Aurora Psychiatric Hospital
Aurora Psychiatric Hospital in Wauwatosa, WI publishes cash prices for 146 common procedures listed here, from its own machine-readable price file updated Nov 6, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Wisconsin median for 8 of 8 procedures. Select a procedure to compare it with other hospitals nearby.
1220 Dewey Ave, Wauwatosa, WI 53213 Collected Nov 7, 2026 Source price file Check a bill from this hospital (414) 454-6600
Psychiatric hospital Nonprofit hospital No emergency department CCN 524000 · CMS hospital register NPI 1881627438
Some prices here are not compared
Aurora Psychiatric Hospital is a psychiatric hospital. Its price file also lists scans, lab tests and procedures, but these are generally provided to its own inpatients, not booked by outside patients, so they are not compared with other hospitals here. Only its psychiatric evaluation and therapy prices are compared.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Aurora Psychiatric 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.
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH | $220.00 | $440.00 | $34.33–$374.00 | — | 50% |
| ACTH blood test inpatient CPT 82024 ACTH | $220.00 | $440.00 | $264.00–$374.00 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 POC SGPT | $35.00 | $70.00 | $4.71–$59.50 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT | $65.00 | $130.00 | $4.71–$110.50 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 POC SGPT | $35.00 | $70.00 | $42.00–$59.50 | — | 50% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT | $65.00 | $130.00 | $78.00–$110.50 | — | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT | $60.00 | $120.00 | $4.60–$102.00 | — | 50% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL | $332.50 | $665.00 | $42.34–$565.25 | — | 50% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL | $332.50 | $665.00 | $399.00–$565.25 | — | 50% |
| Albumin blood test CPT 82040 ALBUMIN, SERUM | $37.50 | $75.00 | $4.40–$63.75 | — | 50% |
| Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Aldosterone blood test CPT 82088 ALDOSTERONE | $147.50 | $295.00 | $36.22–$250.75 | — | 50% |
| Aldosterone blood test inpatient CPT 82088 ALDOSTERONE | $147.50 | $295.00 | $177.00–$250.75 | — | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE | $55.00 | $110.00 | $4.60–$93.50 | — | 50% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE | $55.00 | $110.00 | $66.00–$93.50 | — | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE QUANT EA | $25.00 | $50.00 | $4.64–$42.50 | — | 50% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE QUANT EA | $25.00 | $50.00 | $30.00–$42.50 | — | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, MATERNAL SCREEN | $55.00 | $110.00 | $14.91–$93.50 | — | 50% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, MATERNAL SCREEN | $55.00 | $110.00 | $66.00–$93.50 | — | 50% |
| Ammonia blood test CPT 82140 AMMONIA | $87.50 | $175.00 | $12.95–$148.75 | — | 50% |
| Ammonia blood test inpatient CPT 82140 AMMONIA | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| Amylase blood test CPT 82150 AMYLASE | $70.00 | $140.00 | $5.76–$119.00 | — | 50% |
| Amylase blood test inpatient CPT 82150 AMYLASE | $70.00 | $140.00 | $84.00–$119.00 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINTED PEPTIDE AB | $82.50 | $165.00 | $11.51–$140.25 | — | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINTED PEPTIDE AB | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $97.50 | $195.00 | $10.74–$165.75 | — | 50% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODIES (ANA) | $97.50 | $195.00 | $117.00–$165.75 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 NATRIURETIC PEPTIDE | $102.50 | $205.00 | $31.41–$174.25 | — | 50% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 NATRIURETIC PEPTIDE | $102.50 | $205.00 | $123.00–$174.25 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, AEROBIC | $82.50 | $165.00 | $7.66–$140.25 | — | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, AEROBIC | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $120.00 | $240.00 | $7.52–$204.00 | — | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $120.00 | $240.00 | $144.00–$204.00 | — | 50% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL | $60.00 | $120.00 | $4.46–$102.00 | — | 50% |
| Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Blood culture for bacteria CPT 87040 CULTURE, BLOOD | $82.50 | $165.00 | $9.18–$140.25 | — | 50% |
| Blood culture for bacteria inpatient CPT 87040 CULTURE, BLOOD | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE | $12.50 | $25.00 | $2.40–$30.68 | — | 50% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE | $12.50 | $25.00 | $15.00–$21.25 | — | 50% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE, BLOOD | $30.00 | $60.00 | $3.50–$51.00 | — | 50% |
| Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE, BLOOD | $30.00 | $60.00 | $36.00–$51.00 | — | 50% |
| Blood lead test CPT 83655 POC BLOOD LEAD | $32.50 | $65.00 | $10.76–$55.25 | — | 50% |
| Blood lead test CPT 83655 LEAD | $60.00 | $120.00 | $10.76–$102.00 | — | 50% |
| Blood lead test inpatient CPT 83655 POC BLOOD LEAD | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
| Blood lead test inpatient CPT 83655 LEAD | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 POC PREG TEST CLINITEK | $17.50 | $35.00 | $6.69–$29.75 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG QUALITATIVE | $107.50 | $215.00 | $6.69–$182.75 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 POC PREG TEST CLINITEK | $17.50 | $35.00 | $21.00–$29.75 | — | 50% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG QUALITATIVE | $107.50 | $215.00 | $129.00–$182.75 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPING | $42.50 | $85.00 | $2.66–$72.25 | — | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPING | $42.50 | $85.00 | $51.00–$72.25 | — | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 BUN | $27.50 | $55.00 | $3.51–$46.75 | — | 50% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN | $27.50 | $55.00 | $33.00–$46.75 | — | 50% |
| C-peptide blood test CPT 84681 C-PEPTIDE | $90.00 | $180.00 | $16.03–$153.00 | — | 50% |
| C-peptide blood test inpatient CPT 84681 C-PEPTIDE | $90.00 | $180.00 | $108.00–$153.00 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-REACTIVE PROTEIN | $62.50 | $125.00 | $4.60–$106.25 | — | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-REACTIVE PROTEIN | $62.50 | $125.00 | $75.00–$106.25 | — | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C DIFFICILE TOXIN BY PCR | $117.50 | $235.00 | $31.19–$199.75 | — | 50% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFFICILE TOXIN BY PCR | $117.50 | $235.00 | $141.00–$199.75 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 CDC | $10.00 | $20.00 | $10.00–$183.72 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 PCR | $90.00 | $180.00 | $41.05–$183.72 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 CDC | $10.00 | $20.00 | $12.00–$17.00 | — | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 PCR | $90.00 | $180.00 | $108.00–$153.00 | — | 50% |
| Calcium blood test, total CPT 82310 CALCIUM SERUM | $52.50 | $105.00 | $4.58–$89.25 | — | 50% |
| Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM | $52.50 | $105.00 | $63.00–$89.25 | — | 50% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $147.50 | $295.00 | $16.86–$250.75 | — | 50% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $147.50 | $295.00 | $177.00–$250.75 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 AB, VARICELLA ZOSTER IGM | $87.50 | $175.00 | $11.45–$148.75 | — | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 AB, VARICELLA ZOSTER IGG | $87.50 | $175.00 | $11.45–$148.75 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 AB, VARICELLA ZOSTER IGM | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 AB, VARICELLA ZOSTER IGG | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 MISC LAB | $115.00 | $230.00 | $31.19–$195.50 | — | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 MISC LAB | $115.00 | $230.00 | $138.00–$195.50 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC LIPID PROFILE | $70.00 | $140.00 | $11.90–$119.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $130.00 | $260.00 | $11.90–$221.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC LIPID PROFILE | $70.00 | $140.00 | $84.00–$119.00 | — | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $130.00 | $260.00 | $156.00–$221.00 | — | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $72.50 | $145.00 | $6.90–$123.25 | — | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC WO DIFF | $52.50 | $105.00 | $5.74–$89.25 | — | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WO DIFF | $52.50 | $105.00 | $63.00–$89.25 | — | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $162.50 | $325.00 | $9.39–$276.25 | — | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $162.50 | $325.00 | $195.00–$276.25 | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL, TOTAL | $120.00 | $240.00 | $14.49–$204.00 | — | 50% |
| Cortisol blood test, total CPT 82533 CORTISOL, SALIVARY | $120.00 | $240.00 | $14.49–$204.00 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL | $120.00 | $240.00 | $144.00–$204.00 | — | 50% |
| Cortisol blood test, total inpatient CPT 82533 CORTISOL, SALIVARY | $120.00 | $240.00 | $144.00–$204.00 | — | 50% |
