$101.75	$7.47–$60.46	58% below	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV RAPID	$36.63	$101.75	$7.47–$60.46	58% below	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV RAPID	$34.92	$97.00	$7.47–$60.46	—	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV1,2 ANTIBODY	$34.92	$97.00	$7.47–$60.46	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO	$37.35	$103.75	$8.68–$106.19	72% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV COMBO	$39.24	$109.00	$8.68–$106.19	71% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 AG	$46.35	$128.75	$8.68–$106.19	66% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV AB/P24 AG	$48.69	$135.25	$8.68–$106.19	64% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV COMBO	$39.24	$109.00	$8.68–$106.19	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV AB/P24 AG	$46.35	$128.75	$8.68–$106.19	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$38.43	$106.75	$8.16–$42.82	54% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN	$38.43	$106.75	$8.16–$42.82	54% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOHEMOGLOBIN	$38.43	$106.75	$8.16–$42.82	—	64%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$16.74	$46.50	$1.99–$10.45	61% below	64%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$17.55	$48.75	$1.99–$10.45	60% below	64%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN	$17.55	$48.75	$1.99–$10.45	—	64%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL AB	$19.71	$54.75	$7.47–$53.14	73% below	64%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOTAL (IH)	$19.71	$54.75	$7.47–$53.14	73% below	64%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE TOTAL AB	$19.71	$54.75	$7.47–$53.14	73% below	64%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE TOTAL (IH)	$19.71	$54.75	$7.47–$53.14	73% below	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE TOTAL AB	$19.71	$54.75	$7.47–$53.14	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE TOTAL (IH)	$19.71	$54.75	$7.47–$53.14	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$37.62	$104.50	$9.02–$47.36	41% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY	$37.62	$104.50	$9.02–$47.36	41% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB (IH)	$37.62	$104.50	$9.02–$47.36	41% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE AB (IH)	$37.62	$104.50	$9.02–$47.36	41% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE AB (IH)	$37.62	$104.50	$9.02–$47.36	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE ANTIBODY	$37.62	$104.50	$9.02–$47.36	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG (IH)	$16.29	$45.25	$8.68–$45.56	77% below	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$16.29	$45.25	$8.68–$45.56	77% below	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE AG (IH)	$17.10	$47.50	$8.68–$45.56	76% below	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURFACE ANTIGEN	$17.10	$47.50	$8.68–$45.56	76% below	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE AG (IH)	$16.29	$45.25	$8.68–$45.56	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURFACE ANTIGEN	$17.10	$47.50	$8.68–$45.56	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$22.23	$61.75	$10.82–$62.93	74% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY	$22.23	$61.75	$10.82–$62.93	74% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS (IH)	$23.31	$64.75	$10.82–$62.93	73% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEP C VIRUS (IH)	$23.31	$64.75	$10.82–$62.93	73% below	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C ANTIBODY	$22.23	$61.75	$10.82–$62.93	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEP C VIRUS (IH)	$23.31	$64.75	$10.82–$62.93	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA/PCR QUAN	$198.09	$550.25	$29.48–$188.92	16% below	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS RNA/PCR QUAN	$198.09	$550.25	$29.48–$188.92	16% below	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BY QUANT. NAAT	$207.99	$577.75	$29.48–$188.92	12% below	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C BY QUANT. NAAT	$207.99	$577.75	$29.48–$188.92	12% below	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS RNA/PCR QUAN	$198.09	$550.25	$29.48–$188.92	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C BY QUANT. NAAT	$207.99	$577.75	$29.48–$188.92	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG	$29.25	$81.25	$11.08–$58.17	59% below	64%
Herpes blood test, HSV-1 antibody CPT 86695 HSV 1 IGG	$29.25	$81.25	$11.08–$58.17	59% below	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV 1 IGG	$29.25	$81.25	$11.08–$58.17	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG	$29.25	$81.25	$12.09–$78.17	65% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 HSV 2 IGG	$30.69	$85.25	$12.09–$78.17	64% below	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 2 IGG	$30.69	$85.25	$12.09–$78.17	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP: HIGH SENSITIVITY	$90.54	$251.50	$4.85–$57.11	20% above	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP: HIGH SENSITIVITY	$95.04	$264.00	$4.85–$57.11	26% above	64%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP: HIGH SENSITIVITY	$95.04	$264.00	$4.85–$57.11	—	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (IH)	$119.16	$331.00	$15.05–$79.03	21% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (IH)	$119.16	$331.00	$15.05–$79.03	21% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$119.16	$331.00	$15.05–$79.03	21% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE	$125.10	$347.50	$15.05–$79.03	17% below	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE (IH)	$119.16	$331.00	$15.05–$79.03	—	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE	$125.10	$347.50	$15.05–$79.03	—	64%
Insulin blood test CPT 83525 INSULIN ASSAY	$35.82	$99.50	$9.60–$50.41	48% below	64%
Insulin blood test CPT 83525 INSULIN ASSAY	$37.62	$104.50	$9.60–$50.41	45% below	64%
Insulin blood test inpatient CPT 83525 INSULIN ASSAY	$35.82	$99.50	$9.60–$50.41	—	64%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$48.42	$134.50	$5.43–$28.53	32% below	64%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$48.42	$134.50	$5.43–$28.53	32% below	64%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$48.42	$134.50	$5.43–$28.53	—	64%
Iron-binding capacity (TIBC) test CPT 83550 T I B C	$58.95	$163.75	$7.34–$38.54	34% below	64%
Iron-binding capacity (TIBC) test CPT 83550 T I B C	$61.92	$172.00	$7.34–$38.54	31% below	64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 T I B C	$58.95	$163.75	$7.34–$38.54	—	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION	$94.50	$262.50	$7.29–$38.28	47% below	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION	$94.50	$262.50	$7.29–$38.28	47% below	64%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION	$94.50	$262.50	$7.29–$38.28	—	64%
LH (luteinizing hormone) test CPT 83002 LUTIENIZING HORMONE	$61.11	$169.75	$15.56–$81.67	56% below	64%
LH (luteinizing hormone) test CPT 83002 LUTIENIZING HORMONE	$64.17	$178.25	$15.56–$81.67	54% below	64%
LH (luteinizing hormone) test inpatient CPT 83002 LUTIENIZING HORMONE	$61.11	$169.75	$15.56–$81.67	—	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$33.48	$93.00	$9.72–$51.02	65% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$33.48	$93.00	$9.72–$51.02	65% below	64%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$33.48	$93.00	$9.72–$51.02	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD ISOENZYMES 83615	$29.79	$82.75	$5.07–$26.64	27% below	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LD ISOENZYMES 83615	$29.79	$82.75	$5.07–$26.64	27% below	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF	$47.43	$131.75	$5.07–$26.64	16% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY	$47.43	$131.75	$5.07–$26.64	16% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH BODY	$47.43	$131.75	$5.07–$26.64	16% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$49.77	$138.25	$5.07–$26.64	21% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CSF	$49.77	$138.25	$5.07–$26.64	21% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$49.77	$138.25	$5.07–$26.64	21% above	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD ISOENZYMES 83615	$29.79	$82.75	$5.07–$26.64	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CSF	$47.43	$131.75	$5.07–$26.64	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH BODY	$47.43	$131.75	$5.07–$26.64	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$49.77	$138.25	$5.07–$26.64	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$49.59	$137.75	$5.79–$30.38	27% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE SERUM	$52.11	$144.75	$5.79–$30.38	23% below	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE SERUM	$52.11	$144.75	$5.79–$30.38	—	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$44.91	$124.75	$6.86–$36.03	77% below	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION	$47.16	$131.00	$6.86–$36.03	76% below	64%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION	$47.16	$131.00	$6.86–$36.03	—	64%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES	$71.73	$199.25	$11.08–$75.10	13% below	64%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODIES	$75.33	$209.25	$11.08–$75.10	9% below	64%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODIES	$71.73	$199.25	$11.08–$75.10	—	64%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$48.42	$134.50	$5.63–$29.55	5% above	64%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$48.42	$134.50	$5.63–$29.55	5% above	64%
