Hospital Austin-Round Rock-San Marcos, TX

Dell Seton Medical Center at the University of Tx

Listed in its price file as “Ascension Seton”.

Dell Seton Medical Center at the University of Tx in Austin, TX publishes cash prices for 331 common procedures listed here, from its own machine-readable price file updated Jan 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Texas median for 286 of 331 procedures and above it for 41. By typical cash price it ranks #78 of 297 Texas hospitals and #6 of 29 hospitals in the Austin, TX area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1500 Red River St Austin TX 78701 Collected Sep 23, 2026 Source price file Check a bill from this hospital (512) 324-7000

Acute care hospital Nonprofit hospital No emergency department CMS star rating 4 of 5 CCN 450124 · CMS hospital register NPI 1093810327

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Abdominal CT scan without and with contrast CPT 74170 CT ABD WOW CONT	$1,524.24	$4,234.00	$180.34–$1,905.30	47% below	64%
Abdominal CT scan without and with contrast CPT 74170 CT ABD WOW CONT	$1,524.24	$4,234.00	$180.34–$1,905.30	47% below	64%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT ABD WOW CONT	$1,524.24	$4,234.00	$180.34–$1,905.30	—	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD AP/LAT	$340.92	$947.00	$22.32–$453.92	10% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD AP/LAT	$340.92	$947.00	$22.32–$453.92	10% below	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD FLAT/UPRT	$421.65	$1,171.25	$22.32–$527.06	12% above	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD FLAT/UPRT	$421.65	$1,171.25	$22.32–$527.06	12% above	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD AP/DECUB	$421.65	$1,171.25	$22.32–$527.06	12% above	64%
Abdominal X-ray, 2 views CPT 74019 XR ABD AP/DECUB	$421.65	$1,171.25	$22.32–$527.06	12% above	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD AP/LAT	$340.92	$947.00	$22.32–$453.92	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD FLAT/UPRT	$421.65	$1,171.25	$22.32–$527.06	—	64%
Abdominal X-ray, 2 views inpatient CPT 74019 XR ABD AP/DECUB	$421.65	$1,171.25	$22.32–$527.06	—	64%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 XR ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	6% below	64%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 ANKLE BILAT 3V	$577.98	$1,605.50	$23.43–$722.48	—	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	—	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE R 3V	$334.53	$929.25	$23.43–$418.16	—	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	—	64%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 XR ANKLE L 3V	$334.53	$929.25	$23.43–$418.16	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 N-INV EXTRM,SINGL	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 N-INV EXTRM, SINGL UNI	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 DOPPLER	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 N-INV EXTRM, SINGL UNI	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 N-INV EXTRM,SINGL	$162.18	$450.50	$78.92–$408.86	73% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$209.16	$581.00	$78.92–$452.47	66% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$209.16	$581.00	$78.92–$452.47	66% below	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 N-INV EXTRM,SINGL	$162.18	$450.50	$78.92–$408.86	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 DOPPLER	$162.18	$450.50	$78.92–$408.86	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 N-INV EXTRM, SINGL UNI	$162.18	$450.50	$78.92–$408.86	—	64%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 UPR/L XTREMITY ART 2 LEVELS	$209.16	$581.00	$78.92–$452.47	—	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO RT	$1,404.36	$3,901.00	$106.88–$1,755.45	15% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO LT	$1,404.36	$3,901.00	$106.88–$1,755.45	15% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO RT	$1,404.36	$3,901.00	$106.88–$1,755.45	15% below	64%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT UP EXT WO LT	$1,404.36	$3,901.00	$106.88–$1,755.45	15% below	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT WO RT	$1,404.36	$3,901.00	$106.88–$1,755.45	—	64%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT UP EXT WO LT	$1,404.36	$3,901.00	$106.88–$1,755.45	—	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$298.98	$830.50	$67.53–$737.99	40% below	64%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR ESOPHAGUS	$298.98	$830.50	$67.53–$737.99	40% below	64%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR ESOPHAGUS	$298.98	$830.50	$67.53–$737.99	—	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JNT TOT	$1,112.40	$3,090.00	$244.25–$2,524.32	29% below	64%
Bone scan, whole body (nuclear medicine) CPT 78306 NM BONE/JNT TOT	$1,112.40	$3,090.00	$244.25–$2,524.32	29% below	64%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM BONE/JNT TOT	$1,112.40	$3,090.00	$244.25–$2,524.32	—	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMPT RT	$157.05	$436.25	$72.72–$411.33	64% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMPT LT	$157.05	$436.25	$72.72–$411.33	64% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMPT LT	$157.05	$436.25	$72.72–$411.33	64% below	64%
Breast ultrasound, complete, one breast one side CPT 76641 US BREAST CMPT RT	$157.05	$436.25	$72.72–$411.33	64% below	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMPT RT	$157.05	$436.25	$72.72–$411.33	—	64%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US BREAST CMPT LT	$157.05	$436.25	$72.72–$411.33	—	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) CPT 76642 ULTRASOUND BREAST LIMITED	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD RT	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD RT	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD LT	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US BREAST LTD LT	$265.68	$738.00	$55.44–$530.46	23% below	64%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 ULTRASOUND BREAST LIMITED	$265.68	$738.00	$55.44–$530.46	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD RT	$265.68	$738.00	$55.44–$530.46	—	64%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US BREAST LTD LT	$265.68	$738.00	$55.44–$530.46	—	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$3,269.34	$9,081.50	$252.74–$4,086.68	19% below	64%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$3,269.34	$9,081.50	$252.74–$4,086.68	19% below	64%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT ANGIO ABD&PELV W/O&W/DYE	$3,269.34	$9,081.50	$252.74–$4,086.68	—	64%
CT angiography (CTA) of the head CPT 70496 CT HEAD ANG WOW C	$390.24	$1,084.00	$180.34–$814.52	84% below	64%
CT angiography (CTA) of the head CPT 70496 CT HEAD ANG WOW C	$390.24	$1,084.00	$180.34–$814.52	84% below	64%
CT angiography (CTA) of the head inpatient CPT 70496 CT HEAD ANG WOW C	$390.24	$1,084.00	$180.34–$814.52	—	64%
CT angiography (CTA) of the neck CPT 70498 CT NECK ANG WOW C	$364.59	$1,012.75	$180.34–$814.52	85% below	64%
CT angiography (CTA) of the neck CPT 70498 CT NECK ANG WOW C	$364.59	$1,012.75	$180.34–$814.52	85% below	64%
CT angiography (CTA) of the neck inpatient CPT 70498 CT NECK ANG WOW C	$364.59	$1,012.75	$180.34–$814.52	—	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHST ANG WOW C	$487.62	$1,354.50	$180.34–$1,345.00	81% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT CHST ANG WOW C	$487.62	$1,354.50	$180.34–$1,345.00	81% below	64%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT CHST ANG WOW C	$487.62	$1,354.50	$180.34–$1,345.00	—	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$655.74	$1,821.50	$180.34–$1,696.14	61% below	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CT ANGIO HRT W/3D IMAGE	$655.74	$1,821.50	$180.34–$1,696.14	61% below	64%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CT ANGIO HRT W/3D IMAGE	$655.74	$1,821.50	$180.34–$1,696.14	—	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 SETON HEART CHECK CT	$45.18	$125.50	$12.27–$88.56	76% below	64%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 SETON HEART CHECK CT	$45.18	$125.50	$12.27–$88.56	76% below	64%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 SETON HEART CHECK CT	$45.18	$125.50	$12.27–$88.56	—	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONT	$2,440.26	$6,778.50	$117.52–$3,050.32	14% below	64%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD/PEL W/O CONT	$2,440.26	$6,778.50	$117.52–$3,050.32	14% below	64%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD/PEL W/O CONT	$2,440.26	$6,778.50	$117.52–$3,050.32	—	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CONT	$3,447.00	$9,575.00	$228.53–$4,308.75	9% below	64%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PEL W CONT	$3,447.00	$9,575.00	$228.53–$4,308.75	9% below	64%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PEL W CONT	$3,447.00	$9,575.00	$228.53–$4,308.75	—	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WOW CONT	$3,543.57	$9,843.25	$252.74–$4,429.46	8% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD/PEL WOW CONT	$3,543.57	$9,843.25	$252.74–$4,429.46	8% below	64%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD/PEL WOW CONT	$3,543.57	$9,843.25	$252.74–$4,429.46	—	64%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONT	$1,397.88	$3,883.00	$173.39–$1,747.35	46% below	64%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONT	$1,397.88	$3,883.00	$173.39–$1,747.35	46% below	64%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$1,397.88	$3,883.00	$173.39–$1,747.35	46% below	64%
CT scan of the abdomen with contrast CPT 74160 CT ABD W CONTRAST	$1,397.88	$3,883.00	$173.39–$1,747.35	46% below	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONTRAST	$1,397.88	$3,883.00	$173.39–$1,747.35	—	64%
CT scan of the abdomen with contrast inpatient CPT 74160 CT ABD W CONT	$1,397.88	$3,883.00	$173.39–$1,747.35	—	64%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONT	$1,203.12	$3,342.00	$93.26–$1,503.90	40% below	64%
CT scan of the abdomen without contrast CPT 74150 CT ABD WO CONT	$1,203.12	$3,342.00	$93.26–$1,503.90	40% below	64%
CT scan of the abdomen without contrast inpatient CPT 74150 CT ABD WO CONT	$1,203.12	$3,342.00	$93.26–$1,503.90	—	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS CRNL WO CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS CRNL WO CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS LTD W/O CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS LTD W/O CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE FACIAL LTD	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MANDIBLE FACIAL LTD	$1,068.93	$2,969.25	$99.87–$1,610.00	35% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS COMP WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS COMP WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS LTD WO	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS LTD WO	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT FACIAL WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT SINUS WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	22% below	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS CRNL WO CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS LTD W/O CONT	$1,068.93	$2,969.25	$99.87–$1,610.00	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MANDIBLE FACIAL LTD	$1,068.93	$2,969.25	$99.87–$1,610.00	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS COMP WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT SINUS LTD WO	$1,292.04	$3,589.00	$99.87–$1,615.05	—	64%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT FACIAL WO CONT	$1,292.04	$3,589.00	$99.87–$1,615.05	—	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT	$1,347.21	$3,742.25	$75.99–$1,684.01	19% below	64%
CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD WO CONT	$1,347.21	$3,742.25	$75.99–$1,684.01	19% below	64%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD WO CONT	$1,347.21	$3,742.25	$75.99–$1,684.01	—	64%
CT scan of the head with contrast CPT 70460 CT HEAD W CONT	$1,473.66	$4,093.50	$110.17–$1,842.08	12% below	64%
CT scan of the head with contrast CPT 70460 CT HEAD W CONT	$1,473.66	$4,093.50	$110.17–$1,842.08	12% below	64%
CT scan of the head with contrast inpatient CPT 70460 CT HEAD W CONT	$1,473.66	$4,093.50	$110.17–$1,842.08	—	64%
CT scan of the head without and with contrast CPT 70470 CT HEAD WOW CONT	$1,652.58	$4,590.50	$132.59–$2,065.72	19% below	64%
CT scan of the head without and with contrast CPT 70470 CT HEAD WOW CONT	$1,652.58	$4,590.50	$132.59–$2,065.72	19% below	64%
CT scan of the head without and with contrast inpatient CPT 70470 CT HEAD WOW CONT	$1,652.58	$4,590.50	$132.59–$2,065.72	—	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPN LUM WO CON	$547.83	$1,521.75	$106.88–$1,345.00	68% below	64%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT SPN LUM WO CON	$547.83	$1,521.75	$106.88–$1,345.00	68% below	64%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT SPN LUM WO CON	$547.83	$1,521.75	$106.88–$1,345.00	—	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPN CERV WO CO	$1,637.64	$4,549.00	$106.88–$2,047.05	20% below	64%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT SPN CERV WO CO	$1,637.64	$4,549.00	$106.88–$2,047.05	20% below	64%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT SPN CERV WO CO	$1,637.64	$4,549.00	$106.88–$2,047.05	—	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT, PELVIS; W CONTR	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT, PELVIS; W CONTR	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS LTD W	$1,358.64	$3,774.00	$173.75–$1,701.09	38% below	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT, PELVIS; W CONTR	$1,358.64	$3,774.00	$173.75–$1,701.09	—	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS LTD W	$1,358.64	$3,774.00	$173.75–$1,701.09	—	64%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT	$1,358.64	$3,774.00	$173.75–$1,701.09	—	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DUPLEX CAROTID	$1,067.40	$2,965.00	$120.83–$1,719.70	at median	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID,DUP,BI	$1,067.40	$2,965.00	$120.83–$1,719.70	at median	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 US DUPLEX CAROTID	$1,067.40	$2,965.00	$120.83–$1,719.70	at median	64%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 CAROTID,DUP,BI	$1,067.40	$2,965.00	$120.83–$1,719.70	at median	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 CAROTID,DUP,BI	$1,067.40	$2,965.00	$120.83–$1,719.70	—	64%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 US DUPLEX CAROTID	$1,067.40	$2,965.00	$120.83–$1,719.70	—	64%
Chest CT scan without and with contrast CPT 71270 CT CHEST WOW CONT	$2,218.59	$6,162.75	$172.28–$2,773.24	17% below	64%
Chest CT scan without and with contrast CPT 71270 CT CHEST WOW CONT	$2,218.59	$6,162.75	$172.28–$2,773.24	17% below	64%
Chest CT scan without and with contrast inpatient CPT 71270 CT CHEST WOW CONT	$2,218.59	$6,162.75	$172.28–$2,773.24	—	64%
Chest X-ray, 2 views CPT 71046 XR CXR PA/LAT	$287.91	$799.75	$20.12–$359.89	26% below	64%
Chest X-ray, 2 views CPT 71046 XR CXR PA/LAT	$287.91	$799.75	$20.12–$359.89	26% below	64%
Chest X-ray, 2 views CPT 71046 XR CXR DECUB	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views CPT 71046 XR CXR DECUB	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views CPT 71046 XR CXR DECUB BIL	$458.37	$1,273.25	$20.12–$572.96	18% above	64%
Chest X-ray, 2 views CPT 71046 XR CXR DECUB BIL	$458.37	$1,273.25	$20.12–$572.96	18% above	64%
Chest X-ray, 2 views one side CPT 71046 XR CXR DECUB LT	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views one side CPT 71046 XR CXR DECUB LT	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views one side CPT 71046 XR CXR DECUB RT	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views one side CPT 71046 XR CXR DECUB RT	$301.23	$836.75	$20.12–$376.54	23% below	64%
Chest X-ray, 2 views inpatient CPT 71046 XR CXR PA/LAT	$287.91	$799.75	$20.12–$359.89	—	64%
Chest X-ray, 2 views inpatient CPT 71046 XR CXR DECUB	$301.23	$836.75	$20.12–$376.54	—	64%
Chest X-ray, 2 views inpatient CPT 71046 XR CXR DECUB BIL	$458.37	$1,273.25	$20.12–$572.96	—	64%
Chest X-ray, 2 views inpatient one side CPT 71046 XR CXR DECUB LT	$301.23	$836.75	$20.12–$376.54	—	64%
Chest X-ray, 2 views inpatient one side CPT 71046 XR CXR DECUB RT	$301.23	$836.75	$20.12–$376.54	—	64%
Chest X-ray, single view CPT 71045 XR CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR EMPLOYEE	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR EMPLOYEE	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR 1V W ABD	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR 1V W ABD	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR FOR VAD	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CXR FOR VAD	$269.01	$747.25	$13.14–$336.26	17% below	64%
Chest X-ray, single view CPT 71045 XR CHEST APICAL	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view CPT 71045 XR CHEST APICAL	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view one side CPT 71045 XR CXR DECUB LT	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view one side CPT 71045 XR CXR DECUB RT	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view one side CPT 71045 XR CXR DECUB RT	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view one side CPT 71045 XR CXR DECUB LT	$301.23	$836.75	$13.14–$376.54	7% below	64%
Chest X-ray, single view inpatient CPT 71045 XR CXR 1V W ABD	$269.01	$747.25	$13.14–$336.26	—	64%
Chest X-ray, single view inpatient CPT 71045 XR CXR FOR VAD	$269.01	$747.25	$13.14–$336.26	—	64%
Chest X-ray, single view inpatient CPT 71045 XR CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	—	64%
Chest X-ray, single view inpatient CPT 71045 CXR PA OR AP	$269.01	$747.25	$13.14–$336.26	—	64%
Chest X-ray, single view inpatient CPT 71045 XR CXR EMPLOYEE	$269.01	$747.25	$13.14–$336.26	—	64%
Chest X-ray, single view inpatient CPT 71045 XR CHEST APICAL	$301.23	$836.75	$13.14–$376.54	—	64%
Chest X-ray, single view inpatient one side CPT 71045 XR CXR DECUB LT	$301.23	$836.75	$13.14–$376.54	—	64%
Chest X-ray, single view inpatient one side CPT 71045 XR CXR DECUB RT	$301.23	$836.75	$13.14–$376.54	—	64%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE BILAT	$567.27	$1,575.75	$20.12–$709.09	—	64%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR CLAVICLE BILAT	$567.27	$1,575.75	$20.12–$709.09	—	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT	$283.41	$787.25	$20.12–$354.26	6% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT	$283.41	$787.25	$20.12–$354.26	6% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE RT	$283.41	$787.25	$20.12–$354.26	6% below	64%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR CLAVICLE LT	$283.41	$787.25	$20.12–$354.26	6% below	64%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR CLAVICLE BILAT	$567.27	$1,575.75	$20.12–$709.09	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE LT	$283.41	$787.25	$20.12–$354.26	—	64%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR CLAVICLE RT	$283.41	$787.25	$20.12–$354.26	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONL, COMPLETE	$236.52	$657.00	$80.03–$599.98	66% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$236.52	$657.00	$80.03–$599.98	66% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONL, COMPLETE	$236.52	$657.00	$80.03–$599.98	66% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US AORTA	$236.52	$657.00	$80.03–$599.98	66% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$249.57	$693.25	$80.03–$599.98	64% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US EXAM ABDO BACK WALL COMP	$249.57	$693.25	$80.03–$599.98	64% below	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONL, COMPLETE	$236.52	$657.00	$80.03–$599.98	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US AORTA	$236.52	$657.00	$80.03–$599.98	—	64%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US EXAM ABDO BACK WALL COMP	$249.57	$693.25	$80.03–$599.98	—	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MBL DEXA BODY DENSITY	$300.60	$835.00	$32.98–$375.75	25% below	64%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 MBL DEXA BODY DENSITY	$300.60	$835.00	$32.98–$375.75	25% below	64%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 MBL DEXA BODY DENSITY	$300.60	$835.00	$32.98–$375.75	—	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG FETAL FULL	$588.69	$1,635.25	$84.69–$826.29	15% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US PREG FETAL FULL	$588.69	$1,635.25	$84.69–$826.29	15% below	64%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US PREG FETAL FULL	$588.69	$1,635.25	$84.69–$826.29	—	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONT	$378.27	$1,050.75	$106.88–$882.99	75% below	64%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT CHEST WO CONT	$378.27	$1,050.75	$106.88–$882.99	75% below	64%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT CHEST WO CONT	$378.27	$1,050.75	$106.88–$882.99	—	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W CONTRAST	$2,120.67	$5,890.75	$139.21–$2,650.84	6% above	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONT	$2,120.67	$5,890.75	$139.21–$2,650.84	6% above	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT CHEST W CONT	$2,120.67	$5,890.75	$139.21–$2,650.84	6% above	64%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX; W CONTRAST	$2,120.67	$5,890.75	$139.21–$2,650.84	6% above	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT CHEST W CONT	$2,120.67	$5,890.75	$139.21–$2,650.84	—	64%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX; W CONTRAST	$2,120.67	$5,890.75	$139.21–$2,650.84	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT	$189.45	$526.25	$120.37–$487.50	—	64%
Diagnostic mammogram, both breasts both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT	$189.45	$526.25	$120.37–$487.50	—	64%
Diagnostic mammogram, both breasts CPT 77066 MAM DIR DIG BIL CON	$189.45	$526.25	$120.37–$487.50	48% below	64%
Diagnostic mammogram, both breasts CPT 77066 MAM DIR DIG BIL CON	$189.45	$526.25	$120.37–$487.50	48% below	64%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DIAG MAM DIR DIGITAL - BILAT	$189.45	$526.25	$120.37–$487.50	—	64%
Diagnostic mammogram, both breasts inpatient CPT 77066 MAM DIR DIG BIL CON	$189.45	$526.25	$120.37–$487.50	—	64%
Diagnostic mammogram, one breast CPT 77065 DIAG MAM DIR DIGITAL - UNIL	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast CPT 77065 DIAG MAM DIR DIGITAL - UNIL	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI LT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON RT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON RT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON LT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG CON LT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI RT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI RT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast one side CPT 77065 MAM DIR DIG UNI LT	$146.88	$408.00	$94.06–$380.94	46% below	64%
Diagnostic mammogram, one breast inpatient CPT 77065 DIAG MAM DIR DIGITAL - UNIL	$146.88	$408.00	$94.06–$380.94	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG CON RT	$146.88	$408.00	$94.06–$380.94	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG UNI LT	$146.88	$408.00	$94.06–$380.94	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG UNI RT	$146.88	$408.00	$94.06–$380.94	—	64%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAM DIR DIG CON LT	$146.88	$408.00	$94.06–$380.94	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART DOP LOW BI	$1,058.94	$2,941.50	$148.38–$1,706.07	—	64%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 ART DOP LOW BI	$1,058.94	$2,941.50	$148.38–$1,706.07	—	64%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP SCAN,LE,BI	$1,058.94	$2,941.50	$148.38–$1,706.07	24% below	64%
Duplex ultrasound of the leg arteries, both legs CPT 93925 DUP SCAN,LE,BI	$1,058.94	$2,941.50	$148.38–$1,706.07	24% below	64%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 ART DOP LOW BI	$1,058.94	$2,941.50	$148.38–$1,706.07	—	64%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 DUP SCAN,LE,BI	$1,058.94	$2,941.50	$148.38–$1,706.07	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUP VEIN UP BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUP VEIN UP BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUP VEIN LW BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US DUP VEIN LW BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs CPT 93970 VEN,DUP,EXTRM,BI	$1,038.60	$2,885.00	$148.38–$1,673.30	33% below	64%
Duplex ultrasound of the leg veins, both legs CPT 93970 VEN,DUP,EXTRM,BI	$1,038.60	$2,885.00	$148.38–$1,673.30	33% below	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUP VEIN LW BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US DUP VEIN UP BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 VEN,DUP,EXTRM,BI	$1,038.60	$2,885.00	$148.38–$1,673.30	—	64%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 ECHO TTE W/DOPPLER, COMPLETE	$2,389.50	$6,637.50	$141.68–$3,849.75	21% above	64%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views both sides CPT 73070 ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views both sides CPT 73070 XR ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views CPT 73070 XR ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 XR ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 XR ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 XR ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views CPT 73070 ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	22% below	64%
Elbow X-ray, 2 views inpatient both sides CPT 73070 XR ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views inpatient both sides CPT 73070 ELBOW BILAT 2V	$487.98	$1,355.50	$19.75–$609.98	—	64%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	—	64%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	—	64%
Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW R 2V	$244.08	$678.00	$19.75–$323.23	—	64%
Elbow X-ray, 2 views inpatient CPT 73070 XR ELBOW L 2V	$244.08	$678.00	$19.75–$323.23	—	64%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 XR ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	4% below	64%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR ELBOW BILAT 3V	$647.46	$1,798.50	$23.43–$809.33	—	64%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	—	64%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW R 3V	$368.01	$1,022.25	$23.43–$460.01	—	64%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	—	64%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 XR ELBOW L 3V	$368.01	$1,022.25	$23.43–$460.01	—	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SINUS LTD W/O CONT PEDI	$519.93	$1,444.25	$106.88–$1,345.00	65% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT SINUS LTD W/O CONT PEDI	$519.93	$1,444.25	$106.88–$1,345.00	65% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT LTD ORBIT WO/52	$1,061.01	$2,947.25	$106.88–$1,610.00	29% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT LTD ORBIT WO/52	$1,061.01	$2,947.25	$106.88–$1,610.00	29% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT AUD CNL WO CON	$1,121.31	$3,114.75	$106.88–$1,401.64	25% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT AUD CNL WO CON	$1,121.31	$3,114.75	$106.88–$1,401.64	25% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO CONT	$1,121.31	$3,114.75	$106.88–$1,401.64	25% below	64%
Eye socket (orbit) CT scan without contrast CPT 70480 CT ORBIT WO CONT	$1,121.31	$3,114.75	$106.88–$1,401.64	25% below	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT SINUS LTD W/O CONT PEDI	$519.93	$1,444.25	$106.88–$1,345.00	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT LTD ORBIT WO/52	$1,061.01	$2,947.25	$106.88–$1,610.00	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT AUD CNL WO CON	$1,121.31	$3,114.75	$106.88–$1,401.64	—	64%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT ORBIT WO CONT	$1,121.31	$3,114.75	$106.88–$1,401.64	—	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL COMP MIN 3 VW	$294.03	$816.75	$28.94–$453.92	25% below	64%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR FACIAL COMP MIN 3 VW	$294.03	$816.75	$28.94–$453.92	25% below	64%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR FACIAL COMP MIN 3 VW	$294.03	$816.75	$28.94–$453.92	—	64%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views CPT 73090 XR FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	24% below	64%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 FOREARM BILAT 2V	$562.32	$1,562.00	$17.91–$702.90	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 XR FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM L 2V	$282.06	$783.50	$17.91–$352.57	—	64%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM R 2V	$282.06	$783.50	$17.91–$352.57	—	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,007.55	$2,798.75	$293.43–$2,746.89	37% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,007.55	$2,798.75	$293.43–$2,746.89	37% below	64%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBILIARY SYSTEM IMAGING	$1,007.55	$2,798.75	$293.43–$2,746.89	—	64%