| Creatine kinase (CK) blood test, total CPT 82550 CK TOTAL | $65.00 | $130.00 | $5.78–$110.50 | — | 50% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 CK TOTAL | $65.00 | $130.00 | $78.00–$110.50 | — | 50% |
| Creatinine blood test CPT 82565 CREATININE BLOOD | $37.50 | $75.00 | $4.55–$63.75 | — | 50% |
| Creatinine blood test inpatient CPT 82565 CREATININE BLOOD | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 D-DIMER QUANTITATIVE | $62.50 | $125.00 | $9.05–$106.25 | — | 50% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER QUANTITATIVE | $62.50 | $125.00 | $75.00–$106.25 | — | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE | $142.50 | $285.00 | $19.77–$242.25 | — | 50% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE | $142.50 | $285.00 | $171.00–$242.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 MARIJUANA METAB SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN METABOLITE SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ECSTASY SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 OXYCODONE SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PROPOXYPHENE SCREEN | $37.50 | $75.00 | $45.00–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN CLASS A SINGLE | $52.50 | $105.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD SCREEN | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TOXICOLOGY SCREEN URINE | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLICS SCREEN | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE & CANNAB SCREEN | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 SYNTHETIC CANNABINOID SCR | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 NICOTINE SCREEN UR | $72.50 | $145.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL BLOOD | $100.00 | $200.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL MECON | $100.00 | $200.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PANEL URINE | $100.00 | $200.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PAIN MANAMENT DRUG SCREEN | $100.00 | $200.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB SCREEN | $112.50 | $225.00 | $51.72–$226.82 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE | $155.00 | $310.00 | $51.72–$263.50 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MARIJUANA METAB SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PROPOXYPHENE SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OXYCODONE SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ECSTASY SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN METABOLITE SCREEN | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN CLASS A SINGLE | $52.50 | $105.00 | $63.00–$89.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE & CANNAB SCREEN | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 NICOTINE SCREEN UR | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD SCREEN | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TOXICOLOGY SCREEN URINE | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SYNTHETIC CANNABINOID SCR | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLICS SCREEN | $72.50 | $145.00 | $87.00–$123.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL URINE | $100.00 | $200.00 | $120.00–$170.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL MECON | $100.00 | $200.00 | $120.00–$170.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PAIN MANAMENT DRUG SCREEN | $100.00 | $200.00 | $120.00–$170.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PANEL BLOOD | $100.00 | $200.00 | $120.00–$170.00 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB SCREEN | $112.50 | $225.00 | $135.00–$191.25 | — | 50% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE | $155.00 | $310.00 | $186.00–$263.50 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 POC ELECTROLYTE PANEL | $32.50 | $65.00 | $6.23–$55.25 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $60.00 | $120.00 | $6.23–$102.00 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 POC ELECTROLYTE PANEL | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 AB, EBV VIRAL CAPSID IGM | $82.50 | $165.00 | $16.13–$140.25 | — | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 AB, EBV VIRAL CAPSID IGG | $82.50 | $165.00 | $16.13–$140.25 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 AB, EBV VIRAL CAPSID IGM | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 AB, EBV VIRAL CAPSID IGG | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Estradiol blood test CPT 82670 ESTRADIOL | $125.00 | $250.00 | $24.83–$212.50 | — | 50% |
| Estradiol blood test inpatient CPT 82670 ESTRADIOL | $125.00 | $250.00 | $150.00–$212.50 | — | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH | $142.50 | $285.00 | $16.52–$242.25 | — | 50% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH | $142.50 | $285.00 | $171.00–$242.25 | — | 50% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN | $92.50 | $185.00 | $12.12–$157.25 | — | 50% |
| Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN | $92.50 | $185.00 | $111.00–$157.25 | — | 50% |
| Fibrinogen blood test CPT 85384 FIBRINOGEN | $67.50 | $135.00 | $7.78–$114.75 | — | 50% |
| Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM | $142.50 | $285.00 | $13.07–$242.25 | — | 50% |
| Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID, SERUM | $142.50 | $285.00 | $171.00–$242.25 | — | 50% |
| Free T3 thyroid hormone test CPT 84481 T3, FREE | $97.50 | $195.00 | $15.06–$165.75 | — | 50% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE | $97.50 | $195.00 | $117.00–$165.75 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 T4, FREE | $92.50 | $185.00 | $8.02–$157.25 | — | 50% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4, FREE | $92.50 | $185.00 | $111.00–$157.25 | — | 50% |
| Free testosterone test CPT 84402 TESTOSTERONE, FREE | $117.50 | $235.00 | $22.64–$199.75 | — | 50% |
| Free testosterone test inpatient CPT 84402 TESTOSTERONE, FREE | $117.50 | $235.00 | $141.00–$199.75 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT | $77.50 | $155.00 | $6.40–$131.75 | — | 50% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT | $77.50 | $155.00 | $93.00–$131.75 | — | 50% |
| Glucose tolerance test, 3 samples CPT 82951 GTT, 3 SPECIMENS | $110.00 | $220.00 | $11.44–$187.00 | — | 50% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 GTT, 3 SPECIMENS | $110.00 | $220.00 | $132.00–$187.00 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 MISC LAB | $107.50 | $215.00 | $31.19–$182.75 | — | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 MISC LAB | $107.50 | $215.00 | $129.00–$182.75 | — | 50% |
| H. pylori antibody blood test CPT 86677 AB, HELICOBACTER PYLORI IGM | $112.50 | $225.00 | $13.48–$191.25 | — | 50% |
| H. pylori antibody blood test CPT 86677 AB, HELICOBACTER PYLORI IGG | $112.50 | $225.00 | $13.48–$191.25 | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 AB, HELICOBACTER PYLORI IGM | $112.50 | $225.00 | $135.00–$191.25 | — | 50% |
| H. pylori antibody blood test inpatient CPT 86677 AB, HELICOBACTER PYLORI IGG | $112.50 | $225.00 | $135.00–$191.25 | — | 50% |
| H. pylori stool antigen test CPT 87338 H PYLORI STOOL | $130.00 | $260.00 | $12.78–$221.00 | — | 50% |
| H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL | $130.00 | $260.00 | $156.00–$221.00 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 RNA QUANTITATIVE | $387.50 | $775.00 | $75.64–$658.75 | — | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 RNA QUANTITATIVE | $387.50 | $775.00 | $465.00–$658.75 | — | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 AB, HIV-1/HIV-2 | $77.50 | $155.00 | $12.18–$131.75 | — | 50% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 AB, HIV-1/HIV-2 | $77.50 | $155.00 | $93.00–$131.75 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 MISC LAB | $102.50 | $205.00 | $21.40–$174.25 | — | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 MISC LAB | $102.50 | $205.00 | $123.00–$174.25 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 POC HEMOGLOBIN A1C | $20.00 | $40.00 | $8.63–$35.44 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C | $85.00 | $170.00 | $8.63–$144.50 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 POC HEMOGLOBIN A1C | $20.00 | $40.00 | $24.00–$34.00 | — | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C | $85.00 | $170.00 | $102.00–$144.50 | — | 50% |
| Hemoglobin blood test CPT 85018 HEMOGLOBIN | $17.50 | $35.00 | $2.10–$29.75 | — | 50% |
| Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN | $17.50 | $35.00 | $21.00–$29.75 | — | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE AB TOTAL | $80.00 | $160.00 | $10.71–$136.00 | — | 50% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE AB TOTAL | $80.00 | $160.00 | $96.00–$136.00 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURFACE AB | $80.00 | $160.00 | $9.54–$136.00 | — | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURFACE AB | $80.00 | $160.00 | $96.00–$136.00 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG | $87.50 | $175.00 | $9.18–$148.75 | — | 50% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 POC HEPATITIS C ANTIBODY SCREENING | $62.50 | $125.00 | $12.68–$106.25 | — | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 MISC LAB | $115.00 | $230.00 | $12.68–$195.50 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 POC HEPATITIS C ANTIBODY SCREENING | $62.50 | $125.00 | $75.00–$106.25 | — | 50% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 MISC LAB | $115.00 | $230.00 | $138.00–$195.50 | — | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C VIRUS QUANT | $200.00 | $400.00 | $38.08–$340.00 | — | 50% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C VIRUS QUANT | $200.00 | $400.00 | $240.00–$340.00 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB, HERPES SIMPLEX TYPE 1 | $67.50 | $135.00 | $11.72–$114.75 | — | 50% |