Magnesium blood test CPT 83735 MAGNESIUM	$54.63	$151.75	$5.63–$29.55	19% above	64%
Magnesium blood test CPT 83735 MAGNESIUM	$57.33	$159.25	$5.63–$29.55	25% above	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$48.42	$134.50	$5.63–$29.55	—	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$54.63	$151.75	$5.63–$29.55	—	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$39.24	$109.00	$10.82–$56.80	7% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$41.22	$114.50	$10.82–$56.80	12% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$41.22	$114.50	$10.82–$56.80	12% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$41.22	$114.50	$10.82–$56.80	12% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG & IGM BATTERY	$78.48	$218.00	$10.82–$56.80	114% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG & IGM BATTERY	$82.44	$229.00	$10.82–$56.80	125% above	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$39.24	$109.00	$10.82–$56.80	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM	$41.22	$114.50	$10.82–$56.80	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG & IGM BATTERY	$78.48	$218.00	$10.82–$56.80	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$30.87	$85.75	$4.35–$22.84	64% below	64%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO TEST	$32.40	$90.00	$4.35–$22.84	62% below	64%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO TEST	$30.87	$85.75	$4.35–$22.84	—	64%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB	$12.87	$35.75	$10.96–$31.89	78% below	64%
Mumps immunity blood test CPT 86735 MUMPS VIRUS AB	$12.87	$35.75	$10.96–$31.89	78% below	64%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS AB	$12.87	$35.75	$10.96–$31.89	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$44.37	$123.25	$15.45–$81.10	61% below	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE	$46.62	$129.50	$15.45–$81.10	59% below	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE	$44.37	$123.25	$15.45–$81.10	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (DIAGNOSTIC)	$54.90	$152.50	$15.45–$81.10	36% below	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - ULTRA SENSITIVE	$57.69	$160.25	$15.45–$81.10	33% below	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (DIAGNOSTIC)	$57.69	$160.25	$15.45–$81.10	33% below	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA - ULTRA SENSITIVE	$60.57	$168.25	$15.45–$81.10	29% below	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA - ULTRA SENSITIVE	$57.69	$160.25	$15.45–$81.10	—	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (DIAGNOSTIC)	$57.69	$160.25	$15.45–$81.10	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH (IH)	$64.08	$178.00	$34.68–$182.04	68% below	64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$67.32	$187.00	$34.68–$182.04	67% below	64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$67.32	$187.00	$34.68–$182.04	67% below	64%
Parathyroid hormone (PTH) blood test CPT 83970 PTH (IH)	$67.32	$187.00	$34.68–$182.04	67% below	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH (IH)	$64.08	$178.00	$34.68–$182.04	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$67.32	$187.00	$34.68–$182.04	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$49.05	$136.25	$5.05–$26.50	2% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$51.48	$143.00	$5.05–$26.50	3% above	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$51.48	$143.00	$5.05–$26.50	—	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$19.08	$53.00	$3.98–$20.90	69% below	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS SERUM	$19.08	$53.00	$3.98–$20.90	69% below	64%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS SERUM	$19.08	$53.00	$3.98–$20.90	—	64%
Potassium blood test CPT 84132 POTASSIUM SERUM G47	$70.38	$195.50	$4.00–$32.85	18% above	64%
Potassium blood test CPT 84132 POTASSIUM/BLOOD	$70.38	$195.50	$4.00–$32.85	18% above	64%
Potassium blood test CPT 84132 POTASSIUM/BLOOD	$70.38	$195.50	$4.00–$32.85	18% above	64%
Potassium blood test CPT 84132 POTASSIUM SERUM G47	$70.38	$195.50	$4.00–$32.85	18% above	64%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM G47	$70.38	$195.50	$4.00–$32.85	—	64%
Potassium blood test inpatient CPT 84132 POTASSIUM/BLOOD	$70.38	$195.50	$4.00–$32.85	—	64%
Progesterone blood test CPT 84144 PROGESTERONE SERUM	$49.68	$138.00	$17.52–$91.99	51% below	64%
Progesterone blood test CPT 84144 PROGESTERONE SERUM	$49.68	$138.00	$17.52–$91.99	51% below	64%
Progesterone blood test inpatient CPT 84144 PROGESTERONE SERUM	$49.68	$138.00	$17.52–$91.99	—	64%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$58.95	$163.75	$16.28–$85.47	47% below	64%
Prolactin blood test CPT 84146 MONOMERIC PROLACTIN	$61.92	$172.00	$16.28–$85.47	44% below	64%
Prolactin blood test CPT 84146 PROLACTIN	$81.90	$227.50	$16.28–$85.47	26% below	64%
Prolactin blood test CPT 84146 PROLACTIN	$81.90	$227.50	$16.28–$85.47	26% below	64%
Prolactin blood test CPT 84146 MACROPROLACTIN	$133.47	$370.75	$16.28–$85.47	21% above	64%
Prolactin blood test CPT 84146 MACROPROLACTIN	$133.47	$370.75	$16.28–$85.47	21% above	64%
Prolactin blood test inpatient CPT 84146 MONOMERIC PROLACTIN	$58.95	$163.75	$16.28–$85.47	—	64%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$81.90	$227.50	$16.28–$85.47	—	64%
Prolactin blood test inpatient CPT 84146 MACROPROLACTIN	$133.47	$370.75	$16.28–$85.47	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT INHIBITOR SCREEN	$22.68	$63.00	$3.60–$18.92	50% below	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT INHIBITOR SCREEN	$23.85	$66.25	$3.60–$18.92	47% below	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$40.41	$112.25	$3.60–$18.92	11% below	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTIME	$42.39	$117.75	$3.60–$18.92	7% below	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT INHIBITOR SCREEN	$22.68	$63.00	$3.60–$18.92	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTIME	$40.41	$112.25	$3.60–$18.92	—	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TRICYCLIC SCREEN URINE	$22.23	$61.75	$10.58–$55.57	79% below	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TRICYCLIC SCREEN URINE	$23.31	$64.75	$10.58–$55.57	78% below	64%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 TRICYCLIC SCREEN URINE	$22.23	$61.75	$10.58–$55.57	—	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$30.51	$84.75	$13.90–$72.99	67% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ANTIGEN	$30.51	$84.75	$13.90–$72.99	67% below	64%
Rapid flu test (influenza antigen) CPT 87804 POCT FLU TEST	$32.04	$89.00	$13.90–$72.99	66% below	64%
Rapid flu test (influenza antigen) CPT 87804 POCT FLU TEST	$32.04	$89.00	$13.90–$72.99	66% below	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA ANTIGEN	$30.51	$84.75	$13.90–$72.99	—	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 POCT FLU TEST	$32.04	$89.00	$13.90–$72.99	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POCT STREP SCREEN	$16.92	$47.00	$12.84–$38.51	83% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN THROAT	$17.73	$49.25	$12.84–$38.51	82% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 POCT STREP SCREEN	$17.73	$49.25	$12.84–$38.51	82% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN THROAT	$17.73	$49.25	$12.84–$38.51	82% below	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POCT STREP SCREEN	$16.92	$47.00	$12.84–$38.51	—	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN THROAT	$17.73	$49.25	$12.84–$38.51	—	64%
