Hospital Dayton-Kettering-Beavercreek, OH

Dayton Childrens Hospital

Dayton Childrens Hospital in Dayton, OH publishes cash prices for 412 common procedures listed here, from its own machine-readable price file updated Mar 2, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 265 of 411 procedures and above it for 141. By typical cash price it ranks #41 of 139 Ohio hospitals and #7 of 10 hospitals in the Dayton, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1 Childrens Plz,Dayton,OH,45404 Collected Sep 22, 2026 Source price file Check a bill from this hospital (937) 641-5509

Children's hospital Nonprofit hospital Emergency department CCN 363306 · CMS hospital register NPI 1457379448

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WO CNTRST FLWD CNTRST	$1,853.60	$2,648.00	$171.06–$256.59	40% above	30%
Abdominal X-ray, 2 views CPT 74019 X-RAY OF ABDOMEN; 2 VIEWS	$505.95	$722.78	$101.96–$152.94	50% above	30%
Abdominal X-ray, 2 views CPT 74019 RADEX ABDOMEN 2 VIEWS	$520.80	$744.00	$101.96–$152.94	54% above	30%
Ankle X-ray, complete, 3 or more views CPT 73610 X-RAY EXAM OF ANKLE	$155.40	$222.00	$84.87–$127.30	51% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$300.41	$429.16	$84.87–$127.30	6% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 X-RAY OF ANKLE; MINIMUM OF 3 VIEWS	$300.41	$429.16	$84.87–$127.30	6% below	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT UPPER EXTREMITY W/O DYE	$1,183.70	$1,691.00	$101.96–$152.94	25% above	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 SINGLE CONTRAST X-RAY OF ESOPHAGUS	$609.48	$870.68	$171.06–$256.59	38% above	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-RAY XM ESOPHAGUS 1CNTRST	$627.90	$897.00	$171.06–$256.59	42% above	30%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$898.10	$1,283.00	$389.87–$584.80	42% below	30%
Breast ultrasound, complete, one breast CPT 76641 ULTRASOUND BREAST COMPLETE	$191.80	$274.00	$101.96–$152.94	60% below	30%
Breast ultrasound, complete, one breast CPT 76641 COMPLETE ULTRASOUND SCAN OF 1 BREAST	$1,188.03	$1,697.19	$101.96–$152.94	149% above	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$158.90	$227.00	$84.87–$127.30	61% below	30%
Breast ultrasound, limited (one breast or one area) CPT 76642 LIMITED ULTRASOUND SCAN OF 1 BREAST	$330.52	$472.17	$84.87–$127.30	19% below	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABD&PLVS W/CONTRAST	$4,289.60	$6,128.00	$340.23–$510.34	100% above	30%
CT angiography (CTA) of the head CPT 70496 CT ANGIOGRAPHY HEAD	$1,336.30	$1,909.00	$171.06–$256.59	at median	30%
CT angiography (CTA) of the head CPT 70496 CT SCAN OF BLOOD VESSELS OF HEAD WITH CONTRAST	$3,035.63	$4,336.62	$171.06–$256.59	127% above	30%
CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK	$2,971.50	$4,245.00	$171.06–$256.59	128% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY CHEST	$1,389.50	$1,985.00	$171.06–$256.59	2% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT SCAN OF BLOOD VESSELS OF CHEST WITH CONTRAST	$2,874.71	$4,106.73	$171.06–$256.59	103% above	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$576.80	$824.00	$340.23–$510.35	64% below	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT HRT W/O DYE W/CA TEST	$142.10	$203.00	$84.87–$127.31	49% below	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD & PELVIS W/O CONTRAST	$2,256.80	$3,224.00	$232.69–$349.04	42% above	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT SCAN OF ABDOMEN AND PELVIS WITHOUT CONTRAST	$4,018.27	$5,740.39	$232.69–$349.04	153% above	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST	$2,854.60	$4,078.00	$340.23–$510.34	44% above	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST	$4,603.45	$6,576.36	$340.23–$510.35	132% above	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD&PLV WO CNTR FLWD CNTR	$3,782.80	$5,404.00	$340.23–$510.34	62% above	30%
CT scan of the abdomen with contrast CPT 74160 CT ABDOMEN W/CONTRAST	$2,926.00	$4,180.00	$171.06–$256.59	151% above	30%
CT scan of the abdomen without contrast CPT 74150 CT ABDOMEN W/O CONTRAST	$2,552.90	$3,647.00	$101.96–$152.94	143% above	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O DYE	$1,107.40	$1,582.00	$101.96–$152.94	26% above	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SCAN OF FACE WITHOUT CONTRAST	$1,927.46	$2,753.51	$101.96–$152.94	120% above	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE	$1,107.40	$1,582.00	$101.96–$152.94	33% above	30%
CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST	$1,113.00	$1,590.00	$101.96–$152.94	33% above	30%
CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/DYE	$1,399.30	$1,999.00	$171.06–$256.59	39% above	30%
CT scan of the head with contrast CPT 70460 CT SCAN HEAD OR BRAIN WITH CONTRAST	$2,043.26	$2,918.94	$171.06–$256.59	103% above	30%
CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN W/O & W/DYE	$2,747.50	$3,925.00	$171.06–$256.59	131% above	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE W/O DYE	$1,175.30	$1,679.00	$101.96–$152.94	7% above	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SCAN OF LOWER SPINE WITHOUT CONTRAST	$2,597.46	$3,710.66	$101.96–$152.94	136% above	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT NECK SPINE W/O DYE	$2,372.30	$3,389.00	$101.96–$152.94	121% above	30%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE	$2,481.50	$3,545.00	$171.06–$256.59	103% above	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 EXTRACRANIAL BILAT STUDY	$630.70	$901.00	$232.69–$349.04	—	30%
Chest CT scan without and with contrast CPT 71270 CT THORAX DX C-/C+	$1,890.70	$2,701.00	$171.06–$256.59	25% above	30%
Chest X-ray, 2 views CPT 71046 X-RAY OF CHEST; 2 VIEWS	$248.32	$354.74	$84.87–$127.31	6% below	30%
Chest X-ray, 2 views CPT 71046 X-RAY EXAM CHEST 2 VIEWS	$255.50	$365.00	$84.87–$127.31	3% below	30%
Chest X-ray, single view CPT 71045 X-RAY OF CHEST; 1 VIEW	$155.20	$221.71	$84.87–$127.31	31% below	30%
Chest X-ray, single view CPT 71045 X-RAY EXAM CHEST 1 VIEW	$159.60	$228.00	$84.87–$127.30	29% below	30%
Collarbone (clavicle) X-ray, complete CPT 73000 X-RAY EXAM OF COLLAR BONE	$152.60	$218.00	$84.87–$127.30	44% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$280.43	$400.62	$84.87–$127.30	3% above	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 X-RAY OF COLLAR BONE	$280.43	$400.62	$84.87–$127.30	3% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$505.40	$722.00	$101.96–$152.94	29% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 COMPLETE ULTRASOUND SCAN BEHIND ABDOMINAL CAVITY	$975.31	$1,393.30	$101.96–$152.94	38% above	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY MEASUREMENT OF HIP; PELVIS; SPINE	$720.52	$1,029.32	$101.96–$152.94	59% above	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA BONE DENSITY AXIAL	$742.00	$1,060.00	$101.96–$152.94	64% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA BONE DENSITY APPENDICULR	$87.50	$125.00	$84.87–$127.30	66% below	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DX C-	$1,205.40	$1,722.00	$101.96–$152.94	28% above	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT SCAN OF CHEST WITHOUT CONTRAST	$2,316.35	$3,309.07	$101.96–$152.94	146% above	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DX C+	$1,498.00	$2,140.00	$171.06–$256.59	24% above	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT SCAN OF CHEST WITH CONTRAST	$2,849.12	$4,070.17	$171.06–$256.59	135% above	30%
Duplex ultrasound of the leg arteries, both legs CPT 93925 LOWER EXTREMITY STUDY	$861.70	$1,231.00	$232.69–$349.04	4% below	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY STUDY	$1,094.80	$1,564.00	$232.69–$349.04	22% above	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ULTRASOUND OF HEART WITH COLOR-DEPICTED BLOOD FLOW; RATE; DIRECTION AND VALVE FUNCTION	$2,219.71	$3,171.01	$532.89–$799.34	31% above	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE W/DOPPLER COMPLETE	$2,375.10	$3,393.00	$532.89–$799.34	41% above	30%
Elbow X-ray, 2 views CPT 73070 X-RAY EXAM OF ELBOW	$261.80	$374.00	$84.87–$127.30	at median	30%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$249.87	$356.96	$84.87–$127.31	4% below	30%
Elbow X-ray, 2 views one side CPT 73070 X-RAY OF ELBOW; 2 VIEWS	$249.87	$356.96	$84.87–$127.31	4% below	30%
Elbow X-ray, complete, 3 or more views CPT 73080 X-RAY EXAM OF ELBOW	$176.40	$252.00	$84.87–$127.30	44% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$489.45	$699.22	$84.87–$127.30	55% above	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 X-RAY OF ELBOW; MINIMUM OF 3 VIEWS	$489.45	$699.22	$84.87–$127.30	55% above	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT/EAR/FOSSA W/O DYE	$1,107.40	$1,582.00	$101.96–$152.94	28% above	30%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN OF CRANIAL CAVITY WITHOUT CONTRAST	$1,978.00	$2,825.72	$101.96–$152.94	129% above	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-RAY EXAM OF FACIAL BONES	$238.70	$341.00	$101.96–$152.94	37% below	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-RAY EXAM OF FOREARM	$129.50	$185.00	$84.87–$127.30	52% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$239.25	$341.78	$84.87–$127.30	12% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 X-RAY OF FOREARM; 2 VIEWS	$239.25	$341.78	$84.87–$127.30	12% below	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$676.90	$967.00	$389.87–$584.80	57% below	30%
Hand X-ray, 2 views CPT 73120 X-RAY EXAM OF HAND	$155.40	$222.00	$101.96–$152.94	42% below	30%
Hand X-ray, 2 views CPT 73120 X-RAY OF HAND; 2 VIEWS	$420.60	$600.86	$101.96–$152.94	58% above	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-RAY EXAM OF HEEL	$291.90	$417.00	$84.87–$127.30	7% above	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$253.40	$362.00	$84.87–$127.31	7% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 X-RAY OF HEEL; MINIMUM OF 2 VIEWS	$253.40	$362.00	$84.87–$127.31	7% below	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY INCLUDING HEART RATE; BREATHING; AIRFLOW; AND EFFORT	$1,894.24	$2,706.06	$210.57–$315.86	170% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$2,026.50	$2,895.00	$210.57–$315.86	189% above	30%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 SLEEP STUDY UNATT&RESP EFFT	$954.80	$1,364.00	—	—	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 SLEEP STUDY IN SLEEP LAB WITH CONTINUOUS AIRWAY PRESSURE (6 YEARS OR OLDER)	$4,054.17	$5,791.67	$837.48–$1,256.22	1% below	30%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 POLYSOM 6/>YRS CPAP 4/> PARM	$4,337.90	$6,197.00	$837.48–$1,256.22	6% above	30%
