Louis A Weiss Memorial Hospital
Listed in its price file as “Resilience Healthcare Weiss Memorial Hospital LLC”.
Louis A Weiss Memorial Hospital in Chicago, IL publishes cash prices for 357 common procedures listed here, from its own machine-readable price file updated Mar 17, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 285 of 353 procedures and above it for 66. By typical cash price it ranks #22 of 114 Illinois hospitals and #18 of 62 hospitals in the Chicago, IL area, cheapest first. Select a procedure to compare it with other hospitals nearby.
4646 N Marine Dr., Chicago, IL 60640 Collected Sep 23, 2026 Source price file Check a bill from this hospital (773) 878-8700
Acute care hospital For-profit hospital Emergency department CMS star rating 1 of 5 CCN 140082 · CMS hospital register
State law
This state limits hospital bills for lower-income patients
Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o IV Contrast Only | $1,822.18 | $5,359.34 | $180.00–$3,483.57 | 36% below | 66% |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o IV&Oral Contrast | $1,822.18 | $5,359.34 | $180.00–$3,483.57 | 36% below | 66% |
| Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w/ + w/o IV&Oral Contrast BCE | $1,822.18 | $5,359.34 | $180.00–$3,483.57 | 36% below | 66% |
| Abdominal CT scan without and with contrast CPT 74170 WMH CT SCAN ABDOMEN WITH+WITHOUT CON | $1,822.18 | $5,359.34 | $180.00–$3,483.57 | 36% below | 66% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o IV&Oral Contrast BCE | $1,822.18 | $5,359.34 | $3,483.57 | — | 66% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o IV Contrast Only | $1,822.18 | $5,359.34 | $3,483.57 | — | 66% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w/ + w/o IV&Oral Contrast | $1,822.18 | $5,359.34 | $3,483.57 | — | 66% |
| Abdominal CT scan without and with contrast inpatient CPT 74170 WMH CT SCAN ABDOMEN WITH+WITHOUT CON | $1,822.18 | $5,359.34 | $3,483.57 | — | 66% |
| Abdominal X-ray, 2 views CPT 74019 MSI Abdomen/Pelvis BCE | $201.86 | $593.70 | $31.57–$385.91 | 39% below | 66% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views | $201.86 | $593.70 | $31.57–$385.91 | 39% below | 66% |
| Abdominal X-ray, 2 views CPT 74019 XR Abdomen 2 Views BCE | $201.86 | $593.70 | $31.57–$385.91 | 39% below | 66% |
| Abdominal X-ray, 2 views CPT 74019 MSI Abdomen/Pelvis | $201.86 | $593.70 | $31.57–$385.91 | 39% below | 66% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views BCE | $201.86 | $593.70 | $385.91 | — | 66% |
| Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen 2 Views | $201.86 | $593.70 | $385.91 | — | 66% |
| Abdominal X-ray, 2 views inpatient CPT 74019 MSI Abdomen/Pelvis BCE | $201.86 | $593.70 | $385.91 | — | 66% |
| Abdominal X-ray, 2 views inpatient CPT 74019 MSI Abdomen/Pelvis | $201.86 | $593.70 | $385.91 | — | 66% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left BCE | $216.79 | $637.61 | $32.99–$414.45 | 36% below | 66% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Left | $216.79 | $637.61 | $32.99–$414.45 | 36% below | 66% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right | $293.67 | $863.74 | $32.99–$561.43 | 13% below | 66% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle Complete 3+ Views Right BCE | $293.67 | $863.74 | $32.99–$561.43 | 13% below | 66% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left | $216.79 | $637.61 | $414.45 | — | 66% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Left BCE | $216.79 | $637.61 | $414.45 | — | 66% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right | $293.67 | $863.74 | $561.43 | — | 66% |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle Complete 3+ Views Right BCE | $293.67 | $863.74 | $561.43 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat BCE | $266.08 | $782.59 | $122.11–$508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat | $266.08 | $782.59 | $122.11–$508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VASC ANKLE BRACHIAL INDEX BCE | $259.59 | $763.51 | $122.11–$496.28 | 37% below | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Upper Ext Segmental Pressures (ABI) | $266.08 | $782.59 | $122.11–$508.68 | 36% below | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 VASC ARTERIAL STUDY 1-2 LEVEL BCE | $266.08 | $782.59 | $122.11–$508.68 | 36% below | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US Upper Ext Segmental Pressures (ABI) BCE | $266.08 | $782.59 | $122.11–$508.68 | 36% below | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat BCE | $266.08 | $782.59 | $508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 US Segmental Pressures LE 1-2 Lvls Bilat | $266.08 | $782.59 | $508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VASC ANKLE BRACHIAL INDEX BCE | $259.59 | $763.51 | $496.28 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Upper Ext Segmental Pressures (ABI) BCE | $266.08 | $782.59 | $508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 VASC ARTERIAL STUDY 1-2 LEVEL BCE | $266.08 | $782.59 | $508.68 | — | 66% |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US Upper Ext Segmental Pressures (ABI) | $266.08 | $782.59 | $508.68 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Scan Upper Extremity w/o Contrast Right BCE | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Right | $669.01 | $1,967.69 | $107.53–$1,279.00 | 63% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Hand w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Shoulder w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Wrist w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Forearm w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Elbow w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Humerus w/o Contrast Left | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Scan Upper Extremity w/o Contrast Left BCE | $776.48 | $2,283.76 | $107.53–$1,484.44 | 58% below | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Scan Upper Extremity w/o Contrast Right BCE | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Right | $669.01 | $1,967.69 | $1,279.00 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Humerus w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Forearm w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Hand w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Wrist w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Shoulder w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Scan Upper Extremity w/o Contrast Left BCE | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Elbow w/o Contrast Left | $776.48 | $2,283.76 | $1,484.44 | — | 66% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus BCE | $388.93 | $1,143.92 | $94.03–$743.55 | 35% below | 66% |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagus | $388.93 | $1,143.92 | $94.03–$743.55 | 35% below | 66% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus | $388.93 | $1,143.92 | $743.55 | — | 66% |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagus BCE | $388.93 | $1,143.92 | $743.55 | — | 66% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Delay 1 | $1,081.63 | $3,181.27 | $392.45–$2,067.83 | 31% below | 66% |
| Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging Whole Body Delay 1 BCE | $1,081.63 | $3,181.27 | $392.45–$2,067.83 | 31% below | 66% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Delay 1 BCE | $1,081.63 | $3,181.27 | $2,067.83 | — | 66% |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging Whole Body Delay 1 | $1,081.63 | $3,181.27 | $2,067.83 | — | 66% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left BCE | $165.18 | $485.81 | $80.79–$315.78 | 68% below | 66% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right | $165.18 | $485.81 | $80.79–$315.78 | 68% below | 66% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Left | $165.18 | $485.81 | $80.79–$315.78 | 68% below | 66% |
| Breast ultrasound, complete, one breast one side CPT 76641 US Breast Complete Right BCE | $165.18 | $485.81 | $80.79–$315.78 | 68% below | 66% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right BCE | $165.18 | $485.81 | $315.78 | — | 66% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left BCE | $165.18 | $485.81 | $315.78 | — | 66% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Right | $165.18 | $485.81 | $315.78 | — | 66% |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Complete Left | $165.18 | $485.81 | $315.78 | — | 66% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left | $150.76 | $443.40 | $73.74–$288.21 | 66% below | 66% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right | $150.76 | $443.40 | $73.74–$288.21 | 66% below | 66% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Left BCE | $150.76 | $443.40 | $73.74–$288.21 | 66% below | 66% |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Limited Right BCE | $150.76 | $443.40 | $73.74–$288.21 | 66% below | 66% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left | $150.76 | $443.40 | $288.21 | — | 66% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right | $150.76 | $443.40 | $288.21 | — | 66% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Right BCE | $150.76 | $443.40 | $288.21 | — | 66% |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Limited Left BCE | $150.76 | $443.40 | $288.21 | — | 66% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CHI ANGIO ABD/PEL | $1,795.35 | $5,280.43 | $240.00–$3,432.28 | 52% below | 66% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis BCE | $3,039.29 | $8,939.10 | $240.00–$5,810.42 | 18% below | 66% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen and Pelvis | $3,039.29 | $8,939.10 | $240.00–$5,810.42 | 18% below | 66% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CHI ANGIO ABD/PEL | $1,795.35 | $5,280.43 | $3,432.28 | — | 66% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis | $3,039.29 | $8,939.10 | $5,810.42 | — | 66% |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen and Pelvis BCE | $3,039.29 | $8,939.10 | $5,810.42 | — | 66% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head BCE | $1,705.51 | $5,016.22 | $180.00–$3,260.54 | 33% below | 66% |
| CT angiography (CTA) of the head CPT 70496 CT Angio Brain/Head | $1,705.51 | $5,016.22 | $180.00–$3,260.54 | 33% below | 66% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head | $1,705.51 | $5,016.22 | $3,260.54 | — | 66% |
| CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Brain/Head BCE | $1,705.51 | $5,016.22 | $3,260.54 | — | 66% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Head and Neck | $1,705.51 | $5,016.22 | $180.00–$3,260.54 | 34% below | 66% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck | $1,795.35 | $5,280.43 | $180.00–$3,432.28 | 31% below | 66% |
| CT angiography (CTA) of the neck CPT 70498 CHI ANGIO NECK | $1,795.35 | $5,280.43 | $180.00–$3,432.28 | 31% below | 66% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Neck BCE | $1,795.35 | $5,280.43 | $180.00–$3,432.28 | 31% below | 66% |
| CT angiography (CTA) of the neck CPT 70498 CT Angio Chest Abdomen Pelvis | $1,795.35 | $5,280.43 | $180.00–$3,432.28 | 31% below | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Head and Neck | $1,705.51 | $5,016.22 | $3,260.54 | — | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CHI ANGIO NECK | $1,795.35 | $5,280.43 | $3,432.28 | — | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck BCE | $1,795.35 | $5,280.43 | $3,432.28 | — | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck | $1,795.35 | $5,280.43 | $3,432.28 | — | 66% |
| CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Chest Abdomen Pelvis | $1,795.35 | $5,280.43 | $3,432.28 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Head and Neck | $1,705.51 | $5,016.22 | $180.00–$3,260.54 | 42% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CT ANGIOGRAPHY CHEST | $1,936.81 | $5,696.49 | $180.00–$3,702.72 | 34% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Pulmonary | $1,936.81 | $5,696.49 | $180.00–$3,702.72 | 34% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest BCE | $1,936.81 | $5,696.49 | $180.00–$3,702.72 | 34% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest, Abdomen, Pelvis | $1,936.81 | $5,696.49 | $180.00–$3,702.72 | 34% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest | $1,936.81 | $5,696.49 | $180.00–$3,702.72 | 34% below | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Head and Neck | $1,705.51 | $5,016.22 | $3,260.54 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest | $1,936.81 | $5,696.49 | $3,702.72 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Pulmonary | $1,936.81 | $5,696.49 | $3,702.72 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest, Abdomen, Pelvis | $1,936.81 | $5,696.49 | $3,702.72 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest BCE | $1,936.81 | $5,696.49 | $3,702.72 | — | 66% |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CT ANGIOGRAPHY CHEST | $1,936.81 | $5,696.49 | $3,702.72 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Chest/Abd/Pelvis wo IV&Oral Contrast | $897.66 | $2,640.18 | $192.08–$1,716.12 | 75% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelvis w/o IV and Oral Contrast | $2,921.05 | $8,591.31 | $192.08–$5,584.35 | 20% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelvis w/o IV Contrast w/ Oral BCE | $2,921.05 | $8,591.31 | $192.08–$5,584.35 | 20% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abd/Pelvis w/o IV Contrast w/ Oral | $2,921.05 | $8,591.31 | $192.08–$5,584.35 | 20% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CHI ABD/PEL WO CONTRAST | $2,921.05 | $8,591.31 | $192.08–$5,584.35 | 20% below | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Chest/Abd/Pelvis wo IV&Oral Contrast | $897.66 | $2,640.18 | $1,716.12 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd/Pelvis w/o IV Contrast w/ Oral | $2,921.05 | $8,591.31 | $5,584.35 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd/Pelvis w/o IV Contrast w/ Oral BCE | $2,921.05 | $8,591.31 | $5,584.35 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abd/Pelvis w/o IV and Oral Contrast | $2,921.05 | $8,591.31 | $5,584.35 | — | 66% |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CHI ABD/PEL WO CONTRAST | $2,921.05 | $8,591.31 | $5,584.35 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Chest/Abd/Pelvis w/ IV Only | $1,409.16 | $4,144.60 | $240.00–$2,693.99 | 68% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CHI ABD/PEL W/ CONTRAST | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography w/ Contrast | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $3,498.11 | $10,288.56 | $240.00–$6,687.56 | 21% below | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Chest/Abd/Pelvis w/ IV Only | $1,409.16 | $4,144.60 | $2,693.99 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV Contrast Only | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography w/ Contrast | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast BCE | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd/Pelvis w/ IV & Oral Contrast | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT ABDOMEN+PELVIS WITH CONTRAST | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CHI ABD/PEL W/ CONTRAST | $3,498.11 | $10,288.56 | $6,687.56 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Chest/Abd/Pelvis w/ + w/o IV Only | $1,337.14 | $3,932.77 | $240.00–$2,556.30 | 73% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast BCE | $3,482.20 | $10,241.75 | $240.00–$6,657.14 | 30% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CHI ABD/PEL W/WO CONTRAST | $3,482.20 | $10,241.75 | $240.00–$6,657.14 | 30% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast | $3,482.20 | $10,241.75 | $240.00–$6,657.14 | 30% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Urogram | $3,482.20 | $10,241.75 | $240.00–$6,657.14 | 30% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abd/Pelvis w/ + w/o IV Contrast Only | $3,482.20 | $10,241.75 | $240.00–$6,657.14 | 30% below | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Chest/Abd/Pelvis w/ + w/o IV Only | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CHI ABD/PEL W/WO CONTRAST | $3,482.20 | $10,241.75 | $6,657.14 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast BCE | $3,482.20 | $10,241.75 | $6,657.14 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pelvis w/ + w/o IV&Oral Contrast | $3,482.20 | $10,241.75 | $6,657.14 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abd/Pelvis w/ + w/o IV Contrast Only | $3,482.20 | $10,241.75 | $6,657.14 | — | 66% |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Urogram | $3,482.20 | $10,241.75 | $6,657.14 | — | 66% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ IV & Oral Contrast | $1,544.05 | $4,541.33 | $180.00–$2,951.86 | 32% below | 66% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ IV Contrast Only | $1,544.05 | $4,541.33 | $180.00–$2,951.86 | 32% below | 66% |
| CT scan of the abdomen with contrast CPT 74160 CT Abdomen w/ IV & Oral Contrast BCE | $1,544.05 | $4,541.33 | $180.00–$2,951.86 | 32% below | 66% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ IV & Oral Contrast | $1,544.05 | $4,541.33 | $2,951.86 | — | 66% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ IV Contrast Only | $1,544.05 | $4,541.33 | $2,951.86 | — | 66% |
| CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w/ IV & Oral Contrast BCE | $1,544.05 | $4,541.33 | $2,951.86 | — | 66% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o IV and Oral Contrast | $1,449.06 | $4,261.94 | $107.53–$2,770.26 | 24% below | 66% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o IV Contrast w/ Oral BCE | $1,449.06 | $4,261.94 | $107.53–$2,770.26 | 24% below | 66% |
| CT scan of the abdomen without contrast CPT 74150 CT Abdomen w/o IV Contrast w/ Oral | $1,449.06 | $4,261.94 | $107.53–$2,770.26 | 24% below | 66% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o IV Contrast w/ Oral | $1,449.06 | $4,261.94 | $2,770.26 | — | 66% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o IV Contrast w/ Oral BCE | $1,449.06 | $4,261.94 | $2,770.26 | — | 66% |
| CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen w/o IV and Oral Contrast | $1,449.06 | $4,261.94 | $2,770.26 | — | 66% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast | $1,122.21 | $3,300.61 | $107.53–$2,145.40 | 34% below | 66% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial w/o Contrast BCE | $1,122.21 | $3,300.61 | $107.53–$2,145.40 | 34% below | 66% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinus w/o Contrast | $1,122.21 | $3,300.61 | $107.53–$2,145.40 | 34% below | 66% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast | $1,122.21 | $3,300.61 | $2,145.40 | — | 66% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinus w/o Contrast | $1,122.21 | $3,300.61 | $2,145.40 | — | 66% |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial w/o Contrast BCE | $1,122.21 | $3,300.61 | $2,145.40 | — | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast | $1,133.86 | $3,334.88 | $104.99–$2,167.67 | 38% below | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain/Head w/o Contrast BCE | $1,133.86 | $3,334.88 | $104.99–$2,167.67 | 38% below | 66% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,133.86 | $3,334.88 | $104.99–$2,167.67 | 38% below | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast | $1,133.86 | $3,334.88 | $2,167.67 | — | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain/Head w/o Contrast BCE | $1,133.86 | $3,334.88 | $2,167.67 | — | 66% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Brain Stroke Protocol w/o Contrast | $1,133.86 | $3,334.88 | $2,167.67 | — | 66% |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast BCE | $1,236.03 | $3,635.39 | $151.97–$2,363.00 | 36% below | 66% |
| CT scan of the head with contrast CPT 70460 CT Brain/Head w/ Contrast | $1,236.03 | $3,635.39 | $151.97–$2,363.00 | 36% below | 66% |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast | $1,236.03 | $3,635.39 | $2,363.00 | — | 66% |
| CT scan of the head with contrast inpatient CPT 70460 CT Brain/Head w/ Contrast BCE | $1,236.03 | $3,635.39 | $2,363.00 | — | 66% |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast BCE | $1,602.19 | $4,712.32 | $180.00–$3,063.01 | 34% below | 66% |
| CT scan of the head without and with contrast CPT 70470 WMH CT SCAN HEAD WITH+WITHOUT CONTRA | $1,602.19 | $4,712.32 | $180.00–$3,063.01 | 34% below | 66% |
| CT scan of the head without and with contrast CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,602.19 | $4,712.32 | $180.00–$3,063.01 | 34% below | 66% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast | $1,602.19 | $4,712.32 | $3,063.01 | — | 66% |
| CT scan of the head without and with contrast inpatient CPT 70470 WMH CT SCAN HEAD WITH+WITHOUT CONTRA | $1,602.19 | $4,712.32 | $3,063.01 | — | 66% |
| CT scan of the head without and with contrast inpatient CPT 70470 CT Brain/Head w/ + w/o Contrast BCE | $1,602.19 | $4,712.32 | $3,063.01 | — | 66% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast BCE | $904.94 | $2,661.58 | $107.53–$1,730.03 | 59% below | 66% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar w/o Contrast | $904.94 | $2,661.58 | $107.53–$1,730.03 | 59% below | 66% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast BCE | $904.94 | $2,661.58 | $1,730.03 | — | 66% |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar w/o Contrast | $904.94 | $2,661.58 | $1,730.03 | — | 66% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast | $1,410.46 | $4,148.40 | $107.53–$2,696.46 | 39% below | 66% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical w/o Contrast BCE | $1,410.46 | $4,148.40 | $107.53–$2,696.46 | 39% below | 66% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast BCE | $1,410.46 | $4,148.40 | $2,696.46 | — | 66% |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical w/o Contrast | $1,410.46 | $4,148.40 | $2,696.46 | — | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast BCE | $1,559.33 | $4,586.26 | $180.00–$2,981.07 | 28% below | 66% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w/ Contrast | $1,559.33 | $4,586.26 | $180.00–$2,981.07 | 28% below | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast | $1,559.33 | $4,586.26 | $2,981.07 | — | 66% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w/ Contrast BCE | $1,559.33 | $4,586.26 | $2,981.07 | — | 66% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 VASC CAROTID ULTRASOUND BCE | $749.63 | $2,204.80 | $244.41–$1,433.12 | 9% below | 66% |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 VASC CAROTID ULTRASOUND BCE | $749.63 | $2,204.80 | $1,433.12 | — | 66% |