Renin blood test CPT 84244 RENIN	$71.19	$197.75	$18.47–$96.98	30% below	64%
Renin blood test CPT 84244 RENIN	$71.19	$197.75	$18.47–$96.98	30% below	64%
Renin blood test inpatient CPT 84244 RENIN	$71.19	$197.75	$18.47–$96.98	—	64%
Rh blood typing CPT 86901 BLOOD RH	$32.85	$91.25	$2.51–$77.89	49% below	64%
Rh blood typing CPT 86901 BLOOD RH	$32.85	$91.25	$2.51–$77.89	49% below	64%
Rh blood typing inpatient CPT 86901 BLOOD RH	$32.85	$91.25	$2.51–$77.89	—	64%
Rheumatoid factor (RF) test CPT 86431 R A TITER	$41.22	$114.50	$4.76–$25.00	10% below	64%
Rheumatoid factor (RF) test CPT 86431 R A TITER	$43.29	$120.25	$4.76–$25.00	5% below	64%
Rheumatoid factor (RF) test inpatient CPT 86431 R A TITER	$43.29	$120.25	$4.76–$25.00	—	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER	$39.24	$109.00	$10.41–$63.46	23% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB-IGM	$39.24	$109.00	$10.41–$63.46	23% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB-IGM	$41.22	$114.50	$10.41–$63.46	19% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGG	$41.22	$114.50	$10.41–$63.46	19% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY, IGG	$41.22	$114.50	$10.41–$63.46	19% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA TITER	$41.22	$114.50	$10.41–$63.46	19% below	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB-IGM	$39.24	$109.00	$10.41–$63.46	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY, IGG	$41.22	$114.50	$10.41–$63.46	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA TITER	$41.22	$114.50	$10.41–$63.46	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE	$26.82	$74.50	$2.27–$11.91	56% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE	$28.17	$78.25	$2.27–$11.91	54% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE	$28.17	$78.25	$2.27–$11.91	—	64%
Sodium blood test CPT 84295 SODIUM SERUM	$30.60	$85.00	$4.04–$21.21	51% below	64%
Sodium blood test CPT 84295 SODIUM SERUM	$32.13	$89.25	$4.04–$21.21	48% below	64%
Sodium blood test CPT 84295 SODIUM/BLOOD	$32.13	$89.25	$4.04–$21.21	48% below	64%
Sodium blood test CPT 84295 SODIUM/BLOOD	$32.13	$89.25	$4.04–$21.21	48% below	64%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$30.60	$85.00	$4.04–$21.21	—	64%
Sodium blood test inpatient CPT 84295 SODIUM/BLOOD	$32.13	$89.25	$4.04–$21.21	—	64%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE STOOL	$45.72	$127.00	$3.59–$39.25	32% below	64%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE STOOL	$45.72	$127.00	$3.59–$39.25	32% below	64%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE STOOL	$45.72	$127.00	$3.59–$39.25	—	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN	$21.24	$59.00	$3.68–$19.32	43% below	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD STOOL SCREEN	$22.32	$62.00	$3.68–$19.32	41% below	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD STOOL SCREEN	$22.32	$62.00	$3.68–$19.32	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT FIT	$28.80	$80.00	$13.37–$70.21	57% below	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT FIT	$28.80	$80.00	$13.37–$70.21	57% below	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HEMOCCULT FIT	$28.80	$80.00	$13.37–$70.21	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB	$20.79	$57.75	$11.12–$58.39	53% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS (IH)	$20.79	$57.75	$11.12–$58.39	53% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM AB	$21.87	$60.75	$11.12–$58.39	51% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS (IH)	$21.87	$60.75	$11.12–$58.39	51% below	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS (IH)	$20.79	$57.75	$11.12–$58.39	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T PALLIDUM AB	$20.79	$57.75	$11.12–$58.39	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$26.82	$74.50	$3.59–$18.83	37% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SPINAL FLUID	$28.17	$78.25	$3.59–$18.83	34% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$78.48	$218.00	$5.16–$146.57	62% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$78.48	$218.00	$5.16–$146.57	62% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$90.63	$251.75	$5.16–$250.40	56% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD	$90.63	$251.75	$5.16–$250.40	56% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS	$78.48	$218.00	$5.16–$146.57	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD	$90.63	$251.75	$5.16–$250.40	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FEMALE OR CHILD	$40.14	$111.50	$4.61–$113.82	60% below	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM-TOTAL	$40.14	$111.50	$4.61–$113.82	60% below	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE SERUM-TOTAL	$42.12	$117.00	$4.61–$113.82	58% below	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE FEMALE OR CHILD	$42.12	$117.00	$4.61–$113.82	58% below	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (IH)	$42.12	$117.00	$4.61–$113.82	58% below	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (IH)	$42.12	$117.00	$4.61–$113.82	58% below	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE FEMALE OR CHILD	$42.12	$117.00	$4.61–$113.82	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE (IH)	$42.12	$117.00	$4.61–$113.82	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE SERUM-TOTAL	$42.12	$117.00	$4.61–$113.82	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AB IGG	$41.22	$114.50	$12.22–$64.17	50% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOME AB IGG	$41.22	$114.50	$12.22–$64.17	50% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$63.00	$175.00	$12.22–$64.17	24% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 THYROID PEROXIDASE AB	$66.15	$183.75	$12.22–$64.17	21% below	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOME AB IGG	$41.22	$114.50	$12.22–$64.17	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 THYROID PEROXIDASE AB	$63.00	$175.00	$12.22–$64.17	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$69.93	$194.25	$7.58–$74.09	33% below	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$73.44	$204.00	$7.58–$74.09	30% below	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$73.44	$204.00	$7.58–$74.09	—	64%
Total IgE blood test CPT 82785 ALLERGEN REG10 RESPI IGE-82785	$47.07	$130.75	$13.83–$72.59	41% below	64%
Total IgE blood test CPT 82785 IGE	$47.07	$130.75	$13.83–$72.59	41% below	64%
Total IgE blood test CPT 82785 ALLERGEN REG10 RESPI IGE-82785	$49.41	$137.25	$13.83–$72.59	38% below	64%
Total IgE blood test CPT 82785 IGE	$49.41	$137.25	$13.83–$72.59	38% below	64%
Total IgE blood test inpatient CPT 82785 IGE	$47.07	$130.75	$13.83–$72.59	—	64%
Total IgE blood test inpatient CPT 82785 ALLERGEN REG10 RESPI IGE-82785	$49.41	$137.25	$13.83–$72.59	—	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$19.08	$53.00	$3.65–$19.18	66% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$19.08	$53.00	$3.65–$19.18	66% below	64%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$19.08	$53.00	$3.65–$19.18	—	64%
Total thyroxine (T4) blood test CPT 84436 THYROXIN LEVEL T4	$63.00	$175.00	$5.77–$30.30	21% below	64%
Total thyroxine (T4) blood test CPT 84436 THYROXIN LEVEL T4	$63.00	$175.00	$5.77–$30.30	21% below	64%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXIN LEVEL T4	$63.00	$175.00	$5.77–$30.30	—	64%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$49.68	$138.00	$4.82–$62.53	60% below	64%
Total triiodothyronine (T3) blood test CPT 84480 T3 TOTAL	$52.20	$145.00	$4.82–$62.53	58% below	64%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 TOTAL	$49.68	$138.00	$4.82–$62.53	—	64%
Transferrin blood test CPT 84466 TRANSFERRIN	$45.72	$127.00	$4.35–$56.27	62% below	64%
Transferrin blood test CPT 84466 TRANSFERRIN	$47.97	$133.25	$4.35–$56.27	60% below	64%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$47.97	$133.25	$4.35–$56.27	—	64%
Trichomonas test (NAAT) CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$54.54	$151.50	$29.48–$154.75	38% below	64%