Knee X-ray, 3 views CPT 73562 X-RAY EXAM OF KNEE 3	$323.40	$462.00	$84.87–$127.30	8% below	30%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$313.66	$448.08	$84.87–$127.30	11% below	30%
Knee X-ray, 3 views one side CPT 73562 X-RAY OF KNEE; 3 VIEWS	$313.66	$448.08	$84.87–$127.30	11% below	30%
Knee X-ray, complete, 4 or more views CPT 73564 X-RAY EXAM KNEE 4 OR MORE	$416.50	$595.00	$101.96–$152.94	6% above	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$404.31	$577.58	$101.96–$152.94	3% above	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 X-RAY OF KNEE; 4 OR MORE VIEWS	$404.31	$577.58	$101.96–$152.94	3% above	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT LOWER EXTREMITY W/O DYE	$1,281.00	$1,830.00	$101.96–$152.94	36% above	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT SCAN OF LEG WITHOUT CONTRAST	$2,093.27	$2,990.38	$101.96–$152.94	122% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$503.30	$719.00	$101.96–$152.94	9% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 LIMITED ULTRASOUND SCAN OF ABDOMEN	$983.85	$1,405.50	$101.96–$152.94	78% above	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US LMTD JT/FCL EVL NVASC XTR	$421.40	$602.00	$101.96–$152.94	12% below	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 LIMITED ULTRASOUND SCAN OF JOINT OR OTHER EXTREMITY STRUCTURE LACKING BLOOD VESSELS	$714.41	$1,020.58	$101.96–$152.94	50% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CANCER SCR C-	$429.10	$613.00	$101.96–$152.94	46% above	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY EXAM OF LOWER LEG	$147.00	$210.00	$84.87–$127.30	46% below	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$270.22	$386.03	$84.87–$127.30	1% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$270.22	$386.03	$84.87–$127.30	1% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 X-RAY OF LOWER LEG; 2 VIEWS	$270.22	$386.03	$84.87–$127.30	1% below	30%
MR angiography (MRA) of the head without contrast CPT 70544 MR ANGIOGRAPHY HEAD W/O DYE	$2,181.90	$3,117.00	$232.69–$349.04	50% above	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST	$2,375.16	$3,393.08	$232.69–$349.04	36% above	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE	$3,966.90	$5,667.00	$232.69–$349.04	126% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE	$2,807.00	$4,010.00	$340.23–$510.34	17% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST	$3,184.09	$4,548.70	$340.23–$510.34	33% above	30%
MRI of the abdomen without contrast CPT 74181 MRI SCAN OF ABDOMEN WITHOUT CONTRAST	$3,199.42	$4,570.60	$232.69–$349.04	74% above	30%
MRI of the abdomen without contrast CPT 74181 MRI ABDOMEN W/O CONTRAST	$3,295.60	$4,708.00	$232.69–$349.04	79% above	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABD W/O CNTR FLWD CNTR	$3,063.20	$4,376.00	$340.23–$510.34	34% above	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI SCAN OF ABDOMEN BEFORE AND AFTER CONTRAST	$4,005.11	$5,721.58	$340.23–$510.34	75% above	30%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE	$1,554.70	$2,221.00	$232.69–$349.04	4% below	30%
MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST	$2,963.02	$4,232.89	$232.69–$349.04	84% above	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE	$3,150.70	$4,501.00	$340.23–$510.35	44% above	30%
MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST	$4,187.45	$5,982.07	$340.23–$510.34	92% above	30%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE	$1,939.70	$2,771.00	$232.69–$349.04	16% above	30%
MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST	$3,067.97	$4,382.81	$232.69–$349.04	84% above	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/O & W/DYE	$2,919.70	$4,171.00	$340.23–$510.35	25% above	30%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI SCAN OF LOWER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,125.97	$5,894.24	$340.23–$510.35	77% above	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SCAN OF MIDDLE SPINAL CANAL WITHOUT CONTRAST	$3,259.81	$4,656.87	$232.69–$349.04	94% above	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI CHEST SPINE W/O DYE	$3,357.90	$4,797.00	$232.69–$349.04	100% above	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI NECK SPINE W/O & W/DYE	$2,919.70	$4,171.00	$340.23–$510.35	29% above	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI SCAN OF UPPER SPINAL CANAL BEFORE AND AFTER CONTRAST	$4,354.95	$6,221.36	$340.23–$510.34	93% above	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI NECK SPINE W/O DYE	$1,939.70	$2,771.00	$232.69–$349.04	18% above	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI SCAN OF UPPER SPINAL CANAL WITHOUT CONTRAST	$3,125.21	$4,464.59	$232.69–$349.04	90% above	30%
MRI of the pelvis without and with contrast CPT 72197 MRI SCAN OF PELVIS BEFORE AND AFTER CONTRAST	$3,690.26	$5,271.80	$340.23–$510.34	89% above	30%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/O & W/DYE	$3,801.00	$5,430.00	$340.23–$510.34	94% above	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS W/O DYE	$2,061.50	$2,945.00	$232.69–$349.04	36% above	30%
MRI of the pelvis, no contrast dye CPT 72195 MRI SCAN OF PELVIS WITHOUT CONTRAST	$2,835.81	$4,051.15	$232.69–$349.04	87% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI JOINT UPR EXTREM W/O DYE	$1,983.10	$2,833.00	$232.69–$349.04	31% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI SCAN OF ARM JOINT WITHOUT CONTRAST	$2,422.87	$3,461.24	$232.69–$349.04	60% above	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY EXAM NECK SPINE 4/5VWS	$233.80	$334.00	$101.96–$152.94	48% below	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-RAY OF UPPER SPINE; 4-5 VIEWS	$405.76	$579.66	$101.96–$152.94	10% below	30%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE NECK W/DYE	$1,399.30	$1,999.00	$171.06–$256.59	18% above	30%
Neck soft tissue CT scan with contrast CPT 70491 CT SCAN OF SOFT TISSUE OF NECK WITH CONTRAST	$2,761.35	$3,944.78	$171.06–$256.59	134% above	30%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE NECK W/O DYE	$2,342.90	$3,347.00	$101.96–$152.94	154% above	30%
Neck soft tissue X-ray CPT 70360 X-RAY EXAM OF NECK	$168.00	$240.00	$84.87–$127.30	35% below	30%
Neck soft tissue X-ray CPT 70360 X-RAY OF SOFT TISSUE OF NECK	$297.00	$424.28	$84.87–$127.30	15% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MULT	$1,700.30	$2,429.00	$1,262.58–$1,893.87	58% below	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 IMAGING OF RETINA	$209.27	$298.96	$57.53–$86.30	166% above	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 CPTRZ OPH DX IMG PST SGM RTA	$224.00	$320.00	$57.53–$86.30	184% above	30%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT SKULL-THIGH	$2,132.20	$3,046.00	$1,394.53–$2,091.80	56% below	30%
Pelvic CT scan without contrast CPT 72192 CT SCAN OF PELVIS WITHOUT CONTRAST	$2,145.66	$3,065.23	$101.96–$152.94	113% above	30%
Pelvic CT scan without contrast CPT 72192 CT PELVIS W/O DYE	$2,209.90	$3,157.00	$101.96–$152.94	120% above	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LIMITED	$721.00	$1,030.00	$101.96–$152.94	66% above	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$424.90	$607.00	$101.96–$152.94	16% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 COMPLETE ULTRASOUND SCAN OF PELVIS	$1,050.90	$1,501.28	$101.96–$152.94	109% above	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS	$1,033.20	$1,476.00	$101.96–$152.94	72% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$352.10	$503.00	$101.96–$152.94	36% below	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$673.40	$962.00	$101.96–$152.94	41% above	30%
Rib X-ray, one side, 2 views CPT 71100 X-RAY EXAM RIBS UNI 2 VIEWS	$257.60	$368.00	$84.87–$127.30	15% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$301.29	$430.41	$84.87–$127.30	1% below	30%
Rib X-ray, one side, 2 views one side CPT 71100 X-RAY OF RIBS ON SIDE OF BODY; 2 VIEWS	$301.29	$430.41	$84.87–$127.30	1% below	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-RAY EXAM OF SHOULDER	$319.90	$457.00	$84.87–$127.30	5% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$310.37	$443.39	$84.87–$127.30	8% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 X-RAY OF SHOULDER; MINIMUM OF 2 VIEWS	$310.37	$443.39	$84.87–$127.30	8% below	30%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY OF PARANASAL SINUS; MINIMUM OF 3 VIEWS	$409.25	$584.64	$84.87–$127.30	13% above	30%
Sinus X-ray, complete, 3 or more views CPT 70220 X-RAY EXAM OF SINUSES	$421.40	$602.00	$84.87–$127.31	17% above	30%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY OF SKULL; 1-3 VIEWS	$155.15	$221.64	$101.96–$152.94	46% below	30%
Skull X-ray, fewer than 4 views CPT 70250 X-RAY EXAM OF SKULL	$168.70	$241.00	$101.96–$152.94	42% below	30%
Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER)	$3,244.82	$4,635.45	$837.48–$1,256.22	10% below	30%
Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM	$3,472.00	$4,960.00	$837.48–$1,256.22	3% below	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 STRESS TTE COMPLETE	$420.70	$601.00	$532.89–$799.34	79% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 X-RAY XM SWLNG FUNCJ C+	$406.00	$580.00	$171.06–$256.59	20% below	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 IMAGING FOR EVALUATION OF SWALLOWING FUNCTION	$705.53	$1,007.90	$171.06–$256.59	40% above	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY EXAM OF FEMUR 2/>	$147.00	$210.00	$84.87–$127.30	46% below	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$574.07	$820.10	$84.87–$127.30	112% above	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$287.04	$410.05	$84.87–$127.30	6% above	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 X-RAY OF THIGH BONE; MINIMUM 2 VIEWS	$287.04	$410.05	$84.87–$127.30	6% above	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT CHEST SPINE W/O DYE	$1,130.50	$1,615.00	$101.96–$152.94	25% above	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SCAN OF MIDDLE SPINE WITHOUT CONTRAST	$2,478.50	$3,540.71	$101.96–$152.94	174% above	30%
Toe X-ray, 2 or more views CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$213.58	$305.12	$84.87–$127.30	14% below	30%
Toe X-ray, 2 or more views CPT 73660 X-RAY EXAM OF TOE(S)	$233.80	$334.00	$84.87–$127.30	6% below	30%
Toe X-ray, 2 or more views one side CPT 73660 X-RAY OF TOE; MINIMUM OF 2 VIEWS	$213.58	$305.12	$84.87–$127.30	14% below	30%
Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB	$378.70	$541.00	$101.96–$152.94	33% below	30%
Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA	$1,024.07	$1,462.95	$101.96–$152.94	82% above	30%
Transvaginal ultrasound during pregnancy CPT 76817 TRANSVAGINAL US OBSTETRIC	$134.40	$192.00	$101.96–$152.94	73% below	30%
Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE	$505.40	$722.00	$101.96–$152.94	19% below	30%
Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN	$1,206.54	$1,723.63	$101.96–$152.94	92% above	30%
Ultrasound of the scrotum and testicles CPT 76870 US EXAM SCROTUM	$439.60	$628.00	$101.96–$152.94	18% below	30%
Ultrasound of the scrotum and testicles CPT 76870 ULTRASOUND SCAN OF SCROTUM	$900.95	$1,287.07	$101.96–$152.94	68% above	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US EXAM OF HEAD AND NECK	$371.70	$531.00	$101.96–$152.94	35% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 ULTRASOUND SCAN OF HEAD AND NECK SOFT TISSUE	$879.00	$1,255.71	$101.96–$152.94	53% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 SINGLE CONTRAST X-RAY OF UPPER DIGESTIVE TRACT	$385.67	$550.95	$171.06–$256.59	35% below	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-RAY XM UPR GI TRC 1CNTRST	$396.90	$567.00	$171.06–$256.59	33% below	30%
Upper arm X-ray (humerus), 2 views CPT 73060 X-RAY EXAM OF HUMERUS	$298.90	$427.00	$84.87–$127.30	9% above	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$289.91	$414.16	$84.87–$127.30	5% above	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 X-RAY OF UPPER ARM; MINIMUM OF 2 VIEWS	$289.91	$414.16	$84.87–$127.30	5% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY STUDY	$546.70	$781.00	$101.96–$152.94	26% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ULTRASOUND STUDY OF ONE ARM OR LEG VEINS WITH COMPRESSION AND MANEUVERS	$1,199.47	$1,713.53	$101.96–$152.94	63% above	30%
Wrist X-ray, 2 views CPT 73100 X-RAY EXAM OF WRIST	$155.40	$222.00	$84.87–$127.30	40% below	30%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$271.95	$388.50	$84.87–$127.31	4% above	30%
Wrist X-ray, 2 views one side CPT 73100 X-RAY OF WRIST; 2 VIEWS	$271.95	$388.50	$84.87–$127.31	4% above	30%
Wrist X-ray, complete, 3 or more views CPT 73110 X-RAY EXAM OF WRIST	$155.40	$222.00	$84.87–$127.30	54% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$288.83	$412.61	$84.87–$127.30	14% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 X-RAY OF WRIST; MINIMUM OF 3 VIEWS	$288.83	$412.61	$84.87–$127.30	14% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-RAY EXAM HIP UNI 2-3 VIEWS	$165.90	$237.00	$84.87–$127.30	46% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$280.42	$400.60	$84.87–$127.30	9% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 X-RAY OF HIP; 2-3 VIEWS	$280.42	$400.60	$84.87–$127.30	9% below	30%
X-ray of the abdomen, 1 view CPT 74018 X-RAY OF ABDOMEN; 1 VIEW	$364.53	$520.75	$84.87–$127.31	42% above	30%
X-ray of the abdomen, 1 view CPT 74018 RADEX ABDOMEN 1 VIEW	$375.20	$536.00	$84.87–$127.30	46% above	30%
X-ray of the ankle, 2 views CPT 73600 X-RAY EXAM OF ANKLE	$145.60	$208.00	$84.87–$127.30	41% below	30%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$254.33	$363.33	$84.87–$127.30	2% above	30%
X-ray of the ankle, 2 views one side CPT 73600 X-RAY OF ANKLE; 2 VIEWS	$254.33	$363.33	$84.87–$127.30	2% above	30%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY EXAM OF FINGER(S)	$116.90	$167.00	$84.87–$127.30	55% below	30%
X-ray of the finger(s), 2 or more views CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$208.88	$298.40	$84.87–$127.31	19% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 X-RAY OF FINGER; MINIMUM OF 2 VIEWS	$208.88	$298.40	$84.87–$127.31	19% below	30%
X-ray of the foot, 2 views CPT 73620 X-RAY EXAM OF FOOT	$264.60	$378.00	$84.87–$127.30	14% above	30%
X-ray of the foot, 2 views one side CPT 73620 X-RAY OF FOOT; 2 VIEWS	$256.72	$366.74	$84.87–$127.30	11% above	30%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY EXAM OF FOOT	$155.40	$222.00	$84.87–$127.30	49% below	30%
X-ray of the foot, complete, 3 or more views CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$588.35	$840.50	$84.87–$127.30	92% above	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$294.18	$420.25	$84.87–$127.30	4% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 X-RAY OF FOOT; MINIMUM OF 3 VIEWS	$294.18	$420.25	$84.87–$127.30	4% below	30%
X-ray of the hand, 3 or more views CPT 73130 X-RAY EXAM OF HAND	$155.40	$222.00	$84.87–$127.30	52% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$290.61	$415.15	$84.87–$127.31	11% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 X-RAY OF HAND; MINIMUM OF 3 VIEWS	$290.61	$415.15	$84.87–$127.31	11% below	30%
X-ray of the knee, 1 or 2 views CPT 73560 X-RAY EXAM OF KNEE 1 OR 2	$148.40	$212.00	$84.87–$127.31	46% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$277.15	$395.93	$84.87–$127.31	2% above	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 X-RAY OF KNEE; 1-2 VIEWS	$277.15	$395.93	$84.87–$127.31	2% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY OF LOWER AND SACRAL SPINE; 2-3 VIEWS	$379.37	$541.96	$101.96–$152.94	18% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-RAY EXAM L-S SPINE 2/3 VWS	$390.60	$558.00	$101.96–$152.94	21% above	30%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS	$269.50	$385.00	$101.96–$152.94	43% below	30%
X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS	$468.69	$669.56	$101.96–$152.94	at median	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY EXAM THORAC SPINE 2VWS	$194.60	$278.00	$101.96–$152.94	36% below	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-RAY OF MIDDLE SPINE; 2 VIEWS	$352.84	$504.05	$101.96–$152.94	17% above	30%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY EXAM OF NASAL BONES	$168.70	$241.00	$84.87–$127.31	42% below	30%
X-ray of the nasal bones, 3 or more views CPT 70160 X-RAY OF NOSE BONES; MINIMUM OF 3 VIEWS	$304.09	$434.41	$84.87–$127.31	4% above	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY EXAM NECK SPINE 2-3 VW	$213.50	$305.00	$84.87–$127.30	36% below	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-RAY OF UPPER SPINE; 2-3 VIEWS	$370.99	$529.99	$84.87–$127.30	11% above	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY EXAM OF PELVIS	$131.60	$188.00	$101.96–$152.94	48% below	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-RAY OF PELVIS; 1-2 VIEWS	$228.56	$326.51	$101.96–$152.94	9% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY OF SACRUM AND TAILBONE; MINIMUM OF 2 VIEWS	$243.47	$347.82	$84.87–$127.30	18% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-RAY EXAM SACRUM TAILBONE	$250.60	$358.00	$84.87–$127.30	16% below	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ACTH blood test CPT 82024 ADRENOCORTICOTROPIC HORMONE (ACTH) LEVEL	$68.52	$97.88	$38.62–$57.93	48% below	30%
ACTH blood test CPT 82024 ASSAY OF ACTH	$73.50	$105.00	$38.62–$57.93	44% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LIVER ENZYME (SGPT); LEVEL	$23.35	$33.35	$5.30–$7.95	16% below	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALANINE AMINO (ALT) (SGPT)	$25.20	$36.00	$5.30–$7.95	10% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 LIVER ENZYME (SGOT); LEVEL	$23.35	$33.35	$5.18–$7.77	7% below	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSFERASE (AST) (SGOT)	$25.20	$36.00	$5.18–$7.77	at median	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$55.30	$79.00	$47.63–$71.44	75% below	30%
Albumin blood test CPT 82040 ASSAY OF SERUM ALBUMIN	$25.20	$36.00	$4.95–$7.42	14% above	30%
Aldosterone blood test CPT 82088 ALDOSTERONE HORMONE LEVEL	$68.52	$97.88	$40.75–$61.12	51% below	30%
Aldosterone blood test CPT 82088 ASSAY OF ALDOSTERONE	$73.50	$105.00	$40.75–$61.12	47% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE (ENZYME) LEVEL; ALKALINE	$23.35	$33.35	$5.18–$7.77	3% below	30%
Alkaline phosphatase (ALP) blood test CPT 84075 ASSAY ALKALINE PHOSPHATASE	$25.20	$36.00	$5.18–$7.77	5% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 MEASUREMENT OF ANTIBODY (IGE) TO ALLERGIC SUBSTANCE; CRUDE ALLERGEN EXTRACT; EACH	$64.55	$92.22	$5.22–$7.83	176% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLG SPEC IGE CRUDE XTRC EA	$69.30	$99.00	$5.22–$7.83	196% above	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN (AFP) LEVEL; SERUM	$38.42	$54.88	$16.77–$25.16	37% below	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN SERUM	$41.30	$59.00	$16.77–$25.16	32% below	30%
Ammonia blood test CPT 82140 AMMONIA LEVEL	$38.42	$54.88	$14.57–$21.86	30% below	30%
Ammonia blood test CPT 82140 ASSAY OF AMMONIA	$41.30	$59.00	$14.57–$21.86	25% below	30%
Amylase blood test CPT 82150 AMYLASE (ENZYME) LEVEL	$23.35	$33.35	$6.48–$9.72	51% below	30%
Amylase blood test CPT 82150 ASSAY OF AMYLASE	$25.20	$36.00	$6.48–$9.72	47% below	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 MEASUREMENT OF ANTIBODY FOR RHEUMATOID ARTHRITIS ASSESSMENT	$62.61	$89.44	$12.95–$19.42	8% above	30%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$67.20	$96.00	$12.95–$19.42	16% above	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES	$172.90	$247.00	$12.09–$18.14	213% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE (HEART AND BLOOD VESSEL PROTEIN) LEVEL	$54.29	$77.55	$39.26–$58.89	64% below	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 ASSAY OF NATRIURETIC PEPTIDE	$58.10	$83.00	$39.26–$58.89	61% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE; ANY OTHER SOURCE EXCEPT URINE; BLOOD OR STOOL; AEROBIC	$43.13	$61.62	$8.62–$12.93	35% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE OTHR SPECIMN AEROBIC	$46.20	$66.00	$8.62–$12.93	30% below	30%
Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL)	$51.93	$74.18	$8.46–$12.69	21% below	30%
Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA	$55.30	$79.00	$8.46–$12.69	16% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN LEVEL; TOTAL	$23.35	$33.35	$5.02–$7.53	3% below	30%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$25.20	$36.00	$5.02–$7.53	5% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM BY PATHOLOGIST	$311.50	$445.00	$50.82–$76.23	53% above	30%
Blood culture for bacteria CPT 87040 BACTERIAL BLOOD CULTURE	$43.13	$61.62	$10.32–$15.48	54% below	30%
Blood culture for bacteria CPT 87040 BLOOD CULTURE FOR BACTERIA	$46.20	$66.00	$10.32–$15.48	51% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE	$6.23	$8.90	$9.34–$14.01	61% below	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLL VENOUS BLD VENIPUNCTURE	$7.00	$10.00	$9.34–$14.01	56% below	30%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE (SUGAR) LEVEL	$23.35	$33.35	$3.93–$5.90	1% below	30%