| Chest CT scan without and with contrast CPT 71270 WMH CT SCAN CHEST WITH+WITHOUT CONTR | $1,337.14 | $3,932.77 | $180.00–$2,556.30 | 53% below | 66% |
| Chest CT scan without and with contrast CPT 71270 71270 CT SCAN CHEST WITH+WITHOUT CONTR | $1,337.14 | $3,932.77 | $180.00–$2,556.30 | 53% below | 66% |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w/ + w/o Contrast BCE | $1,337.14 | $3,932.77 | $180.00–$2,556.30 | 53% below | 66% |
| Chest CT scan without and with contrast CPT 71270 CT Chest/Abd/Pelvis w/ w/o IV&Oral Cont | $1,337.14 | $3,932.77 | $180.00–$2,556.30 | 53% below | 66% |
| Chest CT scan without and with contrast CPT 71270 CT Thorax w/ + w/o Contrast | $1,337.14 | $3,932.77 | $180.00–$2,556.30 | 53% below | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 71270 CT SCAN CHEST WITH+WITHOUT CONTR | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 WMH CT SCAN CHEST WITH+WITHOUT CONTR | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Chest/Abd/Pelvis w/ w/o IV&Oral Cont | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w/ + w/o Contrast BCE | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| Chest CT scan without and with contrast inpatient CPT 71270 CT Thorax w/ + w/o Contrast | $1,337.14 | $3,932.77 | $2,556.30 | — | 66% |
| Chest X-ray, 2 views CPT 71046 XR Chest Decubitus Only | $105.59 | $310.55 | $28.22–$201.86 | 66% below | 66% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views BCE | $105.59 | $310.55 | $28.22–$201.86 | 66% below | 66% |
| Chest X-ray, 2 views CPT 71046 XR Chest 2 Views | $105.59 | $310.55 | $28.22–$201.86 | 66% below | 66% |
| Chest X-ray, 2 views CPT 71046 MSI Chest | $105.59 | $310.55 | $28.22–$201.86 | 66% below | 66% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, 2 views inpatient CPT 71046 MSI Chest | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views BCE | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, 2 views inpatient CPT 71046 XR Chest Decubitus Only | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, single view CPT 71045 XR Chest Abdomen Infant | $105.59 | $310.55 | $15.59–$201.86 | 59% below | 66% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal | $105.59 | $310.55 | $15.59–$201.86 | 59% below | 66% |
| Chest X-ray, single view CPT 71045 XR Chest 1 View Frontal BCE | $105.59 | $310.55 | $15.59–$201.86 | 59% below | 66% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest Abdomen Infant | $105.59 | $310.55 | $201.86 | — | 66% |
| Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View Frontal BCE | $105.59 | $310.55 | $201.86 | — | 66% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left | $159.85 | $470.15 | $28.22–$305.60 | 39% below | 66% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right BCE | $159.85 | $470.15 | $28.22–$305.60 | 39% below | 66% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left BCE | $159.85 | $470.15 | $28.22–$305.60 | 39% below | 66% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right | $159.85 | $470.15 | $28.22–$305.60 | 39% below | 66% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left | $159.85 | $470.15 | $305.60 | — | 66% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right | $159.85 | $470.15 | $305.60 | — | 66% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right BCE | $159.85 | $470.15 | $305.60 | — | 66% |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left BCE | $159.85 | $470.15 | $305.60 | — | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete BCE | $239.55 | $704.55 | $107.53–$457.96 | 71% below | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete | $239.55 | $704.55 | $107.53–$457.96 | 71% below | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete BCE | $239.55 | $704.55 | $457.96 | — | 66% |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete | $239.55 | $704.55 | $457.96 | — | 66% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton | $200.84 | $590.72 | $46.53–$383.97 | 58% below | 66% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 BD Bone Density DEXA Axial Skeleton BCE | $200.84 | $590.72 | $46.53–$383.97 | 58% below | 66% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton | $200.84 | $590.72 | $383.97 | — | 66% |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 BD Bone Density DEXA Axial Skeleton BCE | $200.84 | $590.72 | $383.97 | — | 66% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton | $86.69 | $254.97 | $31.90–$165.73 | 63% below | 66% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Bone Density DEXA App Skeleton BCE | $86.69 | $254.97 | $31.90–$165.73 | 63% below | 66% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton BCE | $86.69 | $254.97 | $165.73 | — | 66% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Bone Density DEXA App Skeleton | $86.69 | $254.97 | $165.73 | — | 66% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Level II | $469.20 | $1,380.00 | $140.61–$897.00 | 52% below | 66% |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US OB Fetal Anatomic Survey | $469.20 | $1,380.00 | $140.61–$897.00 | 52% below | 66% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Fetal Anatomic Survey | $469.20 | $1,380.00 | $897.00 | — | 66% |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US OB Level II | $469.20 | $1,380.00 | $897.00 | — | 66% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast BCE | $589.32 | $1,733.29 | $107.53–$1,126.64 | 68% below | 66% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 71250 CT SCAN CHEST WITHOUT CONTRAST | $589.32 | $1,733.29 | $107.53–$1,126.64 | 68% below | 66% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax w/o Contrast | $589.32 | $1,733.29 | $107.53–$1,126.64 | 68% below | 66% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 71250 CT SCAN CHEST WITHOUT CONTRAST | $589.32 | $1,733.29 | $1,126.64 | — | 66% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast | $589.32 | $1,733.29 | $1,126.64 | — | 66% |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax w/o Contrast BCE | $589.32 | $1,733.29 | $1,126.64 | — | 66% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast BCE | $1,409.16 | $4,144.60 | $180.00–$2,693.99 | 41% below | 66% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax w/ Contrast | $1,409.16 | $4,144.60 | $180.00–$2,693.99 | 41% below | 66% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast BCE | $1,409.16 | $4,144.60 | $2,693.99 | — | 66% |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax w/ Contrast | $1,409.16 | $4,144.60 | $2,693.99 | — | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $506.53 | $1,489.79 | $97.03–$968.36 | — | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral BCE | $506.53 | $1,489.79 | $97.03–$968.36 | — | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral | $506.53 | $1,489.79 | $97.03–$968.36 | — | 66% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $506.53 | $1,489.79 | $97.03–$968.36 | — | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat BCE | $506.53 | $1,489.79 | $968.36 | — | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Digital Diagnostic Bilat | $506.53 | $1,489.79 | $968.36 | — | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral BCE | $506.53 | $1,489.79 | $968.36 | — | 66% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Implant Digital Diag Bilateral | $506.53 | $1,489.79 | $968.36 | — | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right | $172.02 | $505.95 | $76.30–$328.87 | 44% below | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left | $172.02 | $505.95 | $76.30–$328.87 | 44% below | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Right BCE | $172.02 | $505.95 | $76.30–$328.87 | 44% below | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Digital Diagnostic Left BCE | $172.02 | $505.95 | $76.30–$328.87 | 44% below | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 WMH DX MAMMO+CAD UNILAT RT | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Right | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 WMH DX MAMMO+CAD UNILAT LT | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Left BCE | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Left | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Implant Digital Diag Right BCE | $388.55 | $1,142.79 | $76.30–$742.81 | 27% above | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right | $172.02 | $505.95 | $328.87 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left | $172.02 | $505.95 | $328.87 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Right BCE | $172.02 | $505.95 | $328.87 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Digital Diagnostic Left BCE | $172.02 | $505.95 | $328.87 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WMH DX MAMMO+CAD UNILAT LT | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Left BCE | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 WMH DX MAMMO+CAD UNILAT RT | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Right BCE | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Left | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Implant Digital Diag Right | $388.55 | $1,142.79 | $742.81 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 VASC DUPLEX LEG ARTERY BILATERAL BCE | $438.12 | $1,288.59 | $214.29–$837.58 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $830.81 | $2,443.56 | $244.41–$1,588.31 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 VASC DUPLEX LEG ARTERY BILATERAL BCE | $438.12 | $1,288.59 | $837.58 | — | 66% |
| Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US Lower Ext Arterial Duplex Bilateral | $830.81 | $2,443.56 | $1,588.31 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $626.72 | $1,843.28 | $244.41–$1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Lower Ext Venous Duplex Bilateral BCE | $626.72 | $1,843.28 | $244.41–$1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral BCE | $626.72 | $1,843.28 | $244.41–$1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $626.72 | $1,843.28 | $244.41–$1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VASC DUPLEX LEG VEIN BILATERAL BCE | $705.92 | $2,076.24 | $244.41–$1,349.56 | — | 66% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 VASC DUPLEX ARM VEIN BILATERAL BCE | $705.92 | $2,076.24 | $244.41–$1,349.56 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral BCE | $626.72 | $1,843.28 | $1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Upper Ext Venous Duplex Bilateral | $626.72 | $1,843.28 | $1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral BCE | $626.72 | $1,843.28 | $1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US Lower Ext Venous Duplex Bilateral | $626.72 | $1,843.28 | $1,198.13 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VASC DUPLEX LEG VEIN BILATERAL BCE | $705.92 | $2,076.24 | $1,349.56 | — | 66% |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 VASC DUPLEX ARM VEIN BILATERAL BCE | $705.92 | $2,076.24 | $1,349.56 | — | 66% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo2D Spectr/Color FLO 93306 BCE | $921.56 | $2,710.46 | $230.52–$1,761.80 | 56% below | 66% |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EKG Charges - EKG -> Echo2D Spectr/Color FLO 93306 | $921.56 | $2,710.46 | $230.52–$1,761.80 | 56% below | 66% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo2D Spectr/Color FLO 93306 BCE | $921.56 | $2,710.46 | $1,761.80 | — | 66% |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EKG Charges - EKG -> Echo2D Spectr/Color FLO 93306 | $921.56 | $2,710.46 | $1,761.80 | — | 66% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left | $184.91 | $543.85 | $27.71–$353.50 | 33% below | 66% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right | $184.91 | $543.85 | $27.71–$353.50 | 33% below | 66% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left BCE | $184.91 | $543.85 | $27.71–$353.50 | 33% below | 66% |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right BCE | $184.91 | $543.85 | $27.71–$353.50 | 33% below | 66% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right BCE | $184.91 | $543.85 | $353.50 | — | 66% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left | $184.91 | $543.85 | $353.50 | — | 66% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right | $184.91 | $543.85 | $353.50 | — | 66% |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left BCE | $184.91 | $543.85 | $353.50 | — | 66% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right | $302.39 | $889.38 | $32.76–$578.10 | 11% below | 66% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left | $302.39 | $889.38 | $32.76–$578.10 | 11% below | 66% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Left BCE | $302.39 | $889.38 | $32.76–$578.10 | 11% below | 66% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow Complete 3+ Views Right BCE | $302.39 | $889.38 | $32.76–$578.10 | 11% below | 66% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left | $302.39 | $889.38 | $578.10 | — | 66% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Left BCE | $302.39 | $889.38 | $578.10 | — | 66% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right | $302.39 | $889.38 | $578.10 | — | 66% |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow Complete 3+ Views Right BCE | $302.39 | $889.38 | $578.10 | — | 66% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast BCE | $1,021.52 | $3,004.47 | $107.53–$1,952.91 | 39% below | 66% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbits Sella w/o Contrast | $1,021.52 | $3,004.47 | $107.53–$1,952.91 | 39% below | 66% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast | $1,021.52 | $3,004.47 | $1,952.91 | — | 66% |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbits Sella w/o Contrast BCE | $1,021.52 | $3,004.47 | $1,952.91 | — | 66% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views | $159.85 | $470.15 | $40.34–$305.60 | 61% below | 66% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones 3+ Views BCE | $159.85 | $470.15 | $40.34–$305.60 | 61% below | 66% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views | $159.85 | $470.15 | $305.60 | — | 66% |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones 3+ Views BCE | $159.85 | $470.15 | $305.60 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 MSI Forearm Right | $126.61 | $372.37 | $25.19–$242.04 | 60% below | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right BCE | $126.61 | $372.37 | $25.19–$242.04 | 60% below | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right | $126.61 | $372.37 | $25.19–$242.04 | 60% below | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left BCE | $158.26 | $465.46 | $25.19–$302.55 | 50% below | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 MSI Forearm Left | $158.26 | $465.46 | $25.19–$302.55 | 50% below | 66% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left | $158.26 | $465.46 | $25.19–$302.55 | 50% below | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right BCE | $126.61 | $372.37 | $242.04 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 MSI Forearm Right | $126.61 | $372.37 | $242.04 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right | $126.61 | $372.37 | $242.04 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left | $158.26 | $465.46 | $302.55 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 MSI Forearm Left | $158.26 | $465.46 | $302.55 | — | 66% |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left BCE | $158.26 | $465.46 | $302.55 | — | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $273.26 | $803.70 | $133.66–$522.41 | 82% below | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging Injection/Scan BCE | $273.26 | $803.70 | $133.66–$522.41 | 82% below | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Injection/Scan BCE | $273.26 | $803.70 | $522.41 | — | 66% |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging Injection/Scan | $273.26 | $803.70 | $522.41 | — | 66% |
| Hand X-ray, 2 views one side CPT 73120 MSI Hand Left | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right BCE | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views one side CPT 73120 MSI Hand Right | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left BCE | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right | $101.55 | $298.67 | $28.72–$194.14 | 64% below | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left | $101.55 | $298.67 | $194.14 | — | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right BCE | $101.55 | $298.67 | $194.14 | — | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 MSI Hand Right | $101.55 | $298.67 | $194.14 | — | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left BCE | $101.55 | $298.67 | $194.14 | — | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 MSI Hand Left | $101.55 | $298.67 | $194.14 | — | 66% |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right | $101.55 | $298.67 | $194.14 | — | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right BCE | $46.01 | $135.31 | $22.50–$110.34 | 81% below | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Right | $46.01 | $135.31 | $22.50–$110.34 | 81% below | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left | $46.01 | $135.31 | $22.50–$110.34 | 81% below | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Left BCE | $46.01 | $135.31 | $22.50–$110.34 | 81% below | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left BCE | $46.01 | $135.31 | $87.95 | — | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Left | $46.01 | $135.31 | $87.95 | — | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right | $46.01 | $135.31 | $87.95 | — | 66% |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Right BCE | $46.01 | $135.31 | $87.95 | — | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Polysomnography 4+ parameters w/PAP 95811 BCE | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 76% below | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters w/PAP 95811 | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 76% below | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 *Sleep Study Charges -> Polysomnography 4+ parameters w/PAP 95811 | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 76% below | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 *Sleep Study Charges -> Polysomnography 4+ parameters w/PAP 95811 | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters w/PAP 95811 | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Polysomnography 4+ parameters w/PAP 95811 BCE | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right | $328.49 | $966.15 | $47.89–$628.00 | 6% below | 66% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right BCE | $328.49 | $966.15 | $47.89–$628.00 | 6% below | 66% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left BCE | $328.53 | $966.27 | $47.89–$628.08 | 6% below | 66% |
| Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left | $328.53 | $966.27 | $47.89–$628.08 | 6% below | 66% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right | $328.49 | $966.15 | $628.00 | — | 66% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right BCE | $328.49 | $966.15 | $628.00 | — | 66% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left BCE | $328.53 | $966.27 | $628.08 | — | 66% |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left | $328.53 | $966.27 | $628.08 | — | 66% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right | $342.30 | $1,006.76 | $41.13–$654.39 | 23% below | 66% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Right BCE | $342.30 | $1,006.76 | $41.13–$654.39 | 23% below | 66% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left | $342.30 | $1,006.76 | $41.13–$654.39 | 23% below | 66% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee Complete 4+ Views Left BCE | $342.30 | $1,006.76 | $41.13–$654.39 | 23% below | 66% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right | $342.30 | $1,006.76 | $654.39 | — | 66% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left BCE | $342.30 | $1,006.76 | $654.39 | — | 66% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Left | $342.30 | $1,006.76 | $654.39 | — | 66% |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee Complete 4+ Views Right BCE | $342.30 | $1,006.76 | $654.39 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Knee w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Femur w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Ankle w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Foot w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Tibia Fibula w/o Contrast Right | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Hip w/o Contrast Left | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Scan Lower Extremity w/o Contrast Left BCE | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Scan Lower Extremity w/o Contrast Right BCE | $901.30 | $2,650.87 | $107.53–$1,723.07 | 50% below | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Scan Lower Extremity w/o Contrast Right BCE | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Tibia Fibula w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Scan Lower Extremity w/o Contrast Left BCE | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Femur w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Knee w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Ankle w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Hip w/o Contrast Left | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Foot w/o Contrast Right | $901.30 | $2,650.87 | $1,723.07 | — | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited | $783.40 | $2,304.12 | $90.46–$1,497.68 | 12% above | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited BCE | $783.40 | $2,304.12 | $90.46–$1,497.68 | 12% above | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited BCE | $783.40 | $2,304.12 | $1,497.68 | — | 66% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited | $783.40 | $2,304.12 | $1,497.68 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Upper Extremity Joint Limited Bilat | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Upper Extremity Soft Tissue Ltd Bilat | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Lower Extremity Soft Tissue Ltd Bilat | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Soft Tissue Ltd Bilat BCE | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Lower Extremity Joint Limited Bilat | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Extremity Joint Limited Bilat BCE | $205.52 | $604.47 | $15.47–$392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Soft Tissue Ltd Left | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Joint Limited Right | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Soft Tissue Ltd Left | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Joint Limited Left | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Soft Tissue Ltd Right | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Joint Limited Left | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Joint Limited Right BCE | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue Ltd Right BCE | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Joint Limited Right | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Joint Limited Left BCE | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Extremity Soft Tissue Ltd Left BCE | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Soft Tissue Ltd Right | $205.52 | $604.47 | $15.47–$392.91 | 33% below | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Upper Extremity Soft Tissue Ltd Bilat | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Lower Extremity Joint Limited Bilat | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Upper Extremity Joint Limited Bilat | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Lower Extremity Soft Tissue Ltd Bilat | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Extremity Joint Limited Bilat BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Extremity Soft Tissue Ltd Bilat BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Joint Limited Right | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Soft Tissue Ltd Right | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Joint Limited Right | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Soft Tissue Ltd Left | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Joint Limited Left | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Joint Limited Left BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Joint Limited Right BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Joint Limited Left | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Soft Tissue Ltd Left | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Soft Tissue Ltd Left BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Extremity Soft Tissue Ltd Right BCE | $205.52 | $604.47 | $392.91 | — | 66% |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Soft Tissue Ltd Right | $205.52 | $604.47 | $392.91 | — | 66% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose for Lung Screening | $202.41 | $595.33 | $99.00–$386.96 | 64% below | 66% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Low Dose for Lung Screening BCE | $202.41 | $595.33 | $99.00–$386.96 | 64% below | 66% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose for Lung Screening | $202.41 | $595.33 | $386.96 | — | 66% |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Low Dose for Lung Screening BCE | $202.41 | $595.33 | $386.96 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right BCE | $166.49 | $489.69 | $29.43–$318.30 | 49% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Right | $166.49 | $489.69 | $29.43–$318.30 | 49% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 MSI Lower Leg Right | $166.49 | $489.69 | $29.43–$318.30 | 49% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left | $179.31 | $527.39 | $29.43–$342.80 | 45% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula Left BCE | $179.31 | $527.39 | $29.43–$342.80 | 45% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 MSI Lower Leg Left | $179.31 | $527.39 | $29.43–$342.80 | 45% below | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right BCE | $166.49 | $489.69 | $318.30 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 MSI Lower Leg Right | $166.49 | $489.69 | $318.30 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Right | $166.49 | $489.69 | $318.30 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left | $179.31 | $527.39 | $342.80 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 MSI Lower Leg Left | $179.31 | $527.39 | $342.80 | — | 66% |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula Left BCE | $179.31 | $527.39 | $342.80 | — | 66% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast | $1,106.69 | $3,254.97 | $244.41–$2,115.73 | 58% below | 66% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA Brain/Head w/o Contrast BCE | $1,106.69 | $3,254.97 | $244.41–$2,115.73 | 58% below | 66% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast | $1,106.69 | $3,254.97 | $2,115.73 | — | 66% |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Brain/Head w/o Contrast BCE | $1,106.69 | $3,254.97 | $2,115.73 | — | 66% |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,062.13 | $3,123.92 | $323.20–$2,030.55 | — | 66% |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w/ + w/o Contrast Bilateral | $1,062.13 | $3,123.92 | $2,030.55 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Right | $1,579.43 | $4,645.37 | $244.41–$3,019.49 | 44% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Right | $1,579.43 | $4,645.37 | $244.41–$3,019.49 | 44% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Right | $1,579.43 | $4,645.37 | $244.41–$3,019.49 | 44% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right BCE | $1,579.43 | $4,645.37 | $244.41–$3,019.49 | 44% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle w/o Contrast Left | $1,870.05 | $5,500.15 | $244.41–$3,575.10 | 33% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left BCE | $1,870.05 | $5,500.15 | $244.41–$3,575.10 | 33% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee w/o Contrast Left | $1,870.05 | $5,500.15 | $244.41–$3,575.10 | 33% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip w/o Contrast Left | $1,870.05 | $5,500.15 | $244.41–$3,575.10 | 33% below | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Right BCE | $1,579.43 | $4,645.37 | $3,019.49 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Right | $1,579.43 | $4,645.37 | $3,019.49 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Right | $1,579.43 | $4,645.37 | $3,019.49 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Right | $1,579.43 | $4,645.37 | $3,019.49 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee w/o Contrast Left | $1,870.05 | $5,500.15 | $3,575.10 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Extremity Joint w/o Contrast Left BCE | $1,870.05 | $5,500.15 | $3,575.10 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip w/o Contrast Left | $1,870.05 | $5,500.15 | $3,575.10 | — | 66% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle w/o Contrast Left | $1,870.05 | $5,500.15 | $3,575.10 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Left BCE | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Right BCE | $1,062.96 | $3,126.35 | $361.11–$2,032.13 | 69% below | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Left | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Left BCE | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Lower Extremity Joint w + w/o Conttast Right BCE | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w/ + w/o Contrast Right | $1,062.96 | $3,126.35 | $2,032.13 | — | 66% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast BCE | $1,307.98 | $3,847.00 | $242.66–$2,500.55 | 53% below | 66% |
| MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast | $1,307.98 | $3,847.00 | $242.66–$2,500.55 | 53% below | 66% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast BCE | $1,307.98 | $3,847.00 | $2,500.55 | — | 66% |
| MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast | $1,307.98 | $3,847.00 | $2,500.55 | — | 66% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast BCE | $684.51 | $2,013.27 | $334.81–$1,308.63 | 82% below | 66% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w/ + w/o Contrast | $684.51 | $2,013.27 | $334.81–$1,308.63 | 82% below | 66% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast | $684.51 | $2,013.27 | $1,308.63 | — | 66% |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w/ + w/o Contrast BCE | $684.51 | $2,013.27 | $1,308.63 | — | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast | $1,399.99 | $4,117.62 | $239.68–$2,676.45 | 50% below | 66% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain w/o Contrast BCE | $1,399.99 | $4,117.62 | $239.68–$2,676.45 | 50% below | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast | $1,399.99 | $4,117.62 | $2,676.45 | — | 66% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain w/o Contrast BCE | $1,399.99 | $4,117.62 | $2,676.45 | — | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast | $2,043.51 | $6,010.32 | $361.11–$3,906.71 | 49% below | 66% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w/ + w/o Contrast BCE | $2,043.51 | $6,010.32 | $361.11–$3,906.71 | 49% below | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast | $2,043.51 | $6,010.32 | $3,906.71 | — | 66% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w/ + w/o Contrast BCE | $2,043.51 | $6,010.32 | $3,906.71 | — | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,425.49 | $4,192.62 | $230.76–$2,725.20 | 51% below | 66% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar w/o Contrast | $1,425.49 | $4,192.62 | $230.76–$2,725.20 | 51% below | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast BCE | $1,425.49 | $4,192.62 | $2,725.20 | — | 66% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar w/o Contrast | $1,425.49 | $4,192.62 | $2,725.20 | — | 66% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $1,951.05 | $5,738.39 | $361.11–$3,729.95 | 52% below | 66% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w/ + w/o Contrast BCE | $1,951.05 | $5,738.39 | $361.11–$3,729.95 | 52% below | 66% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast BCE | $1,951.05 | $5,738.39 | $3,729.95 | — | 66% |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w/ + w/o Contrast | $1,951.05 | $5,738.39 | $3,729.95 | — | 66% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast BCE | $1,381.76 | $4,063.99 | $229.57–$2,641.59 | 52% below | 66% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic w/o Contrast | $1,381.76 | $4,063.99 | $229.57–$2,641.59 | 52% below | 66% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast BCE | $1,381.76 | $4,063.99 | $2,641.59 | — | 66% |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic w/o Contrast | $1,381.76 | $4,063.99 | $2,641.59 | — | 66% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $1,951.05 | $5,738.39 | $361.11–$3,729.95 | 51% below | 66% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w/ + w/o Contrast BCE | $1,951.05 | $5,738.39 | $361.11–$3,729.95 | 51% below | 66% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast | $1,951.05 | $5,738.39 | $3,729.95 | — | 66% |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w/ + w/o Contrast BCE | $1,951.05 | $5,738.39 | $3,729.95 | — | 66% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast | $1,641.81 | $4,828.86 | $229.57–$3,138.76 | 44% below | 66% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical w/o Contrast BCE | $1,641.81 | $4,828.86 | $229.57–$3,138.76 | 44% below | 66% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast BCE | $1,641.81 | $4,828.86 | $3,138.76 | — | 66% |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical w/o Contrast | $1,641.81 | $4,828.86 | $3,138.76 | — | 66% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast | $663.10 | $1,950.29 | $324.33–$1,267.69 | 81% below | 66% |
| MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w/ + w/o Contrast BCE | $663.10 | $1,950.29 | $324.33–$1,267.69 | 81% below | 66% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast | $663.10 | $1,950.29 | $1,267.69 | — | 66% |
| MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w/ + w/o Contrast BCE | $663.10 | $1,950.29 | $1,267.69 | — | 66% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast | $1,185.48 | $3,486.70 | $244.41–$2,266.36 | 56% below | 66% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast BCE | $1,185.48 | $3,486.70 | $244.41–$2,266.36 | 56% below | 66% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast | $1,185.48 | $3,486.70 | $2,266.36 | — | 66% |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast BCE | $1,185.48 | $3,486.70 | $2,266.36 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Left | $1,878.04 | $5,523.66 | $244.41–$3,590.38 | 33% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,878.04 | $5,523.66 | $244.41–$3,590.38 | 33% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Extremity Joint w/o Contrast Left BCE | $1,878.04 | $5,523.66 | $244.41–$3,590.38 | 33% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Left | $1,878.04 | $5,523.66 | $244.41–$3,590.38 | 33% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,958.60 | $5,760.59 | $244.41–$3,744.38 | 30% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist w/o Contrast Right | $1,958.60 | $5,760.59 | $244.41–$3,744.38 | 30% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Extremity Joint w/o Contrast Right BCE | $1,958.60 | $5,760.59 | $244.41–$3,744.38 | 30% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow w/o Contrast Right | $1,958.60 | $5,760.59 | $244.41–$3,744.38 | 30% below | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Extremity Joint w/o Contrast Left BCE | $1,878.04 | $5,523.66 | $3,590.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Left | $1,878.04 | $5,523.66 | $3,590.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Left | $1,878.04 | $5,523.66 | $3,590.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Left | $1,878.04 | $5,523.66 | $3,590.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist w/o Contrast Right | $1,958.60 | $5,760.59 | $3,744.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder w/o Contrast Right | $1,958.60 | $5,760.59 | $3,744.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Extremity Joint w/o Contrast Right BCE | $1,958.60 | $5,760.59 | $3,744.38 | — | 66% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow w/o Contrast Right | $1,958.60 | $5,760.59 | $3,744.38 | — | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views | $356.59 | $1,048.80 | $53.65–$681.72 | 35% below | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views BCE | $356.59 | $1,048.80 | $53.65–$681.72 | 35% below | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views BCE | $356.59 | $1,048.80 | $681.72 | — | 66% |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views | $356.59 | $1,048.80 | $681.72 | — | 66% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast BCE | $1,511.10 | $4,444.41 | $180.00–$2,888.87 | 29% below | 66% |
| Neck soft tissue CT scan with contrast CPT 70491 CT Neck Soft Tissue w/ Contrast | $1,511.10 | $4,444.41 | $180.00–$2,888.87 | 29% below | 66% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast | $1,511.10 | $4,444.41 | $2,888.87 | — | 66% |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Neck Soft Tissue w/ Contrast BCE | $1,511.10 | $4,444.41 | $2,888.87 | — | 66% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast BCE | $1,340.27 | $3,941.96 | $107.53–$2,562.27 | 24% below | 66% |
| Neck soft tissue CT scan without contrast CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,340.27 | $3,941.96 | $107.53–$2,562.27 | 24% below | 66% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast BCE | $1,340.27 | $3,941.96 | $2,562.27 | — | 66% |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Neck Soft Tissue w/o Contrast | $1,340.27 | $3,941.96 | $2,562.27 | — | 66% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue | $117.83 | $346.56 | $28.72–$225.26 | 55% below | 66% |
| Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue BCE | $117.83 | $346.56 | $28.72–$225.26 | 55% below | 66% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue | $117.83 | $346.56 | $225.26 | — | 66% |
| Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue BCE | $117.83 | $346.56 | $225.26 | — | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest and Stress BCE | $2,278.97 | $6,702.85 | $595.18–$4,356.85 | 43% below | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial SPECT Rest and Stress | $2,278.97 | $6,702.85 | $595.18–$4,356.85 | 43% below | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest and Stress BCE | $2,278.97 | $6,702.85 | $4,356.85 | — | 66% |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial SPECT Rest and Stress | $2,278.97 | $6,702.85 | $4,356.85 | — | 66% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Subsequent | $1,724.71 | $5,072.67 | $843.59–$3,297.24 | 71% below | 66% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Initial BCE | $1,724.71 | $5,072.67 | $843.59–$3,297.24 | 71% below | 66% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Initial | $1,724.71 | $5,072.67 | $843.59–$3,297.24 | 71% below | 66% |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET CT Skull Base to Midthigh Subsequent BCE | $1,724.71 | $5,072.67 | $843.59–$3,297.24 | 71% below | 66% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Initial | $1,724.71 | $5,072.67 | $3,297.24 | — | 66% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Subsequent BCE | $1,724.71 | $5,072.67 | $3,297.24 | — | 66% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Initial BCE | $1,724.71 | $5,072.67 | $3,297.24 | — | 66% |
| PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET CT Skull Base to Midthigh Subsequent | $1,724.71 | $5,072.67 | $3,297.24 | — | 66% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast BCE | $867.00 | $2,550.00 | $107.53–$1,657.50 | 54% below | 66% |
| Pelvic CT scan without contrast CPT 72192 CT Pelvis w/o Contrast | $867.00 | $2,550.00 | $107.53–$1,657.50 | 54% below | 66% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast | $867.00 | $2,550.00 | $1,657.50 | — | 66% |
| Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis w/o Contrast BCE | $867.00 | $2,550.00 | $1,657.50 | — | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non-OB Limited TA | $405.33 | $1,192.16 | $41.17–$774.90 | 24% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited Non-OB BCE | $405.33 | $1,192.16 | $41.17–$774.90 | 24% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Limited Non-OB | $405.33 | $1,192.16 | $41.17–$774.90 | 24% below | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited Non-OB | $405.33 | $1,192.16 | $774.90 | — | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non-OB Limited TA | $405.33 | $1,192.16 | $774.90 | — | 66% |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Limited Non-OB BCE | $405.33 | $1,192.16 | $774.90 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB TA Only w/ Duplex Comp | $541.85 | $1,593.67 | $107.53–$1,035.89 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB TA & TV | $542.87 | $1,596.67 | $107.53–$1,037.84 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB Complete TA | $542.87 | $1,596.67 | $107.53–$1,037.84 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete Non-OB | $542.87 | $1,596.67 | $107.53–$1,037.84 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Complete Non-OB BCE | $542.87 | $1,596.67 | $107.53–$1,037.84 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non-OB TA & TV w/ Duplex Comp | $542.87 | $1,596.67 | $107.53–$1,037.84 | 32% below | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB TA Only w/ Duplex Comp | $541.85 | $1,593.67 | $1,035.89 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB TA & TV w/ Duplex Comp | $542.87 | $1,596.67 | $1,037.84 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete Non-OB BCE | $542.87 | $1,596.67 | $1,037.84 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB TA & TV | $542.87 | $1,596.67 | $1,037.84 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non-OB Complete TA | $542.87 | $1,596.67 | $1,037.84 | — | 66% |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Complete Non-OB | $542.87 | $1,596.67 | $1,037.84 | — | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 Weeks Basic Anatomy | $403.68 | $1,187.30 | $107.53–$771.75 | 46% below | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks BCE | $552.89 | $1,626.15 | $107.53–$1,057.00 | 26% below | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Greater Than 14 Weeks | $552.89 | $1,626.15 | $107.53–$1,057.00 | 26% below | 66% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB > 14 weeks TA & TV | $552.89 | $1,626.15 | $107.53–$1,057.00 | 26% below | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 Weeks Basic Anatomy | $403.68 | $1,187.30 | $771.75 | — | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB > 14 weeks TA & TV | $552.89 | $1,626.15 | $1,057.00 | — | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks | $552.89 | $1,626.15 | $1,057.00 | — | 66% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Greater Than 14 Weeks BCE | $552.89 | $1,626.15 | $1,057.00 | — | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks w/ TVS if indicated | $487.77 | $1,434.62 | $107.53–$932.50 | 28% below | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks TA | $487.77 | $1,434.62 | $107.53–$932.50 | 28% below | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks w/ TVS if indicated BCE | $487.77 | $1,434.62 | $107.53–$932.50 | 28% below | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB < 14 weeks TA & TV | $552.89 | $1,626.15 | $107.53–$1,057.00 | 18% below | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks w/ TVS if indicated BCE | $487.77 | $1,434.62 | $932.50 | — | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks w/ TVS if indicated | $487.77 | $1,434.62 | $932.50 | — | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks TA | $487.77 | $1,434.62 | $932.50 | — | 66% |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB < 14 weeks TA & TV | $552.89 | $1,626.15 | $1,057.00 | — | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited BCE | $402.67 | $1,184.32 | $75.71–$769.81 | 23% below | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited | $402.67 | $1,184.32 | $75.71–$769.81 | 23% below | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited BCE | $402.67 | $1,184.32 | $769.81 | — | 66% |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited | $402.67 | $1,184.32 | $769.81 | — | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left | $299.40 | $880.60 | $31.75–$572.39 | 13% below | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left BCE | $299.40 | $880.60 | $31.75–$572.39 | 13% below | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right BCE | $330.83 | $973.04 | $31.75–$632.48 | 4% below | 66% |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right | $330.83 | $973.04 | $31.75–$632.48 | 4% below | 66% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left BCE | $299.40 | $880.60 | $572.39 | — | 66% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left | $299.40 | $880.60 | $572.39 | — | 66% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right | $330.83 | $973.04 | $632.48 | — | 66% |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right BCE | $330.83 | $973.04 | $632.48 | — | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right BCE | $243.82 | $717.12 | $35.29–$466.13 | 50% below | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left BCE | $243.82 | $717.12 | $35.29–$466.13 | 50% below | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Right | $243.82 | $717.12 | $35.29–$466.13 | 50% below | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs w/ PA Chest Left | $243.82 | $717.12 | $35.29–$466.13 | 50% below | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right | $243.82 | $717.12 | $466.13 | — | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Right BCE | $243.82 | $717.12 | $466.13 | — | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left BCE | $243.82 | $717.12 | $466.13 | — | 66% |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs w/ PA Chest Left | $243.82 | $717.12 | $466.13 | — | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $408.85 | $1,202.51 | $80.06–$781.63 | — | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Digital Screening Bilateral | $408.85 | $1,202.51 | $80.06–$781.63 | — | 66% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $408.85 | $1,202.51 | $80.06–$781.63 | — | 66% |
| Screening mammogram, both breasts CPT 77067 MG Mammo Digital Screening BCE | $408.85 | $1,202.51 | $80.06–$781.63 | 49% above | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Digital Screening Right | $408.85 | $1,202.51 | $80.06–$781.63 | 49% above | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Right | $408.85 | $1,202.51 | $80.06–$781.63 | 49% above | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Digital Screening Left | $408.85 | $1,202.51 | $80.06–$781.63 | 49% above | 66% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Implant Digital Screening Left | $408.85 | $1,202.51 | $80.06–$781.63 | 49% above | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Implant Digital Screening Bilat | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Digital Screening Bilateral BCE | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient CPT 77067 MG Mammo Digital Screening BCE | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Digital Screening Left | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Right | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Implant Digital Screening Right | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Digital Screening Left | $408.85 | $1,202.51 | $781.63 | — | 66% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left BCE | $223.17 | $656.37 | $36.38–$426.64 | 38% below | 66% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Left | $223.17 | $656.37 | $36.38–$426.64 | 38% below | 66% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right | $252.15 | $741.63 | $36.38–$482.06 | 30% below | 66% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete 2+ Views Right BCE | $252.15 | $741.63 | $36.38–$482.06 | 30% below | 66% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left | $223.17 | $656.37 | $426.64 | — | 66% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Left BCE | $223.17 | $656.37 | $426.64 | — | 66% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right | $252.15 | $741.63 | $482.06 | — | 66% |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete 2+ Views Right BCE | $252.15 | $741.63 | $482.06 | — | 66% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete BCE | $186.28 | $547.87 | $35.79–$356.12 | 51% below | 66% |
| Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete | $186.28 | $547.87 | $35.79–$356.12 | 51% below | 66% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete BCE | $186.28 | $547.87 | $356.12 | — | 66% |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete | $186.28 | $547.87 | $356.12 | — | 66% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views BCE | $42.81 | $125.90 | $20.94–$135.74 | 86% below | 66% |
| Skull X-ray, fewer than 4 views CPT 70250 MSI Cranium | $42.81 | $125.90 | $20.94–$135.74 | 86% below | 66% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Shunt Series | $42.81 | $125.90 | $20.94–$135.74 | 86% below | 66% |
| Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views | $42.81 | $125.90 | $20.94–$135.74 | 86% below | 66% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Shunt Series | $42.81 | $125.90 | $81.84 | — | 66% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 MSI Cranium | $42.81 | $125.90 | $81.84 | — | 66% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views | $42.81 | $125.90 | $81.84 | — | 66% |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views BCE | $42.81 | $125.90 | $81.84 | — | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 4+ parameters 95810 BCE | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 71% below | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 71% below | 66% |
| Sleep study in a lab (polysomnography) CPT 95810 *Sleep Study Charges -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | $554.07–$2,165.64 | 71% below | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 4+ parameters 95810 BCE | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 *Sleep Study Charges Modifier 52 -> Polysomnography 4+ parameters 95810 | $1,132.80 | $3,331.76 | $2,165.64 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 MSI Upper Leg Left | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Right BCE | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left BCE | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur 2 Views Left | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 MSI Upper Leg Right | $99.85 | $293.69 | $34.01–$190.90 | 65% below | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left | $99.85 | $293.69 | $190.90 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right | $99.85 | $293.69 | $190.90 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Left BCE | $99.85 | $293.69 | $190.90 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur 2 Views Right BCE | $99.85 | $293.69 | $190.90 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 MSI Upper Leg Right | $99.85 | $293.69 | $190.90 | — | 66% |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 MSI Upper Leg Left | $99.85 | $293.69 | $190.90 | — | 66% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast BCE | $388.47 | $1,142.57 | $107.53–$742.67 | 82% below | 66% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic w/o Contrast | $388.47 | $1,142.57 | $107.53–$742.67 | 82% below | 66% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast | $388.47 | $1,142.57 | $742.67 | — | 66% |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic w/o Contrast BCE | $388.47 | $1,142.57 | $742.67 | — | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(2nd Digit) 2+ Views Left | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(1st Digit) 2+ Views Right | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Right BCE | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(5th Digit) 2+ Views Right | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(1st Digit) 2+ Views Left | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(5th Digit) 2+ Views Left | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(3rd Digit) 2+ Views Left | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(3rd Digit) 2+ Views Right | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe 2+ Views Left BCE | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(4th Digit) 2+ Views Left | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(2nd Digit) 2+ Views Right | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views one side CPT 73660 XR Toe(4th Digit) 2+ Views Right | $173.98 | $511.70 | $31.46–$332.61 | 24% below | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(4th Digit) 2+ Views Right | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe 2+ Views Left BCE | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(1st Digit) 2+ Views Left | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(3rd Digit) 2+ Views Right | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(2nd Digit) 2+ Views Right | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(5th Digit) 2+ Views Left | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe 2+ Views Right BCE | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(2nd Digit) 2+ Views Left | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(3rd Digit) 2+ Views Left | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(1st Digit) 2+ Views Right | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(5th Digit) 2+ Views Right | $173.98 | $511.70 | $332.61 | — | 66% |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(4th Digit) 2+ Views Left | $173.98 | $511.70 | $332.61 | — | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB | $396.22 | $1,165.36 | $107.53–$757.48 | 38% below | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non-OB BCE | $396.22 | $1,165.36 | $107.53–$757.48 | 38% below | 66% |
| Transvaginal pelvic ultrasound CPT 76830 CHI TRANSVAGINAL ULTRASOUND | $401.03 | $1,179.49 | $107.53–$766.67 | 37% below | 66% |
| Transvaginal pelvic ultrasound CPT 76830 US Pelvis Non-OB TV Only w/ Duplex Comp | $401.03 | $1,179.49 | $107.53–$766.67 | 37% below | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB BCE | $396.22 | $1,165.36 | $757.48 | — | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non-OB | $396.22 | $1,165.36 | $757.48 | — | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 CHI TRANSVAGINAL ULTRASOUND | $401.03 | $1,179.49 | $766.67 | — | 66% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Pelvis Non-OB TV Only w/ Duplex Comp | $401.03 | $1,179.49 | $766.67 | — | 66% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal BCE | $358.87 | $1,055.49 | $92.60–$686.07 | 32% below | 66% |
| Transvaginal ultrasound during pregnancy CPT 76817 WMH US TRANSVAGINAL PREG EVAL | $358.87 | $1,055.49 | $92.60–$686.07 | 32% below | 66% |
| Transvaginal ultrasound during pregnancy CPT 76817 US OB Transvaginal | $358.87 | $1,055.49 | $92.60–$686.07 | 32% below | 66% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 WMH US TRANSVAGINAL PREG EVAL | $358.87 | $1,055.49 | $686.07 | — | 66% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal BCE | $358.87 | $1,055.49 | $686.07 | — | 66% |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 US OB Transvaginal | $358.87 | $1,055.49 | $686.07 | — | 66% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete BCE | $871.23 | $2,562.44 | $107.53–$1,665.59 | 15% below | 66% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $871.23 | $2,562.44 | $107.53–$1,665.59 | 15% below | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $871.23 | $2,562.44 | $1,665.59 | — | 66% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete BCE | $871.23 | $2,562.44 | $1,665.59 | — | 66% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind BCE | $533.40 | $1,568.83 | $65.80–$1,019.74 | 29% below | 66% |
| Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $533.40 | $1,568.83 | $65.80–$1,019.74 | 29% below | 66% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind | $533.40 | $1,568.83 | $1,019.74 | — | 66% |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents) w/ Doppler if ind BCE | $533.40 | $1,568.83 | $1,019.74 | — | 66% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue | $440.40 | $1,295.28 | $107.53–$841.93 | 35% below | 66% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head/Neck Soft Tissue BCE | $440.40 | $1,295.28 | $107.53–$841.93 | 35% below | 66% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue BCE | $440.40 | $1,295.28 | $841.93 | — | 66% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head/Neck Soft Tissue | $440.40 | $1,295.28 | $841.93 | — | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI + KUB | $181.71 | $534.44 | $88.88–$347.39 | 74% below | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI w/ Small Bowel | $181.71 | $534.44 | $88.88–$347.39 | 74% below | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI | $181.71 | $534.44 | $88.88–$347.39 | 74% below | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI BCE | $181.71 | $534.44 | $88.88–$347.39 | 74% below | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI + KUB | $181.71 | $534.44 | $347.39 | — | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI BCE | $181.71 | $534.44 | $347.39 | — | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI | $181.71 | $534.44 | $347.39 | — | 66% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI w/ Small Bowel | $181.71 | $534.44 | $347.39 | — | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 MSI Upper Arm Right | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left BCE | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right BCE | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 MSI Upper Arm Left | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Left | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Right | $256.97 | $755.78 | $29.73–$491.26 | 13% below | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right BCE | $256.97 | $755.78 | $491.26 | — | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left BCE | $256.97 | $755.78 | $491.26 | — | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Right | $256.97 | $755.78 | $491.26 | — | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Left | $256.97 | $755.78 | $491.26 | — | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 MSI Upper Arm Left | $256.97 | $755.78 | $491.26 | — | 66% |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 MSI Upper Arm Right | $256.97 | $755.78 | $491.26 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left BCE | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Left BCE | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Left | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Lower Ext Venous Duplex Right BCE | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US Upper Ext Venous Duplex Right BCE | $247.48 | $727.89 | $107.53–$473.13 | 65% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VASC DUPLEX ARM VEIN UNILATERAL BCE | $526.93 | $1,549.80 | $107.53–$1,007.37 | 26% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 VASC DUPLEX LEG VEIN UNILATERAL BCE | $526.93 | $1,549.80 | $107.53–$1,007.37 | 26% below | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right BCE | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right BCE | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left BCE | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Left BCE | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Right | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Lower Ext Venous Duplex Right | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US Upper Ext Venous Duplex Left | $247.48 | $727.89 | $473.13 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VASC DUPLEX LEG VEIN UNILATERAL BCE | $526.93 | $1,549.80 | $1,007.37 | — | 66% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 VASC DUPLEX ARM VEIN UNILATERAL BCE | $526.93 | $1,549.80 | $1,007.37 | — | 66% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right | $127.07 | $373.73 | $32.76–$242.92 | 52% below | 66% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left BCE | $127.07 | $373.73 | $32.76–$242.92 | 52% below | 66% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left | $127.07 | $373.73 | $32.76–$242.92 | 52% below | 66% |
| Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right BCE | $127.07 | $373.73 | $32.76–$242.92 | 52% below | 66% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right BCE | $127.07 | $373.73 | $242.92 | — | 66% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left BCE | $127.07 | $373.73 | $242.92 | — | 66% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right | $127.07 | $373.73 | $242.92 | — | 66% |
| Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left | $127.07 | $373.73 | $242.92 | — | 66% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left BCE | $218.60 | $642.94 | $37.81–$417.91 | 33% below | 66% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right | $218.60 | $642.94 | $37.81–$417.91 | 33% below | 66% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Left | $218.60 | $642.94 | $37.81–$417.91 | 33% below | 66% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist Complete 3+ Views Right BCE | $218.60 | $642.94 | $37.81–$417.91 | 33% below | 66% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left BCE | $218.60 | $642.94 | $417.91 | — | 66% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right BCE | $218.60 | $642.94 | $417.91 | — | 66% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Left | $218.60 | $642.94 | $417.91 | — | 66% |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist Complete 3+ Views Right | $218.60 | $642.94 | $417.91 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right | $115.89 | $340.86 | $43.67–$221.56 | 62% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Right BCE | $115.89 | $340.86 | $43.67–$221.56 | 62% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $115.89 | $340.86 | $43.67–$221.56 | 62% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left BCE | $124.82 | $367.11 | $43.67–$238.62 | 59% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views Left | $124.82 | $367.11 | $43.67–$238.62 | 59% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $124.82 | $367.11 | $43.67–$238.62 | 59% below | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right | $115.89 | $340.86 | $221.56 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Right | $115.89 | $340.86 | $221.56 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Right BCE | $115.89 | $340.86 | $221.56 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views w/AP Pelvis Left | $124.82 | $367.11 | $238.62 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left BCE | $124.82 | $367.11 | $238.62 | — | 66% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2-3 Views Left | $124.82 | $367.11 | $238.62 | — | 66% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View | $105.59 | $310.55 | $26.46–$201.86 | 60% below | 66% |
| X-ray of the abdomen, 1 view CPT 74018 XR Abdomen KUB 1 View BCE | $105.59 | $310.55 | $26.46–$201.86 | 60% below | 66% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View BCE | $105.59 | $310.55 | $201.86 | — | 66% |