Hand X-ray, 2 views both sides CPT 73120 HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views both sides CPT 73120 XR HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views both sides CPT 73120 HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views both sides CPT 73120 XR HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views CPT 73120 XR HAND L 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 XR HAND L 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 XR HAND R 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 XR HAND R 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 HAND L 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 HAND L 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 HAND R 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views CPT 73120 HAND R 2V	$261.18	$725.50	$20.49–$453.92	18% below	64%
Hand X-ray, 2 views inpatient both sides CPT 73120 XR HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views inpatient both sides CPT 73120 HAND BILAT 2V	$522.27	$1,450.75	$20.49–$652.84	—	64%
Hand X-ray, 2 views inpatient CPT 73120 XR HAND R 2V	$261.18	$725.50	$20.49–$453.92	—	64%
Hand X-ray, 2 views inpatient CPT 73120 HAND R 2V	$261.18	$725.50	$20.49–$453.92	—	64%
Hand X-ray, 2 views inpatient CPT 73120 HAND L 2V	$261.18	$725.50	$20.49–$453.92	—	64%
Hand X-ray, 2 views inpatient CPT 73120 XR HAND L 2V	$261.18	$725.50	$20.49–$453.92	—	64%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR HEEL BILAT MIN 2V	$476.46	$1,323.50	$19.75–$595.58	—	64%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR HEEL BILAT MIN 2V	$476.46	$1,323.50	$19.75–$595.58	—	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR HEEL R MIN 2V	$248.13	$689.25	$19.75–$323.23	14% below	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR HEEL R MIN 2V	$248.13	$689.25	$19.75–$323.23	14% below	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR HEEL L MIN 2V	$248.13	$689.25	$19.75–$323.23	14% below	64%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 XR HEEL L MIN 2V	$248.13	$689.25	$19.75–$323.23	14% below	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR HEEL BILAT MIN 2V	$476.46	$1,323.50	$19.75–$595.58	—	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR HEEL L MIN 2V	$248.13	$689.25	$19.75–$323.23	—	64%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 XR HEEL R MIN 2V	$248.13	$689.25	$19.75–$323.23	—	64%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Knee X-ray, 3 views both sides CPT 73562 XR KNEE BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Knee X-ray, 3 views CPT 73562 XR KNEE R 3V	$367.29	$1,020.25	$27.10–$459.11	2% below	64%
Knee X-ray, 3 views CPT 73562 XR KNEE R 3V	$367.29	$1,020.25	$27.10–$459.11	2% below	64%
Knee X-ray, 3 views CPT 73562 XR KNEE L 3V	$367.29	$1,020.25	$27.10–$459.11	2% below	64%
Knee X-ray, 3 views CPT 73562 XR KNEE L 3V	$367.29	$1,020.25	$27.10–$459.11	2% below	64%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR KNEE BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Knee X-ray, 3 views inpatient CPT 73562 XR KNEE L 3V	$367.29	$1,020.25	$27.10–$459.11	—	64%
Knee X-ray, 3 views inpatient CPT 73562 XR KNEE R 3V	$367.29	$1,020.25	$27.10–$459.11	—	64%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE BILAT 4+V	$718.29	$1,995.25	$29.30–$897.86	—	64%
Knee X-ray, complete, 4 or more views both sides CPT 73564 XR KNEE BILAT 4+V	$718.29	$1,995.25	$29.30–$897.86	—	64%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE L 4+V	$407.70	$1,132.50	$29.30–$509.63	4% below	64%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE R 4+V	$407.70	$1,132.50	$29.30–$509.63	4% below	64%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE R 4+V	$407.70	$1,132.50	$29.30–$509.63	4% below	64%
Knee X-ray, complete, 4 or more views CPT 73564 XR KNEE L 4+V	$407.70	$1,132.50	$29.30–$509.63	4% below	64%
Knee X-ray, complete, 4 or more views inpatient both sides CPT 73564 XR KNEE BILAT 4+V	$718.29	$1,995.25	$29.30–$897.86	—	64%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE R 4+V	$407.70	$1,132.50	$29.30–$509.63	—	64%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 XR KNEE L 4+V	$407.70	$1,132.50	$29.30–$509.63	—	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO RT	$851.49	$2,365.25	$106.88–$1,610.00	50% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO LT	$851.49	$2,365.25	$106.88–$1,610.00	50% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO RT	$851.49	$2,365.25	$106.88–$1,610.00	50% below	64%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT LOW EXT WO LT	$851.49	$2,365.25	$106.88–$1,610.00	50% below	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT WO LT	$851.49	$2,365.25	$106.88–$1,610.00	—	64%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT LOW EXT WO RT	$851.49	$2,365.25	$106.88–$1,610.00	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDUS FAST ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDUS ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDUS ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 ECHO EXAM OF ABDOMEN	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 EDUS FAST ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US PYLORUS	$250.11	$694.75	$64.96–$606.96	59% below	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 ECHO EXAM OF ABDOMEN	$250.11	$694.75	$64.96–$606.96	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US PYLORUS	$250.11	$694.75	$64.96–$606.96	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 EDUS FAST ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	—	64%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 EDUS ABDOMEN LMTD	$250.11	$694.75	$64.96–$606.96	—	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EDUS EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 EDUS EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	22% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD LW LT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD UP LT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD LW LT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD UP RT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD UP RT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD LW RT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD LW RT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US EXT LTD UP LT	$272.43	$756.75	$30.35–$453.92	33% below	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 EDUS EXTREMTY LMTD	$316.35	$878.75	$30.35–$453.92	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LTD LW LT	$272.43	$756.75	$30.35–$453.92	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LTD UP LT	$272.43	$756.75	$30.35–$453.92	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LTD LW RT	$272.43	$756.75	$30.35–$453.92	—	64%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US EXT LTD UP RT	$272.43	$756.75	$30.35–$453.92	—	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$113.85	$316.25	$80.90–$170.41	53% below	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$113.85	$316.25	$80.90–$170.41	53% below	64%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$113.85	$316.25	$80.90–$170.41	—	64%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 XR TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	34% below	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR TIBFIB BILAT 2V	$454.95	$1,263.75	$20.85–$568.69	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBFIB L 2V	$227.43	$631.75	$20.85–$323.23	—	64%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 XR TIBFIB R 2V	$227.43	$631.75	$20.85–$323.23	—	64%
MR angiography (MRA) of the head without contrast CPT 70544 MR HEAD ANG WO	$901.08	$2,503.00	$224.54–$1,969.00	50% below	64%
MR angiography (MRA) of the head without contrast CPT 70544 MR HEAD ANG WO	$901.08	$2,503.00	$224.54–$1,969.00	50% below	64%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MR HEAD ANG WO	$901.08	$2,503.00	$224.54–$1,969.00	—	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J L	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LW EXT WO J R	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,L,LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,L,LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,R,LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 LO EXTR,JNT,R,LTD	$728.19	$2,022.75	$175.86–$1,975.92	67% below	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J L	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J L LTD	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LO EXTR,JNT,L,LTD	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J R	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LW EXT WO J R LTD	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 LO EXTR,JNT,R,LTD	$728.19	$2,022.75	$175.86–$1,975.92	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L	$1,188.81	$3,302.25	$368.43–$3,279.15	60% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J L	$1,188.81	$3,302.25	$368.43–$3,279.15	60% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R	$1,188.81	$3,302.25	$368.43–$3,279.15	60% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LW EXT WOW J R	$1,188.81	$3,302.25	$368.43–$3,279.15	60% below	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J R	$1,188.81	$3,302.25	$368.43–$3,279.15	—	64%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LW EXT WOW J L	$1,188.81	$3,302.25	$368.43–$3,279.15	—	64%
MRI of the abdomen without contrast CPT 74181 MR ABD WO	$1,702.71	$4,729.75	$204.83–$3,059.38	23% below	64%
MRI of the abdomen without contrast CPT 74181 MR ABD WO	$1,702.71	$4,729.75	$204.83–$3,059.38	23% below	64%
MRI of the abdomen without contrast inpatient CPT 74181 MR ABD WO	$1,702.71	$4,729.75	$204.83–$3,059.38	—	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABD WOW	$2,015.01	$5,597.25	$329.50–$4,621.65	34% below	64%
MRI of the abdomen, without and then with contrast dye CPT 74183 MR ABD WOW	$2,015.01	$5,597.25	$329.50–$4,621.65	34% below	64%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MR ABD WOW	$2,015.01	$5,597.25	$329.50–$4,621.65	—	64%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD	$611.10	$1,697.50	$162.73–$1,571.67	68% below	64%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO LTD	$611.10	$1,697.50	$162.73–$1,571.67	68% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR PITUITARY WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR PITUITARY WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR IAC WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN FOR IAC WO	$1,493.28	$4,148.00	$162.73–$1,969.00	21% below	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO LTD	$611.10	$1,697.50	$162.73–$1,571.67	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO	$1,493.28	$4,148.00	$162.73–$1,969.00	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN FOR PITUITARY WO	$1,493.28	$4,148.00	$162.73–$1,969.00	—	64%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN FOR IAC WO	$1,493.28	$4,148.00	$162.73–$1,969.00	—	64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD	$1,749.15	$4,858.75	$274.01–$3,084.62	38% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW LTD	$1,749.15	$4,858.75	$274.01–$3,084.62	38% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR PITUITARY WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR IAC WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR IAC WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN FOR PITUITARY WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	4% below	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW LTD	$1,749.15	$4,858.75	$274.01–$3,084.62	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN FOR IAC WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN FOR PITUITARY WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	—	64%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN WOW	$2,710.98	$7,530.50	$274.01–$3,388.72	—	64%
MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO	$1,144.35	$3,178.75	$156.11–$1,969.00	48% below	64%
MRI of the lower back, no contrast dye CPT 72148 MR L SPN CANL WO	$1,144.35	$3,178.75	$156.11–$1,969.00	48% below	64%
MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPN CANL WO	$1,144.35	$3,178.75	$156.11–$1,969.00	—	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPN CANL WOW	$2,556.09	$7,100.25	$275.11–$3,195.11	20% below	64%
MRI of the lower back, without and then with contrast dye CPT 72158 MR L SPN CANL WOW	$2,556.09	$7,100.25	$275.11–$3,195.11	20% below	64%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MR L SPN CANL WOW	$2,556.09	$7,100.25	$275.11–$3,195.11	—	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPN CANL WO	$1,271.34	$3,531.50	$156.48–$1,969.00	38% below	64%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MR T SPN CANL WO	$1,271.34	$3,531.50	$156.48–$1,969.00	38% below	64%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MR T SPN CANL WO	$1,271.34	$3,531.50	$156.48–$1,969.00	—	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPN CANL WOW	$2,556.09	$7,100.25	$276.21–$3,195.11	22% below	64%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MR C SPN CANL WOW	$2,556.09	$7,100.25	$276.21–$3,195.11	22% below	64%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MR C SPN CANL WOW	$2,556.09	$7,100.25	$276.21–$3,195.11	—	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPN CANL WO	$1,871.10	$5,197.50	$156.11–$2,338.88	17% below	64%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MR C SPN CANL WO	$1,871.10	$5,197.50	$156.11–$2,338.88	17% below	64%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MR C SPN CANL WO	$1,871.10	$5,197.50	$156.11–$2,338.88	—	64%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WOW	$1,763.01	$4,897.25	$328.40–$4,613.24	44% below	64%
MRI of the pelvis without and with contrast CPT 72197 MR PELVIS WOW	$1,763.01	$4,897.25	$328.40–$4,613.24	44% below	64%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR PELVIS WOW	$1,763.01	$4,897.25	$328.40–$4,613.24	—	64%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO	$1,350.99	$3,752.75	$232.31–$3,197.98	43% below	64%
MRI of the pelvis, no contrast dye CPT 72195 MR PELVIS WO	$1,350.99	$3,752.75	$232.31–$3,197.98	43% below	64%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR PELVIS WO	$1,350.99	$3,752.75	$232.31–$3,197.98	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXT WO J R	$775.08	$2,153.00	$175.86–$1,971.71	57% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXT WO J L	$775.08	$2,153.00	$175.86–$1,971.71	57% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXT WO J L	$775.08	$2,153.00	$175.86–$1,971.71	57% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MR UP EXT WO J R	$775.08	$2,153.00	$175.86–$1,971.71	57% below	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UP EXT WO J L	$775.08	$2,153.00	$175.86–$1,971.71	—	64%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MR UP EXT WO J R	$775.08	$2,153.00	$175.86–$1,971.71	—	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SP COMP CERV MIN 4VW	$532.26	$1,478.50	$30.41–$665.33	2% below	64%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR SP COMP CERV MIN 4VW	$532.26	$1,478.50	$30.41–$665.33	2% below	64%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR SP COMP CERV MIN 4VW	$532.26	$1,478.50	$30.41–$665.33	—	64%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFTNECK W CON	$1,293.93	$3,594.25	$138.84–$1,620.72	35% below	64%
Neck soft tissue CT scan with contrast CPT 70491 CT SOFTNECK W CON	$1,293.93	$3,594.25	$138.84–$1,620.72	35% below	64%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT SOFTNECK W CON	$1,293.93	$3,594.25	$138.84–$1,620.72	—	64%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFTNECK WO CO	$798.57	$2,218.25	$106.88–$1,345.00	48% below	64%
Neck soft tissue CT scan without contrast CPT 70490 CT SOFTNECK WO CO	$798.57	$2,218.25	$106.88–$1,345.00	48% below	64%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT SOFTNECK WO CO	$798.57	$2,218.25	$106.88–$1,345.00	—	64%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TIS	$309.24	$859.00	$20.49–$386.55	30% above	64%
Neck soft tissue X-ray CPT 70360 XR NECK SOFT TIS	$309.24	$859.00	$20.49–$386.55	30% above	64%
Neck soft tissue X-ray inpatient CPT 70360 XR NECK SOFT TIS	$309.24	$859.00	$20.49–$386.55	—	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$1,798.38	$4,995.50	$409.40–$3,884.58	57% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$1,798.38	$4,995.50	$409.40–$3,884.58	57% below	64%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT, MULT	$1,798.38	$4,995.50	$409.40–$3,884.58	—	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT, SKULL-THIGH	$1,561.32	$4,337.00	$1,041.99–$3,392.67	64% below	64%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET IMAGE W/CT, SKULL-THIGH	$1,561.32	$4,337.00	$1,041.99–$3,392.67	64% below	64%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET IMAGE W/CT, SKULL-THIGH	$1,561.32	$4,337.00	$1,041.99–$3,392.67	—	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS LTD WO	$1,180.89	$3,280.25	$94.73–$1,476.11	27% below	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT	$1,180.89	$3,280.25	$94.73–$1,476.11	27% below	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS WO CONT	$1,180.89	$3,280.25	$94.73–$1,476.11	27% below	64%
Pelvic CT scan without contrast CPT 72192 CT PELVIS LTD WO	$1,180.89	$3,280.25	$94.73–$1,476.11	27% below	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS WO CONT	$1,180.89	$3,280.25	$94.73–$1,476.11	—	64%
Pelvic CT scan without contrast inpatient CPT 72192 CT PELVIS LTD WO	$1,180.89	$3,280.25	$94.73–$1,476.11	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONPREG-LTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 GYN SONOGRAM LTD/FU	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US PELVIC NONPREG-LTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 GYN SONOGRAM LTD/FU	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US EXAM PELVIC LTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDUS PELVIC LMTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 EDUS PELVIC LMTD	$330.84	$919.00	$24.53–$453.92	32% below	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US PELVIC NONPREG-LTD	$330.84	$919.00	$24.53–$453.92	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 EDUS PELVIC LMTD	$330.84	$919.00	$24.53–$453.92	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US EXAM PELVIC LTD	$330.84	$919.00	$24.53–$453.92	—	64%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 GYN SONOGRAM LTD/FU	$330.84	$919.00	$24.53–$453.92	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 GYN SONOGRAM COMPLETE	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONPREG	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 GYN SONOGRAM COMPLETE	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US FOLLICLE STUDY	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US FOLLICLE STUDY	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US PELVIC NONPREG	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US EXAM PELVIC COMPLETE	$256.95	$713.75	$79.30–$594.65	66% below	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US EXAM PELVIC COMPLETE	$256.95	$713.75	$79.30–$594.65	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US FOLLICLE STUDY	$256.95	$713.75	$79.30–$594.65	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US PELVIC NONPREG	$256.95	$713.75	$79.30–$594.65	—	64%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 GYN SONOGRAM COMPLETE	$256.95	$713.75	$79.30–$594.65	—	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$571.23	$1,586.75	$91.54–$896.31	6% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST	$571.23	$1,586.75	$91.54–$896.31	6% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREG 2/3 TRIMST	$571.23	$1,586.75	$91.54–$896.31	6% below	64%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >/= 14 WKS SNGL FETUS	$571.23	$1,586.75	$91.54–$896.31	6% below	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREG 2/3 TRIMST	$571.23	$1,586.75	$91.54–$896.31	—	64%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US >/= 14 WKS SNGL FETUS	$571.23	$1,586.75	$91.54–$896.31	—	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIM	$336.69	$935.25	$73.52–$716.67	43% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US PREG 1ST TRIM	$336.69	$935.25	$73.52–$716.67	43% below	64%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US PREG 1ST TRIM	$336.69	$935.25	$73.52–$716.67	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$236.52	$657.00	$54.30–$535.32	48% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US PREGNANCY LTD	$236.52	$657.00	$54.30–$535.32	48% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EDUS OB FETUS(S) LMTD	$236.52	$657.00	$54.30–$535.32	48% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 EDUS OB FETUS(S) LMTD	$236.52	$657.00	$54.30–$535.32	48% below	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US PREGNANCY LTD	$236.52	$657.00	$54.30–$535.32	—	64%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 EDUS OB FETUS(S) LMTD	$236.52	$657.00	$54.30–$535.32	—	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI LT	$356.22	$989.50	$22.69–$445.27	19% above	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI LT	$356.22	$989.50	$22.69–$445.27	19% above	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI RT	$356.22	$989.50	$22.69–$445.27	19% above	64%
Rib X-ray, one side, 2 views one side CPT 71100 XR RIBS UNI RT	$356.22	$989.50	$22.69–$445.27	19% above	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNI RT	$356.22	$989.50	$22.69–$445.27	—	64%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR RIBS UNI LT	$356.22	$989.50	$22.69–$445.27	—	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CXR, 3 VIEWS	$219.42	$609.50	$25.27–$453.92	44% below	64%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR RIBS UNILAT W/CXR, 3 VIEWS	$219.42	$609.50	$25.27–$453.92	44% below	64%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR RIBS UNILAT W/CXR, 3 VIEWS	$219.42	$609.50	$25.27–$453.92	—	64%
Screening mammogram, both breasts both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT	$173.70	$482.50	$44.79–$402.85	—	64%
Screening mammogram, both breasts both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT	$173.70	$482.50	$44.79–$402.85	—	64%
Screening mammogram, both breasts CPT 77067 MOBILE MAM SCREEN DIGITAL	$173.70	$482.50	$44.79–$402.85	42% below	64%
Screening mammogram, both breasts CPT 77067 MOBILE MAM SCREEN DIGITAL	$173.70	$482.50	$44.79–$402.85	42% below	64%
Screening mammogram, both breasts one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT	$135.18	$375.50	$44.79–$365.05	55% below	64%
Screening mammogram, both breasts one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT	$135.18	$375.50	$44.79–$365.05	55% below	64%
Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAM DIR DIGITAL - BILAT	$173.70	$482.50	$44.79–$402.85	—	64%
Screening mammogram, both breasts inpatient CPT 77067 MOBILE MAM SCREEN DIGITAL	$173.70	$482.50	$44.79–$402.85	—	64%
Screening mammogram, both breasts inpatient one side CPT 77067 SCRN MAM DIR DIGITAL-UNILAT	$135.18	$375.50	$44.79–$365.05	—	64%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULD BILAT 2V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULD BILAT 3+V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULD BILAT 2V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR SHOULD BILAT 3+V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD R 3+V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD R 3+V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD R 2V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD R 2V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD L 3+V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD L 3+V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD L 2V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views CPT 73030 XR SHOULD L 2V	$308.16	$856.00	$20.48–$385.20	5% below	64%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULD BILAT 2V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR SHOULD BILAT 3+V	$570.78	$1,585.50	$20.48–$713.48	—	64%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD L 2V	$308.16	$856.00	$20.48–$385.20	—	64%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD R 3+V	$308.16	$856.00	$20.48–$385.20	—	64%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD L 3+V	$308.16	$856.00	$20.48–$385.20	—	64%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 XR SHOULD R 2V	$308.16	$856.00	$20.48–$385.20	—	64%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS COMP MIN 3 VW	$209.70	$582.50	$25.64–$323.23	49% below	64%
Sinus X-ray, complete, 3 or more views CPT 70220 XR SINUS COMP MIN 3 VW	$209.70	$582.50	$25.64–$323.23	49% below	64%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR SINUS COMP MIN 3 VW	$209.70	$582.50	$25.64–$323.23	—	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1/2V	$147.42	$409.50	$24.53–$372.11	54% below	64%
Skull X-ray, fewer than 4 views CPT 70250 XR SKULL 1/2V	$147.42	$409.50	$24.53–$372.11	54% below	64%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR SKULL 1/2V	$147.42	$409.50	$24.53–$372.11	—	64%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 ECHO STRESS TTE COMPLETE	$1,699.83	$4,721.75	$154.82–$2,738.61	37% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BA SWAL/SPEECH	$583.65	$1,621.25	$97.29–$1,045.98	3% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPH W VIDEO	$583.65	$1,621.25	$97.29–$1,045.98	3% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR ESOPH W VIDEO	$583.65	$1,621.25	$97.29–$1,045.98	3% below	64%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR BA SWAL/SPEECH	$583.65	$1,621.25	$97.29–$1,045.98	3% below	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR ESOPH W VIDEO	$583.65	$1,621.25	$97.29–$1,045.98	—	64%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR BA SWAL/SPEECH	$583.65	$1,621.25	$97.29–$1,045.98	—	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR L MIN 2V	$130.32	$362.00	$24.16–$323.23	60% below	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR R MIN 2V	$130.32	$362.00	$24.16–$323.23	60% below	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR L MIN 2V	$130.32	$362.00	$24.16–$323.23	60% below	64%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 XR FEMUR R MIN 2V	$130.32	$362.00	$24.16–$323.23	60% below	64%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR L MIN 2V	$130.32	$362.00	$24.16–$323.23	—	64%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 XR FEMUR R MIN 2V	$130.32	$362.00	$24.16–$323.23	—	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPN THOR WO CO	$547.83	$1,521.75	$106.88–$1,345.00	71% below	64%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT SPN THOR WO CO	$547.83	$1,521.75	$106.88–$1,345.00	71% below	64%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT SPN THOR WO CO	$547.83	$1,521.75	$106.88–$1,345.00	—	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE L GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 XR TOE R GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE L GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 2ND	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 3RD	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 4TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R 5TH	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views CPT 73660 TOE R GREAT	$94.23	$261.75	$22.32–$217.89	65% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) RT	$225.00	$625.00	$22.32–$323.23	17% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) LT	$225.00	$625.00	$22.32–$323.23	17% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) RT	$225.00	$625.00	$22.32–$323.23	17% below	64%