Trichomonas test (NAAT) CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$57.24	$159.00	$29.48–$154.75	35% below	64%
Trichomonas test (NAAT) CPT 87661 VAGINITIS PANEL BY TMA - 87661	$58.86	$163.50	$29.48–$154.75	33% below	64%
Trichomonas test (NAAT) CPT 87661 VAGINITIS PANEL BY TMA - 87661	$61.83	$171.75	$29.48–$154.75	29% below	64%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP PRBE	$72.09	$200.25	$29.48–$154.75	18% below	64%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP PRBE	$75.69	$210.25	$29.48–$154.75	13% below	64%
Trichomonas test (NAAT) inpatient CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$57.24	$159.00	$29.48–$154.75	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 VAGINITIS PANEL BY TMA - 87661	$61.83	$171.75	$29.48–$154.75	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP PRBE	$75.69	$210.25	$29.48–$154.75	—	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID	$26.91	$74.75	$4.45–$25.31	60% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$26.91	$74.75	$4.45–$25.31	60% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID	$26.91	$74.75	$4.45–$25.31	60% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$28.26	$78.50	$4.45–$25.31	58% below	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE BODY FLUID	$26.91	$74.75	$4.45–$25.31	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$28.26	$78.50	$4.45–$25.31	—	64%
Troponin test, quantitative CPT 84484 TROPONIN I	$83.34	$231.50	$10.47–$54.99	27% below	64%
Troponin test, quantitative CPT 84484 TROPONIN I	$83.34	$231.50	$10.47–$54.99	27% below	64%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$83.34	$231.50	$10.47–$54.99	—	64%
Uric acid blood test CPT 84550 URIC ACID	$19.08	$53.00	$3.80–$19.93	76% below	64%
Uric acid blood test CPT 84550 URIC ACID	$19.08	$53.00	$3.80–$19.93	76% below	64%
Uric acid blood test inpatient CPT 84550 URIC ACID	$19.08	$53.00	$3.80–$19.93	—	64%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$33.66	$93.50	$2.66–$13.98	64% below	64%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS	$33.66	$93.50	$2.66–$13.98	64% below	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS	$33.66	$93.50	$2.66–$13.98	—	64%
Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE	$13.77	$38.25	$1.89–$9.92	71% below	64%
Urinalysis without microscope exam, automated CPT 81003 PROTEIN URINE	$13.77	$38.25	$1.89–$9.92	71% below	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 PROTEIN URINE	$13.77	$38.25	$1.89–$9.92	—	64%
Urinalysis without microscope exam, manual CPT 81002 PH URINE	$16.65	$46.25	$2.92–$15.35	43% below	64%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAV URINE	$16.65	$46.25	$2.92–$15.35	43% below	64%
Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAV URINE	$16.65	$46.25	$2.92–$15.35	43% below	64%
Urinalysis without microscope exam, manual CPT 81002 PH URINE	$16.65	$46.25	$2.92–$15.35	43% below	64%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP PROTEIN/GLUCOSE	$16.65	$46.25	$2.92–$15.35	43% below	64%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIP PROTEIN/GLUCOSE	$17.46	$48.50	$2.92–$15.35	41% below	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 PH URINE	$16.65	$46.25	$2.92–$15.35	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAV URINE	$16.65	$46.25	$2.92–$15.35	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIP PROTEIN/GLUCOSE	$17.46	$48.50	$2.92–$15.35	—	64%
Urine culture for bacteria, with colony count CPT 87086 CULTURE ROUTINE URINE	$57.24	$159.00	$6.78–$35.59	56% below	64%
Urine culture for bacteria, with colony count CPT 87086 CULTURE ROUTINE URINE	$57.24	$159.00	$6.78–$35.59	56% below	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE ROUTINE URINE	$57.24	$159.00	$6.78–$35.59	—	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR	$64.35	$178.75	$4.86–$25.49	26% above	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-RANDOM	$64.35	$178.75	$4.86–$25.49	26% above	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN 24HR	$64.35	$178.75	$4.86–$25.49	26% above	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN-RANDOM	$67.59	$187.75	$4.86–$25.49	33% above	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN 24HR	$64.35	$178.75	$4.86–$25.49	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN-RANDOM	$67.59	$187.75	$4.86–$25.49	—	64%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UA	$13.77	$38.25	$7.23–$37.97	84% below	64%
Urine pregnancy test, read by color change CPT 81025 POCT PREGNANCY TEST URINE	$14.49	$40.25	$7.23–$37.97	83% below	64%
Urine pregnancy test, read by color change CPT 81025 POCT PREGNANCY TEST URINE	$14.49	$40.25	$7.23–$37.97	83% below	64%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST UA	$14.49	$40.25	$7.23–$37.97	83% below	64%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST UA	$13.77	$38.25	$7.23–$37.97	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 POCT PREGNANCY TEST URINE	$14.49	$40.25	$7.23–$37.97	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$54.36	$151.00	$12.67–$66.50	40% below	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$54.36	$151.00	$12.67–$66.50	40% below	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$54.36	$151.00	$12.67–$66.50	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 & D3	$78.48	$218.00	$24.86–$130.54	34% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 & D3	$78.48	$218.00	$24.86–$130.54	34% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$78.48	$218.00	$24.86–$130.54	34% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D,25 HYDROXY	$82.44	$229.00	$24.86–$130.54	31% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$82.44	$229.00	$24.86–$130.54	31% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D,25 HYDROXY	$82.44	$229.00	$24.86–$130.54	31% below	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$78.48	$218.00	$24.86–$130.54	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D2 & D3	$78.48	$218.00	$24.86–$130.54	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D,25 HYDROXY	$82.44	$229.00	$24.86–$130.54	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D,1,25 DIHYDROXY	$82.44	$229.00	$32.34–$169.78	48% below	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D,1,25 DIHYDROXY	$82.44	$229.00	$32.34–$169.78	48% below	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D,1,25 DIHYDROXY	$82.44	$229.00	$32.34–$169.78	—	64%
Zinc blood test CPT 84630 ZINC BLOOD	$15.12	$42.00	$9.57–$27.83	78% below	64%
Zinc blood test CPT 84630 ZINC BLOOD	$15.12	$42.00	$9.57–$27.83	78% below	64%
Zinc blood test inpatient CPT 84630 ZINC BLOOD	$15.12	$42.00	$9.57–$27.83	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,BETA SUBUNIT, QNT	$69.75	$193.75	$9.57–$66.37	38% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG,BETA SUBUNIT, QNT	$69.75	$193.75	$9.57–$66.37	38% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM	$75.15	$208.75	$9.57–$66.37	33% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG QUANT SERUM	$75.15	$208.75	$9.57–$66.37	33% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG,BETA SUBUNIT, QNT	$69.75	$193.75	$9.57–$66.37	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG QUANT SERUM	$75.15	$208.75	$9.57–$66.37	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STEREO RT	$861.12	$2,392.00	$486.45–$2,333.42	75% below	64%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 BX BREAST 1ST LESION STEREO LT	$861.12	$2,392.00	$486.45–$2,333.42	75% below	64%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FX-DISTL FIB(LAT MAL) W/O MANI	$397.98	$1,105.50	$85.32–$773.85	15% below	64%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 FRAC-DISTAL FIBULA W/O MAN	$397.98	$1,105.50	$85.32–$773.85	15% below	64%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 FRACTURE-METATARSAL	$240.30	$667.50	$85.32–$467.25	14% below	64%
Cardiac catheterization with coronary angiogram CPT 93458 93458-LHC, NATIVE CORS, LV	$7,824.60	$21,735.00	$2,400.00–$4,177.77	25% below	64%