Blood glucose (sugar) test CPT 82947 ASSAY GLUCOSE BLOOD QUANT	$25.20	$36.00	$3.93–$5.89	7% above	30%
Blood lead test CPT 83655 ASSAY OF LEAD	$39.90	$57.00	$12.11–$18.16	18% below	30%
Blood lead test CPT 83655 LEAD LEVEL	$41.85	$59.79	$12.11–$18.16	14% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPIN (REPRODUCTIVE HORMONE) ANALYSIS	$23.35	$33.35	$7.52–$11.28	57% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 CHORIONIC GONADOTROPIN ASSAY	$25.20	$36.00	$7.52–$11.28	54% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD GROUP TYPING (ABO)	$48.63	$69.47	$129.75–$194.62	18% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING SEROLOGIC ABO	$51.80	$74.00	$129.75–$194.62	13% below	30%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN LEVEL TO ASSESS KIDNEY FUNCTION; QUANTITATIVE	$23.35	$33.35	$3.95–$5.92	at median	30%
Blood urea nitrogen (BUN) test CPT 84520 ASSAY OF UREA NITROGEN	$25.20	$36.00	$3.95–$5.92	8% above	30%
C-peptide blood test CPT 84681 C-PEPTIDE (PROTEIN) LEVEL	$38.42	$54.88	$20.81–$31.22	51% below	30%
C-peptide blood test CPT 84681 ASSAY OF C-PEPTIDE	$41.30	$59.00	$20.81–$31.22	48% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 MEASUREMENT C-REACTIVE PROTEIN FOR DETECTION OF INFECTION OR INFLAMMATION	$62.61	$89.44	$5.18–$7.77	25% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN	$67.20	$96.00	$5.18–$7.77	34% above	30%
C. difficile toxin gene test (stool PCR) CPT 87493 DETECTION TEST BY NUCLEIC ACID FOR CLOSTRIDIUM DIFFICILE; AMPLIFIED PROBE TECHNIQUE	$88.60	$126.57	$37.27–$55.91	32% below	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$94.50	$135.00	$37.27–$55.91	28% below	30%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$46.20	$66.00	$20.81–$31.22	37% below	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$46.20	$66.00	$20.81–$31.22	51% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 AMPLIFED DNA OR RNA PROBE DETECTION OF SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (COVID-19) ANTIGEN	$97.67	$139.53	$51.31–$76.96	31% below	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-COV-2 COVID-19 AMP PRB	$104.30	$149.00	$51.31–$76.96	26% below	30%
Calcium blood test, total CPT 82310 CALCIUM LEVEL; TOTAL	$23.35	$33.35	$5.16–$7.74	26% below	30%
Calcium blood test, total CPT 82310 ASSAY OF CALCIUM	$25.20	$36.00	$5.16–$7.74	20% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANTIGEN	$41.30	$59.00	$18.96–$28.44	53% below	30%
Chickenpox (varicella) immunity blood test CPT 86787 ANALYSIS FOR ANTIBODY TO VARICELLA-ZOSTER VIRUS (CHICKEN POX)	$62.61	$89.44	$12.88–$19.32	8% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$67.20	$96.00	$12.88–$19.32	16% above	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 DETECTION TEST BY NUCLEIC ACID FOR CHLAMYDIA TRACHOMATIS; AMPLIFIED PROBE TECHNIQUE	$88.60	$126.57	$35.09–$52.64	4% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYD TRACH DNA AMP PROBE	$94.50	$135.00	$35.09–$52.64	2% above	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES)	$51.93	$74.18	$13.39–$20.08	2% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$55.30	$79.00	$13.39–$20.08	5% above	30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT	$20.63	$29.47	$7.77–$11.65	43% below	30%
Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC	$22.40	$32.00	$7.77–$11.66	38% below	30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST	$20.63	$29.47	$6.47–$9.70	39% below	30%
Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED	$22.40	$32.00	$6.47–$9.70	34% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS	$51.93	$74.18	$10.56–$15.84	18% below	30%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL	$55.30	$79.00	$10.56–$15.84	13% below	30%
Cortisol blood test, total CPT 82533 CORTISOL (HORMONE) MEASUREMENT; TOTAL	$55.92	$79.89	$16.30–$24.45	23% below	30%
Cortisol blood test, total CPT 82533 TOTAL CORTISOL	$59.50	$85.00	$16.30–$24.45	18% below	30%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE KINASE (CARDIAC ENZYME) LEVEL; TOTAL	$23.35	$33.35	$6.51–$9.76	34% below	30%
Creatine kinase (CK) blood test, total CPT 82550 ASSAY OF CK (CPK)	$25.20	$36.00	$6.51–$9.76	29% below	30%
Creatinine blood test CPT 82565 BLOOD CREATININE LEVEL	$23.35	$33.35	$5.12–$7.68	5% below	30%
Creatinine blood test CPT 82565 ASSAY OF CREATININE	$25.20	$36.00	$5.12–$7.68	2% above	30%
Cytomegalovirus (CMV) antibody test CPT 86644 ANALYSIS FOR ANTIBODY TO CYTOMEGALOVIRUS (CMV)	$62.61	$89.44	$14.39–$21.59	9% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$67.20	$96.00	$14.39–$21.58	2% below	30%
D-dimer blood test (blood clot marker) CPT 85379 FIBRIN DEGRADATION QUANT	$133.00	$190.00	$10.18–$15.27	91% above	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE (DHEA-S) HORMONE LEVEL	$55.92	$79.89	$22.23–$33.34	44% below	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$59.50	$85.00	$22.23–$33.34	40% below	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TESTING FOR PRESENCE OF DRUG; BY CHEMISTRY ANALYZERS	$97.40	$139.14	$62.14–$93.21	2% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLYZR	$104.30	$149.00	$62.14–$93.21	9% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$55.30	$79.00	$7.01–$10.52	16% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR CAPSID VCA	$67.20	$96.00	$18.14–$27.21	3% above	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 ANALYSIS FOR ANTIBODY TO EPSTEIN-BARR VIRUS (MONONUCLEOSIS VIRUS); VIRAL CAPSID	$125.22	$178.88	$18.14–$27.21	93% above	30%
Estradiol blood test CPT 82670 MEASUREMENT OF TOTAL ESTRADIOL (HORMONE)	$55.92	$79.89	$27.94–$41.91	50% below	30%
Estradiol blood test CPT 82670 ASSAY OF TOTAL ESTRADIOL	$59.50	$85.00	$27.94–$41.91	47% below	30%
FSH (follicle-stimulating hormone) test CPT 83001 GONADOTROPIN; FOLLICLE STIMULATING (REPRODUCTIVE HORMONE) LEVEL	$55.92	$79.89	$18.58–$27.87	35% below	30%
FSH (follicle-stimulating hormone) test CPT 83001 ASSAY OF GONADOTROPIN (FSH)	$59.50	$85.00	$18.58–$27.87	31% below	30%
Fecal calprotectin (stool inflammation test) CPT 83993 STOOL CALPROTECTIN (PROTEIN) LEVEL	$38.42	$54.88	$19.63–$29.44	74% below	30%
Fecal calprotectin (stool inflammation test) CPT 83993 ASSAY FOR CALPROTECTIN FECAL	$41.30	$59.00	$19.63–$29.44	72% below	30%
Ferritin blood test (iron stores) CPT 82728 FERRITIN (BLOOD PROTEIN) LEVEL	$38.42	$54.88	$13.63–$20.45	49% below	30%
Ferritin blood test (iron stores) CPT 82728 ASSAY OF FERRITIN	$41.30	$59.00	$13.63–$20.45	46% below	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN (FACTOR 1) ACTIVITY MEASUREMENT	$21.16	$30.23	$9.72–$14.58	53% below	30%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$22.40	$32.00	$9.72–$14.58	50% below	30%
Folate (folic acid) blood test CPT 82746 FOLIC ACID LEVEL; SERUM	$38.42	$54.88	$14.70–$22.05	43% below	30%
Folate (folic acid) blood test CPT 82746 ASSAY OF FOLIC ACID SERUM	$41.30	$59.00	$14.70–$22.05	39% below	30%
Free T3 thyroid hormone test CPT 84481 THYROID HORMONE; T3 MEASUREMENT; FREE	$55.92	$79.89	$16.94–$25.41	26% below	30%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$59.50	$85.00	$16.94–$25.41	22% below	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE (THYROID CHEMICAL); FREE	$55.92	$79.89	$9.02–$13.53	32% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 ASSAY OF FREE THYROXINE	$59.50	$85.00	$9.02–$13.53	40% above	30%
Free testosterone test CPT 84402 ASSAY OF FREE TESTOSTERONE	$59.50	$85.00	$25.47–$38.20	39% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYLTRANSFERASE (LIVER ENZYME) LEVEL	$23.35	$33.35	$7.20–$10.80	45% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 ASSAY OF GGT	$25.20	$36.00	$7.20–$10.80	41% below	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$137.90	$197.00	—	38% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE TEST	$44.80	$64.00	$4.75–$7.12	17% above	30%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE TEST (GTT)	$41.30	$59.00	$12.87–$19.30	39% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 DETECTION TEST BY NUCLEIC ACID FOR NEISSERIA GONORRHOEAE (GONORRHOEAE BACTERIA); AMPLIFIED PROBE TECHNIQUE	$88.60	$126.57	$35.09–$52.64	5% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA AMP PROB	$94.50	$135.00	$35.09–$52.64	2% above	30%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI ANTIBODY	$26.60	$38.00	$16.85–$25.27	65% below	30%
H. pylori stool antigen test CPT 87338 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HELICOBACTER PYLORI (GI TRACT BACTERIA) IN STOOL	$43.13	$61.62	$14.38–$21.57	38% below	30%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL AG IA	$46.20	$66.00	$14.38–$21.57	34% below	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 DETECTION TEST BY NUCLEIC ACID FOR HIV-1 VIRUS; QUANTIFICATION	$88.60	$126.57	$85.10–$127.65	75% below	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANT&REVRSE TRNSCRPJ	$94.50	$135.00	$85.10–$127.65	74% below	30%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-1/HIV-2 1 RESULT ANTBDY	$67.20	$96.00	$13.71–$20.56	9% above	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1&-2 AB AG IA	$29.40	$42.00	$24.08–$36.12	60% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HI-RISK TYP POOLED RSLT	$105.00	$150.00	$35.09–$52.64	12% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C LEVEL	$38.42	$54.88	$9.71–$14.57	16% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN GLYCOSYLATED A1C	$41.30	$59.00	$9.71–$14.57	9% below	30%
Hemoglobin blood test CPT 85018 BLOOD COUNT; HEMOGLOBIN	$20.63	$29.47	$2.37–$3.56	27% above	30%
Hemoglobin blood test CPT 85018 HEMOGLOBIN	$22.40	$32.00	$2.37–$3.56	38% above	30%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY MEASUREMENT	$62.61	$89.44	$12.05–$18.08	16% above	30%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$67.20	$96.00	$12.05–$18.08	25% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE ANTIBODY MEASUREMENT	$62.61	$89.44	$10.74–$16.11	29% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$67.20	$96.00	$10.74–$16.11	39% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 DETECTION TEST BY IMMUNOASSAY TECHNIQUE FOR HEPATITIS B SURFACE ANTIGEN	$43.13	$61.62	$10.33–$15.49	9% below	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG IA	$46.20	$66.00	$10.33–$15.50	2% below	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C ANTIBODY MEASUREMENT	$62.61	$89.44	$14.27–$21.41	2% below	30%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$67.20	$96.00	$14.27–$21.41	5% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 DETECTION TEST BY NUCLEIC ACID FOR HEPATITIS C VIRUS; QUANTIFICATION	$88.60	$126.57	$42.84–$64.26	54% below	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C REVRS TRNSCRPJ	$94.50	$135.00	$42.84–$64.26	51% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TYPE 1 TEST	$67.20	$96.00	$13.19–$19.78	14% above	30%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX TYPE 2 TEST	$67.20	$96.00	$19.35–$29.02	1% above	30%