| X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen KUB 1 View | $105.59 | $310.55 | $201.86 | — | 66% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left | $168.97 | $496.97 | $30.96–$323.03 | 39% below | 66% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right | $168.97 | $496.97 | $30.96–$323.03 | 39% below | 66% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right BCE | $168.97 | $496.97 | $30.96–$323.03 | 39% below | 66% |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left BCE | $168.97 | $496.97 | $30.96–$323.03 | 39% below | 66% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right | $168.97 | $496.97 | $323.03 | — | 66% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left BCE | $168.97 | $496.97 | $323.03 | — | 66% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left | $168.97 | $496.97 | $323.03 | — | 66% |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right BCE | $168.97 | $496.97 | $323.03 | — | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Left | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Left | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Left BCE | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Left | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Left | $176.25 | $518.39 | $45.97–$336.95 | 33% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(1st Digit) 2+ Views Right | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(5th Digit) 2+ Views Right | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(3rd Digit) 2+ Views Right | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(4th Digit) 2+ Views Right | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger 2+ Views Right BCE | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(2nd Digit) 2+ Views Right | $227.32 | $668.58 | $45.97–$434.58 | 13% below | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(4th Digit) 2+ Views Left | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views Left BCE | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(1st Digit) 2+ Views Left | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(5th Digit) 2+ Views Left | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(3rd Digit) 2+ Views Left | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(2nd Digit) 2+ Views Left | $176.25 | $518.39 | $336.95 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(5th Digit) 2+ Views Right | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(3rd Digit) 2+ Views Right | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(4th Digit) 2+ Views Right | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(2nd Digit) 2+ Views Right | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(1st Digit) 2+ Views Right | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger 2+ Views Right BCE | $227.32 | $668.58 | $434.58 | — | 66% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right | $90.18 | $265.23 | $26.89–$172.40 | 67% below | 66% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left BCE | $90.18 | $265.23 | $26.89–$172.40 | 67% below | 66% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right BCE | $90.18 | $265.23 | $26.89–$172.40 | 67% below | 66% |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left | $90.18 | $265.23 | $26.89–$172.40 | 67% below | 66% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left | $90.18 | $265.23 | $172.40 | — | 66% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left BCE | $90.18 | $265.23 | $172.40 | — | 66% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right | $90.18 | $265.23 | $172.40 | — | 66% |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right BCE | $90.18 | $265.23 | $172.40 | — | 66% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left BCE | $254.67 | $749.02 | $30.45–$486.86 | 26% below | 66% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Left | $254.67 | $749.02 | $30.45–$486.86 | 26% below | 66% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right | $255.46 | $751.34 | $30.45–$488.37 | 26% below | 66% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot Complete 3+ Views Right BCE | $255.46 | $751.34 | $30.45–$488.37 | 26% below | 66% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left BCE | $254.67 | $749.02 | $486.86 | — | 66% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Left | $254.67 | $749.02 | $486.86 | — | 66% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right | $255.46 | $751.34 | $488.37 | — | 66% |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot Complete 3+ Views Right BCE | $255.46 | $751.34 | $488.37 | — | 66% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left | $217.76 | $640.47 | $33.27–$416.31 | 37% below | 66% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Left BCE | $217.76 | $640.47 | $33.27–$416.31 | 37% below | 66% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right BCE | $263.93 | $776.26 | $33.27–$504.57 | 23% below | 66% |
| X-ray of the hand, 3 or more views one side CPT 73130 XR Hand Complete 3+ Views Right | $263.93 | $776.26 | $33.27–$504.57 | 23% below | 66% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left BCE | $217.76 | $640.47 | $416.31 | — | 66% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Left | $217.76 | $640.47 | $416.31 | — | 66% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right BCE | $263.93 | $776.26 | $504.57 | — | 66% |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand Complete 3+ Views Right | $263.93 | $776.26 | $504.57 | — | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right | $197.65 | $581.31 | $32.99–$377.85 | 32% below | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Right BCE | $197.65 | $581.31 | $32.99–$377.85 | 32% below | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 WMH XRAY KNEE 1-2 VIEWS RT | $197.65 | $581.31 | $32.99–$377.85 | 32% below | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left BCE | $223.16 | $656.34 | $32.99–$426.62 | 23% below | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 WMH X-RAY KNEE 1-2 VIEWS - LT | $223.16 | $656.34 | $32.99–$426.62 | 23% below | 66% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee 1 or 2 Views Left | $223.16 | $656.34 | $32.99–$426.62 | 23% below | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right | $197.65 | $581.31 | $377.85 | — | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 WMH XRAY KNEE 1-2 VIEWS RT | $197.65 | $581.31 | $377.85 | — | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Right BCE | $197.65 | $581.31 | $377.85 | — | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left | $223.16 | $656.34 | $426.62 | — | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 WMH X-RAY KNEE 1-2 VIEWS - LT | $223.16 | $656.34 | $426.62 | — | 66% |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee 1 or 2 Views Left BCE | $223.16 | $656.34 | $426.62 | — | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views BCE | $238.64 | $701.89 | $34.28–$456.23 | 46% below | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 MSI Lumbar Spine | $238.64 | $701.89 | $34.28–$456.23 | 46% below | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $238.64 | $701.89 | $34.28–$456.23 | 46% below | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 MSI Lumbar Spine | $238.64 | $701.89 | $456.23 | — | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views | $238.64 | $701.89 | $456.23 | — | 66% |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views BCE | $238.64 | $701.89 | $456.23 | — | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $370.72 | $1,090.35 | $60.05–$708.73 | 36% below | 66% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral 4+ Views | $370.72 | $1,090.35 | $60.05–$708.73 | 36% below | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views BCE | $370.72 | $1,090.35 | $708.73 | — | 66% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral 4+ Views | $370.72 | $1,090.35 | $708.73 | — | 66% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views | $243.19 | $715.27 | $32.76–$464.93 | 34% below | 66% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 MSI Thoracic Spine | $243.19 | $715.27 | $32.76–$464.93 | 34% below | 66% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views BCE | $243.19 | $715.27 | $32.76–$464.93 | 34% below | 66% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 MSI Thoracic Spine | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views BCE | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views BCE | $251.40 | $739.41 | $34.78–$480.62 | 16% below | 66% |
| X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones 3+ Views | $251.40 | $739.41 | $34.78–$480.62 | 16% below | 66% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views BCE | $251.40 | $739.41 | $480.62 | — | 66% |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones 3+ Views | $251.40 | $739.41 | $480.62 | — | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views | $243.19 | $715.27 | $31.75–$464.93 | 32% below | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 MSI Cervical Spine | $243.19 | $715.27 | $31.75–$464.93 | 32% below | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views BCE | $243.19 | $715.27 | $31.75–$464.93 | 32% below | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views BCE | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 MSI Cervical Spine | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views | $243.19 | $715.27 | $464.93 | — | 66% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views BCE | $195.79 | $575.85 | $32.08–$374.30 | 43% below | 66% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 MSI Vagina | $195.79 | $575.85 | $32.08–$374.30 | 43% below | 66% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views | $195.79 | $575.85 | $32.08–$374.30 | 43% below | 66% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 MSI Vagina | $195.79 | $575.85 | $374.30 | — | 66% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views BCE | $195.79 | $575.85 | $374.30 | — | 66% |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views | $195.79 | $575.85 | $374.30 | — | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views | $125.70 | $369.71 | $28.22–$240.31 | 63% below | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx 2+ Views BCE | $125.70 | $369.71 | $28.22–$240.31 | 63% below | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views | $125.70 | $369.71 | $240.31 | — | 66% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx 2+ Views BCE | $125.70 | $369.71 | $240.31 | — | 66% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 ACTH, Plasma SO | $65.12 | $191.54 | $30.99–$124.50 | 67% below | 66% |
| ACTH blood test inpatient CPT 82024 ACTH, Plasma SO | $65.12 | $191.54 | $124.50 | — | 66% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 84460 TRANSFERASE ALANINE AMINO | $23.22 | $68.30 | $5.14–$44.40 | 58% below | 66% |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase | $51.40 | $151.17 | $5.14–$98.26 | 7% below | 66% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 84460 TRANSFERASE ALANINE AMINO | $23.22 | $68.30 | $44.40 | — | 66% |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase | $51.40 | $151.17 | $98.26 | — | 66% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase | $51.40 | $151.17 | $5.02–$98.26 | 7% below | 66% |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase | $51.40 | $151.17 | $98.26 | — | 66% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis SO | $196.68 | $578.47 | $38.23–$376.01 | 25% below | 66% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Panel (4) SO | $703.08 | $2,067.87 | $38.23–$1,344.12 | 168% above | 66% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Hepatitis Acute Panel | $703.08 | $2,067.87 | $38.23–$1,344.12 | 168% above | 66% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis SO | $196.68 | $578.47 | $376.01 | — | 66% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Panel (4) SO | $703.08 | $2,067.87 | $1,344.12 | — | 66% |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Hepatitis Acute Panel | $703.08 | $2,067.87 | $1,344.12 | — | 66% |
| Albumin blood test CPT 82040 Albumin SO | $23.22 | $68.30 | $4.80–$44.40 | 46% below | 66% |
| Albumin blood test CPT 82040 Immunoglobulin G,Syn Rate,CSF SO | $23.22 | $68.30 | $4.80–$44.40 | 46% below | 66% |
| Albumin blood test CPT 82040 Albumin Level | $58.39 | $171.73 | $4.80–$111.62 | 36% above | 66% |
| Albumin blood test inpatient CPT 82040 Albumin SO | $23.22 | $68.30 | $44.40 | — | 66% |
| Albumin blood test inpatient CPT 82040 Immunoglobulin G,Syn Rate,CSF SO | $23.22 | $68.30 | $44.40 | — | 66% |
| Albumin blood test inpatient CPT 82040 Albumin Level | $58.39 | $171.73 | $111.62 | — | 66% |
| Aldosterone blood test CPT 82088 Aldosterone LCMS, Serum SO | $80.16 | $235.76 | $32.70–$153.24 | 51% below | 66% |
| Aldosterone blood test inpatient CPT 82088 Aldosterone LCMS, Serum SO | $80.16 | $235.76 | $153.24 | — | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase SO | $23.81 | $70.02 | $5.02–$45.51 | 57% below | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos Isoenzyme SO | $23.81 | $70.02 | $5.02–$45.51 | 57% below | 66% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase | $60.34 | $177.48 | $5.02–$115.36 | 10% above | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos Isoenzyme SO | $23.81 | $70.02 | $45.51 | — | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase SO | $23.81 | $70.02 | $45.51 | — | 66% |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase | $60.34 | $177.48 | $115.36 | — | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 M003-IgE Aspergillus fumigatus SO | $15.94 | $46.88 | $4.19–$30.47 | 42% below | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 86003 ALLERGEN SPECIFIC IGE EACH | $15.94 | $46.88 | $4.19–$30.47 | 42% below | 66% |
| Allergy blood test, specific IgE, per allergen CPT 86003 F017-IgE Hazelnut (Filbert) SO | $15.94 | $46.88 | $4.19–$30.47 | 42% below | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 F017-IgE Hazelnut (Filbert) SO | $15.94 | $46.88 | $30.47 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003-IgE Aspergillus fumigatus SO | $15.94 | $46.88 | $30.47 | — | 66% |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 86003 ALLERGEN SPECIFIC IGE EACH | $15.94 | $46.88 | $30.47 | — | 66% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Open Spina Bifida SO | $156.21 | $459.44 | $13.46–$298.64 | 43% above | 66% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 82105 ALPHA-FETOPROTEIN SERUM | $156.21 | $459.44 | $13.46–$298.64 | 43% above | 66% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 AFP, Serum, Tumor Marker SO | $156.21 | $459.44 | $13.46–$298.64 | 43% above | 66% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Tumor Marker SO | $156.21 | $459.44 | $298.64 | — | 66% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP, Serum, Open Spina Bifida SO | $156.21 | $459.44 | $298.64 | — | 66% |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 82105 ALPHA-FETOPROTEIN SERUM | $156.21 | $459.44 | $298.64 | — | 66% |
| Ammonia blood test CPT 82140 82140 AMMONIA | $73.32 | $215.64 | $11.69–$140.17 | 34% below | 66% |
| Ammonia blood test CPT 82140 Ammonia Level | $88.82 | $261.23 | $11.69–$169.80 | 20% below | 66% |
| Ammonia blood test inpatient CPT 82140 82140 AMMONIA | $73.32 | $215.64 | $140.17 | — | 66% |
| Ammonia blood test inpatient CPT 82140 Ammonia Level | $88.82 | $261.23 | $169.80 | — | 66% |
| Amylase blood test CPT 82150 82150 AMYLASE | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase Level | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase Level Body Fluid | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase Level Urine | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase Level 24 Hour Urine | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase, Body Fluid SO | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test CPT 82150 Amylase Isoenzymes SO | $76.05 | $223.68 | $6.29–$145.39 | 6% below | 66% |
| Amylase blood test inpatient CPT 82150 Amylase Level | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 Amylase Level Body Fluid | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 82150 AMYLASE | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 Amylase Level 24 Hour Urine | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 Amylase Isoenzymes SO | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 Amylase, Body Fluid SO | $76.05 | $223.68 | $145.39 | — | 66% |
| Amylase blood test inpatient CPT 82150 Amylase Level Urine | $76.05 | $223.68 | $145.39 | — | 66% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP Antibodies IgG/IgA SO | $47.38 | $139.34 | $10.39–$90.57 | 44% below | 66% |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP Antibodies IgG/IgA SO | $47.38 | $139.34 | $90.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies, IFA SO | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex SO | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA SO | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA w/Reflex if Positive SO | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibodies Direct SO | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 86038 ANTINUCLEAR ANTIBODIES (ANA) | $115.90 | $340.88 | $9.70–$221.57 | 25% above | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex SO | $115.90 | $340.88 | $221.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA SO | $115.90 | $340.88 | $221.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies Direct SO | $115.90 | $340.88 | $221.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 86038 ANTINUCLEAR ANTIBODIES (ANA) | $115.90 | $340.88 | $221.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibodies, IFA SO | $115.90 | $340.88 | $221.57 | — | 66% |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA w/Reflex if Positive SO | $115.90 | $340.88 | $221.57 | — | 66% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide | $73.81 | $217.10 | $36.10–$141.12 | 61% below | 66% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic Peptide SO | $73.81 | $217.10 | $36.10–$141.12 | 61% below | 66% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide SO | $73.81 | $217.10 | $141.12 | — | 66% |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic Peptide | $73.81 | $217.10 | $141.12 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Respiratory Culture | $75.13 | $220.97 | $8.36–$143.63 | 14% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture Aerobe/Anaerobe SO | $76.42 | $224.75 | $8.36–$146.09 | 13% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture SO | $76.42 | $224.75 | $8.36–$146.09 | 13% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Catheter Tip Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Ear Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bone Marrow Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Eye Culture | $76.88 | $226.11 | $8.36–$146.97 | 12% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture Aer/Ana/GS SO | $81.39 | $239.38 | $8.36–$155.60 | 7% below | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Upper Respiratory Culture SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Lower Respiratory Culture SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 .Sputum Culture 182354 SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Legionella pneumophila/Cult SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 87070 CULTURE NON URINE,BLOOD OR STOOL | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Aerobic Bacterial Culture SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture, Sterile SO | $140.72 | $413.89 | $8.36–$269.03 | 61% above | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Respiratory Culture | $75.13 | $220.97 | $143.63 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture Aerobe/Anaerobe SO | $76.42 | $224.75 | $146.09 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture SO | $76.42 | $224.75 | $146.09 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Eye Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Ear Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bone Marrow Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Catheter Tip Culture | $76.88 | $226.11 | $146.97 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture Aer/Ana/GS SO | $81.39 | $239.38 | $155.60 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Aerobic Bacterial Culture SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Upper Respiratory Culture SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 .Sputum Culture 182354 SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 87070 CULTURE NON URINE,BLOOD OR STOOL | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Lower Respiratory Culture SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture, Sterile SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Legionella pneumophila/Cult SO | $140.72 | $413.89 | $269.03 | — | 66% |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $128.24 | $377.18 | $8.21–$245.17 | at median | 66% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $128.24 | $377.18 | $245.17 | — | 66% |
| Bilirubin blood test, total CPT 82247 Bilirubin Total | $61.95 | $182.20 | $4.87–$118.43 | 1% above | 66% |
| Bilirubin blood test, total CPT 82247 Bili Indirect Neonate | $61.95 | $182.20 | $4.87–$118.43 | 1% above | 66% |
| Bilirubin blood test, total CPT 82247 Bilirubin, Total Body Fluid SO | $61.95 | $182.20 | $4.87–$118.43 | 1% above | 66% |
| Bilirubin blood test, total CPT 82247 Bilirubin Level Cord Blood | $61.95 | $182.20 | $4.87–$118.43 | 1% above | 66% |
| Bilirubin blood test, total CPT 82247 82247 BILIRUBIN TOTAL | $61.95 | $182.20 | $4.87–$118.43 | 1% above | 66% |
| Bilirubin blood test, total inpatient CPT 82247 Bili Indirect Neonate | $61.95 | $182.20 | $118.43 | — | 66% |
| Bilirubin blood test, total inpatient CPT 82247 82247 BILIRUBIN TOTAL | $61.95 | $182.20 | $118.43 | — | 66% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin, Total Body Fluid SO | $61.95 | $182.20 | $118.43 | — | 66% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total | $61.95 | $182.20 | $118.43 | — | 66% |
| Bilirubin blood test, total inpatient CPT 82247 Bilirubin Level Cord Blood | $61.95 | $182.20 | $118.43 | — | 66% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Prostate Ndle Bx 10-20 Specimens | $252.47 | $742.57 | $42.15–$482.67 | 3% above | 66% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity | $417.34 | $1,227.48 | $42.15–$797.86 | 70% above | 66% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Prostate Ndle Bx 10-20 Specimens | $252.47 | $742.57 | $482.67 | — | 66% |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 88305 AP Bill Surgical Pathology Level IV Complexity | $417.34 | $1,227.48 | $797.86 | — | 66% |