Catheter ablation for atrial fibrillation CPT 93656 93656 COMP EPS TRANSEPTL A FIB	$31,092.30	$86,367.50	$33,921.73–$50,475.12	3% above	64%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION	$1,029.69	$2,860.25	$556.05–$2,002.17	16% below	64%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 FRACTURE-RADIUS (COLLES) S MAN	$1,121.76	$3,116.00	$85.32–$2,181.20	148% above	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 4S CYSTOURETHROSCOPY	$389.70	$1,082.50	$238.15–$757.75	66% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 4E CYSTOURETHROSCOPY	$389.70	$1,082.50	$238.15–$757.75	66% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3E CYSTOURETHROSCOPY	$389.70	$1,082.50	$238.15–$757.75	66% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ER CYSTOURETHROSCOPY	$389.70	$1,082.50	$238.15–$757.75	66% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ARU CYSTOURETHROSCOPY	$389.70	$1,082.50	$238.15–$757.75	66% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 ICC CYSTOURETHROSCOPY	$428.67	$1,190.75	$238.15–$833.52	63% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3N CYSTOURETHROSCOPY	$428.67	$1,190.75	$238.15–$833.52	63% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3S CYSTOURETHROSCOPY	$428.67	$1,190.75	$238.15–$833.52	63% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 3SPED CYSTOURETHROSCOPY	$428.67	$1,190.75	$238.15–$833.52	63% below	64%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 4N CYSTOURETHROSCOPY	$428.67	$1,190.75	$238.15–$833.52	63% below	64%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 ELECTRICAL CAUTERY 1ST LESION	$48.15	$133.75	$86.94–$93.63	76% below	64%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMLG LESION	$48.15	$133.75	$86.94–$93.63	76% below	64%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 REMOVE IMPACTED EAR WAX UNILAT	$57.42	$159.50	$111.65	48% below	64%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED CERUMEN,ONE/TW	$611.64	$1,699.00	$1,189.30	393% above	64%
Earwax removal with instruments, one ear CPT 69210 RMV IMPACTED CERUMEN,1OR2 EARS	$611.64	$1,699.00	$1,189.30	393% above	64%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321-INJ EPIDRL C/T SPI W/IMG	$707.04	$1,964.00	$262.86–$1,374.80	51% below	64%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 EPI C/T SPINE INJ-P	$707.04	$1,964.00	$262.86–$1,374.80	51% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET/NERVE BLOCK L/S-P	$672.75	$1,868.75	$340.77–$1,308.13	61% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 FACET INJECTION LUMBAR	$672.75	$1,868.75	$340.77–$1,534.77	61% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 SACRAL/LUMBAR NERVE INJ	$672.75	$1,868.75	$340.77–$1,534.77	61% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493-INJ DX/THER PF JT L/S1	$672.75	$1,868.75	$340.77–$1,308.13	61% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR SYNOVIAL CYST TREATMENT	$672.75	$1,868.75	$340.77–$1,308.13	61% below	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 64493-INJ DX/THR PFJT L/S1BI	$1,307.34	$3,631.50	$340.77–$2,542.05	25% below	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTEROSALPINGOGRAM	$93.60	$260.00	$182.00	75% below	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SALINE SONOHYSTERO	$93.60	$260.00	$182.00	75% below	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HYSTEROSALPINGIOGRAPHY INJ	$93.60	$260.00	$182.00	75% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION & DRAINAGE - SIMPLE	$307.71	$854.75	$65.06–$598.33	29% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABCESS/CYST/BOIL	$307.71	$854.75	$65.06–$598.33	29% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 IR DRAIN SUBCUTANEOUS TISSUE	$307.71	$854.75	$65.06–$598.33	29% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550-INJ TEN/LIG APONEUROSIS	$125.55	$348.75	$23.54–$244.13	69% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TESH/LIG/TRIG	$125.55	$348.75	$23.54–$244.13	69% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON/LIGAMENT	$125.55	$348.75	$23.54–$244.13	69% below	64%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550-INJ TEN/LIG APONEURO BIL	$251.10	$697.50	$20.78–$488.25	37% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS,ASP/INJ MAJOR J	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESIS/INJ, MAJOR JOIN	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT INJECTION/ASP MAJOR JOINT	$318.24	$884.00	$24.83–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 IR INJ/ASP MAJOR JOINT W/O US	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJ/ASP MAJOR JOINT	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 REMOVAL OF JOINT FLUID	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESE,ASP/INJ MAJ JNT	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN-INJECT JOINT/BURSA	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-INJ/ASP MAJOR JT/BURSA	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/INJ,MAJOR JNT/BURSA	$318.24	$884.00	$27.96–$618.80	46% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610-INJ/ASP MAJOR JT/BRS BIL	$636.48	$1,768.00	$24.83–$1,237.60	7% above	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT ASPIRATION INTERMED JOINT	$196.65	$546.25	$20.78–$382.38	67% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHORCENTESIS/INJ. INTER.	$196.65	$546.25	$23.54–$382.38	67% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605-INJ/ASP INTERMD JT/BURSA	$196.65	$546.25	$23.54–$382.38	67% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ARTHRO/INJ,INTRMED JOINT/BURSA	$196.65	$546.25	$23.54–$382.38	67% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 IR INJ/ASP INTERMED JNT W/O US	$196.65	$546.25	$23.54–$382.38	67% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-INJ/ASP SML JOINT/BURSA	$126.81	$352.25	$22.70–$246.57	71% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 ARTHROCENTESIS/BURSA	$126.81	$352.25	$22.70–$246.57	71% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CT ASPIRATION SMALL JOINT	$126.81	$352.25	$19.92–$246.57	71% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 IR INJ/ASP SMALL JOINT W/O US	$126.81	$352.25	$22.70–$246.57	71% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600-INJ/ASP SML JT/BURSA BIL	$271.35	$753.75	$19.92–$493.15	37% below	64%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAC/LAYER CLOSE SCALP 2.5 OR <	$275.49	$765.25	$143.08–$535.67	48% below	64%
Left heart catheterization, diagnostic CPT 93452 93452-LHC, LV	$3,751.20	$10,420.00	$2,400.00–$4,177.77	60% below	64%
Lower-back epidural injection, with imaging guidance CPT 62323 62323-INJ EPIDRL L/S SPI W/IMG	$777.78	$2,160.50	$262.86–$1,512.35	54% below	64%
Lower-back epidural injection, with imaging guidance CPT 62323 EPI L/SACRAL INJ - P	$777.78	$2,160.50	$262.86–$1,512.35	54% below	64%
Lower-back nerve root steroid injection, with imaging guidance both sides CPT 64483 64483-INJ AA&/STTFEPI L/S1L BI	$1,605.87	$4,460.75	$340.77–$3,122.53	—	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NERVE BLOCK VERTEBRAL	$686.61	$1,907.25	$340.77–$1,534.77	54% below	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483-INJ AA&/STR TFEPI L/S 1L	$686.61	$1,907.25	$340.77–$1,335.08	54% below	64%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR EPI FORAM LUMB/S W/IMAGE	$686.61	$1,907.25	$340.77–$1,335.08	54% below	64%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXCISE LESION BENIGN FACE<.5CM	$326.97	$908.25	$86.38–$635.77	62% below	64%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL NAIL PLATE,SIMP,SINGLE	$247.05	$686.25	$446.06–$480.38	13% below	64%
Nail removal (partial or complete), one nail CPT 11730 REMOVE NAIL PLATE,SIMPLE SINGL	$247.05	$686.25	$446.06–$480.38	13% below	64%
Occipital nerve block (injection for headaches) CPT 64405 SPC-OCCIPITAL NERVE BLOCK	$146.34	$406.50	$30.18–$284.55	66% below	64%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGENT, OCCIPTL NERV	$146.34	$406.50	$30.18–$284.55	66% below	64%
Occipital nerve block (injection for headaches) CPT 64405 INJ ANESTH AGENT OCCIPTL NERVE	$146.34	$406.50	$30.18–$284.55	66% below	64%
Occipital nerve block (injection for headaches) CPT 64405 64405-INJ AA&/STER GR OCPL NRV	$146.34	$406.50	$30.18–$284.55	66% below	64%
Occipital nerve block (injection for headaches) CPT 64405 64405-INJ AA&/ST GR OCPNRV BIL	$313.20	$870.00	$26.56–$609.00	27% below	64%
Pacemaker implant (dual chamber) CPT 33208 33208-INS/RPL PERM PACER D CHM	$10,689.57	$29,693.25	$6,450.90–$20,785.28	44% below	64%
Paracentesis with imaging guidance CPT 49083 IR PARACENTESIS	$590.58	$1,640.50	$334.95–$1,148.35	59% below	64%
Paracentesis with imaging guidance CPT 49083 REMOVAL OF ABDOMINAL FLUID	$590.58	$1,640.50	$334.95–$1,148.35	59% below	64%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS	$620.10	$1,722.50	$334.95–$1,205.75	57% below	64%