| Herpes blood test, HSV-1 antibody CPT 86695 AB, HERPES SIMPLEX TYPE 1 IGG | $67.50 | $135.00 | $11.72–$114.75 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB, HERPES SIMPLEX TYPE 1 | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB, HERPES SIMPLEX TYPE 1 IGG | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB, HERPES SIMPLEX TYPE 2 | $67.50 | $135.00 | $17.21–$114.75 | — | 50% |
| Herpes blood test, HSV-2 antibody CPT 86696 AB, HERPES SIMPLEX TYPE 2 IGG | $67.50 | $135.00 | $17.21–$114.75 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB, HERPES SIMPLEX TYPE 2 | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB, HERPES SIMPLEX TYPE 2 IGG | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 CRP, HIGH SENSITIVITY | $80.00 | $160.00 | $11.51–$136.00 | — | 50% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP, HIGH SENSITIVITY | $80.00 | $160.00 | $96.00–$136.00 | — | 50% |
| Homocysteine blood test CPT 83090 HOMOCYSTEINE | $165.00 | $330.00 | $14.99–$280.50 | — | 50% |
| Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE | $165.00 | $330.00 | $198.00–$280.50 | — | 50% |
| Insulin blood test CPT 83525 INSULIN, TOTAL | $67.50 | $135.00 | $10.16–$114.75 | — | 50% |
| Insulin blood test inpatient CPT 83525 INSULIN, TOTAL | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Iron blood test (serum iron) CPT 83540 IRON | $70.00 | $140.00 | $5.75–$119.00 | — | 50% |
| Iron blood test (serum iron) inpatient CPT 83540 IRON | $70.00 | $140.00 | $84.00–$119.00 | — | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY | $75.00 | $150.00 | $7.77–$127.50 | — | 50% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY | $75.00 | $150.00 | $90.00–$127.50 | — | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $147.50 | $295.00 | $7.72–$250.75 | — | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $147.50 | $295.00 | $177.00–$250.75 | — | 50% |
| LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE | $97.50 | $195.00 | $16.46–$165.75 | — | 50% |
| LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE | $97.50 | $195.00 | $117.00–$165.75 | — | 50% |
| Lactate (lactic acid) blood test CPT 83605 LACTIC ACID | $67.50 | $135.00 | $9.50–$114.75 | — | 50% |
| Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH | $50.00 | $100.00 | $5.37–$85.00 | — | 50% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH | $50.00 | $100.00 | $60.00–$85.00 | — | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 LIPASE | $107.50 | $215.00 | $6.12–$182.75 | — | 50% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE | $107.50 | $215.00 | $129.00–$182.75 | — | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $145.00 | $290.00 | $7.26–$246.50 | — | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $145.00 | $290.00 | $174.00–$246.50 | — | 50% |
| Lyme disease antibody test CPT 86618 AB, LYME DISEASE | $92.50 | $185.00 | $15.14–$157.25 | — | 50% |
| Lyme disease antibody test inpatient CPT 86618 AB, LYME DISEASE | $92.50 | $185.00 | $111.00–$157.25 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM URINE | $52.50 | $105.00 | $5.95–$89.25 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM SERUM | $67.50 | $135.00 | $5.95–$114.75 | — | 50% |
| Magnesium blood test CPT 83735 MAGNESIUM, RBC'S | $77.50 | $155.00 | $5.95–$131.75 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE | $52.50 | $105.00 | $63.00–$89.25 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Magnesium blood test inpatient CPT 83735 MAGNESIUM, RBC'S | $77.50 | $155.00 | $93.00–$131.75 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 AB, RUBEOLA IGM | $82.50 | $165.00 | $11.45–$140.25 | — | 50% |
| Measles (rubeola) antibody test CPT 86765 AB, RUBEOLA IGG | $82.50 | $165.00 | $11.45–$140.25 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 AB, RUBEOLA IGM | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Measles (rubeola) antibody test inpatient CPT 86765 AB, RUBEOLA IGG | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 MONOTEST | $65.00 | $130.00 | $4.60–$110.50 | — | 50% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONOTEST | $65.00 | $130.00 | $78.00–$110.50 | — | 50% |
| Mumps immunity blood test CPT 86735 AB, MUMPS IGM | $87.50 | $175.00 | $11.60–$148.75 | — | 50% |