Toe X-ray, 2 or more views one side CPT 73660 XR TOE(S) LT	$225.00	$625.00	$22.32–$323.23	17% below	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 4TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 3RD	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 2ND	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE L GREAT	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 5TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 4TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 3RD	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE L 2ND	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE R GREAT	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE L 5TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE R 5TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE L 4TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE L 2ND	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE L GREAT	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE R GREAT	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE R 5TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE R 4TH	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE L 3RD	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE R 3RD	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient CPT 73660 XR TOE R 2ND	$94.23	$261.75	$22.32–$217.89	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) LT	$225.00	$625.00	$22.32–$323.23	—	64%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR TOE(S) RT	$225.00	$625.00	$22.32–$323.23	—	64%
Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRANSVAG	$265.68	$738.00	$88.30–$706.39	56% below	64%
Transvaginal pelvic ultrasound CPT 76830 EDUS NON-OB TRANSVAG	$265.68	$738.00	$88.30–$706.39	56% below	64%
Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG	$265.68	$738.00	$88.30–$706.39	56% below	64%
Transvaginal pelvic ultrasound CPT 76830 US TRSVAG NONPREG	$265.68	$738.00	$88.30–$706.39	56% below	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRSVAG NONPREG	$265.68	$738.00	$88.30–$706.39	—	64%
Transvaginal pelvic ultrasound inpatient CPT 76830 EDUS NON-OB TRANSVAG	$265.68	$738.00	$88.30–$706.39	—	64%
Transvaginal ultrasound during pregnancy CPT 76817 US TRSVAG PREG	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 EDUS TRNSVAG OB	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 EDUS TRNSVAG OB	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAG PREG	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAG PREG	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy CPT 76817 US TRSVAG PREG	$256.05	$711.25	$62.02–$587.61	50% below	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRSVAG PREG	$256.05	$711.25	$62.02–$587.61	—	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAG PREG	$256.05	$711.25	$62.02–$587.61	—	64%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 EDUS TRNSVAG OB	$256.05	$711.25	$62.02–$587.61	—	64%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT	$292.23	$811.75	$85.91–$806.49	63% below	64%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN CMPLT	$292.23	$811.75	$85.91–$806.49	63% below	64%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN CMPLT	$292.23	$811.75	$85.91–$806.49	—	64%
Ultrasound of the scrotum and testicles CPT 76870 EDUS TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	13% below	64%
Ultrasound of the scrotum and testicles CPT 76870 EDUS TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	13% below	64%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	13% below	64%
Ultrasound of the scrotum and testicles CPT 76870 US TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	13% below	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 EDUS TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	—	64%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US TESTICL/SCROTM	$532.53	$1,479.25	$37.39–$720.00	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NCK OTHER	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 EDUS EXAM HEAD/NECK	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 EDUS EXAM HEAD/NECK	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US THYROID	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD/NCK OTHER	$417.06	$1,158.50	$92.52–$866.34	34% below	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD/NCK OTHER	$417.06	$1,158.50	$92.52–$866.34	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US THYROID	$417.06	$1,158.50	$92.52–$866.34	—	64%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 EDUS EXAM HEAD/NECK	$417.06	$1,158.50	$92.52–$866.34	—	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$342.45	$951.25	$80.77–$843.12	53% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR UPPER GI	$342.45	$951.25	$80.77–$843.12	53% below	64%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR UPPER GI	$342.45	$951.25	$80.77–$843.12	—	64%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS BILAT 2V	$543.69	$1,510.25	$21.22–$679.61	—	64%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR HUMERUS BILAT 2V	$543.69	$1,510.25	$21.22–$679.61	—	64%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS L 2V	$271.98	$755.50	$21.22–$339.98	23% below	64%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS L 2V	$271.98	$755.50	$21.22–$339.98	23% below	64%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS R 2V	$271.98	$755.50	$21.22–$339.98	23% below	64%
Upper arm X-ray (humerus), 2 views CPT 73060 XR HUMERUS R 2V	$271.98	$755.50	$21.22–$339.98	23% below	64%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR HUMERUS BILAT 2V	$543.69	$1,510.25	$21.22–$679.61	—	64%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS R 2V	$271.98	$755.50	$21.22–$339.98	—	64%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 XR HUMERUS L 2V	$271.98	$755.50	$21.22–$339.98	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED DUPLX EXT VEINS LMTD	$577.71	$1,604.75	$96.28–$930.75	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN,DUP,EXTRM,UNI	$577.71	$1,604.75	$96.28–$930.75	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 ED DUPLX EXT VEINS LMTD	$577.71	$1,604.75	$96.28–$930.75	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 VEN,DUP,EXTRM,UNI	$577.71	$1,604.75	$96.28–$930.75	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN UP RT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN LW RT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN LW RT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN UP RT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN UP LT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN LW LT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN LW LT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US DUP VEIN UP LT	$577.71	$1,604.75	$96.28–$1,364.04	26% below	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 VEN,DUP,EXTRM,UNI	$577.71	$1,604.75	$96.28–$930.75	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 ED DUPLX EXT VEINS LMTD	$577.71	$1,604.75	$96.28–$930.75	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP VEIN UP RT	$577.71	$1,604.75	$96.28–$1,364.04	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP VEIN LW LT	$577.71	$1,604.75	$96.28–$1,364.04	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP VEIN LW RT	$577.71	$1,604.75	$96.28–$1,364.04	—	64%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US DUP VEIN UP LT	$577.71	$1,604.75	$96.28–$1,364.04	—	64%
Wrist X-ray, 2 views both sides CPT 73100 XR NAVICULAR BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views both sides CPT 73100 XR WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views both sides CPT 73100 WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views both sides CPT 73100 XR WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views both sides CPT 73100 WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views both sides CPT 73100 XR NAVICULAR BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views CPT 73100 WRIST R 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 XR WRIST R 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 XR WRIST L 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 XR WRIST R 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 WRIST L 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 WRIST R 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 XR WRIST L 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views CPT 73100 WRIST L 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR LT 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR RT 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR LT 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views one side CPT 73100 XR NAVICULAR RT 2V	$228.78	$635.50	$23.42–$323.23	23% below	64%
Wrist X-ray, 2 views inpatient both sides CPT 73100 WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views inpatient both sides CPT 73100 XR WRIST BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views inpatient both sides CPT 73100 XR NAVICULAR BILAT 2V	$457.20	$1,270.00	$23.42–$571.50	—	64%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST L 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST L 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, 2 views inpatient CPT 73100 XR WRIST R 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST R 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR NAVICULAR LT 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR NAVICULAR RT 2V	$228.78	$635.50	$23.42–$323.23	—	64%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST R 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST L 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST R 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST R 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST L 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST L 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 XR WRIST R 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST L 3V	$310.50	$862.50	$27.10–$388.13	16% below	64%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 WRIST BILAT 3V	$610.92	$1,697.00	$27.10–$763.65	—	64%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST L 3V	$310.50	$862.50	$27.10–$388.13	—	64%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST R 3V	$310.50	$862.50	$27.10–$388.13	—	64%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST L 3V	$310.50	$862.50	$27.10–$388.13	—	64%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 XR WRIST R 3V	$310.50	$862.50	$27.10–$388.13	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP L 2-3V	$130.32	$362.00	$31.14–$344.25	65% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP R 2-3V	$130.32	$362.00	$31.14–$344.25	65% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP R 2-3V	$130.32	$362.00	$31.14–$344.25	65% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 XR HIP L 2-3V	$130.32	$362.00	$31.14–$344.25	65% below	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP R 2-3V	$130.32	$362.00	$31.14–$344.25	—	64%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 XR HIP L 2-3V	$130.32	$362.00	$31.14–$344.25	—	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABD FEEDTUBE	$343.17	$953.25	$18.65–$428.96	1% above	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABD AP/KUB	$343.17	$953.25	$18.65–$428.96	1% above	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABD AP/KUB	$343.17	$953.25	$18.65–$428.96	1% above	64%
X-ray of the abdomen, 1 view CPT 74018 XR ABD FEEDTUBE	$343.17	$953.25	$18.65–$428.96	1% above	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD FEEDTUBE	$343.17	$953.25	$18.65–$428.96	—	64%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR ABD AP/KUB	$343.17	$953.25	$18.65–$428.96	—	64%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views both sides CPT 73600 ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views both sides CPT 73600 XR ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views CPT 73600 XR ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	23% below	64%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 ANKLE BILAT 2V	$462.15	$1,283.75	$21.96–$577.69	—	64%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	—	64%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE R 2V	$231.03	$641.75	$21.96–$323.23	—	64%
X-ray of the ankle, 2 views inpatient CPT 73600 XR ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	—	64%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE L 2V	$231.03	$641.75	$21.96–$323.23	—	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 XR FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR THUMB RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 THUMB LT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR FINGER(S) RT	$233.55	$648.75	$26.00–$323.23	3% below	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER R 2ND	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER R 4TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER L 2ND	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER L 3RD	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER L 5TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 XR FINGER L 4TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 3RD	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER R 5TH	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) LT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR FINGER(S) RT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR THUMB LT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR THUMB RT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB RT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 THUMB LT	$233.55	$648.75	$26.00–$323.23	—	64%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views both sides CPT 73620 XR FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views both sides CPT 73620 FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views both sides CPT 73620 FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views CPT 73620 XR STAND FOOT 1V	$227.43	$631.75	$19.01–$323.23	32% below	64%
X-ray of the foot, 2 views CPT 73620 XR STAND FOOT 1V	$227.43	$631.75	$19.01–$323.23	32% below	64%
X-ray of the foot, 2 views CPT 73620 FOOT R 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 XR FOOT L 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 XR FOOT L 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 XR FOOT R 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 XR FOOT R 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 FOOT L 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 FOOT L 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views CPT 73620 FOOT R 2V	$255.51	$709.75	$19.01–$323.23	23% below	64%
X-ray of the foot, 2 views inpatient both sides CPT 73620 FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR FOOT BILAT 2V	$511.38	$1,420.50	$19.01–$639.23	—	64%
X-ray of the foot, 2 views inpatient CPT 73620 XR STAND FOOT 1V	$227.43	$631.75	$19.01–$323.23	—	64%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT L 2V	$255.51	$709.75	$19.01–$323.23	—	64%
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT L 2V	$255.51	$709.75	$19.01–$323.23	—	64%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT R 2V	$255.51	$709.75	$19.01–$323.23	—	64%
X-ray of the foot, 2 views inpatient CPT 73620 XR FOOT R 2V	$255.51	$709.75	$19.01–$323.23	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILAT CLUB 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILAT CLUB	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 FOOT BILAT CLUB	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILAT CLUB 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT L 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT L CLUB 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT L 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT R 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT R 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT L 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT L 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT L CLUB	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT L CLUB	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT R 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT R 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT R CLUB	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT R CLUB	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT L CLUB 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT R CLUB 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views CPT 73630 XR FOOT R CLUB 3V	$319.14	$886.50	$21.59–$398.93	14% below	64%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BILAT CLUB	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT BILAT CLUB 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR FOOT BILAT 3V	$541.44	$1,504.00	$21.59–$676.80	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT R CLUB 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT R 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT L CLUB	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT L 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT R 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT L CLUB 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT R CLUB	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 XR FOOT L 3V	$319.14	$886.50	$21.59–$398.93	—	64%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND BILAT 3V	$573.75	$1,593.75	$23.79–$717.19	—	64%
X-ray of the hand, 3 or more views both sides CPT 73130 XR HAND BILAT 3V	$573.75	$1,593.75	$23.79–$717.19	—	64%
X-ray of the hand, 3 or more views CPT 73130 HAND L 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 XR HAND R 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 HAND R 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 HAND R 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 XR HAND L 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 XR HAND L 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 HAND L 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views CPT 73130 XR HAND R 3V	$302.58	$840.50	$23.79–$378.23	21% below	64%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR HAND BILAT 3V	$573.75	$1,593.75	$23.79–$717.19	—	64%
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND L 3V	$302.58	$840.50	$23.79–$378.23	—	64%
X-ray of the hand, 3 or more views inpatient CPT 73130 XR HAND R 3V	$302.58	$840.50	$23.79–$378.23	—	64%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND L 3V	$302.58	$840.50	$23.79–$378.23	—	64%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND R 3V	$302.58	$840.50	$23.79–$378.23	—	64%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILAT 1V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILAT 1V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILAT 2V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR KNEE BILAT 2V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE R 2V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE L 1V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE L 1V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE L 2V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE L 2V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE R 1V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE R 1V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views CPT 73560 XR KNEE R 2V	$309.24	$859.00	$23.43–$386.55	5% above	64%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE BILAT 2V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR KNEE BILAT 1V	$553.41	$1,537.25	$23.43–$691.76	—	64%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE L 2V	$309.24	$859.00	$23.43–$386.55	—	64%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE R 1V	$309.24	$859.00	$23.43–$386.55	—	64%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE R 2V	$309.24	$859.00	$23.43–$386.55	—	64%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 XR KNEE L 1V	$309.24	$859.00	$23.43–$386.55	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SP 2V LUMBR	$346.68	$963.00	$24.52–$453.92	22% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SP 2V LUMBR	$346.68	$963.00	$24.52–$453.92	22% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SP 3V LUMBR	$346.68	$963.00	$24.52–$453.92	22% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR SP 3V LUMBR	$346.68	$963.00	$24.52–$453.92	22% below	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SP 3V LUMBR	$346.68	$963.00	$24.52–$453.92	—	64%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR SP 2V LUMBR	$346.68	$963.00	$24.52–$453.92	—	64%
X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB MIN 4 VWS	$514.71	$1,429.75	$34.08–$643.39	9% below	64%
X-ray of the lower back, 4 or more views CPT 72110 XR SP COMP LUMB MIN 4 VWS	$514.71	$1,429.75	$34.08–$643.39	9% below	64%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SP COMP LUMB MIN 4 VWS	$514.71	$1,429.75	$34.08–$643.39	—	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SP AP/LAT THOR	$293.40	$815.00	$23.42–$453.92	27% below	64%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR SP AP/LAT THOR	$293.40	$815.00	$23.42–$453.92	27% below	64%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR SP AP/LAT THOR	$293.40	$815.00	$23.42–$453.92	—	64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3VW	$306.18	$850.50	$24.90–$382.73	11% above	64%
X-ray of the nasal bones, 3 or more views CPT 70160 XR NASAL BONES MIN 3VW	$306.18	$850.50	$24.90–$382.73	11% above	64%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR NASAL BONES MIN 3VW	$306.18	$850.50	$24.90–$382.73	—	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP AP/LAT CERV	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP LAT C FL/EX	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP 3V CERVICAL	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP 3V CERVICAL	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP LAT C FL/EX	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR SP AP/LAT CERV	$352.62	$979.50	$22.69–$440.77	3% below	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SP 3V CERVICAL	$352.62	$979.50	$22.69–$440.77	—	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SP LAT C FL/EX	$352.62	$979.50	$22.69–$440.77	—	64%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR SP AP/LAT CERV	$352.62	$979.50	$22.69–$440.77	—	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VWS	$313.47	$870.75	$23.79–$453.92	at median	64%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR PELVIS 1-2 VWS	$313.47	$870.75	$23.79–$453.92	at median	64%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR PELVIS 1-2 VWS	$313.47	$870.75	$23.79–$453.92	—	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$78.30	$217.50	$20.12–$193.59	74% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR SACRUM/COCCYX	$78.30	$217.50	$20.12–$193.59	74% below	64%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR SACRUM/COCCYX	$78.30	$217.50	$20.12–$193.59	—	64%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
ACTH blood test CPT 82024 ACTH	$192.06	$533.50	$32.44–$287.22	10% below	64%
ACTH blood test CPT 82024 ACTH	$192.06	$533.50	$32.44–$287.22	10% below	64%
ACTH blood test inpatient CPT 82024 ACTH	$192.06	$533.50	$32.44–$287.22	—	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT FLUID	$8.73	$24.25	$1.41–$23.11	83% below	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$8.73	$24.25	$1.41–$23.11	83% below	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SGPT)	$8.73	$24.25	$1.41–$23.11	83% below	64%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT FLUID	$8.73	$24.25	$1.41–$23.11	83% below	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT FLUID	$8.73	$24.25	$1.41–$23.11	—	64%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SGPT)	$8.73	$24.25	$1.41–$23.11	—	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST FLUID	$8.73	$24.25	$0.62–$22.58	83% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$8.73	$24.25	$0.62–$22.58	83% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST FLUID	$8.73	$24.25	$0.62–$22.58	83% below	64%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST (SGOT)	$8.73	$24.25	$0.62–$22.58	83% below	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST (SGOT)	$8.73	$24.25	$0.62–$22.58	—	64%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST FLUID	$8.73	$24.25	$0.62–$22.58	—	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$229.86	$638.50	$40.01–$354.20	40% below	64%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 ACUTE HEPATITIS PANEL	$229.86	$638.50	$40.01–$354.20	40% below	64%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 ACUTE HEPATITIS PANEL	$229.86	$638.50	$40.01–$354.20	—	64%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$13.86	$38.50	$4.16–$36.79	63% below	64%
Albumin blood test CPT 82040 ALBUMIN, SERUM	$13.86	$38.50	$4.16–$36.79	63% below	64%
Albumin blood test CPT 82040 ALBUMIN	$13.86	$38.50	$4.16–$36.79	63% below	64%
Albumin blood test CPT 82040 ALBUMIN	$13.86	$38.50	$4.16–$36.79	63% below	64%
Albumin blood test CPT 82040 MULTIPLE SCLEROSIS-82040	$24.39	$67.75	$4.16–$36.79	34% below	64%
Albumin blood test CPT 82040 MULTIPLE SCLEROSIS-82040	$24.39	$67.75	$4.16–$36.79	34% below	64%
Albumin blood test inpatient CPT 82040 ALBUMIN	$13.86	$38.50	$4.16–$36.79	—	64%
Albumin blood test inpatient CPT 82040 ALBUMIN, SERUM	$13.86	$38.50	$4.16–$36.79	—	64%
Albumin blood test inpatient CPT 82040 MULTIPLE SCLEROSIS-82040	$24.39	$67.75	$4.16–$36.79	—	64%
Aldosterone blood test CPT 82088 ALDOSTERONE LAV (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE RAV (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE LAV (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSETRONE IVC (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSETRONE IVC (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE RAV (ARUP)	$101.52	$282.00	$34.23–$222.09	22% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE/RENIN ACTIVITY	$106.56	$296.00	$34.23–$222.09	18% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE UR	$106.56	$296.00	$34.23–$222.09	18% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE/RENIN ACTIVITY	$106.56	$296.00	$34.23–$222.09	18% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE UR	$106.56	$296.00	$34.23–$222.09	18% below	64%
Aldosterone blood test CPT 82088 ALDOSTERONE	$210.87	$585.75	$34.23–$303.02	61% above	64%
Aldosterone blood test CPT 82088 ALDOSTERONE	$210.87	$585.75	$34.23–$303.02	61% above	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE LAV (ARUP)	$101.52	$282.00	$34.23–$222.09	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE RAV (ARUP)	$101.52	$282.00	$34.23–$222.09	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSETRONE IVC (ARUP)	$101.52	$282.00	$34.23–$222.09	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE/RENIN ACTIVITY	$106.56	$296.00	$34.23–$222.09	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE UR	$106.56	$296.00	$34.23–$222.09	—	64%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$210.87	$585.75	$34.23–$303.02	—	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE FLUID	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASES	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASES	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOSPHATASE	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE FLUID	$8.73	$24.25	$4.35–$22.58	82% below	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASES	$8.73	$24.25	$4.35–$22.58	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE FLUID	$8.73	$24.25	$4.35–$22.58	—	64%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOSPHATASE	$8.73	$24.25	$4.35–$22.58	—	64%