Paracentesis with imaging guidance CPT 49083 PUNCTURE PERITONEAL CAVITY	$620.10	$1,722.50	$334.95–$1,205.75	57% below	64%
Paracentesis with imaging guidance CPT 49083 49083-PARACENTESIS	$620.10	$1,722.50	$334.95–$1,205.75	57% below	64%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS	$620.10	$1,722.50	$334.95–$1,205.75	57% below	64%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXCISION OF NAIL & NAIL MAT	$385.02	$1,069.50	$84.71–$748.65	25% below	64%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 NAIL EXCISION	$385.02	$1,069.50	$84.71–$748.65	25% below	64%
Prostate biopsy CPT 55700 BIOPSY PROSTATE	$544.50	$1,512.50	$652.80–$1,417.29	79% below	64%
Radiofrequency ablation of facet joint nerves, lower back, one level both sides CPT 64635 64635-DEST L/S JT W/IMG SGL BI	$3,326.49	$9,240.25	$659.94–$6,468.18	—	64%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635-DESTRY L/S JT W/IMG SGL	$1,683.72	$4,677.00	$659.94–$3,273.90	40% below	64%
Removal of a foreign object under the skin, simple CPT 10120 RFB SIMPLE SUBG	$380.43	$1,056.75	$86.38–$739.73	27% below	64%
Short arm cast (elbow to hand) CPT 29075 CAST-ELBOW TO FINGERS	$97.65	$271.25	$45.13–$189.88	65% below	64%
Short arm cast (elbow to hand) CPT 29075 CAST ELBOW-FINGER (SHORT ARM)	$214.38	$595.50	$44.18–$416.85	23% below	64%
Short arm splint (forearm and hand) CPT 29125 SPLINTS-FOREARM	$146.16	$406.00	$284.20	35% below	64%
Short arm splint (forearm and hand) CPT 29125 SPLINT-FOREARM	$146.16	$406.00	$284.20	35% below	64%
Short leg cast (below the knee) CPT 29405 APPLICATION CAST LEG SHORT	$79.11	$219.75	$38.69–$153.82	77% below	64%
Short leg cast (below the knee) CPT 29405 CAST-KNEE (FOOT TO THIGH)	$79.11	$219.75	$39.03–$153.82	77% below	64%
Short leg splint (calf to foot) CPT 29515 SPLINT-LEG	$138.69	$385.25	$34.33–$269.68	47% below	64%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 LAC/SIMPLE RPR 2.5 CM OR <	$263.97	$733.25	$513.27	21% below	64%
Skin biopsy, punch, one lesion CPT 11104 SUBQ TISSUE BIOPSY(ABOVE MSCL)	$527.94	$1,466.50	$79.46–$1,026.55	25% above	64%
Skin biopsy, punch, one lesion CPT 11104 SKIN PUNCH BIOPSY	$527.94	$1,466.50	$70.63–$1,026.55	25% above	64%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BIOPSY - FIRST LESION	$527.94	$1,466.50	$79.46–$1,026.55	25% above	64%
Skin tag removal, up to 15 tags CPT 11200 REMOVAL SKIN TAGS,UP TO 15	$73.08	$203.00	$131.95–$142.10	76% below	64%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE	$427.50	$1,187.50	$262.86–$831.25	59% below	64%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL TAP	$427.50	$1,187.50	$262.86–$831.25	59% below	64%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTURE/LUMBAR,DX	$427.50	$1,187.50	$262.86–$831.25	59% below	64%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 LAC/SIMPLE RPR 2.6 CM - 7.5 CM	$218.07	$605.75	$424.02	45% below	64%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 LAC/SIMPLE RPR FACE 2.5CM OR <	$810.54	$2,251.50	$1,576.05	108% above	64%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGENTIAL BIOPSY-FIRST LESION	$535.32	$1,487.00	$64.23–$1,040.90	49% above	64%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS	$224.82	$624.50	$223.75–$630.51	84% below	64%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS WITH GUIDANCE	$224.82	$624.50	$223.75–$437.15	84% below	64%
Thoracentesis with imaging guidance CPT 32555 CT IR THORACENTESIS	$247.32	$687.00	$223.75–$480.90	82% below	64%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGER POINT ONE/TWO	$203.13	$564.25	$23.26–$394.98	54% below	64%
Trigger point injections, 1 or 2 muscles CPT 20552 20552-INJ TRIGGER PT 1/2 MUSCL	$213.30	$592.50	$23.26–$414.75	52% below	64%
Trigger point injections, 1 or 2 muscles CPT 20552 SPC TRIGGER POINT INJ(1 OR 2)	$213.30	$592.50	$23.26–$414.75	52% below	64%
Trigger point injections, 1 or 2 muscles CPT 20552 TRIGGERPOINT INJ 1/2 MUSCLE GR	$213.30	$592.50	$23.26–$414.75	52% below	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US RT	$764.82	$2,124.50	$486.45–$1,487.15	72% below	64%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 BX BREAST 1ST LESION US LT	$818.37	$2,273.25	$486.45–$1,591.28	70% below	64%
Wart removal, up to 14 warts CPT 17110 DEST,WARTS UP TO 14 LESIONS	$39.33	$109.25	$71.01–$76.47	80% below	64%
Wart removal, up to 14 warts CPT 17110 WARTS TO 14 LESION, ANY METHOD	$39.33	$109.25	$71.01–$76.47	80% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRI SKI/SQ TISS	$492.57	$1,368.25	$143.08–$957.77	51% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRID SKI/SQ TISSUE	$541.80	$1,505.00	$143.08–$1,053.50	46% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SQ 1ST 20 SQCM OR LESS	$541.80	$1,505.00	$143.08–$1,053.50	46% below	64%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 36430-BLOOD PRODUCT TRANSFUS	$438.57	$1,218.25	$30.73–$852.77	43% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD PRODUCT TRANSFUSION	$438.57	$1,218.25	$30.73–$852.77	43% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 36430-TRANSFUSE BLOOD	$438.57	$1,218.25	$30.73–$852.77	43% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/BLOOD PRODUCT TRANSFUSIN	$438.57	$1,218.25	$30.73–$852.77	43% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFU BLD COMP	$438.57	$1,218.25	$30.73–$852.77	43% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 36430-BLOOD TRANSFUSION	$482.40	$1,340.00	$30.73–$938.00	37% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 CELL SAVER AUTOTRANSFUSION	$482.40	$1,340.00	$30.73–$938.00	37% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSF BLOOD	$482.40	$1,340.00	$30.73–$938.00	37% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$482.40	$1,340.00	$30.73–$938.00	37% below	64%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD/BLOOD PRODUCT TRANSFUSIO	$482.40	$1,340.00	$30.73–$938.00	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO-INFUSION,SING/INITIAL HR	$288.00	$800.00	$237.51–$353.41	47% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION INITIAL HOUR	$288.00	$800.00	$237.51–$353.41	47% below	64%
Chemotherapy IV infusion, first hour CPT 96413 96413-CHEMO INITIAL INF UP TO	$288.00	$800.00	$237.51–$353.41	47% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY INFUSION,<=1 HOUR	$288.00	$800.00	$237.51–$353.41	47% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION SING/INITIAL HR	$341.28	$948.00	$237.51–$353.41	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION,1ST HOUR	$341.28	$948.00	$237.51–$353.41	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 96413-CHEMO INT INF UPTO 1 HR	$341.28	$948.00	$237.51–$353.41	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV INFUSION INITIA	$341.28	$948.00	$237.51–$353.41	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION,INITIAL HOUR	$341.28	$948.00	$237.51–$353.41	37% below	64%
Chemotherapy IV infusion, first hour CPT 96413 96413-CHEMO-INF SING/INITL HR	$341.28	$948.00	$237.51–$353.41	37% below	64%
Critical care, first 30 to 74 minutes CPT 99291 CPER CRITICAL CARE	$919.62	$2,554.50	$1,009.00–$2,554.50	64% below	64%
Critical care, first 30 to 74 minutes CPT 99291 E/D CRIT CARE EVAL/MGMT	$919.62	$2,554.50	$1,009.00–$2,554.50	64% below	64%
Critical care, first 30 to 74 minutes CPT 99291 CPER CRITICAL CARE	$919.62	$2,554.50	$1,009.00–$2,554.50	64% below	64%
Critical care, first 30 to 74 minutes CPT 99291 E/D CRIT CARE EVAL/MGMT	$919.62	$2,554.50	$1,009.00–$2,554.50	64% below	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CPER CRITICAL CARE	$919.62	$2,554.50	$1,009.00–$2,554.50	—	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 CPER CRITICAL CARE	$919.62	$2,554.50	$1,009.00–$2,554.50	—	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 E/D CRIT CARE EVAL/MGMT	$919.62	$2,554.50	$1,009.00–$2,554.50	—	64%