High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN HS	$67.20	$96.00	$12.95–$19.42	at median	30%
Homocysteine blood test CPT 83090 HOMOCYSTEINE (AMINO ACID) LEVEL	$55.92	$79.89	$17.92–$26.88	31% below	30%
Homocysteine blood test CPT 83090 ASSAY OF HOMOCYSTEINE	$59.50	$85.00	$17.92–$26.88	26% below	30%
Insulin blood test CPT 83525 INSULIN MEASUREMENT; TOTAL	$55.92	$79.89	$11.43–$17.14	9% above	30%
Insulin blood test CPT 83525 ASSAY OF INSULIN	$59.50	$85.00	$11.43–$17.14	16% above	30%
Iron blood test (serum iron) CPT 83540 IRON LEVEL	$23.35	$33.35	$6.47–$9.70	39% below	30%
Iron blood test (serum iron) CPT 83540 ASSAY OF IRON	$25.20	$36.00	$6.47–$9.71	34% below	30%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING TEST	$65.10	$93.00	$8.74–$13.11	67% above	30%
Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL	$51.93	$74.18	$8.68–$13.02	28% below	30%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$55.30	$79.00	$8.68–$13.02	23% below	30%
LH (luteinizing hormone) test CPT 83002 GONADOTROPIN; LUTEINIZING (REPRODUCTIVE HORMONE) LEVEL	$55.92	$79.89	$18.52–$27.78	41% below	30%
LH (luteinizing hormone) test CPT 83002 ASSAY OF GONADOTROPIN (LH)	$59.50	$85.00	$18.52–$27.78	38% below	30%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID LEVEL	$38.42	$54.88	$11.57–$17.36	26% below	30%
Lactate (lactic acid) blood test CPT 83605 ASSAY OF LACTIC ACID	$41.30	$59.00	$11.57–$17.36	21% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE DEHYDROGENASE (ENZYME) LEVEL	$23.35	$33.35	$6.04–$9.06	14% below	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTATE (LD) (LDH) ENZYME	$25.20	$36.00	$6.04–$9.06	8% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE (FAT ENZYME) LEVEL	$23.35	$33.35	$6.89–$10.34	60% below	30%
Lipase blood test (pancreas enzyme) CPT 83690 ASSAY OF LIPASE	$25.20	$36.00	$6.89–$10.34	57% below	30%
Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL	$51.93	$74.18	$8.17–$12.26	14% below	30%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$55.30	$79.00	$8.17–$12.26	9% below	30%
Lyme disease antibody test CPT 86618 ANALYSIS FOR ANTIBODY BORRELIA BURGDORFERI (LYME DISEASE BACTERIA)	$62.61	$89.44	$17.03–$25.54	18% below	30%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$67.20	$96.00	$17.03–$25.54	12% below	30%
Magnesium blood test CPT 83735 MAGNESIUM LEVEL	$23.35	$33.35	$6.70–$10.05	31% below	30%
Magnesium blood test CPT 83735 ASSAY OF MAGNESIUM	$25.20	$36.00	$6.70–$10.05	25% below	30%
Measles (rubeola) antibody test CPT 86765 ANALYSIS FOR ANTIBODY TO RUBEOLA (MEASLES VIRUS)	$62.61	$89.44	$12.88–$19.32	10% above	30%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODY	$67.20	$96.00	$12.88–$19.32	18% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 SCREENING TEST FOR MONONUCLEOSIS (MONO)	$62.61	$89.44	$5.18–$7.77	18% above	30%
Mono test (heterophile antibody, Monospot) CPT 86308 HETEROPHILE ANTIBODY SCREEN	$67.20	$96.00	$5.18–$7.77	26% above	30%
Mumps immunity blood test CPT 86735 ANALYSIS FOR ANTIBODY TO MUMPS VIRUS	$62.61	$89.44	$13.05–$19.58	7% above	30%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODY	$67.20	$96.00	$13.05–$19.58	15% above	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL	$41.30	$59.00	$18.39–$27.59	48% below	30%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATH C/V AUTO FLUID REDO	$84.70	$121.00	$26.61–$39.91	13% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTOPATH C/V THIN LAYER	$100.10	$143.00	$20.26–$30.39	10% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE (PARATHYROID HORMONE) LEVEL	$68.52	$97.88	$41.28–$61.92	52% below	30%
Parathyroid hormone (PTH) blood test CPT 83970 ASSAY OF PARATHORMONE	$73.50	$105.00	$41.28–$61.92	48% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD	$21.16	$30.23	$6.01–$9.02	44% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL	$22.40	$32.00	$6.01–$9.02	40% below	30%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHATE LEVEL	$23.35	$33.35	$4.74–$7.11	35% below	30%
Phosphorus (phosphate) blood test CPT 84100 ASSAY OF PHOSPHORUS	$25.20	$36.00	$4.74–$7.11	30% below	30%
Potassium blood test CPT 84132 BLOOD POTASSIUM LEVEL	$23.35	$33.35	$4.76–$7.14	at median	30%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$25.20	$36.00	$4.76–$7.14	8% above	30%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHRMOML ANEUPLOIDY	$662.20	$946.00	$759.05–$1,138.58	55% below	30%
Progesterone blood test CPT 84144 PROGESTERONE (REPRODUCTIVE HORMONE) LEVEL	$55.92	$79.89	$20.86–$31.29	31% below	30%
Progesterone blood test CPT 84144 ASSAY OF PROGESTERONE	$59.50	$85.00	$20.86–$31.29	27% below	30%
Prolactin blood test CPT 84146 PROLACTIN (MILK PRODUCING HORMONE) LEVEL	$55.92	$79.89	$19.38–$29.07	36% below	30%
Prolactin blood test CPT 84146 ASSAY OF PROLACTIN	$59.50	$85.00	$19.38–$29.07	32% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME	$21.16	$30.23	$4.29–$6.43	12% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$22.40	$32.00	$4.29–$6.44	7% below	30%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA ASSAY W/OPTIC	$46.20	$66.00	$16.55–$24.82	30% below	30%
Renin blood test CPT 84244 RENIN (KIDNEY ENZYME) LEVEL	$55.92	$79.89	$21.99–$32.98	35% below	30%
Renin blood test CPT 84244 ASSAY OF RENIN	$59.50	$85.00	$21.99–$32.98	30% below	30%
Rh blood typing CPT 86901 BLOOD TYPING FOR RH (D) ANTIGEN	$16.46	$23.52	$36.43–$54.64	56% below	30%
Rh blood typing CPT 86901 BLOOD TYPING SEROLOGIC RH(D)	$17.50	$25.00	$36.43–$54.64	53% below	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR LEVEL	$62.61	$89.44	$5.67–$8.51	89% above	30%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$67.20	$96.00	$5.67–$8.51	103% above	30%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$67.20	$96.00	$14.39–$21.58	37% above	30%
Sodium blood test CPT 84295 BLOOD SODIUM LEVEL	$23.35	$33.35	$4.81–$7.22	14% below	30%
Sodium blood test CPT 84295 ASSAY OF SERUM SODIUM	$25.20	$36.00	$4.81–$7.21	7% below	30%
Stool ova and parasites exam CPT 87177 SMEAR FOR PARASITES	$43.13	$61.62	$8.90–$13.35	9% above	30%
Stool ova and parasites exam CPT 87177 OVA AND PARASITES SMEARS	$46.20	$66.00	$8.90–$13.35	17% above	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 STOOL ANALYSIS FOR BLOOD TO SCREEN FOR COLON TUMORS	$23.35	$33.35	$4.38–$6.57	19% below	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECES	$25.20	$36.00	$4.38–$6.57	12% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$67.20	$96.00	$13.24–$19.86	16% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS DETECTION TEST	$62.61	$89.44	$4.27–$6.40	163% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$67.20	$96.00	$4.27–$6.40	182% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL IMMUN MEASURE	$103.60	$148.00	$61.98–$92.97	11% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE (HORMONE) LEVEL; TOTAL	$55.92	$79.89	$25.81–$38.72	39% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 ASSAY OF TOTAL TESTOSTERONE	$59.50	$85.00	$25.81–$38.72	35% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODIES (AUTOANTIBODY) MEASUREMENT	$55.92	$79.89	$14.55–$21.82	14% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY EACH	$59.50	$85.00	$14.55–$21.82	8% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH)	$55.92	$79.89	$16.80–$25.20	26% below	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE	$59.50	$85.00	$16.80–$25.20	21% below	30%
Total IgE blood test CPT 82785 IGE (IMMUNE SYSTEM PROTEIN) LEVEL	$38.42	$54.88	$16.46–$24.69	38% below	30%
Total IgE blood test CPT 82785 ASSAY OF IGE	$41.30	$59.00	$16.46–$24.69	33% below	30%
Total cholesterol blood test CPT 82465 CHOLESTEROL LEVEL	$23.35	$33.35	$4.35–$6.52	36% below	30%
Total cholesterol blood test CPT 82465 ASSAY BLD/SERUM CHOLESTEROL	$25.20	$36.00	$4.35–$6.53	31% below	30%
Total thyroxine (T4) blood test CPT 84436 THYROXINE (THYROID CHEMICAL); TOTAL	$55.92	$79.89	$6.87–$10.30	34% above	30%
Total thyroxine (T4) blood test CPT 84436 ASSAY OF TOTAL THYROXINE	$59.50	$85.00	$6.87–$10.30	42% above	30%
Total triiodothyronine (T3) blood test CPT 84480 THYROID HORMONE; T3 MEASUREMENT; TOTAL	$55.92	$79.89	$14.18–$21.27	7% below	30%
Total triiodothyronine (T3) blood test CPT 84480 ASSAY TRIIODOTHYRONINE (T3)	$59.50	$85.00	$14.18–$21.27	1% below	30%
Transferrin blood test CPT 84466 TRANSFERRIN (IRON BINDING PROTEIN) LEVEL	$38.42	$54.88	$12.76–$19.14	48% below	30%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$41.30	$59.00	$12.76–$19.14	44% below	30%
Trichomonas test (NAAT) CPT 87661 DETECTION TEST BY NUCLEIC ACID FOR TRICHOMONAS VAGINALIS (GENITAL PARASITE); AMPLIFIED PROBE TECHNIQUE	$88.60	$126.57	$35.09–$52.64	3% above	30%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMPLIF	$94.50	$135.00	$35.09–$52.64	9% above	30%
Triglycerides blood test CPT 84478 TRIGLYCERIDES LEVEL	$23.35	$33.35	$5.74–$8.61	32% below	30%
Triglycerides blood test CPT 84478 ASSAY OF TRIGLYCERIDES	$25.20	$36.00	$5.74–$8.61	27% below	30%
Troponin test, quantitative CPT 84484 TROPONIN (PROTEIN) ANALYSIS; QUANTITATIVE	$38.42	$54.88	$12.47–$18.70	54% below	30%
Troponin test, quantitative CPT 84484 ASSAY OF TROPONIN QUANT	$41.30	$59.00	$12.47–$18.70	51% below	30%
Uric acid blood test CPT 84550 URIC ACID LEVEL; BLOOD	$23.35	$33.35	$4.52–$6.78	34% below	30%
Uric acid blood test CPT 84550 ASSAY OF BLOOD/URIC ACID	$25.20	$36.00	$4.52–$6.78	28% below	30%
Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED	$15.49	$22.13	$3.17–$4.76	43% below	30%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE	$16.80	$24.00	$3.17–$4.76	38% below	30%
Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED	$15.49	$22.13	$4.02–$6.03	15% below	30%
Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE	$16.80	$24.00	$4.02–$6.03	8% below	30%
Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST	$15.49	$22.13	$2.25–$3.38	34% below	30%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE	$16.80	$24.00	$2.25–$3.38	28% below	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST	$15.49	$22.13	$3.48–$5.22	4% below	30%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE	$16.80	$24.00	$3.48–$5.22	4% above	30%