| Mumps immunity blood test CPT 86735 AB, MUMPS IGG | $87.50 | $175.00 | $11.60–$148.75 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 AB, MUMPS IGG | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| Mumps immunity blood test inpatient CPT 86735 AB, MUMPS IGM | $87.50 | $175.00 | $105.00–$148.75 | — | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $92.50 | $185.00 | $16.35–$157.25 | — | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $92.50 | $185.00 | $111.00–$157.25 | — | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE | $122.50 | $245.00 | $36.69–$208.25 | — | 50% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE | $122.50 | $245.00 | $147.00–$208.25 | — | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $52.50 | $105.00 | $5.34–$89.25 | — | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $52.50 | $105.00 | $63.00–$89.25 | — | 50% |
| Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS | $50.00 | $100.00 | $4.22–$85.00 | — | 50% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS | $50.00 | $100.00 | $60.00–$85.00 | — | 50% |
| Potassium blood test CPT 84132 POTASSIUM SERUM | $37.50 | $75.00 | $4.09–$63.75 | — | 50% |
| Potassium blood test inpatient CPT 84132 POTASSIUM SERUM | $37.50 | $75.00 | $45.00–$63.75 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ | $477.50 | $955.00 | $573.00–$2,770.51 | — | 50% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ | $477.50 | $955.00 | $573.00–$811.75 | — | 50% |
| Progesterone blood test CPT 84144 PROGESTERONE | $122.50 | $245.00 | $18.54–$208.25 | — | 50% |
| Progesterone blood test inpatient CPT 84144 PROGESTERONE | $122.50 | $245.00 | $147.00–$208.25 | — | 50% |
| Prolactin blood test CPT 84146 PROLACTIN | $155.00 | $310.00 | $17.22–$263.50 | — | 50% |
| Prolactin blood test inpatient CPT 84146 PROLACTIN | $155.00 | $310.00 | $186.00–$263.50 | — | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $35.00 | $70.00 | $3.50–$59.50 | — | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $35.00 | $70.00 | $42.00–$59.50 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC DRUG SCREEN-URINE | $20.00 | $40.00 | $10.08–$45.99 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 POC DRUG SCREEN-URINE QUALITATIVE | $20.00 | $40.00 | $10.08–$45.99 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC DRUG SCREEN-URINE | $20.00 | $40.00 | $24.00–$34.00 | — | 50% |
| Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 POC DRUG SCREEN-URINE QUALITATIVE | $20.00 | $40.00 | $24.00–$34.00 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 POC STREP SCREEN | $32.50 | $65.00 | $13.22–$60.33 | — | 50% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 POC STREP SCREEN | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
| Renin blood test CPT 84244 RENIN | $147.50 | $295.00 | $19.55–$250.75 | — | 50% |
| Renin blood test inpatient CPT 84244 RENIN | $147.50 | $295.00 | $177.00–$250.75 | — | 50% |
| Rh blood typing CPT 86901 RH TYPING | $42.50 | $85.00 | $2.66–$72.25 | — | 50% |
| Rh blood typing inpatient CPT 86901 RH TYPING | $42.50 | $85.00 | $51.00–$72.25 | — | 50% |
| Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $60.00 | $120.00 | $5.04–$102.00 | — | 50% |
| Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANTITATIVE | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 AB, RUBELLA IGG | $82.50 | $165.00 | $12.79–$140.25 | — | 50% |
| Rubella antibody test (immunity check) CPT 86762 AB, RUBELLA IGM | $82.50 | $165.00 | $12.79–$140.25 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 AB, RUBELLA IGG | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Rubella antibody test (immunity check) inpatient CPT 86762 AB, RUBELLA IGM | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SED RATE AUTOMATED | $50.00 | $100.00 | $2.40–$85.00 | — | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SED RATE AUTOMATED | $50.00 | $100.00 | $60.00–$85.00 | — | 50% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 POC SEMEN ANLYS VOL/COUNT/MOT MORPHOLOGY | $57.50 | $115.00 | $10.71–$97.75 | — | 50% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 POC SEMEN ANLYS VOL/COUNT/MOT MORPHOLOGY | $57.50 | $115.00 | $69.00–$97.75 | — | 50% |
| Sodium blood test CPT 84295 SODIUM SERUM | $22.50 | $45.00 | $4.28–$38.25 | — | 50% |
| Sodium blood test inpatient CPT 84295 SODIUM SERUM | $22.50 | $45.00 | $27.00–$38.25 | — | 50% |
| Stool ova and parasites exam CPT 87177 OVA & PARASITES | $65.00 | $130.00 | $7.91–$110.50 | — | 50% |
| Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES | $65.00 | $130.00 | $78.00–$110.50 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY | $50.00 | $100.00 | $14.14–$85.00 | — | 50% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD FECAL IMMUNOASSAY | $50.00 | $100.00 | $60.00–$85.00 | — | 50% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 AB, TREPONEMA PALLIDUM | $55.00 | $110.00 | $11.77–$93.50 | — | 50% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 AB, TREPONEMA PALLIDUM | $55.00 | $110.00 | $66.00–$93.50 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 MISC LAB | $40.00 | $80.00 | $3.80–$68.00 | — | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 MISC LAB | $40.00 | $80.00 | $48.00–$68.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB, INTERFERON AG RESPONSE | $180.00 | $360.00 | $55.10–$306.00 | — | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB, INTERFERON AG RESPONSE | $180.00 | $360.00 | $216.00–$306.00 | — | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, TOTAL | $115.00 | $230.00 | $22.94–$195.50 | — | 50% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, TOTAL | $115.00 | $230.00 | $138.00–$195.50 | — | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB | $70.00 | $140.00 | $12.94–$119.00 | — | 50% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB | $70.00 | $140.00 | $84.00–$119.00 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $107.50 | $215.00 | $14.94–$182.75 | — | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $107.50 | $215.00 | $129.00–$182.75 | — | 50% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL | $55.00 | $110.00 | $3.87–$93.50 | — | 50% |
| Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL | $55.00 | $110.00 | $66.00–$93.50 | — | 50% |
| Total thyroxine (T4) blood test CPT 84436 T4, TOTAL | $75.00 | $150.00 | $6.10–$127.50 | — | 50% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4, TOTAL | $75.00 | $150.00 | $90.00–$127.50 | — | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 T3, TOTAL | $107.50 | $215.00 | $12.60–$182.75 | — | 50% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3, TOTAL | $107.50 | $215.00 | $129.00–$182.75 | — | 50% |
| Transferrin blood test CPT 84466 TRANSFERRIN | $95.00 | $190.00 | $11.34–$161.50 | — | 50% |
| Transferrin blood test inpatient CPT 84466 TRANSFERRIN | $95.00 | $190.00 | $114.00–$161.50 | — | 50% |
| Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS, RNA | $120.00 | $240.00 | $31.19–$204.00 | — | 50% |
| Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS, RNA | $120.00 | $240.00 | $144.00–$204.00 | — | 50% |
| Triglycerides blood test CPT 84478 TRIGLYCERIDES | $67.50 | $135.00 | $5.10–$114.75 | — | 50% |
| Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES | $67.50 | $135.00 | $81.00–$114.75 | — | 50% |
| Troponin test, quantitative CPT 84484 TROPONIN, QUANTITATIVE | $90.00 | $180.00 | $9.98–$153.00 | — | 50% |
| Troponin test, quantitative inpatient CPT 84484 TROPONIN, QUANTITATIVE | $90.00 | $180.00 | $108.00–$153.00 | — | 50% |
| Uric acid blood test CPT 84550 URIC ACID SERUM | $60.00 | $120.00 | $4.02–$102.00 | — | 50% |
| Uric acid blood test inpatient CPT 84550 URIC ACID SERUM | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 POC URINE DIP W/ MICRO | $32.50 | $65.00 | $2.82–$55.25 | — | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO WITH MICRO | $60.00 | $120.00 | $2.82–$102.00 | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC URINE DIP W/ MICRO | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO WITH MICRO | $60.00 | $120.00 | $72.00–$102.00 | — | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO | $27.50 | $55.00 | $1.99–$46.75 | — | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO | $27.50 | $55.00 | $33.00–$46.75 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK W/O MICRO | $12.50 | $25.00 | $2.78–$21.25 | — | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS SCREEN MANUAL | $15.00 | $30.00 | $2.78–$25.50 | — | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK W/O MICRO | $12.50 | $25.00 | $15.00–$21.25 | — | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS SCREEN MANUAL | $15.00 | $30.00 | $18.00–$25.50 | — | 50% |
| Urine culture for bacteria, with colony count CPT 87086 CULTURE, URINE QUANTITATIVE | $82.50 | $165.00 | $7.18–$140.25 | — | 50% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE, URINE QUANTITATIVE | $82.50 | $165.00 | $99.00–$140.25 | — | 50% |
| Urine microalbumin (albumin) test CPT 82043 ALBUMIN URINE | $65.00 | $130.00 | $5.14–$110.50 | — | 50% |
| Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN URINE | $65.00 | $130.00 | $78.00–$110.50 | — | 50% |
| Urine pregnancy test, read by color change CPT 81025 MISC LAB | $80.00 | $160.00 | $6.89–$136.00 | — | 50% |
| Urine pregnancy test, read by color change inpatient CPT 81025 MISC LAB | $45.00 | $90.00 | $54.00–$76.50 | — | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B-12 | $102.50 | $205.00 | $13.40–$174.25 | — | 50% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B-12 | $102.50 | $205.00 | $123.00–$174.25 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D, 25-OH | $155.00 | $310.00 | $26.31–$263.50 | — | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D, 25-OH | $155.00 | $310.00 | $186.00–$263.50 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D, 1, 25-DIHYDROXY | $160.00 | $320.00 | $34.22–$272.00 | — | 50% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D, 1, 25-DIHYDROXY | $160.00 | $320.00 | $192.00–$272.00 | — | 50% |