Critical care, first 30 to 74 minutes inpatient CPT 99291 E/D CRIT CARE EVAL/MGMT	$919.62	$2,554.50	$1,009.00–$2,554.50	—	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$547.56	$1,521.00	$515.68–$767.33	40% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-EKG 12 LEAD	$109.26	$303.50	$7.08–$135.87	60% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005-EKG 12 LEAD	$120.15	$333.75	$7.08–$135.87	56% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005-EKG 12 LEAD	$120.15	$333.75	$7.08–$135.87	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/D LEVEL 1 MINOR	$176.22	$489.50	$21.40–$621.00	25% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MED LEVEL 1 MINOR	$176.22	$489.50	$21.40–$621.00	25% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NURSING ASSESSMENT AT TRIAGE	$176.22	$489.50	$21.40–$489.50	25% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 NURSING ASSESSMENT AT TRIAGE	$176.22	$489.50	$21.40–$489.50	25% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 MED LEVEL 1 MINOR	$248.40	$690.00	$21.40–$621.00	6% above	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 E/D LEVEL 1 MINOR	$248.40	$690.00	$21.40–$621.00	6% above	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MED LEVEL 1 MINOR	$176.22	$489.50	$21.40–$621.00	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NURSING ASSESSMENT AT TRIAGE	$176.22	$489.50	$21.40–$489.50	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 NURSING ASSESSMENT AT TRIAGE	$176.22	$489.50	$21.40–$489.50	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 E/D LEVEL 1 MINOR	$248.40	$690.00	$21.40–$621.00	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 MED LEVEL 1 MINOR	$248.40	$690.00	$21.40–$621.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MEC LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	49% below	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 MEC LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	49% below	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CPER LIMITED	$220.32	$612.00	$21.40–$612.00	49% below	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/D LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	49% below	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 E/D LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	49% below	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CPER LIMITED	$299.88	$833.00	$21.40–$612.00	31% below	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 E/D LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MEC LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CPER LIMITED	$220.32	$612.00	$21.40–$612.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CPER LIMITED	$220.32	$612.00	$21.40–$612.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 MEC LEVEL 2 LIMITED	$220.32	$612.00	$21.40–$612.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MEC LEVEL 3 INTERMEDIATE	$391.41	$1,087.25	$21.40–$1,087.25	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CPER INTERMEDIATE	$391.41	$1,087.25	$21.40–$1,087.25	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/D LEVEL 3 INTERMEDIATE	$391.41	$1,087.25	$21.40–$1,100.00	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 MEC LEVEL 3 INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,087.25	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CPER INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,087.25	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E/D LEVEL 3 INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,100.00	49% below	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MEC LEVEL 3 INTERMEDIATE	$391.41	$1,087.25	$21.40–$1,087.25	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/D LEVEL 3 INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,100.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E/D LEVEL 3 INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,100.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 MEC LEVEL 3 INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,087.25	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CPER INTERMEDIATE	$396.00	$1,100.00	$21.40–$1,087.25	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/D LEVEL 4 EXTENDED	$669.87	$1,860.75	$174.17–$2,160.00	48% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 E/D LEVEL 4 EXTENDED	$669.87	$1,860.75	$174.17–$2,160.00	48% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CPER EXTENDED	$669.87	$1,860.75	$174.17–$1,944.00	48% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CPER EXTENDED	$777.60	$2,160.00	$174.17–$1,944.00	40% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MEC LEVEL 4 EXTENDED	$777.60	$2,160.00	$174.17–$1,944.00	40% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 MEC LEVEL 4 EXTENDED	$777.60	$2,160.00	$174.17–$1,944.00	40% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MEC LEVEL 4 EXTENDED	$669.87	$1,860.75	$174.17–$1,944.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/D LEVEL 4 EXTENDED	$669.87	$1,860.75	$174.17–$2,160.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CPER EXTENDED	$669.87	$1,860.75	$174.17–$1,944.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 E/D LEVEL 4 EXTENDED	$777.60	$2,160.00	$174.17–$2,160.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CPER EXTENDED	$777.60	$2,160.00	$174.17–$1,944.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 MEC LEVEL 4 EXTENDED	$777.60	$2,160.00	$174.17–$1,944.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPER COMPREHENSIVE	$902.88	$2,508.00	$234.75–$2,508.00	49% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/D LEVEL 5 COMPREHENSIVE	$902.88	$2,508.00	$234.75–$3,204.00	49% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CPER COMPREHENSIVE	$902.88	$2,508.00	$234.75–$2,508.00	49% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 E/D LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,204.00	28% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MEC LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,560.00	28% below	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 MEC LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,560.00	28% below	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CPER COMPREHENSIVE	$902.88	$2,508.00	$234.75–$2,508.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/D LEVEL 5 COMPREHENSIVE	$902.88	$2,508.00	$234.75–$3,204.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MEC LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,560.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 MEC LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,560.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 E/D LEVEL 5 COMPREHENSIVE	$1,281.60	$3,560.00	$234.75–$3,204.00	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIAC REHAB TREADMILL	$548.55	$1,523.75	$420.14–$625.16	56% below	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 PHARMACOLOGIC STRESS TEST	$548.55	$1,523.75	$420.14–$625.16	56% below	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 TREADMILL STRESSTEST Q19	$548.55	$1,523.75	$420.14–$625.16	56% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL 31-60 MIN	$71.82	$199.50	$64.01–$95.24	83% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INF HYDRATION 1ST 31-60 MIN	$72.00	$200.00	$64.01–$95.24	83% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360-IV INF HYDRATE,1ST 31-60	$72.00	$200.00	$64.01–$95.24	83% below	64%
IV infusion of a medicine, first hour CPT 96365 INF THER/PRO FIRST HOUR	$105.39	$292.75	$120.85–$179.82	77% below	64%
IV infusion of a medicine, first hour CPT 96365 96365-DIURETIC INFUSION 1ST HR	$144.00	$400.00	$120.85–$179.82	68% below	64%
IV infusion of a medicine, first hour CPT 96365 96365 INF. THERA/PRO 1ST HR	$144.00	$400.00	$120.85–$179.82	68% below	64%
IV infusion of a medicine, first hour CPT 96365 96365 INF THERA/PRO 1ST HR	$144.00	$400.00	$120.85–$179.82	68% below	64%
IV infusion of a medicine, first hour CPT 96365 REMDESIVIR INFUSION 1ST HR	$144.00	$400.00	$120.85–$179.82	68% below	64%
IV push of a medicine, first drug CPT 96374 96374-IV PUSH SING/INIT DRUG	$77.49	$215.25	$65.80–$97.91	66% below	64%
IV push of a medicine, first drug CPT 96374 96374-IV PUSH SINGLE OR INIT	$77.49	$215.25	$65.80–$97.91	66% below	64%
IV push of a medicine, first drug CPT 96374 IV PUSH SINGLE OR INIT PUSH	$77.49	$215.25	$65.80–$97.91	66% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372-INJ NON CHEMO SQ/IM	$72.27	$200.75	$100.38–$149.36	51% below	64%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 95910-NERVE CONDUCT 7-8 STDY	$425.88	$1,183.00	$145.98–$217.21	38% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE-EDUCATION	$41.22	$114.50	$59.23–$88.13	63% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 OT -NEUROMUSCULAR RE-EDUCATION	$41.22	$114.50	$59.23–$88.13	63% below	64%