Allergy blood test, specific IgE, per allergen CPT 86003 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$4.38–$35.53	36% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$4.38–$35.53	36% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 M016-IGE CURVULARIA LUNATA	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INHALENT SW COMP 1	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INHALENT SW COMP 1	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INHALENT SW COMP 2	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 MOUNTAIN CEDAR ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INHALENT SW COMP 2	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 T218-IGE OAK, LIVE/VIRGINIA	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 RUSSIAN THISTLE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 M016-IGE CURVULARIA LUNATA	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 T218-IGE OAK, LIVE/VIRGINIA	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 WHITE ASH TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	34% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN	$22.86	$63.50	$4.38–$35.53	5% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 TIMOTHY GRASS ALLERGEN	$22.86	$63.50	$4.38–$35.53	5% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDI ALLERGENS - IGE	$22.86	$63.50	$4.38–$35.53	5% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDI ALLERGENS - IGE	$22.86	$63.50	$4.38–$35.53	5% below	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, RICE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CHICKEN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CHICKEN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, WHEAT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDI AEROALLERGEN IGE PANNEL	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, WHEAT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG YOLK	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 PEDI AEROALLERGEN IGE PANNEL	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG YOLK	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PEANUT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD NUTS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PEANUT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG WHITE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN FOOD NUTS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG WHITE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HORSE DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DRUGS AMOXICILLIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HORSE DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, DOG DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, DOG DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COW DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COW DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CAT DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CAT DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SOYBEAN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, SOYBEAN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MUCOR RACEMOSUS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 CHYMOPAPAIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 CHYMOPAPAIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INSECT VENOM FIRE ANT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN INSECT VENOM FIRE ANT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BETA-LACTOGLOBULIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BETA-LACTOGLOBULIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HAZELNUT, FILBERT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HAZELNUT, FILBERT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GIANT RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GIANT RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GERMAN COCKROACH	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, GERMAN COCKROACH	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FALSE RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, FALSE RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ENGLISH PLANTAIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ENGLISH PLANTAIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ELM TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IGE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MUGWORT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MUGWORT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CASHEW	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ELM TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG, WHOLE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, EGG, WHOLE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HELMINTHOSPORIUM	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HELMINTHOSPORIUM	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CASHEW	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CAT EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MEADOW FESCUE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CAT EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CHOCOLATE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MARSH ELDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CHOCOLATE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CLAM	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CLAM	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COCKLEBUR	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MARSH ELDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COCKLEBUR	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COCKROACH, AMERICAN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DRUGS AMOXICILLIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COCKROACH, AMERICAN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CODFISH/WHITEFISH	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DRUGS AMPICILLIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CODFISH/WHITEFISH	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COMMON/SHORT RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN DRUGS AMPICILLIN	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COMMON/SHORT RAGWEED	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COTTONWOOD TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LOBSTER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, COTTONWOOD TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,DOG EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,DOG EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. PTERONYSSINUS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. PTERONYSSINUS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. FARINAE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, D. FARINAE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CRAB	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CRAB	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LOBSTER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LATEX	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MEADOW FESCUE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LATEX	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LAMB'S QUARTERS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, LAMB'S QUARTERS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, JUNE GRASS/KENTUCKY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, JUNE GRASS/KENTUCKY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, JOHNSON GRASS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, JOHNSON GRASS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HOUSE DUST STIER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HOUSE DUST STIER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HOUSE DUST GREER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HOUSE DUST GREER	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HORMODENDRUM (CLADO)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, HORMODENDRUM (CLADO)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PENICILLIN V (MINOR)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PENICILLIN V (MINOR)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PENICILLIN G (MAJOR)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BRAZIL NUT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BRAZIL NUT	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BOX ELDER/MAPLE TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BOX ELDER/MAPLE TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BIRCH TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BIRCH TREE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BERMUDA GRASS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BERMUDA GRASS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BEEF	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN PENICILLIN G (MAJOR)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BEEF	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BARLEY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BARLEY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BANANA	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BANANA	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BAKER'S YEAST	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BAKER'S YEAST	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BAHIA	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BAHIA	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, APPLE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, APPLE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, A. ALTERNATAS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, A. ALTERNATAS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ALMOND	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, ALMOND	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ASPERGILLUS FUMIGATIS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN,ASPERGILLUS FUMIGATIS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BLUEBERRY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, BLUEBERRY	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, RICE	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MILK (COW)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MILK (COW)	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, MUCOR RACEMOSUS	$26.10	$72.50	$4.38–$35.53	9% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CORN	$26.46	$73.50	$4.38–$35.53	10% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, CORN	$26.46	$73.50	$4.38–$35.53	10% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PISTACHIO	$26.46	$73.50	$4.38–$35.53	10% above	64%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN, PISTACHIO	$26.46	$73.50	$4.38–$35.53	10% above	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHITE ASH TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INHALENT SW COMP 1	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOUNTAIN CEDAR ALLERGEN	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RUSSIAN THISTLE ALLERGEN	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 T218-IGE OAK, LIVE/VIRGINIA	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INHALENT SW COMP 2	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M016-IGE CURVULARIA LUNATA	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE TREE ALLERGEN	$15.84	$44.00	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDI ALLERGENS - IGE	$22.86	$63.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TIMOTHY GRASS ALLERGEN	$22.86	$63.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BEEF	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MEADOW FESCUE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MARSH ELDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, LOBSTER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, LATEX	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, LAMB'S QUARTERS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, JUNE GRASS/KENTUCKY	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, JOHNSON GRASS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HOUSE DUST STIER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HOUSE DUST GREER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HORMODENDRUM (CLADO)	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BRAZIL NUT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BOX ELDER/MAPLE TREE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BIRCH TREE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BERMUDA GRASS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BARLEY	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BANANA	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BAKER'S YEAST	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BAHIA	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, APPLE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, A. ALTERNATAS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, ALMOND	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,ASPERGILLUS FUMIGATIS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BLUEBERRY	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, RICE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CHICKEN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, WHEAT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, EGG YOLK	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PEANUT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, EGG WHITE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HORSE DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, DOG DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COW DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CAT DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, SOYBEAN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IGE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHYMOPAPAIN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MILK (COW)	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MUCOR RACEMOSUS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, MUGWORT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CASHEW	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CAT EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CHOCOLATE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CLAM	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COCKLEBUR	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COCKROACH, AMERICAN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CODFISH/WHITEFISH	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COMMON/SHORT RAGWEED	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, COTTONWOOD TREE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CRAB	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, D. FARINAE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, D. PTERONYSSINUS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN,DOG EPI AND DANDER	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HELMINTHOSPORIUM	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, EGG, WHOLE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, ELM TREE	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, ENGLISH PLANTAIN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, FALSE RAGWEED	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, GERMAN COCKROACH	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, GIANT RAGWEED	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, HAZELNUT, FILBERT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, BETA-LACTOGLOBULIN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN INSECT VENOM FIRE ANT	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PENICILLIN G (MAJOR)	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN PENICILLIN V (MINOR)	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DRUGS AMPICILLIN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN DRUGS AMOXICILLIN	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN FOOD NUTS	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEDI AEROALLERGEN IGE PANNEL	$26.10	$72.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, PISTACHIO	$26.46	$73.50	$4.38–$35.53	—	64%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN, CORN	$26.46	$73.50	$4.38–$35.53	—	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, SERUM	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN, SERUM	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP MATERNAL	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA-FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	31% below	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP MATERNAL	$82.26	$228.50	$14.09–$124.75	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN, SERUM	$82.26	$228.50	$14.09–$124.75	—	64%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA-FETOPROTEIN	$82.26	$228.50	$14.09–$124.75	—	64%
Ammonia blood test CPT 82140 AMMONIA	$111.69	$310.25	$12.24–$139.61	21% below	64%
Ammonia blood test CPT 82140 AMMONIA	$111.69	$310.25	$12.24–$139.61	21% below	64%
Ammonia blood test inpatient CPT 82140 AMMONIA	$111.69	$310.25	$12.24–$139.61	—	64%
Amylase blood test CPT 82150 AMYLASE PLEURAL FL	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE PERITONEAL FL	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE ISOENZYME	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE ISOENZYME	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMY-CREATIN RATIO AS	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE UR	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE UR	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE 24HR UR	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE 24HR UR	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMY-CREATIN RATIO AS	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE URINE TIMED	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE URINE TIMED	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE FLUID	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE FLUID	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE PLEURAL FL	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test CPT 82150 AMYLASE PERITONEAL FL	$123.57	$343.25	$5.44–$154.46	62% above	64%
Amylase blood test inpatient CPT 82150 AMYLASE PLEURAL FL	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE FLUID	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE URINE TIMED	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMY-CREATIN RATIO AS	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE 24HR UR	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE UR	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE PERITONEAL FL	$123.57	$343.25	$5.44–$154.46	—	64%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYME	$123.57	$343.25	$5.44–$154.46	—	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP AB, IGG/IGA	$46.35	$128.75	$10.88–$96.25	12% below	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 ANTI-CCP AB, IGG/IGA	$46.35	$128.75	$10.88–$96.25	12% below	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$65.16	$181.00	$10.88–$96.25	23% above	64%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$65.16	$181.00	$10.88–$96.25	23% above	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 ANTI-CCP AB, IGG/IGA	$46.35	$128.75	$10.88–$96.25	—	64%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPTIDE	$65.16	$181.00	$10.88–$96.25	—	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE-86038	$39.60	$110.00	$10.16–$89.87	49% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 AUTOIMMUNE PROFILE-86038	$39.60	$110.00	$10.16–$89.87	49% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS COMPREHENSIVE PNL-86038	$45.36	$126.00	$10.16–$89.87	41% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 LUPUS COMPREHENSIVE PNL-86038	$45.36	$126.00	$10.16–$89.87	41% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTIBODIES	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR AB	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA ANTIBODIES	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTI NUCLEAR AB	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANALYZER PANEL	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA BODY FLUID	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANALYZER PANEL	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODY	$47.43	$131.75	$10.16–$89.87	38% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 C3+C4+ANA+RF - 86038	$49.77	$138.25	$10.16–$89.87	35% below	64%
Antinuclear antibody (ANA) blood test, screen CPT 86038 C3+C4+ANA+RF - 86038	$49.77	$138.25	$10.16–$89.87	35% below	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 AUTOIMMUNE PROFILE-86038	$39.60	$110.00	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 LUPUS COMPREHENSIVE PNL-86038	$45.36	$126.00	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANALYZER PANEL	$47.43	$131.75	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODY	$47.43	$131.75	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA ANTIBODIES	$47.43	$131.75	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTI NUCLEAR AB	$47.43	$131.75	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA BODY FLUID	$47.43	$131.75	$10.16–$89.87	—	64%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 C3+C4+ANA+RF - 86038	$49.77	$138.25	$10.16–$89.87	—	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP	$115.74	$321.50	$10.85–$252.39	26% below	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 PROBNP	$115.74	$321.50	$10.85–$252.39	26% below	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE PEPTIDE	$167.31	$464.75	$10.85–$252.39	7% above	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POC B-TYPE NATRI PEPTIDE	$167.31	$464.75	$10.85–$252.39	7% above	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 POC B-TYPE NATRI PEPTIDE	$167.31	$464.75	$10.85–$252.39	7% above	64%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-TYPE PEPTIDE	$167.31	$464.75	$10.85–$252.39	7% above	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 PROBNP	$115.74	$321.50	$10.85–$252.39	—	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-TYPE PEPTIDE	$167.31	$464.75	$10.85–$252.39	—	64%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 POC B-TYPE NATRI PEPTIDE	$167.31	$464.75	$10.85–$252.39	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGION PNEUMOPHILA - 87070	$59.40	$165.00	$5.61–$74.25	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGION PNEUMOPHILA - 87070	$59.40	$165.00	$5.61–$74.25	11% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA SPECIES CULTURE	$64.26	$178.50	$5.61–$80.33	4% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 LEGIONELLA SPECIES CULTURE	$64.26	$178.50	$5.61–$80.33	4% below	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TISSUE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT WOUND	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT RESPIRATORY	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT RESPIRATORY	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ROUTINE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT ROUTINE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HELICOBACTER PYLORI CULTURE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT BODY FLUID	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HELICOBACTER PYLORI CULTURE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF-LP	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT WOUND	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF NON LP	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT TISSUE	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF-LP	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE CSF NON LP	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CSF	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT CSF	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULT THROAT	$131.94	$366.50	$5.61–$164.93	97% above	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGION PNEUMOPHILA - 87070	$59.40	$165.00	$5.61–$74.25	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 LEGIONELLA SPECIES CULTURE	$64.26	$178.50	$5.61–$80.33	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT TISSUE	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF-LP	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HELICOBACTER PYLORI CULTURE	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT BODY FLUID	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT THROAT	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE CSF NON LP	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT ROUTINE	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT CSF	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT WOUND	$131.94	$366.50	$5.61–$164.93	—	64%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULT RESPIRATORY	$131.94	$366.50	$5.61–$164.93	—	64%
Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL CA TOTL	$237.51	$659.75	$7.04–$296.89	13% above	64%
Basic metabolic panel (blood test) CPT 80048 BASIC MET PANEL CA TOTL	$237.51	$659.75	$7.04–$296.89	13% above	64%
Basic metabolic panel (blood test) inpatient CPT 80048 BASIC MET PANEL CA TOTL	$237.51	$659.75	$7.04–$296.89	—	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN FLUID	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN FLUID	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total CPT 82247 TOTAL BILI PERITONEAL FL	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total CPT 82247 TOTAL BILI PERITONEAL FL	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$56.97	$158.25	$4.22–$71.21	at median	64%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILI PERITONEAL FL	$56.97	$158.25	$4.22–$71.21	—	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$56.97	$158.25	$4.22–$71.21	—	64%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN FLUID	$56.97	$158.25	$4.22–$71.21	—	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4 ADDL	$124.74	$346.50	$30.78–$233.00	58% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4 ADDL	$124.74	$346.50	$30.78–$233.00	58% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4	$139.86	$388.50	$30.78–$233.00	53% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SYNOVIUM	$139.86	$388.50	$30.78–$233.00	53% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SYNOVIUM	$139.86	$388.50	$30.78–$233.00	53% below	64%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 PATH LEVEL 4	$139.86	$388.50	$30.78–$233.00	53% below	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL 4 ADDL	$124.74	$346.50	$30.78–$233.00	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 PATH LEVEL 4	$139.86	$388.50	$30.78–$233.00	—	64%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SYNOVIUM	$139.86	$388.50	$30.78–$233.00	—	64%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$183.78	$510.50	$7.37–$229.72	10% below	64%
Blood culture for bacteria CPT 87040 BLOOD CULTURE	$183.78	$510.50	$7.37–$229.72	10% below	64%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE	$183.78	$510.50	$7.37–$229.72	—	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$13.23	$36.75	$3.00–$6.28	27% below	64%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$13.23	$36.75	$3.00–$6.28	27% below	64%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$13.23	$36.75	$3.00–$6.28	—	64%
Blood glucose (sugar) test CPT 82947 RT GLUCOSE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE PP	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE PP	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE FASTING	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE BEDSIDE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE BEDSIDE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test CPT 82947 RT GLUCOSE	$36.54	$101.50	$3.30–$45.67	12% below	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE PP	$36.54	$101.50	$3.30–$45.67	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE BEDSIDE	$36.54	$101.50	$3.30–$45.67	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$36.54	$101.50	$3.30–$45.67	—	64%
Blood glucose (sugar) test inpatient CPT 82947 RT GLUCOSE	$36.54	$101.50	$3.30–$45.67	—	64%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE FASTING	$36.54	$101.50	$3.30–$45.67	—	64%
Blood lead test CPT 83655 LEAD, PEDIATRIC BLOOD	$28.80	$80.00	$10.17–$66.00	38% below	64%
Blood lead test CPT 83655 LEAD, PEDIATRIC BLOOD	$28.80	$80.00	$10.17–$66.00	38% below	64%
Blood lead test CPT 83655 LEAD URINE	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test CPT 83655 HVYMTU-LEAD	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test CPT 83655 HVYMTU-LEAD	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test CPT 83655 LEAD	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test CPT 83655 LEAD	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test CPT 83655 LEAD URINE	$65.16	$181.00	$10.17–$90.03	40% above	64%
Blood lead test inpatient CPT 83655 LEAD, PEDIATRIC BLOOD	$28.80	$80.00	$10.17–$66.00	—	64%
Blood lead test inpatient CPT 83655 HVYMTU-LEAD	$65.16	$181.00	$10.17–$90.03	—	64%
Blood lead test inpatient CPT 83655 LEAD URINE	$65.16	$181.00	$10.17–$90.03	—	64%
Blood lead test inpatient CPT 83655 LEAD	$65.16	$181.00	$10.17–$90.03	—	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QL	$155.25	$431.25	$6.32–$194.06	13% above	64%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG SERUM QL	$155.25	$431.25	$6.32–$194.06	13% above	64%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG SERUM QL	$155.25	$431.25	$6.32–$194.06	—	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO ONLY-SWID	$13.59	$37.75	$2.51–$22.18	85% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING, ABO ONLY-SWID	$13.59	$37.75	$2.51–$22.18	85% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ADMC-ABO/RH BLOOD TYPE	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ADMC-ABO/RH BLOOD TYPE	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING ABO	$45.63	$126.75	$2.51–$57.04	48% below	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING, ABO ONLY-SWID	$13.59	$37.75	$2.51–$22.18	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$45.63	$126.75	$2.51–$57.04	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING ABO	$45.63	$126.75	$2.51–$57.04	—	64%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ADMC-ABO/RH BLOOD TYPE	$45.63	$126.75	$2.51–$57.04	—	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN BF	$64.26	$178.50	$3.32–$80.33	18% above	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN BF	$64.26	$178.50	$3.32–$80.33	18% above	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$64.26	$178.50	$3.32–$80.33	18% above	64%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$64.26	$178.50	$3.32–$80.33	18% above	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$64.26	$178.50	$3.32–$80.33	—	64%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN BF	$64.26	$178.50	$3.32–$80.33	—	64%