| Blood culture for bacteria CPT 87040 Blood Culture, Routine SO | $50.76 | $149.29 | $8.28–$97.04 | 65% below | 66% |
| Blood culture for bacteria CPT 87040 Blood Culture | $96.37 | $283.43 | $8.28–$184.23 | 33% below | 66% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture, Routine SO | $50.76 | $149.29 | $97.04 | — | 66% |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $96.37 | $283.43 | $184.23 | — | 66% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Collection Venous Draw BCE | $18.31 | $53.85 | $8.57–$35.00 | 22% below | 66% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Onc Venipuncture Routine BCE | $18.31 | $53.85 | $8.57–$35.00 | 22% below | 66% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw | $18.31 | $53.85 | $8.57–$35.00 | 22% below | 66% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Onc Venipuncture Routine BCE | $18.31 | $53.85 | $35.00 | — | 66% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Collection Venous Draw BCE | $18.31 | $53.85 | $35.00 | — | 66% |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw | $18.31 | $53.85 | $35.00 | — | 66% |
| Blood glucose (sugar) test CPT 82947 Glucose Fasting | $50.89 | $149.68 | $3.81–$97.29 | 24% above | 66% |
| Blood glucose (sugar) test CPT 82947 Glucose, Plasma SO | $50.89 | $149.68 | $3.81–$97.29 | 24% above | 66% |
| Blood glucose (sugar) test CPT 82947 82947 GLUCOSE;QUANTITATIVE,BLOOD EXC | $50.89 | $149.68 | $3.81–$97.29 | 24% above | 66% |
| Blood glucose (sugar) test CPT 82947 Gluc | $50.89 | $149.68 | $3.81–$97.29 | 24% above | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting | $50.89 | $149.68 | $97.29 | — | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose, Plasma SO | $50.89 | $149.68 | $97.29 | — | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 82947 GLUCOSE;QUANTITATIVE,BLOOD EXC | $50.89 | $149.68 | $97.29 | — | 66% |
| Blood glucose (sugar) test inpatient CPT 82947 Gluc | $50.89 | $149.68 | $97.29 | — | 66% |
| Blood lead test CPT 83655 Lead, Blood (Adult) SO | $58.48 | $171.99 | $11.75–$111.79 | 7% above | 66% |
| Blood lead test CPT 83655 Lead, Blood (Pediatric) SO | $58.48 | $171.99 | $11.75–$111.79 | 7% above | 66% |
| Blood lead test inpatient CPT 83655 Lead, Blood (Pediatric) SO | $58.48 | $171.99 | $111.79 | — | 66% |
| Blood lead test inpatient CPT 83655 Lead, Blood (Adult) SO | $58.48 | $171.99 | $111.79 | — | 66% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCG Qualitative Serum | $88.81 | $261.22 | $7.29–$169.79 | 1% below | 66% |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCG Qualitative Serum | $88.81 | $261.22 | $169.79 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .Post TR ABO/Rh | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 .Post TR ABO/Rh Echo | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 86900 BLOOD TYPING ABO | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Echo | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Cord ABO/Rh | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Bill Only BB ABO Type | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Neonate ABO/Rh | $86.83 | $255.39 | $2.40–$166.00 | 3% above | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .Post TR ABO/Rh | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Bill Only BB ABO Type | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Echo | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 .Post TR ABO/Rh Echo | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 86900 BLOOD TYPING ABO | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Neonate ABO/Rh | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Cord ABO/Rh | $86.83 | $255.39 | $166.00 | — | 66% |
| Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen | $53.29 | $156.74 | $3.83–$101.88 | 10% above | 66% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen (Body Fluid) SO | $53.29 | $156.74 | $3.83–$101.88 | 10% above | 66% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen | $53.29 | $156.74 | $101.88 | — | 66% |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen (Body Fluid) SO | $53.29 | $156.74 | $101.88 | — | 66% |
| C-peptide blood test CPT 84681 C-Peptide, Serum SO | $29.14 | $85.71 | $14.25–$55.71 | 72% below | 66% |
| C-peptide blood test inpatient CPT 84681 C-Peptide, Serum SO | $29.14 | $85.71 | $55.71 | — | 66% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein | $86.33 | $253.90 | $4.15–$165.04 | 22% above | 66% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein | $86.33 | $253.90 | $165.04 | — | 66% |
| C. difficile toxin gene test (stool PCR) CPT 87493 C difficile Toxin Gene NAA SO | $35.99 | $105.84 | $17.60–$68.80 | 80% below | 66% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Clostridium difficile PCR | $94.44 | $277.75 | $28.16–$180.54 | 49% below | 66% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C difficile Toxin Gene NAA SO | $35.99 | $105.84 | $68.80 | — | 66% |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Clostridium difficile PCR | $94.44 | $277.75 | $180.54 | — | 66% |
| CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 SO | $110.67 | $325.49 | $16.71–$211.57 | 1% below | 66% |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 SO | $110.67 | $325.49 | $211.57 | — | 66% |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen (CA) 125 SO | $135.72 | $399.19 | $16.71–$259.47 | 16% below | 66% |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen (CA) 125 SO | $135.72 | $399.19 | $259.47 | — | 66% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS-CoV-2 PCR | $69.70 | $205.00 | $34.09–$133.25 | 40% below | 66% |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS-CoV-2 PCR | $69.70 | $205.00 | $133.25 | — | 66% |
| Calcium blood test, total CPT 82310 Ca+PTH Intact SO | $22.78 | $67.01 | $5.01–$43.56 | 48% below | 66% |
| Calcium blood test, total CPT 82310 Calcium Level Total | $58.39 | $171.73 | $5.01–$111.62 | 33% above | 66% |
| Calcium blood test, total inpatient CPT 82310 Ca+PTH Intact SO | $22.78 | $67.01 | $43.56 | — | 66% |
| Calcium blood test, total inpatient CPT 82310 Calcium Level Total | $58.39 | $171.73 | $111.62 | — | 66% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA SO | $120.69 | $354.97 | $15.22–$230.73 | 16% below | 66% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA, Fluid SO | $120.69 | $354.97 | $15.22–$230.73 | 16% below | 66% |
| Carcinoembryonic antigen (CEA) test CPT 82378 CEA | $184.11 | $541.51 | $15.22–$351.98 | 29% above | 66% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA, Fluid SO | $120.69 | $354.97 | $230.73 | — | 66% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA SO | $120.69 | $354.97 | $230.73 | — | 66% |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA | $184.11 | $541.51 | $351.98 | — | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Antibody IgG | $29.61 | $87.08 | $10.34–$56.60 | 59% below | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Abs, IgG/IgM SO | $29.61 | $87.08 | $10.34–$56.60 | 59% below | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-Zoster V Ab, IgG SO | $29.61 | $87.08 | $10.34–$56.60 | 59% below | 66% |
| Chickenpox (varicella) immunity blood test CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER | $29.61 | $87.08 | $10.34–$56.60 | 59% below | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Abs, IgG/IgM SO | $29.61 | $87.08 | $56.60 | — | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Antibody IgG | $29.61 | $87.08 | $56.60 | — | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella-Zoster V Ab, IgG SO | $29.61 | $87.08 | $56.60 | — | 66% |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 86787 ANTIBODY VARICELLA-ZOSTER | $29.61 | $87.08 | $56.60 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia PCR BCE | $81.26 | $239.00 | $28.16–$155.35 | 34% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia PCR | $81.26 | $239.00 | $28.16–$155.35 | 34% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 .C. trachomatis NAA, Confirm SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC Amplification SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia, Conjunctiva, NAA SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC NAA, Confirmation SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 C. trach NAA Conf 183620 SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 NuSwab Vaginitis Plus (VG+) SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis, NAA SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Ct, Ng, Trich vag by NAA SO | $120.74 | $355.13 | $28.16–$230.83 | 2% below | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia PCR | $81.26 | $239.00 | $155.35 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia PCR BCE | $81.26 | $239.00 | $155.35 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 87491 CHYLMD TRACH DNA AMP PROBE | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 C. trach NAA Conf 183620 SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 .C. trachomatis NAA, Confirm SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia, Conjunctiva, NAA SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 NuSwab Vaginitis Plus (VG+) SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Ct, Ng, Trich vag by NAA SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC NAA, Confirmation SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC Amplification SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis, NAA SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LP SO | $144.44 | $424.81 | $12.99–$276.13 | 15% above | 66% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $144.44 | $424.81 | $12.99–$276.13 | 15% above | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $144.44 | $424.81 | $276.13 | — | 66% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LP SO | $144.44 | $424.81 | $276.13 | — | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC/Diff Ambiguous Default SO | $103.33 | $303.91 | $7.54–$197.54 | 26% above | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC w/ Differential | $103.33 | $303.91 | $7.54–$197.54 | 26% above | 66% |
| Complete blood count (CBC) with differential CPT 85025 CBC With Differential/Platelet SO | $103.33 | $303.91 | $7.54–$197.54 | 26% above | 66% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $103.33 | $303.91 | $7.54–$197.54 | 26% above | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC With Differential/Platelet SO | $103.33 | $303.91 | $197.54 | — | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC w/ Differential | $103.33 | $303.91 | $197.54 | — | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC/Diff Ambiguous Default SO | $103.33 | $303.91 | $197.54 | — | 66% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W/AUTOMATED DIFFERENTIAL | $103.33 | $303.91 | $197.54 | — | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC without Differential | $67.90 | $199.72 | $6.28–$129.82 | 4% above | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC w/ Manual Differential | $67.90 | $199.72 | $6.28–$129.82 | 4% above | 66% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential SO | $67.90 | $199.72 | $6.28–$129.82 | 4% above | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC without Differential | $67.90 | $199.72 | $129.82 | — | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC w/ Manual Differential | $67.90 | $199.72 | $129.82 | — | 66% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential SO | $67.90 | $199.72 | $129.82 | — | 66% |
| Comprehensive metabolic panel (blood test) CPT 80053 Comp. Metabolic Panel (14) SO | $126.49 | $372.02 | $10.24–$241.81 | 18% below | 66% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $176.34 | $518.65 | $10.24–$337.12 | 14% above | 66% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comp. Metabolic Panel (14) SO | $126.49 | $372.02 | $241.81 | — | 66% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $176.34 | $518.65 | $337.12 | — | 66% |
| Cortisol blood test, total CPT 82533 Cortisol Level Pre | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol 30 Minutes | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 82533 CORTISOL TOTAL | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol Level Post | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol AM | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol 60 Minutes | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol, ACTH Stimulation SO | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol PM | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol Baseline Level | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total CPT 82533 Cortisol - AM SO | $56.47 | $166.09 | $13.08–$107.96 | 50% below | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol - AM SO | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 82533 CORTISOL TOTAL | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Level Pre | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol PM | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 60 Minutes | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Baseline Level | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol AM | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol, ACTH Stimulation SO | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol 30 Minutes | $56.47 | $166.09 | $107.96 | — | 66% |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Level Post | $56.47 | $166.09 | $107.96 | — | 66% |
| Creatine kinase (CK) blood test, total CPT 82550 82550 CREATINE KINASE(CK),(CPK) TOTAL | $36.43 | $107.14 | $6.31–$69.64 | 41% below | 66% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase | $69.37 | $204.02 | $6.31–$132.61 | 13% above | 66% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 82550 CREATINE KINASE(CK),(CPK) TOTAL | $36.43 | $107.14 | $69.64 | — | 66% |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase | $69.37 | $204.02 | $132.61 | — | 66% |
| Creatinine blood test CPT 82565 .Creatinine (POCT) | $61.02 | $179.47 | $4.97–$116.66 | 28% above | 66% |
| Creatinine blood test CPT 82565 Creatinine | $61.02 | $179.47 | $4.97–$116.66 | 28% above | 66% |
| Creatinine blood test inpatient CPT 82565 Creatinine | $61.02 | $179.47 | $116.66 | — | 66% |
| Creatinine blood test inpatient CPT 82565 .Creatinine (POCT) | $61.02 | $179.47 | $116.66 | — | 66% |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cytomegalovirus (CMV) Ab, IgG SO | $32.34 | $95.12 | $11.55–$61.83 | 63% below | 66% |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cytomegalovirus (CMV) Ab, IgG SO | $32.34 | $95.12 | $61.83 | — | 66% |
| D-dimer blood test (blood clot marker) CPT 85379 D-Dimer | $77.15 | $226.92 | $8.16–$147.50 | 35% below | 66% |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer | $77.15 | $226.92 | $147.50 | — | 66% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-Sulfate SO | $57.38 | $168.76 | $17.84–$109.69 | 48% below | 66% |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-Sulfate SO | $57.38 | $168.76 | $109.69 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 GHB Screen, S/P SO | $159.46 | $469.00 | $46.69–$304.85 | 59% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol Level | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 733692 9+Oxycodone+Crt-Scr SO | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Acetaminophen Level | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol, Urine SO | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen 10 w/Conf, Serum SO | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Meconium 5 Panel SO | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Salicylate Level | $168.05 | $494.25 | $46.69–$321.26 | 68% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoid Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 PCP Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine, Urine SO | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiate Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Barbiturates Screen Urine | $184.11 | $541.51 | $46.69–$351.98 | 84% above | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GHB Screen, S/P SO | $159.46 | $469.00 | $304.85 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Meconium 5 Panel SO | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Acetaminophen Level | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Salicylate Level | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen 10 w/Conf, Serum SO | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethanol, Urine SO | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 733692 9+Oxycodone+Crt-Scr SO | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol Level | $168.05 | $494.25 | $321.26 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 PCP Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiate Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Barbiturates Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine, Urine SO | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cannabinoid Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Screen Urine | $184.11 | $541.51 | $351.98 | — | 66% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $115.24 | $338.94 | $6.80–$220.31 | 19% above | 66% |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $115.24 | $338.94 | $220.31 | — | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgM SO | $37.35 | $109.86 | $14.56–$71.41 | 65% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 86665 ANTIBODY EPSTEIIN BARR VIRUS VCA | $37.35 | $109.86 | $14.56–$71.41 | 65% below | 66% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 EBV Ab VCA, IgG SO | $37.35 | $109.86 | $14.56–$71.41 | 65% below | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgG SO | $37.35 | $109.86 | $71.41 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV Ab VCA, IgM SO | $37.35 | $109.86 | $71.41 | — | 66% |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 86665 ANTIBODY EPSTEIIN BARR VIRUS VCA | $37.35 | $109.86 | $71.41 | — | 66% |
| Estradiol blood test CPT 82670 82670 ESTRADIOL | $206.08 | $606.11 | $22.42–$393.97 | 93% above | 66% |
| Estradiol blood test CPT 82670 Estradiol SO | $206.08 | $606.11 | $22.42–$393.97 | 93% above | 66% |
| Estradiol blood test CPT 82670 Estradiol, Sensitive SO | $206.08 | $606.11 | $22.42–$393.97 | 93% above | 66% |
| Estradiol blood test inpatient CPT 82670 Estradiol, Sensitive SO | $206.08 | $606.11 | $393.97 | — | 66% |
| Estradiol blood test inpatient CPT 82670 82670 ESTRADIOL | $206.08 | $606.11 | $393.97 | — | 66% |
| Estradiol blood test inpatient CPT 82670 Estradiol SO | $206.08 | $606.11 | $393.97 | — | 66% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH, Serum SO | $188.13 | $553.31 | $18.02–$359.65 | 58% above | 66% |
| FSH (follicle-stimulating hormone) test CPT 83001 FSH and LH SO | $188.13 | $553.31 | $18.02–$359.65 | 58% above | 66% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH and LH SO | $188.13 | $553.31 | $359.65 | — | 66% |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH, Serum SO | $188.13 | $553.31 | $359.65 | — | 66% |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Fecal SO | $42.95 | $126.32 | $15.76–$82.11 | 75% below | 66% |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Fecal SO | $42.95 | $126.32 | $82.11 | — | 66% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin, Serum SO | $132.38 | $389.36 | $10.94–$253.08 | 2% above | 66% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $153.69 | $452.02 | $10.94–$293.81 | 18% above | 66% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin, Serum SO | $132.38 | $389.36 | $253.08 | — | 66% |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $153.69 | $452.02 | $293.81 | — | 66% |
| Fibrinogen blood test CPT 85384 85384 FIBRINOGEN ACTIVITY | $25.50 | $74.99 | $6.82–$48.74 | 70% below | 66% |
| Fibrinogen blood test CPT 85384 Fibrinogen Activity SO | $25.50 | $74.99 | $6.82–$48.74 | 70% below | 66% |
| Fibrinogen blood test CPT 85384 Fibrinogen Level | $95.30 | $280.29 | $6.82–$182.19 | 13% above | 66% |
| Fibrinogen blood test inpatient CPT 85384 85384 FIBRINOGEN ACTIVITY | $25.50 | $74.99 | $48.74 | — | 66% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Activity SO | $25.50 | $74.99 | $48.74 | — | 66% |
| Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level | $95.30 | $280.29 | $182.19 | — | 66% |
| Folate (folic acid) blood test CPT 82746 Vitamin B12 and Folate SO | $53.73 | $158.04 | $11.80–$102.73 | 52% below | 66% |
| Folate (folic acid) blood test CPT 82746 Folate Level | $153.18 | $450.52 | $11.80–$292.84 | 37% above | 66% |
| Folate (folic acid) blood test inpatient CPT 82746 Vitamin B12 and Folate SO | $53.73 | $158.04 | $102.73 | — | 66% |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Level | $153.18 | $450.52 | $292.84 | — | 66% |
| Free T3 thyroid hormone test CPT 84481 T3 Free Dialysis LC/MS-MS SO | $138.00 | $405.88 | $13.60–$263.82 | 14% above | 66% |
| Free T3 thyroid hormone test CPT 84481 Triiodothyronine (T3), Free SO | $138.00 | $405.88 | $13.60–$263.82 | 14% above | 66% |
| Free T3 thyroid hormone test CPT 84481 T3 Free | $138.00 | $405.88 | $13.60–$263.82 | 14% above | 66% |
| Free T3 thyroid hormone test CPT 84481 .T4F+T3Free SO | $138.00 | $405.88 | $13.60–$263.82 | 14% above | 66% |
| Free T3 thyroid hormone test inpatient CPT 84481 .T4F+T3Free SO | $138.00 | $405.88 | $263.82 | — | 66% |
| Free T3 thyroid hormone test inpatient CPT 84481 Triiodothyronine (T3), Free SO | $138.00 | $405.88 | $263.82 | — | 66% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free | $138.00 | $405.88 | $263.82 | — | 66% |