| Zinc blood test CPT 84630 ZINC | $80.00 | $160.00 | $10.12–$136.00 | — | 50% |
| Zinc blood test inpatient CPT 84630 ZINC | $80.00 | $160.00 | $96.00–$136.00 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 MISC LAB | $165.00 | $330.00 | $13.38–$280.50 | — | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 MISC LAB | $165.00 | $330.00 | $198.00–$280.50 | — | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY | $235.00 | $470.00 | $58.91–$399.50 | — | 50% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY | $235.00 | $470.00 | $282.00–$399.50 | — | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 PSYCHOTHERAPY FAMILY W/PT 50 MIN | $235.00 | $470.00 | $177.24–$399.50 | 24% above | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PSYCHOTHERAPY FAMILY W/PT 50 MIN | $235.00 | $470.00 | $282.00–$399.50 | — | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 PSYCHOTHERAPY FAMILY W/O PT 50 MIN | $185.00 | $370.00 | $177.24–$314.50 | 1% above | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PSYCHOTHERAPY FAMILY W/O PT 50 MIN | $185.00 | $370.00 | $222.00–$314.50 | — | 50% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $127.50 | $255.00 | $101.44–$216.75 | 69% above | 50% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY PHP 45-50 MIN | $185.00 | $370.00 | $101.44–$314.50 | 145% above | 50% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $127.50 | $255.00 | $153.00–$216.75 | — | 50% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY PHP 45-50 MIN | $185.00 | $370.00 | $222.00–$314.50 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECT SQ OR IM | $57.50 | $115.00 | $57.50–$347.00 | — | 50% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECT SQ OR IM | $57.50 | $115.00 | $69.00–$97.75 | — | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVAL | $265.00 | $530.00 | $177.24–$519.00 | 21% above | 50% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVAL | $265.00 | $530.00 | $318.00–$450.50 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY | $325.00 | $650.00 | $95.70–$552.50 | — | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY | $325.00 | $650.00 | $390.00–$552.50 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY | $185.00 | $370.00 | $95.70–$397.00 | — | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY | $185.00 | $370.00 | $222.00–$314.50 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY | $250.00 | $500.00 | $95.70–$425.00 | — | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY | $250.00 | $500.00 | $300.00–$425.00 | — | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 PSYCH TESTING EVAL INIT HOUR | $235.00 | $470.00 | $215.61–$519.00 | — | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 PSYCH TESTING EVAL INIT HOUR | $235.00 | $470.00 | $282.00–$399.50 | — | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 THERAPY CRISIS 1ST 60 MIN | $317.50 | $635.00 | $177.24–$539.75 | 8% above | 50% |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 THERAPY CRISIS 1ST 60 MIN | $317.50 | $635.00 | $381.00–$539.75 | — | 50% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN W/PT | $122.50 | $245.00 | $122.50–$208.25 | 15% above | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN W/PT | $122.50 | $245.00 | $147.00–$208.25 | — | 50% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN W/T | $175.00 | $350.00 | $175.00–$297.50 | 24% above | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN W/T | $175.00 | $350.00 | $210.00–$297.50 | — | 50% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN W/PT | $237.50 | $475.00 | $177.24–$403.75 | 12% above | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN W/PT | $237.50 | $475.00 | $285.00–$403.75 | — | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 THERAP ACTIVITIES PER UNIT | $90.00 | $180.00 | $34.00–$397.00 | — | 50% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAP ACTIVITIES PER UNIT | $90.00 | $180.00 | $108.00–$153.00 | — | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Wisconsin | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FEE VACCINE, INFLUENZA | $32.50 | $65.00 | $32.50–$71.90 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN FEE VACCINE, PNEUMONIA | $32.50 | $65.00 | $32.50–$71.90 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FEE VACCINE, PNEUMONIA | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN FEE VACCINE, INFLUENZA | $32.50 | $65.00 | $39.00–$55.25 | — | 50% |
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.