C-peptide blood test CPT 84681 C-PEPTIDE	$90.27	$250.75	$10.84–$154.73	24% above	64%
C-peptide blood test CPT 84681 C-PEPTIDE	$90.27	$250.75	$10.84–$154.73	24% above	64%
C-peptide blood test inpatient CPT 84681 C-PEPTIDE	$90.27	$250.75	$10.84–$154.73	—	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROTEIN	$17.73	$49.25	$4.35–$38.48	65% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C REACT PROTEIN	$17.73	$49.25	$4.35–$38.48	65% below	64%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C REACT PROTEIN	$17.73	$49.25	$4.35–$38.48	—	64%
C. difficile toxin gene test (stool PCR) CPT 87493 TOXIGENIC C DIFFICILE BY PCR	$174.06	$483.50	$31.31–$260.89	1% below	64%
C. difficile toxin gene test (stool PCR) CPT 87493 TOXIGENIC C DIFFICILE BY PCR	$174.06	$483.50	$31.31–$260.89	1% below	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$174.06	$483.50	$31.31–$260.89	1% below	64%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF AMPLIFIED PROBE	$174.06	$483.50	$31.31–$260.89	1% below	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF AMPLIFIED PROBE	$174.06	$483.50	$31.31–$260.89	—	64%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 TOXIGENIC C DIFFICILE BY PCR	$174.06	$483.50	$31.31–$260.89	—	64%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$92.70	$257.50	$17.48–$154.73	30% below	64%
CA 19-9 blood test (tumor marker) CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$92.70	$257.50	$17.48–$154.73	30% below	64%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 IMMUNOASSAY TUMOR CA 19-9	$92.70	$257.50	$17.48–$154.73	—	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$76.59	$212.75	$17.48–$154.73	50% below	64%
CA-125 blood test (ovarian cancer marker) CPT 86304 IMMUNOASSAY TUMOR CA 125	$76.59	$212.75	$17.48–$154.73	50% below	64%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 IMMUNOASSAY TUMOR CA 125	$76.59	$212.75	$17.48–$154.73	—	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BIOFIRE RESPIRATORY PANEL 2.1	$40.68	$113.00	$45.20–$97.49	54% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 BIOFIRE RESPIRATORY PANEL 2.1	$40.68	$113.00	$45.20–$97.49	54% below	64%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 BIOFIRE RESPIRATORY PANEL 2.1	$40.68	$113.00	$45.20–$97.49	—	64%
Calcium blood test, total CPT 82310 CALCIUM FLUID	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total CPT 82310 CALCIUM	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total CPT 82310 CALCIUM	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total CPT 82310 CALCIUM FLUID	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total CPT 82310 CALCIUM UR	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total CPT 82310 CALCIUM UR	$52.29	$145.25	$4.33–$65.36	11% below	64%
Calcium blood test, total inpatient CPT 82310 CALCIUM UR	$52.29	$145.25	$4.33–$65.36	—	64%
Calcium blood test, total inpatient CPT 82310 CALCIUM	$52.29	$145.25	$4.33–$65.36	—	64%
Calcium blood test, total inpatient CPT 82310 CALCIUM FLUID	$52.29	$145.25	$4.33–$65.36	—	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$86.40	$240.00	$15.93–$141.05	35% below	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$86.40	$240.00	$15.93–$141.05	35% below	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID	$101.52	$282.00	$15.93–$141.05	24% below	64%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID	$101.52	$282.00	$15.93–$141.05	24% below	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$86.40	$240.00	$15.93–$141.05	—	64%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUID	$101.52	$282.00	$15.93–$141.05	—	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM	$43.92	$122.00	$9.35–$70.20	30% below	64%
Chickenpox (varicella) immunity blood test CPT 86787 RUB+VAR+RUBEOAB+MUMIGG - 86787	$43.92	$122.00	$9.35–$70.20	30% below	64%
Chickenpox (varicella) immunity blood test CPT 86787 RUB+VAR+RUBEOAB+MUMIGG - 86787	$43.92	$122.00	$9.35–$70.20	30% below	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA IGM	$43.92	$122.00	$9.35–$70.20	30% below	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB, IGM - CSF	$73.62	$204.50	$9.35–$92.03	17% above	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB, IGG - CSF	$73.62	$204.50	$9.35–$92.03	17% above	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB, IGG - CSF	$73.62	$204.50	$9.35–$92.03	17% above	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER AB, IGM - CSF	$73.62	$204.50	$9.35–$92.03	17% above	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$84.51	$234.75	$9.35–$105.64	35% above	64%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA-ZOSTER ANTIBODY	$84.51	$234.75	$9.35–$105.64	35% above	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA IGM	$43.92	$122.00	$9.35–$70.20	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 RUB+VAR+RUBEOAB+MUMIGG - 86787	$43.92	$122.00	$9.35–$70.20	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB, IGM - CSF	$73.62	$204.50	$9.35–$92.03	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER AB, IGG - CSF	$73.62	$204.50	$9.35–$92.03	—	64%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA-ZOSTER ANTIBODY	$84.51	$234.75	$9.35–$105.64	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACH NAA CONF	$70.02	$194.50	$16.84–$191.24	44% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. TRACH NAA CONF	$70.02	$194.50	$16.84–$191.24	44% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	31% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	31% below	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED DNA PROBE	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR - UR	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PCR - UR	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA AMPLIFIED DNA PROBE	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, THIN PREP	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, THIN PREP	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, SUREPATH	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH, DNA, SUREPATH	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA SUREPATH	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA SUREPATH	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY PCR, URINE	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA THIN PREP	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA THIN PREP	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA BY TMA	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 GC/CHLAMYDIA BY TMA	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA BY PCR, URINE	$127.53	$354.25	$16.84–$260.89	3% above	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. TRACH NAA CONF	$70.02	$194.50	$16.84–$191.24	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA AMPLIFIED DNA PROBE	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH, DNA, THIN PREP	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA THIN PREP	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA BY PCR, URINE	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH, DNA, SUREPATH	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PCR - UR	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 GC/CHLAMYDIA BY TMA	$127.53	$354.25	$16.84–$260.89	—	64%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA SUREPATH	$127.53	$354.25	$16.84–$260.89	—	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$203.31	$564.75	$11.25–$254.14	37% above	64%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$203.31	$564.75	$11.25–$254.14	37% above	64%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$203.31	$564.75	$11.25–$254.14	—	64%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$35.28	$98.00	$1.99–$57.82	61% below	64%
Complete blood count (CBC) with differential CPT 85025 EOSINOPHIL COUNT	$35.28	$98.00	$1.99–$57.82	61% below	64%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF	$35.28	$98.00	$1.99–$57.82	61% below	64%
Complete blood count (CBC) with differential CPT 85025 EOSINOPHIL COUNT	$35.28	$98.00	$1.99–$57.82	61% below	64%
Complete blood count (CBC) with differential inpatient CPT 85025 EOSINOPHIL COUNT	$35.28	$98.00	$1.99–$57.82	—	64%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF	$35.28	$98.00	$1.99–$57.82	—	64%
Complete blood count (CBC), no differential CPT 85027 FETAL HEMOGRAM	$40.68	$113.00	$1.99–$50.85	57% below	64%
Complete blood count (CBC), no differential CPT 85027 FETAL HEMOGRAM	$40.68	$113.00	$1.99–$50.85	57% below	64%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$62.28	$173.00	$1.99–$77.85	33% below	64%
Complete blood count (CBC), no differential CPT 85027 HEMOGRAM	$62.28	$173.00	$1.99–$77.85	33% below	64%
Complete blood count (CBC), no differential inpatient CPT 85027 FETAL HEMOGRAM	$40.68	$113.00	$1.99–$50.85	—	64%
Complete blood count (CBC), no differential inpatient CPT 85027 HEMOGRAM	$62.28	$173.00	$1.99–$77.85	—	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL	$95.13	$264.25	$8.87–$118.91	62% below	64%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREH METABOLIC PANEL	$95.13	$264.25	$8.87–$118.91	62% below	64%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREH METABOLIC PANEL	$95.13	$264.25	$8.87–$118.91	—	64%
Cortisol blood test, total CPT 82533 CORTISOL RAV	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL RAV	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL LAV	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL IVC	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL LAV	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL IVC	$74.25	$206.25	$13.69–$121.21	11% below	64%
Cortisol blood test, total CPT 82533 CORTISOL UR TOTAL	$89.37	$248.25	$13.69–$121.21	7% above	64%
Cortisol blood test, total CPT 82533 CORTISOL UR TOTAL	$89.37	$248.25	$13.69–$121.21	7% above	64%
Cortisol blood test, total CPT 82533 CORTISOL,TOTAL	$106.02	$294.50	$13.69–$132.53	27% above	64%
Cortisol blood test, total CPT 82533 CORTISOL,TOTAL	$106.02	$294.50	$13.69–$132.53	27% above	64%
Cortisol blood test, total CPT 82533 CORTISOL, SERUM	$106.02	$294.50	$13.69–$132.53	27% above	64%
Cortisol blood test, total CPT 82533 CORTISOL, SERUM	$106.02	$294.50	$13.69–$132.53	27% above	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL LAV	$74.25	$206.25	$13.69–$121.21	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL RAV	$74.25	$206.25	$13.69–$121.21	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL IVC	$74.25	$206.25	$13.69–$121.21	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL UR TOTAL	$89.37	$248.25	$13.69–$121.21	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, SERUM	$106.02	$294.50	$13.69–$132.53	—	64%
Cortisol blood test, total inpatient CPT 82533 CORTISOL,TOTAL	$106.02	$294.50	$13.69–$132.53	—	64%
Creatine kinase (CK) blood test, total CPT 82550 CK (CPK)	$41.76	$116.00	$5.47–$52.20	35% below	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK FLUID	$41.76	$116.00	$5.47–$52.20	35% below	64%
Creatine kinase (CK) blood test, total CPT 82550 CPK FLUID	$41.76	$116.00	$5.47–$52.20	35% below	64%
Creatine kinase (CK) blood test, total CPT 82550 CK (CPK)	$41.76	$116.00	$5.47–$52.20	35% below	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK FLUID	$41.76	$116.00	$5.47–$52.20	—	64%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CK (CPK)	$41.76	$116.00	$5.47–$52.20	—	64%
Creatinine blood test CPT 82565 RT CREATININE	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test CPT 82565 RT CREATININE	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test CPT 82565 AMY-CREATIN RATIO CRS	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test CPT 82565 AMY-CREATIN RATIO CRS	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test CPT 82565 CREATININE	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test CPT 82565 CREATININE	$16.65	$46.25	$4.30–$38.10	69% below	64%
Creatinine blood test inpatient CPT 82565 AMY-CREATIN RATIO CRS	$16.65	$46.25	$4.30–$38.10	—	64%
Creatinine blood test inpatient CPT 82565 RT CREATININE	$16.65	$46.25	$4.30–$38.10	—	64%
Creatinine blood test inpatient CPT 82565 CREATININE	$16.65	$46.25	$4.30–$38.10	—	64%
Cytomegalovirus (CMV) antibody test CPT 86644 PRENAT INFECT DIS IGG-86644	$49.41	$137.25	$10.18–$107.04	34% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 PRENAT INFECT DIS IGG-86644	$49.41	$137.25	$10.18–$107.04	34% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 PRENAT INFECT IGG, QN - 86644	$50.31	$139.75	$10.18–$107.04	33% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 PRENAT INFECT IGG, QN - 86644	$50.31	$139.75	$10.18–$107.04	33% below	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB SCRN	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV CMV NEGATIVE	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV CMV NEGATIVE	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB SCRN	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$121.14	$336.50	$10.18–$151.43	62% above	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 PRENAT INFECT DIS IGG-86644	$49.41	$137.25	$10.18–$107.04	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 PRENAT INFECT IGG, QN - 86644	$50.31	$139.75	$10.18–$107.04	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV CMV NEGATIVE	$121.14	$336.50	$10.18–$151.43	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY	$121.14	$336.50	$10.18–$151.43	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$121.14	$336.50	$10.18–$151.43	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB SCRN	$121.14	$336.50	$10.18–$151.43	—	64%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$121.14	$336.50	$10.18–$151.43	—	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANT	$67.05	$186.25	$8.55–$83.81	61% below	64%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER,QUANT	$67.05	$186.25	$8.55–$83.81	61% below	64%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER,QUANT	$67.05	$186.25	$8.55–$83.81	—	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$64.35	$178.75	$18.67–$165.30	57% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SULFATE	$64.35	$178.75	$18.67–$165.30	57% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$95.04	$264.00	$18.67–$165.30	37% below	64%
DHEA sulfate (DHEA-S) blood test CPT 82627 DEHYDROEPIANDROSTERONE	$95.04	$264.00	$18.67–$165.30	37% below	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SULFATE	$64.35	$178.75	$18.67–$165.30	—	64%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DEHYDROEPIANDROSTERONE	$95.04	$264.00	$18.67–$165.30	—	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN - PLASMA/SERUM	$64.08	$178.00	$32.98–$135.30	3% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN - PLASMA/SERUM	$64.08	$178.00	$32.98–$135.30	3% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE	$88.38	$245.50	$32.98–$239.86	42% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN URINE	$88.38	$245.50	$32.98–$239.86	42% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 17 W/CONF, UR	$102.96	$286.00	$32.98–$270.93	66% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN 17 W/CONF, UR	$102.96	$286.00	$32.98–$270.93	66% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE-SULFATE	$152.19	$422.75	$32.98–$338.66	145% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONIDE-SULFATE	$152.19	$422.75	$32.98–$338.66	145% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-PORP	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-PCP	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-COCAINE	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-COCAINE	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-METH	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-METH	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-PORP	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE URINE	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE URINE	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 SINGL DRUG QL-PCP	$174.87	$485.75	$32.98–$338.66	181% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRESSAN SCREEN	$177.57	$493.25	$32.98–$338.66	186% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTIDEPRESSAN SCREEN	$177.57	$493.25	$32.98–$338.66	186% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$451.62	$1,254.50	$32.98–$564.52	627% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$451.62	$1,254.50	$32.98–$564.52	627% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE GROUP URINE	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE URINE	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BARBITURATE URINE	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS UR	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 CANNABINOIDS UR	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINE GROUP URINE	$501.84	$1,394.00	$32.98–$627.30	708% above	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN - PLASMA/SERUM	$64.08	$178.00	$32.98–$135.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN URINE	$88.38	$245.50	$32.98–$239.86	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN 17 W/CONF, UR	$102.96	$286.00	$32.98–$270.93	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONIDE-SULFATE	$152.19	$422.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGL DRUG QL-PCP	$174.87	$485.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGL DRUG QL-PORP	$174.87	$485.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINE URINE	$174.87	$485.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGL DRUG QL-METH	$174.87	$485.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 SINGL DRUG QL-COCAINE	$174.87	$485.75	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTIDEPRESSAN SCREEN	$177.57	$493.25	$32.98–$338.66	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN	$451.62	$1,254.50	$32.98–$564.52	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 CANNABINOIDS UR	$501.84	$1,394.00	$32.98–$627.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BARBITURATE URINE	$501.84	$1,394.00	$32.98–$627.30	—	64%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINE GROUP URINE	$501.84	$1,394.00	$32.98–$627.30	—	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$159.57	$443.25	$5.89–$199.46	at median	64%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL	$159.57	$443.25	$5.89–$199.46	at median	64%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTE PANEL	$159.57	$443.25	$5.89–$199.46	—	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB PANEL 1, CSF - 86665	$53.10	$147.50	$11.02–$134.89	39% below	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB PANEL 1, CSF - 86665	$53.10	$147.50	$11.02–$134.89	39% below	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGG/IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR ANTIBODY	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV AB IGG/IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGG	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR ANTIBODY	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV IGM	$104.58	$290.50	$11.02–$134.89	21% above	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB PANEL 1, CSF - 86665	$53.10	$147.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR ANTIBODY	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGG	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV IGM	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB IGG/IGM	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB IGG	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGG	$104.58	$290.50	$11.02–$134.89	—	64%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV AB IGM	$104.58	$290.50	$11.02–$134.89	—	64%
Estradiol blood test CPT 82670 ESTRADIOL	$105.03	$291.75	$23.47–$207.75	15% below	64%
Estradiol blood test CPT 82670 ESTRADIOL	$105.03	$291.75	$23.47–$207.75	15% below	64%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$105.03	$291.75	$23.47–$207.75	—	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$84.51	$234.75	$15.61–$138.16	46% below	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$84.51	$234.75	$15.61–$138.16	46% below	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH UR	$84.51	$234.75	$15.61–$138.16	46% below	64%
FSH (follicle-stimulating hormone) test CPT 83001 FSH UR	$84.51	$234.75	$15.61–$138.16	46% below	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH UR	$84.51	$234.75	$15.61–$138.16	—	64%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$84.51	$234.75	$15.61–$138.16	—	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$121.86	$338.50	$14.11–$152.32	43% below	64%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$121.86	$338.50	$14.11–$152.32	43% below	64%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$121.86	$338.50	$14.11–$152.32	—	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$34.29	$95.25	$11.45–$74.28	59% below	64%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$34.29	$95.25	$11.45–$74.28	59% below	64%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$34.29	$95.25	$11.45–$74.28	—	64%
Fibrinogen blood test CPT 85384 TEG 6 HEMOSTASIS W/ LYSIS	$15.39	$42.75	$8.16–$42.38	82% below	64%
Fibrinogen blood test CPT 85384 TEG 6 HEMOSTASIS W/ LYSIS	$15.39	$42.75	$8.16–$42.38	82% below	64%
Fibrinogen blood test CPT 85384 TEG 6 PLATELET MAPPING	$20.43	$56.75	$8.16–$52.97	76% below	64%
Fibrinogen blood test CPT 85384 TEG 6 PLATELET MAPPING	$20.43	$56.75	$8.16–$52.97	76% below	64%
Fibrinogen blood test CPT 85384 TEG 6 HEMOSTASIS PANEL	$20.43	$56.75	$8.16–$52.97	76% below	64%
Fibrinogen blood test CPT 85384 TEG 6 HEMOSTASIS PANEL	$20.43	$56.75	$8.16–$52.97	76% below	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$128.34	$356.50	$8.16–$160.43	48% above	64%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$128.34	$356.50	$8.16–$160.43	48% above	64%
Fibrinogen blood test inpatient CPT 85384 TEG 6 HEMOSTASIS W/ LYSIS	$15.39	$42.75	$8.16–$42.38	—	64%
Fibrinogen blood test inpatient CPT 85384 TEG 6 HEMOSTASIS PANEL	$20.43	$56.75	$8.16–$52.97	—	64%
Fibrinogen blood test inpatient CPT 85384 TEG 6 PLATELET MAPPING	$20.43	$56.75	$8.16–$52.97	—	64%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$128.34	$356.50	$8.16–$160.43	—	64%
Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM	$61.92	$172.00	$12.35–$109.33	23% below	64%
Folate (folic acid) blood test CPT 82746 FOLIC ACID,SERUM	$61.92	$172.00	$12.35–$109.33	23% below	64%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID,SERUM	$61.92	$172.00	$12.35–$109.33	—	64%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$95.40	$265.00	$5.43–$125.95	32% below	64%
Free T3 thyroid hormone test CPT 84481 FREE ASSAY (FT-3)	$95.40	$265.00	$5.43–$125.95	32% below	64%
Free T3 thyroid hormone test inpatient CPT 84481 FREE ASSAY (FT-3)	$95.40	$265.00	$5.43–$125.95	—	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$39.51	$109.75	$5.77–$67.04	47% below	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE BY EQUILIBRIUM	$39.51	$109.75	$5.77–$67.04	47% below	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE	$39.51	$109.75	$5.77–$67.04	47% below	64%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE BY EQUILIBRIUM	$39.51	$109.75	$5.77–$67.04	47% below	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE, FREE BY EQUILIBRIUM	$39.51	$109.75	$5.77–$67.04	—	64%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE	$39.51	$109.75	$5.77–$67.04	—	64%
Free testosterone test CPT 84402 TESTOSTERONE	$121.14	$336.50	$9.69–$189.33	14% above	64%
Free testosterone test CPT 84402 TESTOSTERONE	$121.14	$336.50	$9.69–$189.33	14% above	64%
Free testosterone test inpatient CPT 84402 TESTOSTERONE	$121.14	$336.50	$9.69–$189.33	—	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$36.18	$100.50	$6.05–$53.52	38% below	64%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GAMMA GT	$36.18	$100.50	$6.05–$53.52	38% below	64%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GAMMA GT	$36.18	$100.50	$6.05–$53.52	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PC	$24.75	$68.75	$3.99–$35.32	68% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PC	$24.75	$68.75	$3.99–$35.32	68% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1HR PC	$24.75	$68.75	$3.99–$35.32	68% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 2HR PC	$24.75	$68.75	$3.99–$35.32	68% below	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 1HR PC	$24.75	$68.75	$3.99–$35.32	—	64%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE 2HR PC	$24.75	$68.75	$3.99–$35.32	—	64%
Glucose tolerance test, 3 samples CPT 82951 GTT 3HR	$67.05	$186.25	$10.81–$95.70	56% below	64%
Glucose tolerance test, 3 samples CPT 82951 GTT 3HR	$67.05	$186.25	$10.81–$95.70	56% below	64%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT 3HR	$67.05	$186.25	$10.81–$95.70	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC THIN PREP	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC SUREPATH	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC SUREPATH	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE,DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE,DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE URINE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE, DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE, DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC/CHLAMYDIA BY TMA	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY PCR, URINE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC BY PCR, URINE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC/CHLAMYDIA BY TMA	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC THIN PREP	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA AMPLIFIED DNA PROBE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA AMPLIFIED DNA PROBE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC, PCR UR	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC, PCR UR	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE URINE	$49.50	$137.50	$16.84–$135.45	62% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORR NAA CONF	$70.02	$194.50	$16.84–$191.24	46% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORR NAA CONF	$70.02	$194.50	$16.84–$191.24	46% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	34% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	34% below	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC THIN PREP	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE URINE	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA AMPLIFIED DNA PROBE	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE, DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE,DNA, AMP PROB	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC SUREPATH	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC/CHLAMYDIA BY TMA	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC, PCR UR	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC BY PCR, URINE	$49.50	$137.50	$16.84–$135.45	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORR NAA CONF	$70.02	$194.50	$16.84–$191.24	—	64%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 SANE CT/NG	$86.31	$239.75	$16.84–$191.24	—	64%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$61.56	$171.00	$9.35–$91.83	51% below	64%
H. pylori antibody blood test CPT 86677 H PYLORI AB QL	$61.56	$171.00	$9.35–$91.83	51% below	64%
H. pylori antibody blood test CPT 86677 H PYLORI QL	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test CPT 86677 H PYLORI QL	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test CPT 86677 H.PYLORI IGG, PEDI	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test CPT 86677 H PYLORI QN	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test CPT 86677 H.PYLORI IGG, PEDI	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test CPT 86677 H PYLORI QN	$103.14	$286.50	$9.35–$128.93	18% below	64%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB QL	$61.56	$171.00	$9.35–$91.83	—	64%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI QN	$103.14	$286.50	$9.35–$128.93	—	64%
H. pylori antibody blood test inpatient CPT 86677 H.PYLORI IGG, PEDI	$103.14	$286.50	$9.35–$128.93	—	64%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI QL	$103.14	$286.50	$9.35–$128.93	—	64%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$39.78	$110.50	$10.06–$106.93	54% below	64%