| Free T3 thyroid hormone test inpatient CPT 84481 T3 Free Dialysis LC/MS-MS SO | $138.00 | $405.88 | $263.82 | — | 66% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 TSH+Free T4 SO | $145.95 | $429.27 | $7.23–$279.03 | 26% above | 66% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 84439 THYROXINE FREE | $145.95 | $429.27 | $7.23–$279.03 | 26% above | 66% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 Level | $145.95 | $429.27 | $7.23–$279.03 | 26% above | 66% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (T4) Free Direct SO | $145.95 | $429.27 | $7.23–$279.03 | 26% above | 66% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (T4) Free Direct SO | $145.95 | $429.27 | $279.03 | — | 66% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 84439 THYROXINE FREE | $145.95 | $429.27 | $279.03 | — | 66% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 TSH+Free T4 SO | $145.95 | $429.27 | $279.03 | — | 66% |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 Level | $145.95 | $429.27 | $279.03 | — | 66% |
| Free testosterone test CPT 84402 Testosterone,Free and Total SO | $159.18 | $468.17 | $20.44–$304.31 | 27% above | 66% |
| Free testosterone test inpatient CPT 84402 Testosterone,Free and Total SO | $159.18 | $468.17 | $304.31 | — | 66% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 82977 GLUTAMYLTRANSFERASE GAMMA GGT | $53.29 | $156.74 | $6.98–$101.88 | 8% below | 66% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT SO | $53.29 | $156.74 | $6.98–$101.88 | 8% below | 66% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase | $70.84 | $208.36 | $6.98–$135.43 | 23% above | 66% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 82977 GLUTAMYLTRANSFERASE GAMMA GGT | $53.29 | $156.74 | $101.88 | — | 66% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT SO | $53.29 | $156.74 | $101.88 | — | 66% |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase | $70.84 | $208.36 | $135.43 | — | 66% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel BCE | $168.30 | $495.00 | $35.00–$321.75 | 44% below | 66% |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel BCE | $168.30 | $495.00 | $321.75 | — | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 1 Hour Post Prandial | $28.90 | $85.00 | $4.61–$55.25 | 52% below | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose 2 Hour Post Prandial | $28.90 | $85.00 | $4.61–$55.25 | 52% below | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Gest. Diabetes 1-Hr Screen SO | $28.90 | $85.00 | $4.61–$55.25 | 52% below | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 1 Hour Post Prandial | $28.90 | $85.00 | $55.25 | — | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Gest. Diabetes 1-Hr Screen SO | $28.90 | $85.00 | $55.25 | — | 66% |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose 2 Hour Post Prandial | $28.90 | $85.00 | $55.25 | — | 66% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 1 Hour | $61.02 | $179.47 | $12.48–$116.66 | 55% below | 66% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 3 Hour | $61.02 | $179.47 | $12.48–$116.66 | 55% below | 66% |
| Glucose tolerance test, 3 samples CPT 82951 Bill Only GTT 1st 3 Specimens | $61.02 | $179.47 | $12.48–$116.66 | 55% below | 66% |
| Glucose tolerance test, 3 samples CPT 82951 Gestational Glucose Tolerance SO | $61.02 | $179.47 | $12.48–$116.66 | 55% below | 66% |
| Glucose tolerance test, 3 samples CPT 82951 Glucose 2 Hour | $61.02 | $179.47 | $12.48–$116.66 | 55% below | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Bill Only GTT 1st 3 Specimens | $61.02 | $179.47 | $116.66 | — | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 2 Hour | $61.02 | $179.47 | $116.66 | — | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 3 Hour | $61.02 | $179.47 | $116.66 | — | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Gestational Glucose Tolerance SO | $61.02 | $179.47 | $116.66 | — | 66% |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Glucose 1 Hour | $61.02 | $179.47 | $116.66 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea PCR | $79.79 | $234.67 | $28.16–$152.54 | 34% below | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Gonorrhea PCR BCE | $79.79 | $234.67 | $28.16–$152.54 | 34% below | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 87591 N GONORRHOEAE DNA AMP PROBE | $120.74 | $355.13 | $28.16–$230.83 | at median | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Ct Ng TV HSV by NAA SO | $120.74 | $355.13 | $28.16–$230.83 | at median | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae, NAA SO | $120.74 | $355.13 | $28.16–$230.83 | at median | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. gonorr NAA Conf 183624 SO | $120.74 | $355.13 | $28.16–$230.83 | at median | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea PCR BCE | $79.79 | $234.67 | $152.54 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Gonorrhea PCR | $79.79 | $234.67 | $152.54 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae, NAA SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Ct Ng TV HSV by NAA SO | $120.74 | $355.13 | $230.83 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 87591 N GONORRHOEAE DNA AMP PROBE | $120.74 | $355.13 | $230.83 | — | 66% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. gonorr NAA Conf 183624 SO | $120.74 | $355.13 | $230.83 | — | 66% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgM Ab SO | $58.75 | $172.78 | $11.64–$112.31 | 50% below | 66% |
| H. pylori antibody blood test CPT 86677 H pylori gM IgG IgA Ab SO | $58.75 | $172.78 | $11.64–$112.31 | 50% below | 66% |
| H. pylori antibody blood test CPT 86677 Helicobacter pylori, IgA SO | $58.75 | $172.78 | $11.64–$112.31 | 50% below | 66% |
| H. pylori antibody blood test CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI | $58.75 | $172.78 | $11.64–$112.31 | 50% below | 66% |
| H. pylori antibody blood test CPT 86677 H. pylori, IgG Abs SO | $58.75 | $172.78 | $11.64–$112.31 | 50% below | 66% |
| H. pylori antibody blood test inpatient CPT 86677 H pylori gM IgG IgA Ab SO | $58.75 | $172.78 | $112.31 | — | 66% |
| H. pylori antibody blood test inpatient CPT 86677 H. pylori, IgG Abs SO | $58.75 | $172.78 | $112.31 | — | 66% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgM Ab SO | $58.75 | $172.78 | $112.31 | — | 66% |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter pylori, IgA SO | $58.75 | $172.78 | $112.31 | — | 66% |
| H. pylori antibody blood test inpatient CPT 86677 86677 ANTIBODY HELICOBACTER PYLORI | $58.75 | $172.78 | $112.31 | — | 66% |
| H. pylori stool antigen test CPT 87338 H. pylori Stool Ag, EIA SO | $31.88 | $93.76 | $13.95–$60.94 | 73% below | 66% |
| H. pylori stool antigen test inpatient CPT 87338 H. pylori Stool Ag, EIA SO | $31.88 | $93.76 | $60.94 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Non-Graph) SO | $36.89 | $108.50 | $18.04–$97.69 | 89% below | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNA, Real Time PCR (Graph) SO | $36.89 | $108.50 | $18.04–$97.69 | 89% below | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RealTime Abbott SO | $220.55 | $648.67 | $68.29–$421.64 | 35% below | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 .HIV Qn RNA PCR 551318 SO | $220.83 | $649.50 | $68.29–$422.18 | 35% below | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Non-Graph) SO | $36.89 | $108.50 | $70.53 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNA, Real Time PCR (Graph) SO | $36.89 | $108.50 | $70.53 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RealTime Abbott SO | $220.55 | $648.67 | $421.64 | — | 66% |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 .HIV Qn RNA PCR 551318 SO | $220.83 | $649.50 | $422.18 | — | 66% |
| HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Abs | $127.87 | $376.10 | $13.30–$244.47 | 8% above | 66% |
| HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 Abs | $127.87 | $376.10 | $244.47 | — | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $67.51 | $198.56 | $23.36–$129.06 | 41% below | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV-1/O/2, 4th Generation SO | $67.51 | $198.56 | $23.36–$129.06 | 41% below | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV-1/O/2, 4th Generation SO | $67.51 | $198.56 | $129.06 | — | 66% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV Ag/Ab Combo 1/2 Screen | $67.51 | $198.56 | $129.06 | — | 66% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 HPV HIGH-RISK TYPES | $79.53 | $233.90 | $28.16–$152.04 | 45% below | 66% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV low vol rfx 507405 SO | $79.53 | $233.90 | $28.16–$152.04 | 45% below | 66% |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 87624 AP HPV High Risk Types | $102.66 | $301.94 | $28.16–$196.26 | 29% below | 66% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 HPV HIGH-RISK TYPES | $79.53 | $233.90 | $152.04 | — | 66% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV low vol rfx 507405 SO | $79.53 | $233.90 | $152.04 | — | 66% |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 87624 AP HPV High Risk Types | $102.66 | $301.94 | $196.26 | — | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C | $93.40 | $274.72 | $9.42–$178.57 | 5% above | 66% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C | $93.40 | $274.72 | $178.57 | — | 66% |
| Hemoglobin blood test CPT 85018 Total Hemoglobin | $19.25 | $56.63 | $2.30–$36.81 | 38% below | 66% |
| Hemoglobin blood test CPT 85018 Hemoglobin | $34.42 | $101.23 | $2.30–$65.80 | 10% above | 66% |
| Hemoglobin blood test one side CPT 85018 Co-Ox RT Total Hemoglobin BCE | $19.25 | $56.63 | $2.30–$36.81 | 38% below | 66% |
| Hemoglobin blood test inpatient CPT 85018 Total Hemoglobin | $19.25 | $56.63 | $36.81 | — | 66% |
| Hemoglobin blood test inpatient CPT 85018 Hemoglobin | $34.42 | $101.23 | $65.80 | — | 66% |
| Hemoglobin blood test inpatient one side CPT 85018 Co-Ox RT Total Hemoglobin BCE | $19.25 | $56.63 | $36.81 | — | 66% |
| Hepatitis B core antibody test (total) CPT 86704 Hep B Core Ab, Tot SO | $92.32 | $271.54 | $9.67–$176.50 | 15% above | 66% |
| Hepatitis B core antibody test (total) CPT 86704 86704 HEPATITIS B CORE ANTIBODY | $92.32 | $271.54 | $9.67–$176.50 | 15% above | 66% |
| Hepatitis B core antibody test (total) CPT 86704 HP5 SO | $92.32 | $271.54 | $9.67–$176.50 | 15% above | 66% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 86704 HEPATITIS B CORE ANTIBODY | $92.32 | $271.54 | $176.50 | — | 66% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 HP5 SO | $92.32 | $271.54 | $176.50 | — | 66% |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Ab, Tot SO | $92.32 | $271.54 | $176.50 | — | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody | $103.67 | $304.92 | $8.62–$198.20 | 11% above | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 86706 HEPATITIS B SURFACE AB | $103.67 | $304.92 | $8.62–$198.20 | 11% above | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab SO | $103.67 | $304.92 | $8.62–$198.20 | 11% above | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 86706 HEPATITIS B SURFACE AB | $103.67 | $304.92 | $198.20 | — | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab SO | $103.67 | $304.92 | $198.20 | — | 66% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody | $103.67 | $304.92 | $198.20 | — | 66% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HBsAg Screen SO | $127.73 | $375.69 | $8.29–$244.20 | 45% above | 66% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 87340 HEPATITIS B SURFACE ANTIGEN SCREEN | $127.73 | $375.69 | $8.29–$244.20 | 45% above | 66% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Prenatal Profile I SO | $127.73 | $375.69 | $8.29–$244.20 | 45% above | 66% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBsAg Screen SO | $127.73 | $375.69 | $244.20 | — | 66% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Prenatal Profile I SO | $127.73 | $375.69 | $244.20 | — | 66% |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 87340 HEPATITIS B SURFACE ANTIGEN SCREEN | $127.73 | $375.69 | $244.20 | — | 66% |
| Hepatitis C antibody blood test (screening) CPT 86803 86803 HEPATITIS C ANTIBODY | $129.34 | $380.42 | $13.84–$247.27 | 15% above | 66% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody SO | $129.34 | $380.42 | $13.84–$247.27 | 15% above | 66% |
| Hepatitis C antibody blood test (screening) CPT 86803 HCV Antibody RFX to Qual NAA SO | $129.34 | $380.42 | $13.84–$247.27 | 15% above | 66% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $258.97 | $761.69 | $13.84–$495.10 | 131% above | 66% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 86803 HEPATITIS C ANTIBODY | $129.34 | $380.42 | $247.27 | — | 66% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody SO | $129.34 | $380.42 | $247.27 | — | 66% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCV Antibody RFX to Qual NAA SO | $129.34 | $380.42 | $247.27 | — | 66% |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $258.97 | $761.69 | $495.10 | — | 66% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RealTime Abbott SO | $224.98 | $661.70 | $34.37–$430.11 | 15% below | 66% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HCV RNA by PCR, Qn Rfx Geno SO | $224.98 | $661.70 | $34.37–$430.11 | 15% below | 66% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 55036 SO | $224.98 | $661.70 | $34.37–$430.11 | 15% below | 66% |
| Hepatitis C viral load (HCV RNA) test one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) SO | $224.98 | $661.70 | $34.37–$430.11 | 15% below | 66% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RNA by PCR, Qn Rfx Geno SO | $224.98 | $661.70 | $430.11 | — | 66% |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCV RealTime Abbott SO | $224.98 | $661.70 | $430.11 | — | 66% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 .HCV RT-PCR, Quant (Non-Graph) 55036 SO | $224.98 | $661.70 | $430.11 | — | 66% |
| Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 HCV RT-PCR, Quant (Non-Graph) SO | $224.98 | $661.70 | $430.11 | — | 66% |
| Herpes blood test, HSV-1 antibody CPT 86695 86695 ANTIBODY HERPES SIMPLEX TYPE 1 | $301.40 | $886.46 | $10.58–$576.20 | 347% above | 66% |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 86695 ANTIBODY HERPES SIMPLEX TYPE 1 | $301.40 | $886.46 | $576.20 | — | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2 Ab, IgG SO | $46.36 | $136.34 | $15.54–$88.62 | 48% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Ab, IgG SO | $52.46 | $154.29 | $15.54–$100.29 | 41% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 .HSV-2 IgG Supplemental 163006 SO | $58.30 | $171.48 | $15.54–$111.46 | 35% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2-Spec Ab, IgG w/Rfx SO | $58.30 | $171.48 | $15.54–$111.46 | 35% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx SO | $58.30 | $171.48 | $15.54–$111.46 | 35% below | 66% |
| Herpes blood test, HSV-2 antibody CPT 86696 HSV 1 and 2 IgM Abs, Indirect SO | $58.30 | $171.48 | $15.54–$111.46 | 35% below | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2 Ab, IgG SO | $46.36 | $136.34 | $88.62 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Ab, IgG SO | $52.46 | $154.29 | $100.29 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2 IgM Abs, Indirect SO | $58.30 | $171.48 | $111.46 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 Type Spec Ab, IgG w/Rflx SO | $58.30 | $171.48 | $111.46 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV-2 IgG Supplemental 163006 SO | $58.30 | $171.48 | $111.46 | — | 66% |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV 1 and 2-Spec Ab, IgG w/Rfx SO | $58.30 | $171.48 | $111.46 | — | 66% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-Reactive Protein, Cardiac SO | $24.45 | $71.92 | $10.39–$46.75 | 74% below | 66% |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C-Reactive Protein, Cardiac SO | $24.45 | $71.92 | $46.75 | — | 66% |
| Homocysteine blood test CPT 83090 Homocyst(e)ine SO | $86.54 | $254.53 | $13.54–$165.44 | 28% below | 66% |
| Homocysteine blood test inpatient CPT 83090 Homocyst(e)ine SO | $86.54 | $254.53 | $165.44 | — | 66% |
| Insulin blood test CPT 83525 Insulin SO | $35.08 | $103.18 | $9.17–$67.07 | 52% below | 66% |
| Insulin blood test CPT 83525 Free and Total Insulin SO | $35.08 | $103.18 | $9.17–$67.07 | 52% below | 66% |
| Insulin blood test inpatient CPT 83525 Free and Total Insulin SO | $35.08 | $103.18 | $67.07 | — | 66% |
| Insulin blood test inpatient CPT 83525 Insulin SO | $35.08 | $103.18 | $67.07 | — | 66% |
| Iron blood test (serum iron) CPT 83540 Iron Level | $101.28 | $297.87 | $5.19–$193.62 | 31% above | 66% |
| Iron blood test (serum iron) inpatient CPT 83540 Iron Level | $101.28 | $297.87 | $193.62 | — | 66% |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $104.47 | $307.27 | $7.01–$199.73 | 33% above | 66% |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $104.47 | $307.27 | $199.73 | — | 66% |
| Kidney function blood test panel CPT 80069 Renal Panel (10) SO | $42.81 | $125.90 | $8.42–$81.84 | 71% below | 66% |
| Kidney function blood test panel CPT 80069 Renal Pnl | $274.94 | $808.64 | $8.42–$525.62 | 85% above | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Panel (10) SO | $42.81 | $125.90 | $81.84 | — | 66% |
| Kidney function blood test panel inpatient CPT 80069 Renal Pnl | $274.94 | $808.64 | $525.62 | — | 66% |
| LH (luteinizing hormone) test CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE LH | $108.86 | $320.17 | $17.96–$208.11 | 5% below | 66% |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone(LH), S SO | $108.86 | $320.17 | $17.96–$208.11 | 5% below | 66% |
| LH (luteinizing hormone) test inpatient CPT 83002 83002 GONADOTROPIN LUTEINIZING HORMONE LH | $108.86 | $320.17 | $208.11 | — | 66% |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone(LH), S SO | $108.86 | $320.17 | $208.11 | — | 66% |
| Lactate (lactic acid) blood test CPT 83605 .Lactic Acid (POCT) | $30.51 | $89.74 | $11.22–$58.33 | 66% below | 66% |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level | $30.51 | $89.74 | $11.22–$58.33 | 66% below | 66% |
| Lactate (lactic acid) blood test inpatient CPT 83605 .Lactic Acid (POCT) | $30.51 | $89.74 | $58.33 | — | 66% |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Level | $30.51 | $89.74 | $58.33 | — | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD Isoenzymes SO | $71.07 | $209.02 | $4.84–$135.86 | 32% above | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase | $71.07 | $209.02 | $4.84–$135.86 | 32% above | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LD, Body Fluid SO | $71.07 | $209.02 | $4.84–$135.86 | 32% above | 66% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 LDH SO | $71.07 | $209.02 | $4.84–$135.86 | 32% above | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD, Body Fluid SO | $71.07 | $209.02 | $135.86 | — | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase | $71.07 | $209.02 | $135.86 | — | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH SO | $71.07 | $209.02 | $135.86 | — | 66% |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LD Isoenzymes SO | $71.07 | $209.02 | $135.86 | — | 66% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level | $88.31 | $259.74 | $5.53–$168.83 | 1% below | 66% |
| Lipase blood test (pancreas enzyme) CPT 83690 Amy+Lipase SO | $88.31 | $259.74 | $5.53–$168.83 | 1% below | 66% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Amy+Lipase SO | $88.31 | $259.74 | $168.83 | — | 66% |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level | $88.31 | $259.74 | $168.83 | — | 66% |
| Liver function blood test panel CPT 80076 Liver Fibrosis Risk Profile SO | $286.36 | $842.23 | $6.56–$547.45 | 107% above | 66% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $286.36 | $842.23 | $6.56–$547.45 | 107% above | 66% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $286.36 | $842.23 | $547.45 | — | 66% |
| Liver function blood test panel inpatient CPT 80076 Liver Fibrosis Risk Profile SO | $286.36 | $842.23 | $547.45 | — | 66% |
| Lyme disease antibody test CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME | $49.18 | $144.66 | $16.52–$94.03 | 32% below | 66% |
| Lyme disease antibody test CPT 86618 Lyme, IgM, Early Test/Reflex SO | $49.18 | $144.66 | $16.52–$94.03 | 32% below | 66% |
| Lyme disease antibody test CPT 86618 Lyme, Total Ab Test/Reflex SO | $49.18 | $144.66 | $16.52–$94.03 | 32% below | 66% |
| Lyme disease antibody test CPT 86618 Lyme Antibody/Line Blot Reflex SO | $49.18 | $144.66 | $16.52–$94.03 | 32% below | 66% |
| Lyme disease antibody test inpatient CPT 86618 Lyme, IgM, Early Test/Reflex SO | $49.18 | $144.66 | $94.03 | — | 66% |
| Lyme disease antibody test inpatient CPT 86618 Lyme Antibody/Line Blot Reflex SO | $49.18 | $144.66 | $94.03 | — | 66% |
| Lyme disease antibody test inpatient CPT 86618 86618 ANTIBODY BORRELIA BURGDORFERI LYME | $49.18 | $144.66 | $94.03 | — | 66% |
| Lyme disease antibody test inpatient CPT 86618 Lyme, Total Ab Test/Reflex SO | $49.18 | $144.66 | $94.03 | — | 66% |
| Magnesium blood test CPT 83735 83735 MAGNESIUM | $23.27 | $68.45 | $6.50–$44.49 | 66% below | 66% |
| Magnesium blood test CPT 83735 Magnesium Level | $43.42 | $127.70 | $6.50–$83.01 | 36% below | 66% |
| Magnesium blood test inpatient CPT 83735 83735 MAGNESIUM | $23.27 | $68.45 | $44.49 | — | 66% |