Urine culture for bacteria, with colony count CPT 87086 BACTERIAL COLONY COUNT; URINE	$43.13	$61.62	$8.07–$12.10	24% below	30%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE/COLONY COUNT	$46.20	$66.00	$8.07–$12.10	19% below	30%
Urine microalbumin (albumin) test CPT 82043 URINE MICROALBUMIN (PROTEIN) LEVEL	$15.49	$22.13	$5.78–$8.67	70% below	30%
Urine microalbumin (albumin) test CPT 82043 UR ALBUMIN QUANTITATIVE	$16.80	$24.00	$5.78–$8.67	67% below	30%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$16.80	$24.00	$8.61–$12.92	65% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 CYANOCOBALAMIN (VITAMIN B-12) LEVEL	$55.92	$79.89	$15.08–$22.62	25% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12	$59.50	$85.00	$15.08–$22.62	20% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D-3 LEVEL	$54.29	$77.55	$29.60–$44.40	42% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$58.10	$83.00	$29.60–$44.40	38% below	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 DIHYDROXYVITAMIN D; 1; 25 LEVEL	$54.29	$77.55	$38.50–$57.75	65% below	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$58.10	$83.00	$38.50–$57.75	62% below	30%
Zinc blood test CPT 84630 ZINC LEVEL	$41.85	$59.79	$11.39–$17.08	19% below	30%
Zinc blood test CPT 84630 ASSAY OF ZINC	$44.80	$64.00	$11.39–$17.08	13% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPIN; CHORIONIC (REPRODUCTIVE HORMONE) LEVEL	$55.92	$79.89	$15.05–$22.58	17% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN TEST	$59.50	$85.00	$15.05–$22.57	12% below	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 PRIMARY REMOVAL OF ADENOIDS (YOUNGER THAN 12 YEARS)	$1,518.14	$2,168.77	$3,233.35–$4,850.02	79% below	30%
Arthroscopic ACL reconstruction or repair of the knee one side CPT 29888 REPAIR OF ANTERIOR CRUCIATE LIGAMENT OF KNEE USING AN ENDOSCOPE	$9,824.39	$14,034.84	$7,076.51–$10,614.76	74% below	30%
Botox injections for chronic migraine CPT 64615 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE	$840.70	$1,201.00	$299.35–$449.02	52% above	30%
Botox injections for chronic migraine CPT 64615 CHEMODENERV MUSC MIGRAINE	$899.50	$1,285.00	$299.35–$449.02	62% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 TREATMENT OF ANKLE FRACTURE	$331.80	$474.00	$240.56–$360.84	12% below	30%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$547.48	$782.11	$240.56–$360.84	45% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting one side CPT 27786 CLOSED TREATMENT OF BROKEN OUTSIDE LOWER LEG BONE AT ANKLE	$547.48	$782.11	$240.56–$360.84	45% above	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 TREAT METATARSAL FRACTURE	$331.80	$474.00	$240.56–$360.84	9% below	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTRIC EXT	$142.10	$203.00	$644.58–$966.87	93% below	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 CIRCUM 28 DAYS OR OLDER	$2,380.00	$3,400.00	$2,038.61–$3,057.92	61% below	30%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 REMOVAL OF FORESKIN (OLDER THAN 28 DAYS)	$3,738.25	$5,340.35	$2,038.61–$3,057.92	39% below	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 CIRCUMCISION W/REGIONL BLOCK	$1,531.60	$2,188.00	$2,038.61–$3,057.92	13% below	30%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 REMOVAL OF FORESKIN USING CLAMP OR DEVICE	$3,738.25	$5,340.35	$2,038.61–$3,057.92	111% above	30%
Circumcision, surgical, older than a newborn CPT 54160 CIRCUMCISION NEONATE	$222.60	$318.00	$680.03–$1,020.04	89% below	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLTX DST RDL FX/EPHYS SEP WO	$331.80	$474.00	$240.56–$360.84	19% below	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$637.55	$910.79	$240.56–$360.84	56% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$547.48	$782.11	$240.56–$360.84	34% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting one side CPT 25600 CLOSED TREATMENT OF BROKEN FOREARM (RADIUS) BONE AT THE WRIST AREA ON THE THUMB SIDE OF THE WRIST WITHOUT MANIPULATION	$547.48	$782.11	$240.56–$360.84	34% above	30%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$929.60	$1,328.00	$1,167.00–$1,750.50	72% below	30%
Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE	$2,243.16	$3,204.51	$1,167.00–$1,750.50	33% below	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$170.10	$243.00	$297.19–$445.79	81% below	30%
Cystoscopy with ureteral stent placement one side CPT 52332 INSERTION OF STENT IN URETER USING AN ENDOSCOPE	$5,328.67	$7,612.39	$3,437.68–$5,156.52	46% below	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTRUCT PREMALG LESION	$454.30	$649.00	$195.67–$293.50	124% above	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$2,705.50	$3,865.00	$1,513.16–$2,269.74	37% below	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$1,518.14	$2,168.77	$1,513.16–$2,269.74	65% below	30%
Ear tube placement (tympanostomy) under general anesthesia, one ear one side CPT 69436 INCISION OF EARDRUM WITH PLACEMENT OF EARDRUM TUBE UNDER GENERAL ANESTHESIA	$3,036.28	$4,337.54	$1,513.16–$2,269.74	29% below	30%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 CREATE EARDRUM OPENING	$464.80	$664.00	$525.97–$788.96	65% below	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVAL OF IMPACTED EAR WAX BY WASHING	$17.60	$25.14	$57.53–$86.30	89% below	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$138.60	$198.00	$57.53–$86.30	10% below	30%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$369.60	$528.00	$57.53–$86.30	139% above	30%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED EAR WAX	$573.80	$819.71	$57.53–$86.30	271% above	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 INJECTION EYE DRUG	$743.40	$1,062.00	$322.12–$483.18	89% above	30%
First repair of a small front abdominal hernia (e.g. umbilical), under 3 cm CPT 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA(S) (IE; EPIGASTRIC; INCISIONAL; VENTRAL; UMBILICAL; SPIGELIAN); ANY APPROACH (IE; OPEN; LAPAROSCOPIC; ROBOTIC); INITIAL; INCLUDING IMPLANTATION OF MESH OR OTHER PROSTHESIS WHEN PERFORMED; TOTAL LENGTH OF DEFECT(S); LESS THAN 3 CM; REDUCIBLE	$3,738.25	$5,340.35	$3,491.74–$5,237.61	77% below	30%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF IUD FOR PREGNANCY PREVENTION	$314.40	$449.14	—	38% below	30%
IUD insertion (the device itself billed separately) CPT 58300 INSERT INTRAUTERINE DEVICE	$336.70	$481.00	—	33% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SIMPLE/SINGLE	$190.40	$272.00	$195.67–$293.50	51% below	30%
Incision and drainage of a simple or single skin abscess CPT 10060 SIMPLE OR SINGLE DRAINAGE OF SKIN ABSCESS	$4,440.21	$6,343.16	$195.67–$293.50	1046% above	30%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$1,869.13	$2,670.18	$3,491.74–$5,237.61	82% below	30%
Inguinal (groin) hernia repair, age 5 or older one side CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER)	$4,349.05	$6,212.93	$3,491.74–$5,237.61	59% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJ TENDON SHEATH/LIGAMENT	$387.10	$553.00	$299.35–$449.02	14% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASPIRATION AND/OR INJECTION OF FLUID FROM LARGE JOINT	$884.42	$1,263.45	$299.35–$449.02	27% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 DRAIN/INJ JOINT/BURSA W/O US	$946.40	$1,352.00	$299.35–$449.02	36% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION OF DRUG DELIVERY IMPLANT INTO TISSUE	$1,269.77	$1,813.95	$129.75–$194.63	237% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 INSERTION DRUG DLVR IMPLANT	$1,358.70	$1,941.00	$129.75–$194.62	260% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ASPIRATION AND/OR INJECTION OF FLUID FROM MEDIUM JOINT	$684.75	$978.22	$299.35–$449.02	11% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 DRAIN/INJ JOINT/BURSA W/O US	$732.90	$1,047.00	$299.35–$449.02	19% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJ JOINT/BURSA W/O US	$441.70	$631.00	$299.35–$449.02	10% below	30%
Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE	$8,698.11	$12,425.87	$3,190.97–$4,786.45	31% below	30%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 REMOVAL OF APPENDIX USING AN ENDOSCOPE	$6,171.03	$8,815.76	$5,895.81–$8,843.72	65% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTMD RPR S/A/T/EXT 2.5 CM/<	$214.90	$307.00	$396.45–$594.67	60% below	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 INTERMEDIATE REPAIR OF WOUND OF SCALP; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$747.20	$1,067.43	$396.45–$594.67	40% above	30%
Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY	$4,398.80	$6,284.00	$3,161.64–$4,742.46	53% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC	$1,195.60	$1,708.00	$688.40–$1,032.60	41% below	30%
Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC	$1,482.60	$2,118.00	$862.57–$1,293.86	9% below	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EXC TR-EXT B9+MARG 0.5 CM<	$158.90	$227.00	$690.60–$1,035.90	88% below	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 CM/<	$1,443.40	$2,062.00	$690.60–$1,035.90	5% above	30%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$165.20	$236.00	$195.67–$293.50	48% below	30%
Occipital nerve block (injection for headaches) CPT 64405 INJECTION OF ANESTHETIC AGENT AND/OR STEROID INTO UPPER NECK AND BACK OF HEAD NERVE	$1,323.69	$1,890.99	$299.35–$449.02	68% above	30%
Occipital nerve block (injection for headaches) CPT 64405 NJX AA&/STRD GR OCPL NRV	$1,416.10	$2,023.00	$299.35–$449.02	80% above	30%
Paracentesis with imaging guidance CPT 49083 ABD PARACENTESIS W/IMAGING	$835.80	$1,194.00	$884.52–$1,326.78	52% below	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$1,234.80	$1,764.00	$396.45–$594.67	59% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 PERMANENT REMOVAL FINGERNAIL OR TOENAIL	$5,142.18	$7,345.97	$396.45–$594.67	562% above	30%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$4,932.90	$7,047.00	—	145% above	30%
Removal of a foreign object under the skin, simple CPT 10120 INC&RMVL FB SUBQ TISS SMPL	$578.20	$826.00	$396.45–$594.67	14% below	30%
Removal of a foreign object under the skin, simple CPT 10120 REMOVAL OF FOREIGN BODY FROM TISSUE; ACCESSED BENEATH THE SKIN; SIMPLE	$3,036.28	$4,337.54	$396.45–$594.67	353% above	30%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$289.51	$413.59	$272.77–$409.15	4% below	30%
Short arm cast (elbow to hand) CPT 29075 APPLICATION OF FOREARM CAST	$310.10	$443.00	$272.77–$409.16	3% above	30%