H. pylori stool antigen test CPT 87338 HPYLORI STOOL EIA	$39.78	$110.50	$10.06–$106.93	54% below	64%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG,FECES	$39.78	$110.50	$10.06–$106.93	54% below	64%
H. pylori stool antigen test CPT 87338 HELICOBACTER PYLORI AG,FECES	$39.78	$110.50	$10.06–$106.93	54% below	64%
H. pylori stool antigen test inpatient CPT 87338 HELICOBACTER PYLORI AG,FECES	$39.78	$110.50	$10.06–$106.93	—	64%
H. pylori stool antigen test inpatient CPT 87338 HPYLORI STOOL EIA	$39.78	$110.50	$10.06–$106.93	—	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 NAAT QUANT, PLASMA	$254.34	$706.50	$29.48–$632.69	16% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 NAAT QUANT, PLASMA	$254.34	$706.50	$29.48–$632.69	16% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$294.39	$817.75	$29.48–$632.69	3% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR ULTRA	$294.39	$817.75	$29.48–$632.69	3% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA PCR ULTRA	$294.39	$817.75	$29.48–$632.69	3% below	64%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 DNA QUANT	$294.39	$817.75	$29.48–$632.69	3% below	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 NAAT QUANT, PLASMA	$254.34	$706.50	$29.48–$632.69	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 DNA QUANT	$294.39	$817.75	$29.48–$632.69	—	64%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA PCR ULTRA	$294.39	$817.75	$29.48–$632.69	—	64%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV 1/2 ANTIBODY	$115.56	$321.00	$7.47–$144.45	42% above	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1,2	$115.56	$321.00	$7.47–$144.45	42% above	64%
HIV-1 and HIV-2 antibody test CPT 86703 RAPID HIV 1/2 ANTIBODY	$115.56	$321.00	$7.47–$144.45	42% above	64%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1,2	$115.56	$321.00	$7.47–$144.45	42% above	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1,2	$115.56	$321.00	$7.47–$144.45	—	64%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 RAPID HIV 1/2 ANTIBODY	$115.56	$321.00	$7.47–$144.45	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4TH GENERATION	$51.48	$143.00	$8.68–$131.24	62% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4TH GENERATION	$51.48	$143.00	$8.68–$131.24	62% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$112.23	$311.75	$8.68–$179.09	17% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$112.23	$311.75	$8.68–$179.09	17% below	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2, 4TH GENERATION	$51.48	$143.00	$8.68–$131.24	—	64%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1 AG W/HIV-1 & HIV-2 AB	$112.23	$311.75	$8.68–$179.09	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C BY HPLC	$63.27	$175.75	$8.16–$79.09	25% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C BY HPLC	$63.27	$175.75	$8.16–$79.09	25% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$63.27	$175.75	$8.16–$79.09	25% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HEMOGLOBIN A1C	$63.27	$175.75	$8.16–$79.09	25% below	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HEMOGLOBIN A1C	$63.27	$175.75	$8.16–$79.09	—	64%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C BY HPLC	$63.27	$175.75	$8.16–$79.09	—	64%
Hemoglobin blood test CPT 85018 RT TOTAL HB	$39.78	$110.50	$1.99–$49.73	8% below	64%
Hemoglobin blood test CPT 85018 RT TOTAL HB	$39.78	$110.50	$1.99–$49.73	8% below	64%
Hemoglobin blood test inpatient CPT 85018 RT TOTAL HB	$39.78	$110.50	$1.99–$49.73	—	64%
Hepatitis B core antibody test (total) CPT 86704 VIRAL HEPATITIS HBV, HCV-86704	$43.56	$121.00	$7.47–$89.60	40% below	64%
Hepatitis B core antibody test (total) CPT 86704 VIRAL HEPATITIS HBV, HCV-86704	$43.56	$121.00	$7.47–$89.60	40% below	64%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$74.97	$208.25	$7.47–$93.71	3% above	64%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY TOTAL	$74.97	$208.25	$7.47–$93.71	3% above	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 VIRAL HEPATITIS HBV, HCV-86704	$43.56	$121.00	$7.47–$89.60	—	64%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY TOTAL	$74.97	$208.25	$7.47–$93.71	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 VIRAL HEPATITIS HBV, HCV-86706	$47.52	$132.00	$9.02–$79.84	26% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 VIRAL HEPATITIS HBV, HCV-86706	$47.52	$132.00	$9.02–$79.84	26% below	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$83.79	$232.75	$9.02–$104.74	31% above	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBODY	$83.79	$232.75	$9.02–$104.74	31% above	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 VIRAL HEPATITIS HBV, HCV-86706	$47.52	$132.00	$9.02–$79.84	—	64%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBODY	$83.79	$232.75	$9.02–$104.74	—	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 VIRAL HEPATITIS HBV, HCV-87340	$43.56	$121.00	$8.68–$76.85	38% below	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 VIRAL HEPATITIS HBV, HCV-87340	$43.56	$121.00	$8.68–$76.85	38% below	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA	$115.56	$321.00	$8.68–$144.45	65% above	64%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG EIA	$115.56	$321.00	$8.68–$144.45	65% above	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 VIRAL HEPATITIS HBV, HCV-87340	$43.56	$121.00	$8.68–$76.85	—	64%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG EIA	$115.56	$321.00	$8.68–$144.45	—	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$24.75	$68.75	$10.82–$67.21	71% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB TEST	$24.75	$68.75	$10.82–$67.21	71% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 VIRAL HEPATITIS HBV, HCV-86803	$55.44	$154.00	$10.82–$106.11	36% below	64%
Hepatitis C antibody blood test (screening) CPT 86803 VIRAL HEPATITIS HBV, HCV-86803	$55.44	$154.00	$10.82–$106.11	36% below	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB TEST	$24.75	$68.75	$10.82–$67.21	—	64%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 VIRAL HEPATITIS HBV, HCV-86803	$55.44	$154.00	$10.82–$106.11	—	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV NAAT QUANT	$222.30	$617.50	$29.48–$277.88	7% below	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV NAAT QUANT	$222.30	$617.50	$29.48–$277.88	7% below	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT PCR NGI QUANTASURE	$267.03	$741.75	$29.48–$333.79	11% above	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$267.03	$741.75	$29.48–$333.79	11% above	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUANT	$267.03	$741.75	$29.48–$333.79	11% above	64%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCV QUANT PCR NGI QUANTASURE	$267.03	$741.75	$29.48–$333.79	11% above	64%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH)	$142.56	$396.00	$29.48–$233.48	41% below	64%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH)	$142.56	$396.00	$29.48–$233.48	41% below	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV NAAT QUANT	$222.30	$617.50	$29.48–$277.88	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUANT	$267.03	$741.75	$29.48–$333.79	—	64%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV QUANT PCR NGI QUANTASURE	$267.03	$741.75	$29.48–$333.79	—	64%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, QUANT (NON-GRAPH)	$142.56	$396.00	$29.48–$233.48	—	64%
Herpes blood test, HSV-1 antibody CPT 86695 PRENAT INFECT DIS IGG-86695	$36.99	$102.75	$11.08–$98.10	49% below	64%
Herpes blood test, HSV-1 antibody CPT 86695 PRENAT INFECT DIS IGG-86695	$36.99	$102.75	$11.08–$98.10	49% below	64%
Herpes blood test, HSV-1 antibody CPT 86695 PRENAT INFECT IGG, QN - 86695	$37.80	$105.00	$11.08–$98.10	48% below	64%
Herpes blood test, HSV-1 antibody CPT 86695 PRENAT INFECT IGG, QN - 86695	$37.80	$105.00	$11.08–$98.10	48% below	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG	$79.92	$222.00	$11.08–$99.90	11% above	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AND 2 IGG	$79.92	$222.00	$11.08–$99.90	11% above	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 IGG	$79.92	$222.00	$11.08–$99.90	11% above	64%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX 1 AND 2 IGG	$79.92	$222.00	$11.08–$99.90	11% above	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 PRENAT INFECT DIS IGG-86695	$36.99	$102.75	$11.08–$98.10	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 PRENAT INFECT IGG, QN - 86695	$37.80	$105.00	$11.08–$98.10	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 IGG	$79.92	$222.00	$11.08–$99.90	—	64%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX 1 AND 2 IGG	$79.92	$222.00	$11.08–$99.90	—	64%
Herpes blood test, HSV-2 antibody CPT 86696 PRENAT INFECT DIS IGG-86696	$45.36	$126.00	$12.09–$105.46	45% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 PRENAT INFECT DIS IGG-86696	$45.36	$126.00	$12.09–$105.46	45% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 PRENAT INFECT IGG, QN - 86696	$45.54	$126.50	$12.09–$105.46	45% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 PRENAT INFECT IGG, QN - 86696	$45.54	$126.50	$12.09–$105.46	45% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1 AND 2 IGG	$65.97	$183.25	$12.09–$143.88	21% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 1 AND 2 IGG	$65.97	$183.25	$12.09–$143.88	21% below	64%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG	$89.37	$248.25	$12.09–$143.88	8% above	64%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES SIMPLEX 2 IGG	$89.37	$248.25	$12.09–$143.88	8% above	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 PRENAT INFECT DIS IGG-86696	$45.36	$126.00	$12.09–$105.46	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 PRENAT INFECT IGG, QN - 86696	$45.54	$126.50	$12.09–$105.46	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 1 AND 2 IGG	$65.97	$183.25	$12.09–$143.88	—	64%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES SIMPLEX 2 IGG	$89.37	$248.25	$12.09–$143.88	—	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP	$64.26	$178.50	$4.85–$96.25	19% below	64%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY CRP	$64.26	$178.50	$4.85–$96.25	19% below	64%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY CRP	$64.26	$178.50	$4.85–$96.25	—	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,URINE(RANDOM)	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE LEVEL	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTEINE,URINE(RANDOM)	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$106.02	$294.50	$15.05–$132.53	29% below	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE,URINE(RANDOM)	$106.02	$294.50	$15.05–$132.53	—	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE LEVEL	$106.02	$294.50	$15.05–$132.53	—	64%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$106.02	$294.50	$15.05–$132.53	—	64%
Insulin blood test CPT 83525 INSULIN	$63.27	$175.75	$9.60–$84.97	8% below	64%
Insulin blood test CPT 83525 INSULIN	$63.27	$175.75	$9.60–$84.97	8% below	64%
Insulin blood test inpatient CPT 83525 INSULIN	$63.27	$175.75	$9.60–$84.97	—	64%
Iron blood test (serum iron) CPT 83540 IRON	$24.75	$68.75	$5.43–$48.12	65% below	64%
Iron blood test (serum iron) CPT 83540 IRON	$24.75	$68.75	$5.43–$48.12	65% below	64%
Iron blood test (serum iron) CPT 83540 IRON LIVER	$32.94	$91.50	$5.43–$48.12	53% below	64%
Iron blood test (serum iron) CPT 83540 IRON LIVER	$32.94	$91.50	$5.43–$48.12	53% below	64%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$24.75	$68.75	$5.43–$48.12	—	64%
Iron blood test (serum iron) inpatient CPT 83540 IRON LIVER	$32.94	$91.50	$5.43–$48.12	—	64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP	$49.86	$138.50	$7.34–$65.02	44% below	64%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAP	$49.86	$138.50	$7.34–$65.02	44% below	64%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAP	$49.86	$138.50	$7.34–$65.02	—	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$147.33	$409.25	$7.29–$184.16	17% below	64%
Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL	$147.33	$409.25	$7.29–$184.16	17% below	64%
Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL	$147.33	$409.25	$7.29–$184.16	—	64%
LH (luteinizing hormone) test CPT 83002 LUTEINIZ HORM UR	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE SERUM <7YRS	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE SERUM >7YRS	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE SERUM >7YRS	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTEINIZ HORM	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTEINIZ HORM	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTENIZING HORMONE SERUM <7YRS	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test CPT 83002 LUTEINIZ HORM UR	$86.04	$239.00	$15.56–$137.67	39% below	64%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZ HORM	$86.04	$239.00	$15.56–$137.67	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE SERUM >7YRS	$86.04	$239.00	$15.56–$137.67	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 LUTENIZING HORMONE SERUM <7YRS	$86.04	$239.00	$15.56–$137.67	—	64%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZ HORM UR	$86.04	$239.00	$15.56–$137.67	—	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, CSF	$66.06	$183.50	$9.72–$82.58	31% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, CSF	$66.06	$183.50	$9.72–$82.58	31% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTATE, CSF	$85.14	$236.50	$9.72–$106.42	11% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$85.14	$236.50	$9.72–$106.42	11% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$85.14	$236.50	$9.72–$106.42	11% below	64%
Lactate (lactic acid) blood test CPT 83605 LACTATE, CSF	$85.14	$236.50	$9.72–$106.42	11% below	64%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, CSF	$66.06	$183.50	$9.72–$82.58	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$85.14	$236.50	$9.72–$106.42	—	64%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE, CSF	$85.14	$236.50	$9.72–$106.42	—	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FL	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CF	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH CF	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH FLUID	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PLEURAL FL	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FL	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH PERITONEAL FL	$105.03	$291.75	$5.07–$131.29	136% above	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH FLUID	$105.03	$291.75	$5.07–$131.29	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$105.03	$291.75	$5.07–$131.29	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PERITONEAL FL	$105.03	$291.75	$5.07–$131.29	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH CF	$105.03	$291.75	$5.07–$131.29	—	64%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH PLEURAL FL	$105.03	$291.75	$5.07–$131.29	—	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FL	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE BF	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE PERITONEAL FL	$50.49	$140.25	$5.79–$63.11	24% below	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$50.49	$140.25	$5.79–$63.11	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE PERITONEAL FL	$50.49	$140.25	$5.79–$63.11	—	64%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE BF	$50.49	$140.25	$5.79–$63.11	—	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$163.35	$453.75	$6.86–$204.19	16% below	64%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL	$163.35	$453.75	$6.86–$204.19	16% below	64%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL	$163.35	$453.75	$6.86–$204.19	—	64%
Lyme disease antibody test CPT 86618 LYME IGG AND IGM	$53.55	$148.75	$11.08–$126.66	35% below	64%
Lyme disease antibody test CPT 86618 LYME IGG AND IGM	$53.55	$148.75	$11.08–$126.66	35% below	64%
Lyme disease antibody test CPT 86618 LYME IGG/IGM	$53.55	$148.75	$11.08–$126.66	35% below	64%
Lyme disease antibody test CPT 86618 LYME IGG/IGM	$53.55	$148.75	$11.08–$126.66	35% below	64%
Lyme disease antibody test CPT 86618 LYME IGG AND IGM CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME AB DECTESCTION	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME AB DECTESCTION	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME IGG AND IGM CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME AB CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME AB CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME DISEASE ANTIBODY	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME IGG/IGM, CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test CPT 86618 LYME IGG/IGM, CSF	$83.79	$232.75	$11.08–$126.66	1% above	64%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM	$53.55	$148.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME IGG AND IGM	$53.55	$148.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME AB CSF	$83.79	$232.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME IGG/IGM, CSF	$83.79	$232.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME IGG AND IGM CSF	$83.79	$232.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE ANTIBODY	$83.79	$232.75	$11.08–$126.66	—	64%
Lyme disease antibody test inpatient CPT 86618 LYME AB DECTESCTION	$83.79	$232.75	$11.08–$126.66	—	64%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test CPT 83735 MAGNESIUM	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test CPT 83735 MAGNESIUM	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test CPT 83735 MAGNESIUM FLUID	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test CPT 83735 MAGNESIUM FLUID	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test CPT 83735 MAGNESIUM, 24 HR URINE	$120.15	$333.75	$5.63–$150.19	173% above	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM FLUID	$120.15	$333.75	$5.63–$150.19	—	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$120.15	$333.75	$5.63–$150.19	—	64%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, 24 HR URINE	$120.15	$333.75	$5.63–$150.19	—	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGG, CSF	$25.38	$70.50	$10.82–$70.20	17% below	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) IGG, CSF	$25.38	$70.50	$10.82–$70.20	17% below	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB, IGM	$36.00	$100.00	$10.82–$95.81	18% above	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB, IGM	$36.00	$100.00	$10.82–$95.81	18% above	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB IGG & IGM	$37.62	$104.50	$10.82–$95.81	23% above	64%
Measles (rubeola) antibody test CPT 86765 MEASLES (RUBEOLA) AB IGG & IGM	$37.62	$104.50	$10.82–$95.81	23% above	64%
Measles (rubeola) antibody test CPT 86765 RUB+VAR+RUBEOAB+MUMIGG - 86765	$37.62	$104.50	$10.82–$95.81	23% above	64%
Measles (rubeola) antibody test CPT 86765 RUB+VAR+RUBEOAB+MUMIGG - 86765	$37.62	$104.50	$10.82–$95.81	23% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$58.95	$163.75	$10.82–$95.81	93% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGM	$58.95	$163.75	$10.82–$95.81	93% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$97.02	$269.50	$10.82–$121.28	217% above	64%
Measles (rubeola) antibody test CPT 86765 RUBEOLA IGG	$97.02	$269.50	$10.82–$121.28	217% above	64%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) IGG, CSF	$25.38	$70.50	$10.82–$70.20	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) AB, IGM	$36.00	$100.00	$10.82–$95.81	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUB+VAR+RUBEOAB+MUMIGG - 86765	$37.62	$104.50	$10.82–$95.81	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES (RUBEOLA) AB IGG & IGM	$37.62	$104.50	$10.82–$95.81	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGM	$58.95	$163.75	$10.82–$95.81	—	64%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA IGG	$97.02	$269.50	$10.82–$121.28	—	64%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$40.59	$112.75	$4.35–$50.74	52% below	64%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SCREEN	$40.59	$112.75	$4.35–$50.74	52% below	64%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SCREEN	$40.59	$112.75	$4.35–$50.74	—	64%
Mumps immunity blood test CPT 86735 MEASLES/MUMPS/RUBELLA - 86735	$35.64	$99.00	$10.96–$97.01	41% below	64%
Mumps immunity blood test CPT 86735 MEASLES/MUMPS/RUBELLA - 86735	$35.64	$99.00	$10.96–$97.01	41% below	64%
Mumps immunity blood test CPT 86735 RUB+VAR+RUBEOAB+MUMIGG - 86735	$38.52	$107.00	$10.96–$97.01	36% below	64%
Mumps immunity blood test CPT 86735 RUB+VAR+RUBEOAB+MUMIGG - 86735	$38.52	$107.00	$10.96–$97.01	36% below	64%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM	$38.52	$107.00	$10.96–$97.01	36% below	64%
Mumps immunity blood test CPT 86735 MUMPS VIRUS ANTIBODY IGM	$38.52	$107.00	$10.96–$97.01	36% below	64%
Mumps immunity blood test CPT 86735 MUMPS AB	$70.29	$195.25	$10.96–$97.01	17% above	64%
Mumps immunity blood test CPT 86735 MUMPS AB	$70.29	$195.25	$10.96–$97.01	17% above	64%
Mumps immunity blood test inpatient CPT 86735 MEASLES/MUMPS/RUBELLA - 86735	$35.64	$99.00	$10.96–$97.01	—	64%
Mumps immunity blood test inpatient CPT 86735 RUB+VAR+RUBEOAB+MUMIGG - 86735	$38.52	$107.00	$10.96–$97.01	—	64%
Mumps immunity blood test inpatient CPT 86735 MUMPS VIRUS ANTIBODY IGM	$38.52	$107.00	$10.96–$97.01	—	64%
Mumps immunity blood test inpatient CPT 86735 MUMPS AB	$70.29	$195.25	$10.96–$97.01	—	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE	$53.28	$148.00	$15.45–$136.74	53% below	64%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA,FREE	$53.28	$148.00	$15.45–$136.74	53% below	64%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA,FREE	$53.28	$148.00	$15.45–$136.74	—	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL	$89.37	$248.25	$15.45–$136.74	4% above	64%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA,TOTAL	$89.37	$248.25	$15.45–$136.74	4% above	64%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA,TOTAL	$89.37	$248.25	$15.45–$136.74	—	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO,CER/VAG FLD MANL	$99.18	$275.50	$10.26–$150.64	15% above	64%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 CYTO,CER/VAG FLD MANL	$99.18	$275.50	$10.26–$150.64	15% above	64%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 CYTO,CER/VAG FLD MANL	$99.18	$275.50	$10.26–$150.64	—	64%
Parathyroid hormone (PTH) blood test CPT 83970 LDL-DIRECT	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 INTRA-OPER PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 INTACT PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 BIOACTIVE PTH	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE-INT	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHORMONE-INT	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 BIOACTIVE PTH	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 INTACT PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 LDL-DIRECT	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test CPT 83970 INTRA-OPER PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	8% above	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 BIOACTIVE PTH	$220.86	$613.50	$34.68–$306.89	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHORMONE-INT	$220.86	$613.50	$34.68–$306.89	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTRA-OPER PARATHYROID HORMONE	$220.86	$613.50	$34.68–$306.89	—	64%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 LDL-DIRECT	$220.86	$613.50	$34.68–$306.89	—	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN REFLEX	$11.07	$30.75	$5.05–$28.31	78% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-D HEPARIN REFLEX	$11.07	$30.75	$5.05–$28.31	78% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 F-VIII INH COMPREHENSIVE-85730	$32.94	$91.50	$5.05–$44.64	34% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 F-VIII INH COMPREHENSIVE-85730	$32.94	$91.50	$5.05–$44.64	34% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR PNL-85730	$41.22	$114.50	$5.05–$51.52	18% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 FACTOR IX INHIBITOR PNL-85730	$41.22	$114.50	$5.05–$51.52	18% below	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME, PARTIAL	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC)	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC)	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 1:1 MIX STUDY	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT 1:1 MIX STUDY	$81.81	$227.25	$5.05–$102.26	64% above	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-D HEPARIN REFLEX	$11.07	$30.75	$5.05–$28.31	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 F-VIII INH COMPREHENSIVE-85730	$32.94	$91.50	$5.05–$44.64	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 FACTOR IX INHIBITOR PNL-85730	$41.22	$114.50	$5.05–$51.52	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT 1:1 MIX STUDY	$81.81	$227.25	$5.05–$102.26	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$81.81	$227.25	$5.05–$102.26	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 REFLEX PTT HEP NEUTRAL(LUPSC)	$81.81	$227.25	$5.05–$102.26	—	64%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME, PARTIAL	$81.81	$227.25	$5.05–$102.26	—	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS FLUID	$21.42	$59.50	$3.98–$35.21	66% below	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$21.42	$59.50	$3.98–$35.21	66% below	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS	$21.42	$59.50	$3.98–$35.21	66% below	64%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHORUS FLUID	$21.42	$59.50	$3.98–$35.21	66% below	64%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS	$21.42	$59.50	$3.98–$35.21	—	64%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHORUS FLUID	$21.42	$59.50	$3.98–$35.21	—	64%
Potassium blood test CPT 84132 RT POTASSIUM	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test CPT 84132 RT POTASSIUM	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test CPT 84132 POTASSIUM FLUID	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test CPT 84132 POTASSIUM	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test CPT 84132 POTASSIUM FLUID	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test CPT 84132 POTASSIUM	$41.49	$115.25	$4.00–$51.86	31% below	64%
Potassium blood test inpatient CPT 84132 POTASSIUM	$41.49	$115.25	$4.00–$51.86	—	64%
Potassium blood test inpatient CPT 84132 POTASSIUM FLUID	$41.49	$115.25	$4.00–$51.86	—	64%
Potassium blood test inpatient CPT 84132 RT POTASSIUM	$41.49	$115.25	$4.00–$51.86	—	64%
Progesterone blood test CPT 84144 PROGESTERONE	$87.39	$242.75	$17.52–$155.11	15% below	64%
Progesterone blood test CPT 84144 PROGESTERONE	$87.39	$242.75	$17.52–$155.11	15% below	64%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$87.39	$242.75	$17.52–$155.11	—	64%
Prolactin blood test CPT 84146 PROLACTIN	$110.25	$306.25	$16.28–$144.10	at median	64%
Prolactin blood test CPT 84146 PROLACTIN	$110.25	$306.25	$16.28–$144.10	at median	64%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$110.25	$306.25	$16.28–$144.10	—	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test CPT 85610 PT 1:1 MIX STUDY	$70.92	$197.00	$3.60–$88.65	54% above	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT 1:1 MIX STUDY	$70.92	$197.00	$3.60–$88.65	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PT	$70.92	$197.00	$3.60–$88.65	—	64%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME	$70.92	$197.00	$3.60–$88.65	—	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COTININE	$22.86	$63.50	$10.58–$59.35	79% below	64%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 COTININE	$22.86	$63.50	$10.58–$59.35	79% below	64%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 COTININE	$22.86	$63.50	$10.58–$59.35	—	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO EXPLD	$76.59	$212.75	$13.71–$95.74	18% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO EXPLD	$76.59	$212.75	$13.71–$95.74	18% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO	$77.04	$214.00	$13.71–$96.30	17% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA W OPTIC	$77.04	$214.00	$13.71–$96.30	17% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA W OPTIC	$77.04	$214.00	$13.71–$96.30	17% below	64%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA IA W DO	$77.04	$214.00	$13.71–$96.30	17% below	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA W DO EXPLD	$76.59	$212.75	$13.71–$95.74	—	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA W OPTIC	$77.04	$214.00	$13.71–$96.30	—	64%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA IA W DO	$77.04	$214.00	$13.71–$96.30	—	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$84.51	$234.75	$12.84–$105.64	14% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP SCREEN	$84.51	$234.75	$12.84–$105.64	14% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCRN	$84.51	$234.75	$12.84–$105.64	14% below	64%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP A SCRN	$84.51	$234.75	$12.84–$105.64	14% below	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP A SCRN	$84.51	$234.75	$12.84–$105.64	—	64%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP SCREEN	$84.51	$234.75	$12.84–$105.64	—	64%