New patient office visit, about 30 minutes CPT 99203 99203-OFF/OUTPT NEW LOW 30 MIN	$177.75	$493.75	$128.61–$191.38	21% below	64%
New patient office visit, about 30 minutes CPT 99203 O/P VISIT - NEW PT - INTER	$195.57	$543.25	$128.61–$161.16	14% below	64%
New patient office visit, about 30 minutes CPT 99203 NEW PT VISIT INTERMEDIATE	$195.57	$543.25	$128.61–$161.16	14% below	64%
New patient office visit, about 45 minutes CPT 99204 NEW PT VISIT EXTENDED	$229.77	$638.25	$217.75–$272.85	21% below	64%
New patient office visit, about 45 minutes CPT 99204 O/P VISIT - NEW PT - EXTENDED	$229.77	$638.25	$217.75–$272.85	21% below	64%
New patient office visit, about 45 minutes CPT 99204 99204-OFF/OUTPT NEW MOD 45 MIN	$229.77	$638.25	$217.75–$324.01	21% below	64%
New patient office visit, about 60 minutes CPT 99205 NEW PT VISIT COMPLEX	$273.87	$760.75	$284.17–$356.08	7% below	64%
New patient office visit, about 60 minutes CPT 99205 99205-OFF/OUTPT NEW HI 60 MIN	$273.87	$760.75	$284.17–$422.84	7% below	64%
New patient office visit, about 60 minutes CPT 99205 O/P VISIT - COMPLEX	$273.87	$760.75	$284.17–$356.08	7% below	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 99202-OFF/OUTPT NEW 15 MIN	$137.79	$382.75	$85.55–$127.30	8% below	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT BRIEF	$151.56	$421.00	$85.55–$107.20	2% above	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 O/P VISIT - NEW PT - BRIEF	$151.56	$421.00	$85.55–$107.20	2% above	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 O/P VISIT - NEW PT - LIMITED	$151.56	$421.00	$85.55–$107.20	2% above	64%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 NEW PT VISIT LIMITED	$151.56	$421.00	$85.55–$107.20	2% above	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 97802-DIABETES MNT INIT EA15	$38.88	$108.00	$57.43–$85.46	23% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 OP NUTR THER,INIT EA 15 MIN	$38.88	$108.00	$57.43–$85.46	23% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION THERAPY	$42.75	$118.75	$57.43–$85.46	15% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT - EVAL LOW COMPLEX 30 MIN	$133.02	$369.50	$154.34–$229.66	45% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY 30 MIN	$133.02	$369.50	$154.34–$229.66	45% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY 45 MIN	$177.21	$492.25	$143.57–$213.63	39% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY 20 MIN	$133.02	$369.50	$143.57–$213.63	35% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY 30 MIN	$154.98	$430.50	$143.57–$213.63	38% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY	$48.96	$136.00	$47.26–$70.32	56% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT - MANUAL THERAPY	$48.96	$136.00	$47.26–$70.32	56% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX	$44.37	$123.25	$52.04–$77.43	60% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE PT	$44.37	$123.25	$52.04–$77.43	60% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT - THER EX	$44.37	$123.25	$52.04–$77.43	60% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE	$44.37	$123.25	$52.04–$77.43	60% below	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESSATION CNSL 3-10M	$28.89	$80.25	$20.93–$31.15	33% below	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 99406-COUNSELING INTERMEDIATE	$31.77	$88.25	$20.93–$31.15	26% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT - EST - COMPLEX	$245.52	$682.00	$187.24–$234.62	14% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 VISIT EST PT COMPLEX	$245.52	$682.00	$187.24–$234.62	14% below	64%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 99215-OFF/OUTPT EST HI 40 MIN	$245.52	$682.00	$187.24–$278.62	14% below	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 99213-OFF/OUTPT EST LOW 20 MIN	$190.89	$530.25	$86.15–$128.19	9% above	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 EST PT VISIT INTERMEDIATE	$190.89	$530.25	$86.15–$107.95	9% above	64%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 VISIT - EST - INTERMEDIATE	$209.97	$583.25	$86.15–$107.95	19% above	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PEG OR PICC REMOVAL	$218.16	$606.00	$132.81–$166.42	13% above	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 99214-OFF/OUTPT EST MOD 30 MIN	$218.16	$606.00	$132.81–$197.62	13% above	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT - EST - EXTENDED	$239.94	$666.50	$132.81–$166.42	25% above	64%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 VISIT PT EST EXTENDED	$239.94	$666.50	$132.81–$166.42	25% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 99212-OFF/OUTPT EST 10 MIN	$158.76	$441.00	$43.08–$64.10	27% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 VISIT - EST - LIMITED	$174.60	$485.00	$43.08–$53.98	40% above	64%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 EST PT VISIT LIMITED	$174.60	$485.00	$43.08–$53.98	40% above	64%
Speech and language evaluation CPT 92523 EVALUATION OF LANGUAGE	$177.12	$492.00	$331.43–$447.24	54% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 30 MIN	$88.29	$245.25	$133.41–$198.51	59% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 45 MIN	$119.07	$330.75	$133.41–$198.51	45% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 60 MIN	$128.61	$357.25	$133.41–$198.51	41% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 60	$128.61	$357.25	$133.41–$198.51	41% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 75 MIN	$136.71	$379.75	$133.41–$198.51	37% below	64%
Speech therapy session, individual CPT 92507 SPEECH TREATMENT 90 MIN	$140.94	$391.50	$133.41–$198.51	35% below	64%
Spirometry (breathing test) CPT 94010 PULM. SCREEN	$107.28	$298.00	$229.66–$287.77	70% below	64%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$107.28	$298.00	$229.66–$287.77	70% below	64%
Spirometry (breathing test) CPT 94010 PUL/VOL/CAPG50	$107.28	$298.00	$229.66–$287.77	70% below	64%
Spirometry before and after a bronchodilator CPT 94060 PUL/BRONCH G50	$134.28	$373.00	$78.37–$116.61	77% below	64%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVALUATION	$134.28	$373.00	$78.37–$116.61	77% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT - THERAPEUTIC ACTIVITY	$43.20	$120.00	$67.59–$100.58	62% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT	$43.20	$120.00	$67.59–$100.58	62% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITY OT	$43.20	$120.00	$67.59–$100.58	62% below	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195-THERAPEUTIC PHLEBOTOMY	$94.86	$263.50	$180.99–$244.23	58% below	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$94.86	$263.50	$180.99–$244.23	58% below	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 FLU VACCINE INJ	$24.84	$69.00	$59.02	34% below	64%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ACTHIB VACCINE 0.5ML VIAL	$63.45	$176.25	$44.03	35% above	64%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR-II VACCINE 0.5ML	$122.94	$341.50	$243.80	39% below	64%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 0.5ML INJ	$264.51	$734.75	$641.26	46% below	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PREVNAR 20 PFS	$190.80	$530.00	$288.66	66% below	64%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE	$641.43	$1,781.75	$329.99–$1,027.54	38% below	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS & DIP INJ	$118.08	$328.00	$64.33	17% above	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX (T-DAP) INJ	$77.04	$214.00	$137.13	34% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTER 1ST VACCINE	$51.12	$142.00	$100.38–$135.45	31% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION,FIRST VACCINE	$51.12	$142.00	$100.38–$135.45	31% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 TETANUS TOXOID ADMINISTRATION	$51.12	$142.00	$100.38–$135.45	31% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 RABIES VACCINE ADMINISTRATION	$51.12	$142.00	$100.38–$135.45	31% below	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION, EA ADD VACCINE	$43.47	$120.75	$21.53–$32.04	7% below	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN VACCINE INJ ADDL	$43.47	$120.75	$21.53–$32.04	7% below	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACCINE ADMIN EACH ADDITIONAL	$43.47	$120.75	$21.53–$32.04	7% below	64%

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/tx-csv/741109636_ascension-providence_standardcharges.csv