Short arm cast (elbow to hand) one side CPT 29075 APPLICATION OF ELBOW TO FINGER CAST	$289.51	$413.59	$272.77–$409.15	4% below	30%
Short arm splint (forearm and hand) CPT 29125 APPLICATION OF NONMOVEABLE FOREARM TO HAND SPLINT	$109.84	$156.91	$129.75–$194.62	62% below	30%
Short arm splint (forearm and hand) CPT 29125 APPLY FOREARM SPLINT	$221.20	$316.00	$129.75–$194.62	24% below	30%
Short leg cast (below the knee) CPT 29405 APPLY SHORT LEG CAST	$218.40	$312.00	$272.77–$409.16	43% below	30%
Short leg cast (below the knee) CPT 29405 APPLICATION OF SHORT LEG CAST	$380.52	$543.60	$272.77–$409.15	at median	30%
Short leg splint (calf to foot) CPT 29515 APPLICATION OF SHORT LEG SPLINT FROM CALF TO FOOT	$131.31	$187.59	$158.48–$237.72	55% below	30%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$265.30	$379.00	$158.48–$237.72	10% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 RPR S/N/AX/GEN/TRNK 2.5CM/<	$165.20	$236.00	$195.67–$293.50	50% below	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	48% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	48% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs one side CPT 12001 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	48% above	30%
Skin tag removal, up to 15 tags CPT 11200 RMVL SKIN TAGS UP TO&INC 15	$454.30	$649.00	$195.67–$293.50	55% above	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 REMOVAL OF CEREBROSPINAL FLUID WITH LOWER BACK SPINAL TAP FOR DIAGNOSTIC TEST	$703.86	$1,005.52	$688.40–$1,032.60	34% below	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 DX LMBR SPI PNXR	$753.20	$1,076.00	$688.40–$1,032.60	30% below	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$488.37	$697.67	$195.67–$293.50	39% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM	$590.80	$844.00	$195.67–$293.50	68% above	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs one side CPT 12002 SIMPLE REPAIR OF SURFACE WOUND OF SCALP; NECK; UNDERARMS; TRUNK; ARMS; OR LEGS; 2.6-7.5 CM	$488.37	$697.67	$195.67–$293.50	39% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	54% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 RPR F/E/E/N/L/M 2.5 CM/<	$515.20	$736.00	$195.67–$293.50	62% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	54% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair one side CPT 12011 SIMPLE REPAIR OF SURFACE WOUND OF FACE; EARS; EYELIDS; NOSE; LIPS; OR MOUTH; 2.5 CM OR LESS	$488.37	$697.67	$195.67–$293.50	54% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES	$1,386.00	$1,980.00	$396.45–$594.67	359% above	30%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$190.40	$272.00	$611.77–$917.66	89% below	30%
Tonsil and adenoid removal, age 12 or older CPT 42821 REMOVAL OF TONSILS AND ADENOID GLANDS (12 YEARS OR OLDER)	$3,738.25	$5,340.35	$3,233.35–$4,850.02	28% below	30%
Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS)	$3,036.28	$4,337.54	$5,773.22–$8,659.83	64% below	30%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 REMOVAL OF TONSILS (YOUNGER THAN 12 YEARS)	$3,036.28	$4,337.54	$5,773.22–$8,659.83	52% below	30%
Trigger finger release surgery CPT 26055 INCISION OF TENDON COVERING OF FINGER	$2,571.09	$3,672.99	$1,568.17–$2,352.26	22% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION OF TRIGGER POINTS; 1-2 MUSCLES	$183.23	$261.76	$299.35–$449.02	74% below	30%
Trigger point injections, 1 or 2 muscles CPT 20552 INJ TRIGGER POINT 1/2 MUSCL	$196.00	$280.00	$299.35–$449.02	72% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE	$1,234.80	$1,764.00	$884.52–$1,326.78	56% below	30%
Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE	$4,486.31	$6,409.02	$884.52–$1,326.78	60% above	30%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$2,305.10	$3,293.00	$1,871.39–$2,807.08	29% below	30%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CRUSHING OF STONE OF URETER USING AN ENDOSCOPE	$10,382.83	$14,832.61	$5,229.01–$7,843.52	12% below	30%
Wart removal, up to 14 warts CPT 17110 DESTRUCTION OF SKIN GROWTH; 1-14 GROWTHS	$132.70	$189.57	$195.67–$293.50	58% below	30%
Wart removal, up to 14 warts CPT 17110 DESTRUCT B9 LESION 1-14	$142.10	$203.00	$195.67–$293.50	55% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DBRDMT SUBQ TIS 1ST 20SQCM/<	$454.30	$649.00	$396.45–$594.67	42% below	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 REMOVAL OF SKIN AND TISSUE; 20.0 SQ CM OR LESS	$3,738.25	$5,340.35	$396.45–$594.67	380% above	30%
Wrist fracture surgery (plate and screws), distal radius one side CPT 25607 TREATMENT OF BROKEN FOREARM BONE ON THUMB SIDE OF WRIST; ABOVE WRIST; WITH PLACEMENT OF STABILIZING DEVICE	$8,698.11	$12,425.87	$7,076.51–$10,614.76	48% below	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION BLD/BLD COMPNT	$819.70	$1,171.00	$430.25–$645.38	26% below	30%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION OF BLOOD OR BLOOD PRODUCTS	$918.56	$1,312.23	$430.25–$645.38	17% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$57.81	$82.58	$213.56–$320.34	67% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 AIRWAY INHALATION TREATMENT	$194.60	$278.00	$213.56–$320.34	11% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT FOR AIRWAY OBSTRUCTION OR SPUTUM PRODUCTION	$96.26	$137.52	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 AIRWAY INHALATION TREATMENT	$194.60	$278.00	—	—	30%
Chemotherapy IV infusion, first hour CPT 96413 ADMINISTRATION OF CHEMOTHERAPY INTO VEIN; 1 HOUR OR LESS	$395.19	$564.56	$322.12–$483.18	48% below	30%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INFUSION 1 HR	$700.00	$1,000.00	$322.12–$483.18	9% below	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 NEW PATIENT COMPLETE EXAM OF VISUAL SYSTEM	$274.40	$392.00	$129.84–$194.76	7% above	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 COMPRE OPH EXAM NEW PT 1/>	$293.30	$419.00	$129.84–$194.76	14% above	30%
Comprehensive eye exam, returning patient CPT 92014 ESTABLISHED PATIENT COMPLETE EXAM OF VISUAL SYSTEM	$220.50	$315.00	$129.84–$194.76	5% below	30%
Comprehensive eye exam, returning patient CPT 92014 COMPRE OPH EXAM EST PT 1/>	$235.90	$337.00	$129.84–$194.76	2% above	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING AND SPEECH RECOGNITION TEST	$259.70	$371.00	$125.48–$188.22	1% below	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMPREHENSIVE HEARING TEST	$277.90	$397.00	$125.48–$188.22	6% above	30%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE FIRST HOUR	$1,344.00	$1,920.00	$805.57–$1,208.36	54% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE AND DROWSY	$566.30	$809.00	$210.57–$315.86	41% below	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG); AWAKE AND DROWSY	$826.60	$1,180.85	$210.57–$315.86	13% below	30%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE	$47.60	$68.00	—	81% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ROUTINE ELECTROCARDIOGRAM (ECG) USING AT LEAST 12 LEADS WITH TRACING	$44.60	$63.72	$57.53–$86.30	76% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM TRACING	$47.60	$68.00	$57.53–$86.30	74% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD SEVERITY	$130.51	$186.44	$82.24–$123.36	58% below	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 EMR DPT VST MAYX REQ PHY/QHP	$139.30	$199.00	$82.24–$123.36	55% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MILD TO MODERATE SEVERITY	$253.27	$361.82	$149.74–$224.61	50% below	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 EMERGENCY DEPT VISIT SF MDM	$270.90	$387.00	$149.74–$224.61	47% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY	$430.32	$614.74	$266.22–$399.33	49% below	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 EMERGENCY DEPT VISIT LOW MDM	$472.50	$675.00	$266.22–$399.33	44% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPT VISIT MOD MDM	$262.50	$375.00	$406.93–$610.40	80% below	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY	$644.81	$921.16	$406.93–$610.40	51% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPT VISIT HI MDM	$468.30	$669.00	$580.78–$871.17	73% below	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY	$975.63	$1,393.75	$580.78–$871.17	44% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TEST	$490.00	$700.00	$210.57–$315.86	45% below	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 EXERCISE OR DRUG-INDUCED HEART STRESS TEST WITH ELECTROCARDIOGRAM (ECG)	$1,508.12	$2,154.45	$210.57–$315.86	68% above	30%
Eye exam, returning patient, intermediate CPT 92012 INTRM OPH EXAM EST PATIENT	$156.80	$224.00	$129.84–$194.76	49% below	30%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES	$140.15	$200.21	$173.10–$259.65	53% below	30%
Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN	$210.00	$300.00	$173.10–$259.65	29% below	30%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES	$128.28	$183.25	$173.10–$259.65	59% below	30%
Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN	$210.00	$300.00	$173.10–$259.65	32% below	30%
Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY	$235.20	$336.00	$99.07–$148.60	38% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INFUSION INTO A VEIN FOR HYDRATION; 31-60 MINUTES	$168.57	$240.82	$207.44–$484.59	60% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATION IV INFUSION INIT	$180.60	$258.00	$207.44–$484.59	57% below	30%
IV infusion of a medicine, first hour CPT 96365 INFUSION INTO A VEIN FOR THERAPY; PREVENTION; OR DIAGNOSIS; 1 HOUR OR LESS	$434.83	$621.19	$207.44–$311.16	at median	30%
IV infusion of a medicine, first hour CPT 96365 THER/PROPH/DIAG IV INF INIT	$465.50	$665.00	$207.44–$311.16	8% above	30%
IV push of a medicine, first drug CPT 96374 THER/PROPH/DIAG INJ IV PUSH	$61.60	$88.00	$207.44–$311.16	76% below	30%
IV push of a medicine, first drug CPT 96374 INJECTION OF DRUG OR SUBSTANCE INTO VEIN	$64.75	$92.50	$207.44–$311.16	75% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER/PROPH/DIAG INJ SC/IM	$68.60	$98.00	$70.21–$105.31	51% below	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION OF DRUG OR SUBSTANCE UNDER SKIN OR INTO MUSCLE	$121.00	$172.86	$70.21–$105.31	14% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION	$122.50	$175.00	$173.10–$259.65	61% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCHIATRIC DIAGNOSTIC EVALUATION	$590.12	$843.03	$173.10–$259.65	88% above	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NERVE CONDUCTION; 7-8 STUDIES	$1,733.94	$2,477.06	$363.92–$545.88	26% above	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 NRV CNDJ TEST 7-8 STUDIES	$1,855.00	$2,650.00	$363.92–$545.88	34% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR REEDUCATION	$74.20	$106.00	$31.37–$47.06	32% below	30%