Renin blood test CPT 84244 ALDOSTERONE/RENIN ACTIVITY	$71.19	$197.75	$18.47–$163.55	31% below	64%
Renin blood test CPT 84244 ALDOSTERONE/RENIN ACTIVITY	$71.19	$197.75	$18.47–$163.55	31% below	64%
Renin blood test CPT 84244 RENIN	$121.14	$336.50	$18.47–$163.55	18% above	64%
Renin blood test CPT 84244 RENIN	$121.14	$336.50	$18.47–$163.55	18% above	64%
Renin blood test inpatient CPT 84244 ALDOSTERONE/RENIN ACTIVITY	$71.19	$197.75	$18.47–$163.55	—	64%
Renin blood test inpatient CPT 84244 RENIN	$121.14	$336.50	$18.47–$163.55	—	64%
Rh blood typing CPT 86901 RH TYPE	$41.76	$116.00	$2.51–$52.20	35% below	64%
Rh blood typing CPT 86901 RH TYPE	$41.76	$116.00	$2.51–$52.20	35% below	64%
Rh blood typing inpatient CPT 86901 RH TYPE	$41.76	$116.00	$2.51–$52.20	—	64%
Rheumatoid factor (RF) test CPT 86431 LUPUS COMPREHENSIVE PNL-86431	$28.80	$80.00	$4.76–$42.18	37% below	64%
Rheumatoid factor (RF) test CPT 86431 LUPUS COMPREHENSIVE PNL-86431	$28.80	$80.00	$4.76–$42.18	37% below	64%
Rheumatoid factor (RF) test CPT 86431 C3+C4+ANA+RF - 86431	$31.68	$88.00	$4.76–$42.18	31% below	64%
Rheumatoid factor (RF) test CPT 86431 C3+C4+ANA+RF - 86431	$31.68	$88.00	$4.76–$42.18	31% below	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR,QUANT	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR,QUANT	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHF BODY FLUID	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHF BODY FLUID	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BF	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR BF	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$71.37	$198.25	$4.76–$89.21	56% above	64%
Rheumatoid factor (RF) test inpatient CPT 86431 LUPUS COMPREHENSIVE PNL-86431	$28.80	$80.00	$4.76–$42.18	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 C3+C4+ANA+RF - 86431	$31.68	$88.00	$4.76–$42.18	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR,QUANT	$71.37	$198.25	$4.76–$89.21	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHF BODY FLUID	$71.37	$198.25	$4.76–$89.21	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR BF	$71.37	$198.25	$4.76–$89.21	—	64%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$71.37	$198.25	$4.76–$89.21	—	64%
Rubella antibody test (immunity check) CPT 86762 MEASLES/MUMPS/RUBELLA - 86762	$39.60	$110.00	$10.41–$107.04	14% below	64%
Rubella antibody test (immunity check) CPT 86762 MEASLES/MUMPS/RUBELLA - 86762	$39.60	$110.00	$10.41–$107.04	14% below	64%
Rubella antibody test (immunity check) CPT 86762 PRENAT INFECT DIS IGG-86762	$41.22	$114.50	$10.41–$107.04	10% below	64%
Rubella antibody test (immunity check) CPT 86762 PRENAT INFECT DIS IGG-86762	$41.22	$114.50	$10.41–$107.04	10% below	64%
Rubella antibody test (immunity check) CPT 86762 TORCH ANTIBODIES IGM - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 RUB+VAR+RUBEOAB+MUMIGG - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 RUB+VAR+RUBEOAB+MUMIGG - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 PRENAT INFECT IGG, QN - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 PRENAT INFECT IGG, QN - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 TORCH ANTIBODIES IGM - 86762	$41.94	$116.50	$10.41–$107.04	9% below	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$108.27	$300.75	$10.41–$135.34	135% above	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA	$108.27	$300.75	$10.41–$135.34	135% above	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$118.17	$328.25	$10.41–$147.71	157% above	64%
Rubella antibody test (immunity check) CPT 86762 RUBELLA ANTIBODY	$118.17	$328.25	$10.41–$147.71	157% above	64%
Rubella antibody test (immunity check) inpatient CPT 86762 MEASLES/MUMPS/RUBELLA - 86762	$39.60	$110.00	$10.41–$107.04	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 PRENAT INFECT DIS IGG-86762	$41.22	$114.50	$10.41–$107.04	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 PRENAT INFECT IGG, QN - 86762	$41.94	$116.50	$10.41–$107.04	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 TORCH ANTIBODIES IGM - 86762	$41.94	$116.50	$10.41–$107.04	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUB+VAR+RUBEOAB+MUMIGG - 86762	$41.94	$116.50	$10.41–$107.04	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA	$108.27	$300.75	$10.41–$135.34	—	64%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA ANTIBODY	$118.17	$328.25	$10.41–$147.71	—	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$31.86	$88.50	$2.27–$39.83	48% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE	$31.86	$88.50	$2.27–$39.83	48% below	64%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE	$31.86	$88.50	$2.27–$39.83	—	64%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$42.21	$117.25	$14.49–$67.09	67% below	64%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 SEMEN ANALYSIS	$42.21	$117.25	$14.49–$67.09	67% below	64%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 SEMEN ANALYSIS	$42.21	$117.25	$14.49–$67.09	—	64%
Sodium blood test CPT 84295 RT SODIUM	$46.26	$128.50	$4.04–$57.83	26% below	64%
Sodium blood test CPT 84295 SODIUM	$46.26	$128.50	$4.04–$57.83	26% below	64%
Sodium blood test CPT 84295 SODIUM	$46.26	$128.50	$4.04–$57.83	26% below	64%
Sodium blood test CPT 84295 RT SODIUM	$46.26	$128.50	$4.04–$57.83	26% below	64%
Sodium blood test inpatient CPT 84295 SODIUM	$46.26	$128.50	$4.04–$57.83	—	64%
Sodium blood test inpatient CPT 84295 RT SODIUM	$46.26	$128.50	$4.04–$57.83	—	64%
Stool ova and parasites exam CPT 87177 OVA + PARASITES STOOL - 87177	$39.78	$110.50	$3.59–$65.02	42% below	64%
Stool ova and parasites exam CPT 87177 OVA + PARASITES STOOL - 87177	$39.78	$110.50	$3.59–$65.02	42% below	64%
Stool ova and parasites exam CPT 87177 OVA & PARASITES SMEARS	$51.75	$143.75	$3.59–$65.02	24% below	64%
Stool ova and parasites exam CPT 87177 OVA & PARASITES SMEARS	$51.75	$143.75	$3.59–$65.02	24% below	64%
Stool ova and parasites exam inpatient CPT 87177 OVA + PARASITES STOOL - 87177	$39.78	$110.50	$3.59–$65.02	—	64%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES SMEARS	$51.75	$143.75	$3.59–$65.02	—	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCLT BLD, FECES	$17.73	$49.25	$3.68–$24.20	54% below	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD 1-3 DETERMIN	$17.73	$49.25	$3.68–$24.20	54% below	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCLT BLD, FECES	$17.73	$49.25	$3.68–$24.20	54% below	64%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD 1-3 DETERMIN	$17.73	$49.25	$3.68–$24.20	54% below	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCLT BLD, FECES	$17.73	$49.25	$3.68–$24.20	—	64%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD 1-3 DETERMIN	$17.73	$49.25	$3.68–$24.20	—	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, FECAL, IA	$35.37	$98.25	$13.37–$86.76	47% below	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD, FECAL, IA	$35.37	$98.25	$13.37–$86.76	47% below	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT ICT	$35.55	$98.75	$13.37–$86.76	47% below	64%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HEMOCCULT ICT	$35.55	$98.75	$13.37–$86.76	47% below	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD, FECAL, IA	$35.37	$98.25	$13.37–$86.76	—	64%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HEMOCCULT ICT	$35.55	$98.75	$13.37–$86.76	—	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDUM FTA ABS	$27.09	$75.25	$10.00–$72.16	39% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. PALLIDUM FTA ABS	$27.09	$75.25	$10.00–$72.16	39% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$34.92	$97.00	$10.00–$72.16	21% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$34.92	$97.00	$10.00–$72.16	21% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR QN+TP ABS-86780	$35.64	$99.00	$10.00–$72.16	19% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 RPR QN+TP ABS-86780	$35.64	$99.00	$10.00–$72.16	19% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL ANTIBODIES - IH	$39.60	$110.00	$10.00–$72.16	10% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMAL ANTIBODIES - IH	$39.60	$110.00	$10.00–$72.16	10% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS TP AB	$40.77	$113.25	$10.00–$72.16	8% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS TP AB	$40.77	$113.25	$10.00–$72.16	8% below	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS - ABBOTT	$45.36	$126.00	$10.00–$72.16	3% above	64%
Syphilis antibody test (Treponema pallidum) CPT 86780 SYPHILIS - ABBOTT	$45.36	$126.00	$10.00–$72.16	3% above	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. PALLIDUM FTA ABS	$27.09	$75.25	$10.00–$72.16	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$34.92	$97.00	$10.00–$72.16	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 RPR QN+TP ABS-86780	$35.64	$99.00	$10.00–$72.16	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMAL ANTIBODIES - IH	$39.60	$110.00	$10.00–$72.16	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS TP AB	$40.77	$113.25	$10.00–$72.16	—	64%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 SYPHILIS - ABBOTT	$45.36	$126.00	$10.00–$72.16	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, RFX QN RPR/CONFIRM TP	$27.72	$77.00	$3.59–$34.65	32% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, RFX QN RPR/CONFIRM TP	$27.72	$77.00	$3.59–$34.65	32% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$28.53	$79.25	$3.59–$35.66	30% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF	$28.53	$79.25	$3.59–$35.66	30% below	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$51.75	$143.75	$3.59–$84.00	26% above	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$51.75	$143.75	$3.59–$84.00	26% above	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST NON-TREP QUAL	$51.75	$143.75	$3.59–$84.00	26% above	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$51.75	$143.75	$3.59–$84.00	26% above	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, RFX QN RPR/CONFIRM TP	$27.72	$77.00	$3.59–$34.65	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF	$28.53	$79.25	$3.59–$35.66	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$51.75	$143.75	$3.59–$84.00	—	64%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST NON-TREP QUAL	$51.75	$143.75	$3.59–$84.00	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL IMMUN	$69.03	$191.75	$5.16–$179.02	65% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST, CELL IMMUN	$69.03	$191.75	$5.16–$179.02	65% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$99.00	$275.00	$5.16–$270.23	50% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON-TB GOLD PLUS	$99.00	$275.00	$5.16–$270.23	50% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD PLUS	$112.86	$313.50	$5.16–$291.93	43% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON - TB GOLD PLUS	$112.86	$313.50	$5.16–$291.93	43% below	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST, CELL IMMUN	$69.03	$191.75	$5.16–$179.02	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON-TB GOLD PLUS	$99.00	$275.00	$5.16–$270.23	—	64%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON - TB GOLD PLUS	$112.86	$313.50	$5.16–$291.93	—	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE UR	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TOTAL TESTOSTERONE	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE,TOTAL	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE UR	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAIL ADULT	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAIL ADULT	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAIL CHILD	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE, BIOAVAIL CHILD	$164.07	$455.75	$4.61–$205.09	65% above	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE UR	$164.07	$455.75	$4.61–$205.09	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE,TOTAL	$164.07	$455.75	$4.61–$205.09	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, BIOAVAIL CHILD	$164.07	$455.75	$4.61–$205.09	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TOTAL TESTOSTERONE	$164.07	$455.75	$4.61–$205.09	—	64%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE, BIOAVAIL ADULT	$164.07	$455.75	$4.61–$205.09	—	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO AB RDL	$39.60	$110.00	$12.22–$108.18	53% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-TPO AB RDL	$39.60	$110.00	$12.22–$108.18	53% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS COMPREHENSIVE PNL-86376	$45.36	$126.00	$12.22–$108.18	46% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LUPUS COMPREHENSIVE PNL-86376	$45.36	$126.00	$12.22–$108.18	46% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE	$48.87	$135.75	$12.22–$108.18	41% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI-THYROID PEROXIDASE	$48.87	$135.75	$12.22–$108.18	41% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$73.26	$203.50	$12.22–$108.18	12% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$73.26	$203.50	$12.22–$108.18	12% below	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$89.37	$248.25	$12.22–$111.71	7% above	64%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$89.37	$248.25	$12.22–$111.71	7% above	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-TPO AB RDL	$39.60	$110.00	$12.22–$108.18	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LUPUS COMPREHENSIVE PNL-86376	$45.36	$126.00	$12.22–$108.18	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI-THYROID PEROXIDASE	$48.87	$135.75	$12.22–$108.18	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSOMAL AB	$73.26	$203.50	$12.22–$108.18	—	64%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$89.37	$248.25	$12.22–$111.71	—	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$46.62	$129.50	$7.58–$124.97	58% below	64%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$46.62	$129.50	$7.58–$124.97	58% below	64%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$46.62	$129.50	$7.58–$124.97	—	64%
Total IgE blood test CPT 82785 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$13.83–$39.91	81% below	64%
Total IgE blood test CPT 82785 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$13.83–$39.91	81% below	64%
Total IgE blood test CPT 82785 PEDI ALLERGENS - IGE	$55.80	$155.00	$13.83–$122.46	32% below	64%
Total IgE blood test CPT 82785 PEDI ALLERGENS - IGE	$55.80	$155.00	$13.83–$122.46	32% below	64%
Total IgE blood test CPT 82785 IGE	$92.70	$257.50	$13.83–$122.46	14% above	64%
Total IgE blood test CPT 82785 IGE	$92.70	$257.50	$13.83–$122.46	14% above	64%
Total IgE blood test inpatient CPT 82785 CENTRAL TEXAS IGE PANEL	$15.39	$42.75	$13.83–$39.91	—	64%
Total IgE blood test inpatient CPT 82785 PEDI ALLERGENS - IGE	$55.80	$155.00	$13.83–$122.46	—	64%
Total IgE blood test inpatient CPT 82785 IGE	$92.70	$257.50	$13.83–$122.46	—	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL BF	$46.62	$129.50	$3.65–$58.27	16% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL BF	$46.62	$129.50	$3.65–$58.27	16% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL PLEURAL FL	$46.62	$129.50	$3.65–$58.27	16% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL PLEURAL FL	$46.62	$129.50	$3.65–$58.27	16% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$53.64	$149.00	$3.65–$67.05	4% below	64%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$53.64	$149.00	$3.65–$67.05	4% below	64%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL PLEURAL FL	$46.62	$129.50	$3.65–$58.27	—	64%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL BF	$46.62	$129.50	$3.65–$58.27	—	64%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$53.64	$149.00	$3.65–$67.05	—	64%
Total thyroxine (T4) blood test CPT 84436 T-4	$80.73	$224.25	$5.77–$100.91	1% above	64%
Total thyroxine (T4) blood test CPT 84436 T-4	$80.73	$224.25	$5.77–$100.91	1% above	64%
Total thyroxine (T4) blood test inpatient CPT 84436 T-4	$80.73	$224.25	$5.77–$100.91	—	64%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3)	$118.17	$328.25	$4.82–$147.71	5% below	64%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE (T3)	$118.17	$328.25	$4.82–$147.71	5% below	64%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE (T3)	$118.17	$328.25	$4.82–$147.71	—	64%
Transferrin blood test CPT 84466 TRANSFERRIN	$83.07	$230.75	$4.35–$103.84	30% below	64%
Transferrin blood test CPT 84466 TRANSFERRIN	$83.07	$230.75	$4.35–$103.84	30% below	64%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$83.07	$230.75	$4.35–$103.84	—	64%
Trichomonas test (NAAT) CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$66.60	$185.00	$29.48–$165.27	24% below	64%
Trichomonas test (NAAT) CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$66.60	$185.00	$29.48–$165.27	24% below	64%
Trichomonas test (NAAT) CPT 87661 VAGINITIS PANEL BY TMA	$76.14	$211.50	$29.48–$191.24	13% below	64%
Trichomonas test (NAAT) CPT 87661 VAGINITIS PANEL BY TMA	$76.14	$211.50	$29.48–$191.24	13% below	64%
Trichomonas test (NAAT) inpatient CPT 87661 NUSWAB VAGINITIS (VG) - 87661	$66.60	$185.00	$29.48–$165.27	—	64%
Trichomonas test (NAAT) inpatient CPT 87661 VAGINITIS PANEL BY TMA	$76.14	$211.50	$29.48–$191.24	—	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID	$35.55	$98.75	$4.45–$44.44	49% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDE BODY FLUID	$35.55	$98.75	$4.45–$44.44	49% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BF	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLYCERIDES BF	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLY PLEURAL FL	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLY PLEURAL FL	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLY PERITONEAL FL	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test CPT 84478 TRIGLY PERITONEAL FL	$58.05	$161.25	$4.45–$72.56	16% below	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDE BODY FLUID	$35.55	$98.75	$4.45–$44.44	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLY PERITONEAL FL	$58.05	$161.25	$4.45–$72.56	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$58.05	$161.25	$4.45–$72.56	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES BF	$58.05	$161.25	$4.45–$72.56	—	64%
Triglycerides blood test inpatient CPT 84478 TRIGLY PLEURAL FL	$58.05	$161.25	$4.45–$72.56	—	64%
Troponin test, quantitative CPT 84484 TROPONIN	$74.25	$206.25	$10.47–$92.81	35% below	64%
Troponin test, quantitative CPT 84484 TROPONIN	$74.25	$206.25	$10.47–$92.81	35% below	64%
Troponin test, quantitative CPT 84484 POC TROPONIN I	$74.25	$206.25	$10.47–$92.81	35% below	64%
Troponin test, quantitative CPT 84484 POC TROPONIN I	$74.25	$206.25	$10.47–$92.81	35% below	64%
Troponin test, quantitative inpatient CPT 84484 TROPONIN	$74.25	$206.25	$10.47–$92.81	—	64%
Troponin test, quantitative inpatient CPT 84484 POC TROPONIN I	$74.25	$206.25	$10.47–$92.81	—	64%
Uric acid blood test CPT 84550 URIC ACID	$47.43	$131.75	$3.80–$59.29	39% below	64%
Uric acid blood test CPT 84550 URIC ACID	$47.43	$131.75	$3.80–$59.29	39% below	64%
Uric acid blood test inpatient CPT 84550 URIC ACID	$47.43	$131.75	$3.80–$59.29	—	64%
Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO	$90.27	$250.75	$2.66–$112.84	3% below	64%
Urinalysis with microscope exam, automated CPT 81001 UA W/MICRO	$90.27	$250.75	$2.66–$112.84	3% below	64%
Urinalysis with microscope exam, automated inpatient CPT 81001 UA W/MICRO	$90.27	$250.75	$2.66–$112.84	—	64%
Urinalysis without microscope exam, automated CPT 81003 ACETONE UR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 SPEC GRAV UR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 UA-CHEM ONLY	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 UA-CHEM ONLY	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT3HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/5HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT5HR/GLU/U/5HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT4HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT,EA ADDL URINE	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 GTT,EA ADDL URINE	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated CPT 81003 ACETONE UR	$50.49	$140.25	$1.89–$63.11	4% above	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 SPEC GRAV UR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 UA-CHEM ONLY	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT3HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/2HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 ACETONE UR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT,EA ADDL URINE	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT4HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/5HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/1HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/4HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, automated inpatient CPT 81003 GTT5HR/GLU/U/3HR	$50.49	$140.25	$1.89–$63.11	—	64%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP/NON-AUTO	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual CPT 81002 URINE DIP/NON-AUTO	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual CPT 81002 CLINITEST	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual CPT 81002 CLINITEST	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual CPT 81002 KETONE GLUCOSE SCRN	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual CPT 81002 KETONE GLUCOSE SCRN	$14.76	$41.00	$2.92–$19.02	51% below	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 KETONE GLUCOSE SCRN	$14.76	$41.00	$2.92–$19.02	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINE DIP/NON-AUTO	$14.76	$41.00	$2.92–$19.02	—	64%
Urinalysis without microscope exam, manual inpatient CPT 81002 CLINITEST	$14.76	$41.00	$2.92–$19.02	—	64%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$48.06	$133.50	$6.78–$60.08	63% below	64%
Urine culture for bacteria, with colony count CPT 87086 CULT URINE	$48.06	$133.50	$6.78–$60.08	63% below	64%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULT URINE	$48.06	$133.50	$6.78–$60.08	—	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$32.49	$90.25	$4.86–$41.42	36% below	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RQNT	$32.49	$90.25	$4.86–$41.42	36% below	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN QUANTITATIVE	$32.49	$90.25	$4.86–$41.42	36% below	64%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN RQNT	$32.49	$90.25	$4.86–$41.42	36% below	64%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREAT. RATIO,UR-82043	$34.83	$96.75	$4.86–$43.54	32% below	64%
Urine microalbumin (albumin) test CPT 82043 ALBUMIN/CREAT. RATIO,UR-82043	$34.83	$96.75	$4.86–$43.54	32% below	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN QUANTITATIVE	$32.49	$90.25	$4.86–$41.42	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN RQNT	$32.49	$90.25	$4.86–$41.42	—	64%
Urine microalbumin (albumin) test inpatient CPT 82043 ALBUMIN/CREAT. RATIO,UR-82043	$34.83	$96.75	$4.86–$43.54	—	64%
Urine pregnancy test, read by color change CPT 81025 HCG UR QL	$50.49	$140.25	$7.23–$63.11	38% below	64%
Urine pregnancy test, read by color change CPT 81025 HCG UR QL	$50.49	$140.25	$7.23–$63.11	38% below	64%
Urine pregnancy test, read by color change CPT 81025 URINE PG, VISUAL	$50.49	$140.25	$7.23–$63.11	38% below	64%
Urine pregnancy test, read by color change CPT 81025 URINE PG, VISUAL	$50.49	$140.25	$7.23–$63.11	38% below	64%
Urine pregnancy test, read by color change inpatient CPT 81025 HCG UR QL	$50.49	$140.25	$7.23–$63.11	—	64%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PG, VISUAL	$50.49	$140.25	$7.23–$63.11	—	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$60.93	$169.25	$12.67–$112.05	33% below	64%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$60.93	$169.25	$12.67–$112.05	33% below	64%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$60.93	$169.25	$12.67–$112.05	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 D3 TANDEM	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25 HYDROXY	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-HYDROXYVITAMIN D2 D3 TANDEM	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D 25-OH	$127.80	$355.00	$24.86–$202.03	7% above	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-HYDROXYVITAMIN D2 D3 TANDEM	$127.80	$355.00	$24.86–$202.03	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25 HYDROXY	$127.80	$355.00	$24.86–$202.03	—	64%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D 25-OH	$127.80	$355.00	$24.86–$202.03	—	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$164.34	$456.50	$32.34–$286.29	7% above	64%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25-DIHYDROXY	$164.34	$456.50	$32.34–$286.29	7% above	64%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25-DIHYDROXY	$164.34	$456.50	$32.34–$286.29	—	64%
Zinc blood test CPT 84630 HVYMTU-ZINC	$69.03	$191.75	$9.57–$86.29	1% above	64%
Zinc blood test CPT 84630 ZINC	$69.03	$191.75	$9.57–$86.29	1% above	64%
Zinc blood test CPT 84630 ZINC	$69.03	$191.75	$9.57–$86.29	1% above	64%
Zinc blood test CPT 84630 HVYMTU-ZINC	$69.03	$191.75	$9.57–$86.29	1% above	64%
Zinc blood test inpatient CPT 84630 ZINC	$69.03	$191.75	$9.57–$86.29	—	64%
Zinc blood test inpatient CPT 84630 HVYMTU-ZINC	$69.03	$191.75	$9.57–$86.29	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QUANT TUMOR MARKER	$96.39	$267.75	$9.57–$120.49	14% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA-HCG QUANT TUMOR MARKER	$96.39	$267.75	$9.57–$120.49	14% below	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,CSF	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG SERUM QN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TAST HCG QN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT - TM	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT - TM	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 TAST HCG QN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 CHORIONIC GONADOTROPIN	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG,CSF	$162.99	$452.75	$9.57–$203.74	45% above	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA-HCG QUANT TUMOR MARKER	$96.39	$267.75	$9.57–$120.49	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 TAST HCG QN	$162.99	$452.75	$9.57–$203.74	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG SERUM QN	$162.99	$452.75	$9.57–$203.74	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 CHORIONIC GONADOTROPIN	$162.99	$452.75	$9.57–$203.74	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG,CSF	$162.99	$452.75	$9.57–$203.74	—	64%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT - TM	$162.99	$452.75	$9.57–$203.74	—	64%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Cardiac catheterization with coronary angiogram CPT 93458 HRT-LHC/CORS (INC LV)	$11,946.15	$33,183.75	$739.86–$28,206.19	14% above	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION EXT	$542.16	$1,506.00	$109.56–$627.66	59% below	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERT EXTRNL-ELECTIVE EP	$582.75	$1,618.75	$109.56–$627.66	56% below	64%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERT EXTRNL-ELECTIVE CL	$582.75	$1,618.75	$109.56–$627.66	56% below	64%
Catheter ablation for atrial fibrillation CPT 93656 HEART EPS-ABLATE AFIB	$26,629.74	$73,971.50	$1,126.05–$30,569.00	12% below	64%
Coronary stent placement, one artery CPT 92928 HRT-STENT MAJOR ART/BNCH	$34,843.41	$96,787.25	$594.38–$26,203.00	198% above	64%
Earwax removal by irrigation (rinsing), one ear CPT 69209 REMOVE IMPACTED EAR WAX UNI	$98.19	$272.75	$13.47–$84.55	12% below	64%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$98.19	$272.75	$32.78–$84.55	21% below	64%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 PAIN EPIDRL INJ C/T W IMG	$1,446.12	$4,017.00	$107.32–$1,245.27	at median	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 INJ PARAVERT F JNT L/S 1 LEV	$1,841.85	$5,116.25	$89.95–$1,586.04	6% above	64%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 PAIN FACET INJ L/S 1ST LVL	$1,841.85	$5,116.25	$89.95–$1,586.04	6% above	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 SP HYSTEROSALPINGOGRAPHY	$362.16	$1,006.00	$56.89–$969.15	4% below	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ HYSTRO	$362.16	$1,006.00	$56.89–$969.15	4% below	64%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ SONOHYSTERO	$362.16	$1,006.00	$56.89–$969.15	4% below	64%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS SMPLE	$275.49	$765.25	$54.31–$237.23	39% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 MRI ASP/INJ MAJ JNT/BURSA	$478.71	$1,329.75	$22.35–$412.22	19% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CT ASP/INJ MAJ JNT/BURSA	$478.71	$1,329.75	$22.35–$412.22	19% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 XR ASP/INJ MAJ JNT/BURSA	$478.71	$1,329.75	$22.35–$412.22	19% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR ASP/INJ MAJ JNT/BURSA LT	$341.37	$948.25	$22.35–$293.96	42% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR HIP ASPIRATION RT	$341.37	$948.25	$22.35–$293.96	42% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR HIP ASPIRATION LT	$341.37	$948.25	$22.35–$293.96	42% below	64%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR ASP/INJ MAJ JNT/BURSA RT	$341.37	$948.25	$22.35–$293.96	42% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CT ASP/INJ MED JNT/BURSA	$210.60	$585.00	$18.71–$216.18	64% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 MRI ASP/INJ MED JNT/BURSA	$210.60	$585.00	$18.71–$216.18	64% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 XR ASP/INJ MED JNT/BURSA	$210.60	$585.00	$18.71–$216.18	64% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR ASP/INJ MED JNT/BURSA RT	$265.23	$736.75	$18.71–$228.39	55% below	64%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 XR ASP/INJ MED JNT/BURSA LT	$265.23	$736.75	$18.71–$228.39	55% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 MRI ASP/INJ SM JNT/BURSA	$210.60	$585.00	$17.93–$216.18	50% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 CT ASP/INJ SM JNT/BURSA	$210.60	$585.00	$17.93–$216.18	50% below	64%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 XR ASP/INJ SM JNT/BURSA	$210.60	$585.00	$17.93–$216.18	50% below	64%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR ASP/INJ SM JNT/BURSA RT	$288.36	$801.00	$17.93–$248.31	32% below	64%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 XR ASP/INJ SM JNT/BURSA LT	$288.36	$801.00	$17.93–$248.31	32% below	64%
Left heart catheterization, diagnostic CPT 93452 HRT-LHC (INC LV-NO CORS)	$4,941.00	$13,725.00	$610.21–$13,357.00	47% below	64%
Lower-back epidural injection, with imaging guidance CPT 62323 PAIN EPIDRL INJ L/S W IMG	$1,946.07	$5,405.75	$99.21–$1,675.78	16% above	64%
Lower-back epidural injection, without imaging guidance CPT 62322 PAIN EPIDRL INJ TRNS L/S	$922.68	$2,563.00	$85.91–$969.15	25% below	64%
Nail removal (partial or complete), one nail CPT 11730 REMOVAL OF NAIL PLATE	$275.49	$765.25	$55.35–$237.23	2% below	64%
Paracentesis with imaging guidance CPT 49083 CT GUIDE PARACENTESIS	$969.84	$2,694.00	$108.68–$969.15	33% below	64%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 REMOVAL OF NAIL BED	$526.50	$1,462.50	$71.46–$453.38	3% above	64%
Short arm cast (elbow to hand) both sides CPT 29075 CAST ELBOW-FINGER BILAT	$168.21	$467.25	$39.76–$200.85	—	64%
Short arm cast (elbow to hand) CPT 29075 CAST ELBOW-FINGER	$85.68	$238.00	$39.76–$200.85	69% below	64%
Short arm cast (elbow to hand) one side CPT 29075 CAST ELBOW-FINGER LT	$141.39	$392.75	$39.76–$200.85	49% below	64%
Short arm cast (elbow to hand) one side CPT 29075 CAST ELBOW-FINGER RT	$141.39	$392.75	$39.76–$200.85	49% below	64%
Short arm splint (forearm and hand) CPT 29125 SPLNT ELBOW-HAND	$116.01	$322.25	$38.95–$127.57	49% below	64%
Short leg cast (below the knee) both sides CPT 29405 CAST KNEE-TOES BILAT	$145.35	$403.75	$34.82–$200.85	—	64%
Short leg cast (below the knee) CPT 29405 CAST KNEE-TOES	$89.55	$248.75	$34.82–$200.85	74% below	64%
Short leg cast (below the knee) one side CPT 29405 CAST KNEE-TOES RT	$124.29	$345.25	$34.82–$200.85	63% below	64%
Short leg cast (below the knee) one side CPT 29405 CAST KNEE-TOES LT	$124.29	$345.25	$34.82–$200.85	63% below	64%
Short leg splint (calf to foot) CPT 29515 SPLNT CALF-ANKLE	$112.59	$312.75	$30.40–$115.21	59% below	64%
Short leg splint (calf to foot) CPT 29515 APPLICATION LOWER LEG SPLINT	$168.03	$466.75	$30.40–$144.69	38% below	64%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEB SUBQ TISSUE 20 SQ CM/<	$526.50	$1,462.50	$61.14–$453.38	48% below	64%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD ADMIN	$1,081.62	$3,004.50	$25.21–$969.15	41% above	64%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MED INHALATION	$35.01	$97.25	$17.19–$19.38	83% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION TO 1HR	$147.96	$411.00	$134.43–$270.78	73% below	64%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION TO 1HR	$147.96	$411.00	$134.43–$270.78	73% below	64%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION TO 1HR	$147.96	$411.00	$134.43–$270.78	—	64%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 COMP AUDIO EVAL	$94.68	$263.00	$32.63–$236.58	68% below	64%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN 25	$2,478.60	$6,885.00	$224.41–$6,885.00	2% below	64%
Critical care, first 30 to 74 minutes CPT 99291 CRITICAL CARE 30-74 MIN	$2,505.60	$6,960.00	$224.41–$6,960.00	1% below	64%
Critical care, first 30 to 74 minutes CPT 99291 VISIT ER VI W/25	$2,505.60	$6,960.00	$224.41–$6,960.00	1% below	64%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG AWAKE	$998.91	$2,774.75	$212.89–$1,289.24	9% above	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$154.35	$428.75	$8.06–$248.68	43% below	64%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EP EKG 12 LEAD-TRACING ONLY	$154.35	$428.75	$8.06–$248.68	43% below	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 VISIT ER LVL I	$234.00	$650.00	$11.12–$650.00	at median	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 VISIT ER LVL I	$234.00	$650.00	$11.12–$650.00	at median	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 VISIT ER I W/25	$282.33	$784.25	$11.12–$784.25	21% above	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 VISIT ER I W/25	$282.33	$784.25	$11.12–$784.25	21% above	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 VISIT ER LVL I	$234.00	$650.00	$11.12–$650.00	—	64%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 VISIT ER I W/25	$282.33	$784.25	$11.12–$784.25	—	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 VISIT ER LVL II	$450.00	$1,250.00	$11.12–$1,250.00	4% above	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 VISIT ER LVL II	$450.00	$1,250.00	$11.12–$1,250.00	4% above	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 VISIT ER II W/25	$548.37	$1,523.25	$11.12–$1,523.25	27% above	64%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 VISIT ER II W/25	$548.37	$1,523.25	$11.12–$1,523.25	27% above	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 VISIT ER LVL II	$450.00	$1,250.00	$11.12–$1,250.00	—	64%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 VISIT ER II W/25	$548.37	$1,523.25	$11.12–$1,523.25	—	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 VISIT ER LVL III	$522.00	$1,450.00	$11.12–$1,450.00	32% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 VISIT ER LVL III	$522.00	$1,450.00	$11.12–$1,450.00	32% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 VISIT ER III W/25	$731.43	$2,031.75	$11.12–$2,031.75	5% below	64%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 VISIT ER III W/25	$731.43	$2,031.75	$11.12–$2,031.75	5% below	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 VISIT ER LVL III	$522.00	$1,450.00	$11.12–$1,450.00	—	64%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 VISIT ER III W/25	$731.43	$2,031.75	$11.12–$2,031.75	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 VISIT ER IV W/25	$1,082.16	$3,006.00	$200.00–$3,006.00	16% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 VISIT ER IV W/25	$1,082.16	$3,006.00	$200.00–$3,006.00	16% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 VISIT ER LVL IV	$1,170.00	$3,250.00	$200.00–$3,250.00	9% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 VISIT ER LVL IV	$1,170.00	$3,250.00	$200.00–$3,250.00	9% below	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 VISIT ER IV W/25	$1,082.16	$3,006.00	$200.00–$3,006.00	—	64%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 VISIT ER LVL IV	$1,170.00	$3,250.00	$200.00–$3,250.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 VISIT ER V W/25	$2,007.00	$5,575.00	$200.00–$5,575.00	13% above	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 VISIT ER LVL V	$2,007.00	$5,575.00	$200.00–$5,575.00	13% above	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 VISIT ER LVL V	$2,007.00	$5,575.00	$200.00–$5,575.00	13% above	64%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 VISIT ER V W/25	$2,007.00	$5,575.00	$200.00–$5,575.00	13% above	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 VISIT ER V W/25	$2,007.00	$5,575.00	$200.00–$5,575.00	—	64%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 VISIT ER LVL V	$2,007.00	$5,575.00	$200.00–$5,575.00	—	64%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST CV	$955.71	$2,654.75	$32.40–$1,539.76	24% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION TO 1HR	$144.00	$400.00	$36.45–$160.02	67% below	64%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSE HYDRATE INIT 31-60M	$144.00	$400.00	$36.45–$160.02	67% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION INIT TO 1HR	$315.00	$875.00	$68.55–$302.12	30% below	64%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION TO 1HR	$315.00	$875.00	$68.55–$302.12	30% below	64%
IV push of a medicine, first drug CPT 96374 INJ IV INIT/SNGL DRUG	$309.60	$860.00	$37.48–$164.51	35% above	64%
IV push of a medicine, first drug CPT 96374 PSH_INJ IV INIT/SNGL DRUG	$309.60	$860.00	$37.48–$164.51	35% above	64%
IV push of a medicine, first drug CPT 96374 INJ IV INIT/SNGL DRUG	$309.60	$860.00	$37.48–$164.51	35% above	64%
IV push of a medicine, first drug CPT 96374 INJ IV W/59	$309.60	$860.00	$37.48–$164.51	35% above	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 PSH_THER/PROPH/DIAG INJ SC/IM	$79.47	$220.75	$16.22–$205.60	46% below	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ ANTIBIOTIC IM	$166.05	$461.25	$16.22–$250.95	13% above	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM W/59	$166.05	$461.25	$16.22–$250.95	13% above	64%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ SC/IM	$166.05	$461.25	$16.22–$250.95	13% above	64%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 MOTOR&/SENS 7-8 BRV CNDJ TST	$80.55	$223.75	$94.73–$212.89	89% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS PER 15	$63.27	$175.75	$34.02–$159.89	44% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS PER 15"	$63.27	$175.75	$34.02–$159.89	44% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS PER 15	$63.27	$175.75	$34.02–$159.89	44% below	64%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS PER 15"	$63.27	$175.75	$34.02–$159.89	44% below	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUS PER 15"	$63.27	$175.75	$34.02–$159.89	—	64%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUS PER 15	$63.27	$175.75	$34.02–$159.89	—	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS DETAILED	$26.01	$72.25	$33.22–$59.17	48% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS COMPLEX	$26.01	$72.25	$33.22–$59.17	48% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION ASSESS /15 MIN	$26.01	$72.25	$33.22–$59.17	48% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS COMPREHN	$26.01	$72.25	$33.22–$59.17	48% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS FOCUSED	$26.01	$72.25	$33.22–$59.17	48% below	64%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 INIT ASSESS EXPANDED	$26.01	$72.25	$33.22–$59.17	48% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 4 60M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 3 45M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 2 30M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 2 30M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 3 45M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 3 45M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 2 30M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 6 90M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 5 75M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 1 15M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 6 90M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 2 30M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 1 15M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 5 75M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 4 60M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 4 60M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 5 75M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 5 75M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 6 90M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 6 90M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 1 15M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 4 60M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT EVALUATION LOW 1 15M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity CPT 97165 OT WD EVAL LOW 3 45M	$121.23	$336.75	$89.64–$316.13	50% below	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 3 45M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 5 75M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 4 60M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 3 45M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 4 60M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 6 90M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 5 75M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 6 90M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 2 30M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT WD EVAL LOW 1 15M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 2 30M	$121.23	$336.75	$89.64–$316.13	—	64%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVALUATION LOW 1 15M	$121.23	$336.75	$89.64–$316.13	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 5 75M	$97.83	$271.75	$83.55–$180.42	66% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 5 75M	$97.83	$271.75	$83.55–$180.42	66% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	64% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT WD EVAL HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVALUATION HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	52% below	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION LOW 5 75M	$97.83	$271.75	$83.55–$180.42	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 5 75M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 2 30M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 6 90M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 3 45M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVALUATION HIGH 4 60M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT WD EVAL HIGH 1 15M	$137.34	$381.50	$83.55–$370.64	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 1 15M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 3 45M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 1 15M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 1 15M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 2 30M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 1 15M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION HIGH 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION HIGH 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION HIGH 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 2 30M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION HIGH 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION MOD 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION MOD 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION MOD 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION MOD 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 3 45M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 5 75M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT WD EVAL LOW 4 60M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	49% below	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 5 75M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 4 60M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 3 45M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 2 30M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 2 30M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 1 15M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 1 15M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION HIGH 5 75M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION HIGH 6 90M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION MOD 5 75M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION MOD 4 60M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 6 90M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 5 75M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT WD EVAL LOW 4 60M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVALUATION LOW 6 90M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	58% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	58% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 5 75M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 3 45M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 3 45M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 3 45M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 3 45M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 4 60M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 4 60M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 5 75M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 4 60M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 4 60M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 5 75M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 5 75M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 1 15M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 1 15M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 2 30M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 2 30M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 1 15M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 1 15M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 2 30M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 2 30M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 6 90M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT WD EVAL MOD 6 90M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 6 90M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVALUATION MOD 6 90M	$120.24	$334.00	$83.55–$324.34	51% below	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION LOW 3 45M	$103.05	$286.25	$83.55–$180.42	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 5 75M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 6 90M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 4 60M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 2 30M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 1 15M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 2 30M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 1 15M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 5 75M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 3 45M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT WD EVAL MOD 3 45M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 4 60M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVALUATION MOD 6 90M	$120.24	$334.00	$83.55–$324.34	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION MANUAL PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR PER 15"	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 TRACTION MANUAL PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR PER 15"	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL LYMPH DRAINAGE	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MFR PER 15	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL LYMPH DRAINAGE	$57.96	$161.00	$27.61–$134.43	48% below	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MFR PER 15	$57.96	$161.00	$27.61–$134.43	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY PER 15	$57.96	$161.00	$27.61–$134.43	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MFR PER 15"	$57.96	$161.00	$27.61–$134.43	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 TRACTION MANUAL PER 15	$57.96	$161.00	$27.61–$134.43	—	64%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL LYMPH DRAINAGE	$57.96	$161.00	$27.61–$134.43	—	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WD EXRCS PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 WD EXRCS PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ISOKIN TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 ISOKIN TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 EXERCISE PER 15"	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 BTE TRNG PER 15	$57.24	$159.00	$30.31–$144.05	49% below	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 WD EXRCS PER 15	$57.24	$159.00	$30.31–$144.05	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE PER 15"	$57.24	$159.00	$30.31–$144.05	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 ISOKIN TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BTE TRNG PER 15"	$57.24	$159.00	$30.31–$144.05	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 EXERCISE PER 15	$57.24	$159.00	$30.31–$144.05	—	64%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 BTE TRNG PER 15	$57.24	$159.00	$30.31–$144.05	—	64%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10 MIN	$54.36	$151.00	$12.26–$52.33	27% above	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 4	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 7	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 8	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 8	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 3	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 2	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 2	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 5	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 1	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 5	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 6	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 6	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 7	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 1	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 3	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation CPT 92523 SOUND LANG COMPREHEN LVL 4	$285.66	$793.50	$190.66–$748.73	25% below	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 7	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 6	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 2	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 5	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 8	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 1	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 4	$285.66	$793.50	$190.66–$748.73	—	64%
Speech and language evaluation inpatient CPT 92523 SOUND LANG COMPREHEN LVL 3	$285.66	$793.50	$190.66–$748.73	—	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 45	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 45	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 45	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 30	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 15	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 15	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 60	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 30	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 30	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 60	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 60	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 60	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 SP/LANG TX 45	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 15	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 15	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual CPT 92507 VX PROSTHETIC TRN 30	$154.26	$428.50	$78.04–$357.96	29% below	64%
Speech therapy session, individual inpatient CPT 92507 SP/LANG TX 15	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 VX PROSTHETIC TRN 60	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 VX PROSTHETIC TRN 30	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 SP/LANG TX 60	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 SP/LANG TX 45	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 SP/LANG TX 30	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 VX PROSTHETIC TRN 45	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 VX PROSTHETIC TRN	$154.26	$428.50	$78.04–$357.96	—	64%
Speech therapy session, individual inpatient CPT 92507 VX PROSTHETIC TRN 15	$154.26	$428.50	$78.04–$357.96	—	64%
Spirometry (breathing test) CPT 94010 SPIRO BASE	$356.04	$989.00	$28.58–$574.15	at median	64%
Spirometry before and after a bronchodilator CPT 94060 SPIRO W/BRONCHO	$356.04	$989.00	$49.52–$212.89	40% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC TRNG PER 15"	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 DYNAM ACTIVITIES/15M	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC TRNG PER 15"	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC TRNG PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 CPM APPLY/ADJUST PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 FUNC TRNG PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 DYNAM ACTIVITIES/15M	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 CPM APPLY/ADJUST PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT PER 15	$76.05	$211.25	$35.49–$180.18	32% below	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 DYNAM ACTIVITIES/15M	$76.05	$211.25	$35.49–$180.18	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNC TRNG PER 15	$76.05	$211.25	$35.49–$180.18	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 CPM APPLY/ADJUST PER 15	$76.05	$211.25	$35.49–$180.18	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 FUNC TRNG PER 15"	$76.05	$211.25	$35.49–$180.18	—	64%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACT PER 15	$76.05	$211.25	$35.49–$180.18	—	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$124.29	$345.25	$78.50–$127.57	45% below	64%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$124.29	$345.25	$78.50–$127.57	45% below	64%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Texas	Off list
Hepatitis A vaccine, adult dose CPT 90632 HEP A VACC 720U	$53.10	$147.50	$59.65	71% below	64%
Hepatitis A vaccine, adult dose CPT 90632 HAVRIX ADULT	$107.10	$297.50	$59.65	42% below	64%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACC 20MCG	$98.37	$273.25	$59.71–$70.38	42% below	64%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VACC 20MCG/0.5ML	$52.11	$144.75	$131.10	87% below	64%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VACC 10MCG	$43.29	$120.25	$24.22–$29.90	49% below	64%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B 3 DOSE	$63.54	$176.50	$24.22–$29.90	25% below	64%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 FLU VAC HIGH DOSE QUAD 65YR UP	$23.13	$64.25	$36.32–$53.37	84% below	64%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 INFLUENZA HIGH DOSE INJ 0.5 ML	$31.68	$88.00	$36.32–$69.94	79% below	64%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL	$173.25	$481.25	$292.68–$356.49	51% below	64%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PREVNAR 13 0.5ML VACCINE	$150.39	$417.75	$173.15–$257.99	69% below	64%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VALENT VACCINE	$110.97	$308.25	$288.66	80% below	64%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEMOVAX INJ EACH	$33.21	$92.25	$82.51	87% below	64%
Rabies vaccine, one dose CPT 90675 RABIES VACC HUMAN INJ	$142.11	$394.75	$263.54–$329.99	86% below	64%
Rabies vaccine, one dose CPT 90675 RABAVERT	$445.59	$1,237.75	$263.54–$1,128.22	57% below	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 DIP-TET ADULT	$40.14	$111.50	$21.06–$23.14	63% below	64%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPTHERIA (TD)	$51.03	$141.75	$21.06–$23.14	53% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DTAP VACC >7YRS IM	$80.19	$222.75	$32.05	39% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPTHERIA-PERTUSSIS	$102.33	$284.25	$32.05	22% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTARIX 0.5ML	$104.04	$289.00	$32.05	20% below	64%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 DIPH-PERTUS-TET SYRNG	$106.11	$294.75	$32.05	19% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE INJ ADMIN	$34.47	$95.75	$16.22–$40.88	53% below	64%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN HEP B	$34.47	$95.75	$16.22–$40.88	53% below	64%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 VACC INJ ADM ADDL	$22.86	$63.50	$12.45–$53.83	51% below	64%

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109643-1093810327_ascension-seton_standardcharges.csv