New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES	$107.01	$152.87	$70.42–$105.63	2% below	30%
New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN	$114.80	$164.00	$70.42–$105.63	5% above	30%
New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES	$308.67	$440.96	$115.05–$172.58	155% above	30%
New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN	$442.40	$632.00	$115.05–$172.58	265% above	30%
New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN	$464.80	$664.00	$157.69–$236.54	169% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 OFFICE O/P NEW SF 15 MIN	$96.60	$138.00	$40.44–$60.66	5% below	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 MEDICAL NUTRITION INDIV IN	$95.20	$136.00	$25.66–$38.49	47% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 THERAPY PROCEDURE FOR NUTRITION MANAGEMENT; EACH 15 MINUTES	$266.49	$380.70	$25.66–$38.49	312% above	30%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEX 30 MIN	$238.00	$340.00	$96.30–$144.45	9% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEX 45 MIN	$357.00	$510.00	$93.86–$140.79	19% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEX 20 MIN	$238.00	$340.00	$93.86–$140.79	9% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEX 30 MIN	$277.90	$397.00	$93.86–$140.79	at median	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY 1/> REGIONS	$70.00	$100.00	$26.59–$39.88	37% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES	$74.20	$106.00	$27.87–$41.80	37% below	30%
Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39	$71.40	$102.00	—	40% below	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 PREV VISIT EST AGE 18-39	$180.60	$258.00	—	44% above	30%
Psychiatric evaluation with medical services CPT 90792 PSYCHIATRIC DIAGNOSTIC EVALUATION WITH MEDICAL SERVICES	$575.88	$822.68	$173.10–$259.65	63% above	30%
Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS	$616.00	$880.00	$173.10–$259.65	74% above	30%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCL TST EVAL PHYS/QHP 1ST	$347.90	$497.00	$210.57–$315.86	18% below	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 MIN	$203.00	$290.00	$173.10–$259.65	35% below	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYCHOTHERAPY FOR CRISIS; FIRST HOUR	$352.70	$503.85	$173.10–$400.00	13% above	30%
Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES	$221.90	$317.00	$173.10–$259.65	17% above	30%
Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY; 30 MINUTES	$246.86	$352.66	$173.10–$259.65	30% above	30%
Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY; 45 MINUTES	$154.25	$220.35	$173.10–$259.65	42% below	30%
Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES	$157.50	$225.00	$173.10–$259.65	41% below	30%
Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES	$175.00	$250.00	$173.10–$259.65	44% below	30%
Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY; 1 HOUR	$211.41	$302.02	$173.10–$259.65	33% below	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$37.10	$53.00	$36.54–$54.81	15% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 OFFICE O/P EST HI 40 MIN	$203.00	$290.00	$123.47–$185.21	21% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 40-54 MINUTES	$434.07	$620.10	$123.47–$185.20	158% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES	$108.19	$154.55	$56.51–$84.76	7% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 OFFICE O/P EST LOW 20 MIN	$142.10	$203.00	$56.51–$84.77	22% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES	$151.96	$217.08	$83.17–$124.75	11% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OFFICE O/P EST MOD 30 MIN	$442.40	$632.00	$83.17–$124.75	223% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OFFICE O/P EST SF 10 MIN	$74.20	$106.00	$30.59–$45.88	26% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 10-19 MINUTES	$138.32	$197.60	$30.59–$45.88	37% above	30%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMPREHEN	$317.80	$454.00	$217.95–$326.92	7% below	30%
Speech therapy session, individual CPT 92507 TX SP LANG VOICE COMM INDIV	$227.50	$325.00	$73.34–$110.01	4% above	30%
Spirometry (breathing test) CPT 94010 BREATHING CAPACITY TEST	$213.50	$305.00	$210.57–$315.86	31% below	30%
Spirometry (breathing test) CPT 94010 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME	$375.75	$536.78	$210.57–$315.86	21% above	30%
Spirometry before and after a bronchodilator CPT 94060 EVALUATION OF WHEEZING	$276.50	$395.00	$363.92–$545.88	52% below	30%
Spirometry before and after a bronchodilator CPT 94060 TEST TO MEASURE EXPIRATORY AIRFLOW AND VOLUME CHANGES BEFORE AND AFTER MEDICATION ADMINISTRATION	$487.89	$696.99	$363.92–$545.88	15% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES	$74.20	$106.00	$33.33–$50.00	39% below	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY	$30.80	$44.00	$129.75–$194.62	87% below	30%
Visual field test, extended CPT 92083 EXTENDED VISUAL FIELD XM	$154.00	$220.00	$129.75–$194.62	at median	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2025-2026 Formula Ages 12 and up	$364.91	$521.30	$161.65–$371.80	76% above	30%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Spikevax 2024-2025 Formula Ages 12 and up	$364.91	$521.30	$161.65–$371.80	76% above	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VAR VACCINE LIVE SUBQ	$372.40	$532.00	$504.74	at median	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax	$486.35	$694.78	$504.74	31% above	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Kinrix	$164.07	$234.38	$352.29	27% above	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE 4-6 YRS IM	$210.70	$301.00	$352.29	63% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Infanrix	$84.49	$120.70	$82.11	30% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Daptacel	$86.45	$123.50	$82.11	33% above	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DTAP VACCINE < 7 YRS IM	$161.00	$230.00	$82.11	148% above	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix	$262.19	$374.55	$284.26	34% above	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEP B-IPV VACCINE IM	$270.90	$387.00	$284.26	39% above	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV/HIB VACCINE IM	$297.50	$425.00	$310.48	87% above	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Pentacel	$302.46	$432.09	$310.48	90% above	30%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis	$390.40	$557.72	$860.64	14% above	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 9VHPV VACCINE 2/3 DOSE IM	$378.70	$541.00	$848.65	27% below	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Gardasil 9	$821.93	$1,174.19	$848.65	58% above	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Havrix Pediatric	$111.52	$159.32	$97.34	24% above	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPA VACC PED/ADOL 2 DOSE IM	$126.00	$180.00	$97.34	40% above	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Engerix-B	$199.66	$285.23	$70.38–$161.87	28% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B	$87.33	$124.76	$31.67–$72.84	46% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 ActHIB	$48.51	$69.30	$36.32	59% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HIB PRP-T VACCINE 4 DOSE IM	$116.20	$166.00	$36.32	280% above	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR VACCINE SC	$147.70	$211.00	$261.72	29% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 M-M-R II	$252.06	$360.09	$261.72	21% above	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MMRV VACCINE SC	$520.10	$743.00	$766.34	2% above	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 ProQuad	$718.61	$1,026.59	$766.34	40% above	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Menveo	$424.19	$605.99	$426.77	34% above	30%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENACWY-TT VACCINE IM	$216.30	$309.00	$474.28	46% below	30%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Bexsero	$596.62	$852.32	$591.51	8% above	30%
Nasal spray flu vaccine, live (FluMist) CPT 90660 FluMist Trivalent 2025-2026 Formula	$35.00	$50.00	$29.71–$66.40	12% below	30%
Nasal spray flu vaccine, live (FluMist) CPT 90660 LAIV3 VACCINE INTRANASAL	$67.90	$97.00	$29.71–$66.40	71% above	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PCV13 VACCINE IM	$476.00	$680.00	$257.99–$593.38	8% above	30%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Prevnar 20	$709.53	$1,013.61	$312.90–$719.67	7% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23	$304.35	$434.78	$133.47–$306.98	11% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PPSV23 VACC 2 YRS+ SUBQ/IM	$515.20	$736.00	$133.47–$306.98	87% above	30%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS IPV SC/IM	$75.60	$108.00	$123.12	19% above	30%
Polio vaccine, inactivated (IPV) CPT 90713 Ipol	$125.26	$178.94	$123.12	97% above	30%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Beyfortus	$778.58	$1,112.26	$1,534.93	25% below	30%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Beyfortus	$1,380.02	$1,971.46	$3,069.86	2% above	30%
Rabies vaccine, one dose CPT 90675 RabAvert	$1,082.30	$1,546.14	$313.68–$1,247.03	14% above	30%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE IM	$1,082.30	$1,546.14	$313.68–$1,247.03	14% above	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 RV1 VACC 2 DOSE LIVE ORAL	$227.50	$325.00	$270.30	13% below	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotarix	$366.77	$523.95	$270.30	40% above	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 RV5 VACC 3 DOSE LIVE ORAL	$227.50	$325.00	$272.39	68% above	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tenivac	$126.32	$180.45	$37.37–$78.11	41% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Boostrix	$134.83	$192.62	$39.81–$89.86	22% above	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP VACCINE 7 YRS/> IM	$161.00	$230.00	$39.81–$89.86	46% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$30.80	$44.00	$70.21–$105.31	24% below	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH ADD	$30.80	$44.00	—	11% below	30%

Dental

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 EXTRACTION; ERUPTED TOOTH OR EXPOSED ROOT (ELEVATION AND/OR FORCEPS REMOVAL)	$1,909.98	$2,728.54	$630.48–$945.72	47% above	30%

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://apim.services.craneware.com/api-pricing-transparency/api/public/e4321d67b76f7bd1057463296792b027/charges/mrf