| Magnesium blood test inpatient CPT 83735 Magnesium Level | $43.42 | $127.70 | $83.01 | — | 66% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibodies, IgG SO | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 RubeoAb(IgG/IgM) SO | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 Measles IgG Antibody | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 Measles Antibodies, IgM SO | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 86765 ANTIBODY RUBEOLA | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test CPT 86765 Measles/Mumps/Rubella Immunity SO | $32.34 | $95.12 | $10.34–$61.83 | 57% below | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles IgG Antibody | $32.34 | $95.12 | $61.83 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 86765 ANTIBODY RUBEOLA | $32.34 | $95.12 | $61.83 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 RubeoAb(IgG/IgM) SO | $32.34 | $95.12 | $61.83 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibodies, IgG SO | $32.34 | $95.12 | $61.83 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles Antibodies, IgM SO | $32.34 | $95.12 | $61.83 | — | 66% |
| Measles (rubeola) antibody test inpatient CPT 86765 Measles/Mumps/Rubella Immunity SO | $32.34 | $95.12 | $61.83 | — | 66% |
| Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen | $91.31 | $268.56 | $5.02–$174.56 | 19% above | 66% |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen | $91.31 | $268.56 | $174.56 | — | 66% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies, IgM SO | $46.45 | $136.62 | $10.47–$88.80 | 38% below | 66% |
| Mumps immunity blood test CPT 86735 Mumps Antibody IgG | $46.45 | $136.62 | $10.47–$88.80 | 38% below | 66% |
| Mumps immunity blood test CPT 86735 Mumps Antibodies, IgG SO | $46.45 | $136.62 | $10.47–$88.80 | 38% below | 66% |
| Mumps immunity blood test CPT 86735 86735 ANTIBODY MUMPS | $46.45 | $136.62 | $10.47–$88.80 | 38% below | 66% |
| Mumps immunity blood test inpatient CPT 86735 86735 ANTIBODY MUMPS | $46.45 | $136.62 | $88.80 | — | 66% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibody IgG | $46.45 | $136.62 | $88.80 | — | 66% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgM SO | $46.45 | $136.62 | $88.80 | — | 66% |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibodies, IgG SO | $46.45 | $136.62 | $88.80 | — | 66% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $57.38 | $168.76 | $14.76–$109.69 | 41% below | 66% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA COMPLEXED DIRECT FREE | $57.38 | $168.76 | $109.69 | — | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total+% Free SO | $127.98 | $376.40 | $14.76–$244.66 | 13% above | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum SO | $127.98 | $376.40 | $14.76–$244.66 | 13% above | 66% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen | $127.98 | $376.40 | $14.76–$244.66 | 13% above | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total+% Free SO | $127.98 | $376.40 | $244.66 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum SO | $127.98 | $376.40 | $244.66 | — | 66% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen | $127.98 | $376.40 | $244.66 | — | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, Aptima HPV SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP,CtNgTv,Apt HPV SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP, CtNg, Aptima HPV SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG, Ct-Ng HSV 1/2 NAA SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 IGP,HPV rfxE6/E7QSURE SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) CPT 88175 Pap IG (Image Guided) SO | $57.29 | $168.50 | $21.26–$109.53 | 57% below | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,CtNgTv,Apt HPV SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG, Ct-Ng HSV 1/2 NAA SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP,HPV rfxE6/E7QSURE SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG, Ct-Ng SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, Aptima HPV SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pap IG (Image Guided) SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 IGP, CtNg, Aptima HPV SO | $57.29 | $168.50 | $109.53 | — | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $24.05 | $70.73 | $11.76–$45.97 | 79% below | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .Change IG Pap to LB Pap 192555 SO | $53.04 | $156.00 | $16.26–$101.40 | 53% below | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 88142 AP Bill Gyn Cytology Liquid Prep | $24.05 | $70.73 | $45.97 | — | 66% |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .Change IG Pap to LB Pap 192555 SO | $53.04 | $156.00 | $101.40 | — | 66% |
| Parathyroid hormone (PTH) blood test CPT 83970 83970 PARATHORMONE (PARATHYROID HORMONE) | $155.75 | $458.08 | $33.12–$297.75 | 31% below | 66% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative | $155.75 | $458.08 | $33.12–$297.75 | 31% below | 66% |
| Parathyroid hormone (PTH) blood test CPT 83970 PTH, Intact SO | $155.75 | $458.08 | $33.12–$297.75 | 31% below | 66% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH, Intact SO | $155.75 | $458.08 | $297.75 | — | 66% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 83970 PARATHORMONE (PARATHYROID HORMONE) | $155.75 | $458.08 | $297.75 | — | 66% |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone Intact Intraoperative/Post Operative | $155.75 | $458.08 | $297.75 | — | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Heparin Check PTT | $50.76 | $149.29 | $5.83–$97.04 | 22% below | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT, Activated SO | $50.76 | $149.29 | $5.83–$97.04 | 22% below | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 aPTT Mixing Studies SO | $50.76 | $149.29 | $5.83–$97.04 | 22% below | 66% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time | $66.86 | $196.64 | $5.83–$127.82 | 3% above | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Heparin Check PTT | $50.76 | $149.29 | $97.04 | — | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 aPTT Mixing Studies SO | $50.76 | $149.29 | $97.04 | — | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT, Activated SO | $50.76 | $149.29 | $97.04 | — | 66% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time | $66.86 | $196.64 | $127.82 | — | 66% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level | $58.77 | $172.84 | $3.80–$112.35 | at median | 66% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus SO | $58.77 | $172.84 | $3.80–$112.35 | at median | 66% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus SO | $58.77 | $172.84 | $112.35 | — | 66% |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level | $58.77 | $172.84 | $112.35 | — | 66% |
| Potassium blood test CPT 84132 Potassium Level | $52.39 | $154.08 | $4.62–$100.15 | 21% above | 66% |
| Potassium blood test inpatient CPT 84132 Potassium Level | $52.39 | $154.08 | $100.15 | — | 66% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 MaterniT21 PLUS Core+SCA SO | $805.42 | $2,368.88 | $393.94–$1,539.77 | 8% below | 66% |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 MaterniT21 PLUS Core+SCA SO | $805.42 | $2,368.88 | $1,539.77 | — | 66% |
| Progesterone blood test CPT 84144 Progesterone SO | $125.70 | $369.71 | $16.74–$240.31 | 10% below | 66% |
| Progesterone blood test inpatient CPT 84144 Progesterone SO | $125.70 | $369.71 | $240.31 | — | 66% |
| Prolactin blood test CPT 84146 Prolactin SO | $104.75 | $308.09 | $15.55–$200.26 | 18% below | 66% |
| Prolactin blood test inpatient CPT 84146 Prolactin SO | $104.75 | $308.09 | $200.26 | — | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Heparin Check PT/INR | $49.48 | $145.52 | $4.16–$94.59 | 18% above | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | $4.16–$94.59 | 18% above | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time (PT) SO | $49.48 | $145.52 | $4.16–$94.59 | 18% above | 66% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $49.48 | $145.52 | $4.16–$94.59 | 18% above | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time (PT) SO | $49.48 | $145.52 | $94.59 | — | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Heparin Check PT/INR | $49.48 | $145.52 | $94.59 | — | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time and INR | $49.48 | $145.52 | $94.59 | — | 66% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $49.48 | $145.52 | $94.59 | — | 66% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen | $29.27 | $86.08 | $14.32–$55.95 | 59% below | 66% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen | $29.27 | $86.08 | $14.32–$55.95 | 59% below | 66% |
| Rapid flu test (influenza antigen) CPT 87804 Influenza A and B Antigens BCE | $29.27 | $86.08 | $14.32–$55.95 | 59% below | 66% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen | $29.27 | $86.08 | $55.95 | — | 66% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen | $29.27 | $86.08 | $55.95 | — | 66% |
| Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A and B Antigens BCE | $29.27 | $86.08 | $55.95 | — | 66% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Rapid Strep A Antigen | $82.96 | $244.00 | $14.55–$158.60 | 37% above | 66% |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Rapid Strep A Antigen | $82.96 | $244.00 | $158.60 | — | 66% |
| Renin blood test CPT 84244 Renin Activity, Plasma SO | $57.38 | $168.76 | $17.65–$109.69 | 50% below | 66% |
| Renin blood test inpatient CPT 84244 Renin Activity, Plasma SO | $57.38 | $168.76 | $109.69 | — | 66% |
| Rh blood typing CPT 86901 Rh Typing | $36.46 | $107.24 | $2.40–$69.71 | 47% below | 66% |
| Rh blood typing CPT 86901 Bill Only BB Rh Type | $36.46 | $107.24 | $2.40–$69.71 | 47% below | 66% |
| Rh blood typing CPT 86901 86901 BLOOD TYPING RH (D) | $36.46 | $107.24 | $2.40–$69.71 | 47% below | 66% |
| Rh blood typing inpatient CPT 86901 Rh Typing | $36.46 | $107.24 | $69.71 | — | 66% |
| Rh blood typing inpatient CPT 86901 86901 BLOOD TYPING RH (D) | $36.46 | $107.24 | $69.71 | — | 66% |
| Rh blood typing inpatient CPT 86901 Bill Only BB Rh Type | $36.46 | $107.24 | $69.71 | — | 66% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Arthritis Factor SO | $69.67 | $204.92 | $4.55–$133.20 | 11% above | 66% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor | $69.67 | $204.92 | $4.55–$133.20 | 11% above | 66% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Arthritis Factor SO | $69.67 | $204.92 | $133.20 | — | 66% |
| Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor | $69.67 | $204.92 | $133.20 | — | 66% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgM SO | $87.72 | $258.00 | $11.55–$167.70 | 17% above | 66% |
| Rubella antibody test (immunity check) CPT 86762 Rubella Antibodies, IgG SO | $87.72 | $258.00 | $11.55–$167.70 | 17% above | 66% |
| Rubella antibody test (immunity check) CPT 86762 Rubella IgG Antibody | $87.72 | $258.00 | $11.55–$167.70 | 17% above | 66% |
| Rubella antibody test (immunity check) CPT 86762 86762 ANTIBODY RUBELLA | $87.72 | $258.00 | $11.55–$167.70 | 17% above | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Antibody | $87.72 | $258.00 | $167.70 | — | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 86762 ANTIBODY RUBELLA | $87.72 | $258.00 | $167.70 | — | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgG SO | $87.72 | $258.00 | $167.70 | — | 66% |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Antibodies, IgM SO | $87.72 | $258.00 | $167.70 | — | 66% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Sedimentation Rate | $6.29 | $18.50 | $2.62–$12.03 | 87% below | 66% |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Sedimentation Rate | $6.29 | $18.50 | $12.03 | — | 66% |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis, Basic SO | $83.77 | $246.38 | $11.94–$160.15 | 43% below | 66% |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis, Basic SO | $83.77 | $246.38 | $160.15 | — | 66% |
| Sodium blood test CPT 84295 Sodium Level | $44.41 | $130.61 | $4.67–$84.90 | 9% below | 66% |
| Sodium blood test inpatient CPT 84295 Sodium Level | $44.41 | $130.61 | $84.90 | — | 66% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam SO | $112.27 | $330.22 | $8.63–$214.64 | 52% above | 66% |
| Stool ova and parasites exam CPT 87177 Giardia, EIA, Ova/Parasite SO | $112.27 | $330.22 | $8.63–$214.64 | 52% above | 66% |
| Stool ova and parasites exam CPT 87177 Ova + Parasite Exam, Urine SO | $112.27 | $330.22 | $8.63–$214.64 | 52% above | 66% |
| Stool ova and parasites exam CPT 87177 O+P Exam, Formalin Only SO | $112.27 | $330.22 | $8.63–$214.64 | 52% above | 66% |
| Stool ova and parasites exam inpatient CPT 87177 O+P Exam, Formalin Only SO | $112.27 | $330.22 | $214.64 | — | 66% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam, Urine SO | $112.27 | $330.22 | $214.64 | — | 66% |
| Stool ova and parasites exam inpatient CPT 87177 Ova + Parasite Exam SO | $112.27 | $330.22 | $214.64 | — | 66% |
| Stool ova and parasites exam inpatient CPT 87177 Giardia, EIA, Ova/Parasite SO | $112.27 | $330.22 | $214.64 | — | 66% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Stool | $43.42 | $127.70 | $3.85–$83.01 | 51% above | 66% |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Stool | $43.42 | $127.70 | $83.01 | — | 66% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood, Fecal, IA SO | $36.05 | $106.03 | $15.44–$68.92 | 52% below | 66% |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood, Fecal, IA SO | $36.05 | $106.03 | $68.92 | — | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fluorescent treponema Ab, CSF SO | $108.77 | $319.91 | $12.84–$207.94 | 63% above | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 .RPR Qn+TP Abs 012021 SO | $108.77 | $319.91 | $12.84–$207.94 | 63% above | 66% |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum Antibodies SO | $108.77 | $319.91 | $12.84–$207.94 | 63% above | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 .RPR Qn+TP Abs 012021 SO | $108.77 | $319.91 | $207.94 | — | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema pallidum Antibodies SO | $108.77 | $319.91 | $207.94 | — | 66% |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fluorescent treponema Ab, CSF SO | $108.77 | $319.91 | $207.94 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF SO | $67.51 | $198.56 | $3.43–$129.06 | 32% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR SO | $67.51 | $198.56 | $3.43–$129.06 | 32% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR, Rfx Qn RPR/Confirm TP SO | $67.51 | $198.56 | $3.43–$129.06 | 32% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 86592 SYPHILIS TEST QUALITATIVE | $67.51 | $198.56 | $3.43–$129.06 | 32% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin | $71.10 | $209.13 | $3.43–$135.93 | 39% above | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 86592 SYPHILIS TEST QUALITATIVE | $67.51 | $198.56 | $129.06 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR, Rfx Qn RPR/Confirm TP SO | $67.51 | $198.56 | $129.06 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR SO | $67.51 | $198.56 | $129.06 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF SO | $67.51 | $198.56 | $129.06 | — | 66% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin | $71.10 | $209.13 | $135.93 | — | 66% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus SO | $247.99 | $729.39 | $49.74–$474.10 | 12% above | 66% |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus SO | $247.99 | $729.39 | $474.10 | — | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Level Total (Male) | $110.67 | $325.49 | $20.72–$211.57 | 13% below | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 84403 TESTOSTERONE TOTAL | $110.67 | $325.49 | $20.72–$211.57 | 13% below | 66% |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone, Serum SO | $110.67 | $325.49 | $20.72–$211.57 | 13% below | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Level Total (Male) | $110.67 | $325.49 | $211.57 | — | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone, Serum SO | $110.67 | $325.49 | $211.57 | — | 66% |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 84403 TESTOSTERONE TOTAL | $110.67 | $325.49 | $211.57 | — | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase (TPO) Ab SO | $91.62 | $269.48 | $11.67–$175.16 | 15% above | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Antibodies SO | $91.62 | $269.48 | $11.67–$175.16 | 15% above | 66% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver-Kidney Microsomal Ab SO | $91.62 | $269.48 | $11.67–$175.16 | 15% above | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver-Kidney Microsomal Ab SO | $91.62 | $269.48 | $175.16 | — | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase (TPO) Ab SO | $91.62 | $269.48 | $175.16 | — | 66% |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Antibodies SO | $91.62 | $269.48 | $175.16 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH reflex FT4 | $145.05 | $426.61 | $16.30–$277.30 | 23% above | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $145.05 | $426.61 | $16.30–$277.30 | 23% above | 66% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $145.05 | $426.61 | $16.30–$277.30 | 23% above | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIMULATING HORMONE TSH | $145.05 | $426.61 | $277.30 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH reflex FT4 | $145.05 | $426.61 | $277.30 | — | 66% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $145.05 | $426.61 | $277.30 | — | 66% |
| Total IgE blood test CPT 82785 Immunoglobulin E, Total SO | $63.76 | $187.52 | $13.21–$121.89 | 27% below | 66% |
| Total IgE blood test CPT 82785 Allergens w/Total IgE Area 8 SO | $63.76 | $187.52 | $13.21–$121.89 | 27% below | 66% |
| Total IgE blood test CPT 82785 Immunoglobulins A/E/G/M, Serum SO | $63.76 | $187.52 | $13.21–$121.89 | 27% below | 66% |
| Total IgE blood test CPT 82785 Allergens w/Total IgE Area 5 SO | $63.76 | $187.52 | $13.21–$121.89 | 27% below | 66% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulins A/E/G/M, Serum SO | $63.76 | $187.52 | $121.89 | — | 66% |
| Total IgE blood test inpatient CPT 82785 Immunoglobulin E, Total SO | $63.76 | $187.52 | $121.89 | — | 66% |
| Total IgE blood test inpatient CPT 82785 Allergens w/Total IgE Area 5 SO | $63.76 | $187.52 | $121.89 | — | 66% |
| Total IgE blood test inpatient CPT 82785 Allergens w/Total IgE Area 8 SO | $63.76 | $187.52 | $121.89 | — | 66% |
| Total cholesterol blood test CPT 82465 Cholesterol Total | $27.77 | $81.68 | $4.22–$53.09 | 35% below | 66% |
| Total cholesterol blood test CPT 82465 82465 CHOLESTEROL SERUM | $27.77 | $81.68 | $4.22–$53.09 | 35% below | 66% |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol Total | $27.77 | $81.68 | $53.09 | — | 66% |
| Total cholesterol blood test inpatient CPT 82465 82465 CHOLESTEROL SERUM | $27.77 | $81.68 | $53.09 | — | 66% |
| Total thyroxine (T4) blood test CPT 84436 Thyroid Panel With TSH SO | $123.51 | $363.25 | $5.51–$236.11 | 51% above | 66% |
| Total thyroxine (T4) blood test CPT 84436 84436 THYROXINE TOTAL | $123.51 | $363.25 | $5.51–$236.11 | 51% above | 66% |
| Total thyroxine (T4) blood test CPT 84436 T4 Total | $123.51 | $363.25 | $5.51–$236.11 | 51% above | 66% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (T4) SO | $123.51 | $363.25 | $5.51–$236.11 | 51% above | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroid Panel With TSH SO | $123.51 | $363.25 | $236.11 | — | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total | $123.51 | $363.25 | $236.11 | — | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (T4) SO | $123.51 | $363.25 | $236.11 | — | 66% |
| Total thyroxine (T4) blood test inpatient CPT 84436 84436 THYROXINE TOTAL | $123.51 | $363.25 | $236.11 | — | 66% |
| Total triiodothyronine (T3) blood test CPT 84480 Triiodothyronine (T3) SO | $116.52 | $342.72 | $11.38–$222.77 | 22% above | 66% |
| Total triiodothyronine (T3) blood test CPT 84480 T3 Total | $116.52 | $342.72 | $11.38–$222.77 | 22% above | 66% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total | $116.52 | $342.72 | $222.77 | — | 66% |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Triiodothyronine (T3) SO | $116.52 | $342.72 | $222.77 | — | 66% |
| Transferrin blood test CPT 84466 Transferrin SO | $73.84 | $217.19 | $10.24–$141.17 | 22% below | 66% |
| Transferrin blood test CPT 84466 Transferrin | $95.81 | $281.78 | $10.24–$183.16 | 1% above | 66% |
| Transferrin blood test inpatient CPT 84466 Transferrin SO | $73.84 | $217.19 | $141.17 | — | 66% |
| Transferrin blood test inpatient CPT 84466 Transferrin | $95.81 | $281.78 | $183.16 | — | 66% |
| Trichomonas test (NAAT) CPT 87661 Trich vag by NAA SO | $67.32 | $198.00 | $28.16–$128.70 | 46% below | 66% |
| Trichomonas test (NAAT) CPT 87661 87661 TRICHOMONAS VEGININALIS AMP PROBE | $67.32 | $198.00 | $28.16–$128.70 | 46% below | 66% |
| Trichomonas test (NAAT) inpatient CPT 87661 Trich vag by NAA SO | $67.32 | $198.00 | $128.70 | — | 66% |
| Trichomonas test (NAAT) inpatient CPT 87661 87661 TRICHOMONAS VEGININALIS AMP PROBE | $67.32 | $198.00 | $128.70 | — | 66% |
| Triglycerides blood test CPT 84478 Triglycerides, Fluid SO | $33.71 | $99.15 | $5.57–$64.45 | 29% below | 66% |
| Triglycerides blood test CPT 84478 84478 TRIGLYCERIDES | $33.71 | $99.15 | $5.57–$64.45 | 29% below | 66% |
| Triglycerides blood test CPT 84478 Triglycerides | $33.71 | $99.15 | $5.57–$64.45 | 29% below | 66% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides | $33.71 | $99.15 | $64.45 | — | 66% |
| Triglycerides blood test inpatient CPT 84478 Triglycerides, Fluid SO | $33.71 | $99.15 | $64.45 | — | 66% |
| Triglycerides blood test inpatient CPT 84478 84478 TRIGLYCERIDES | $33.71 | $99.15 | $64.45 | — | 66% |
| Troponin test, quantitative CPT 84484 Troponin-I | $130.73 | $384.50 | $8.11–$249.93 | 14% below | 66% |
| Troponin test, quantitative inpatient CPT 84484 Troponin-I | $130.73 | $384.50 | $249.93 | — | 66% |
| Uric acid blood test CPT 84550 Uric Acid | $74.86 | $220.18 | $4.38–$143.12 | 6% above | 66% |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $74.86 | $220.18 | $143.12 | — | 66% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Microscopic | $64.09 | $188.50 | $3.07–$122.53 | at median | 66% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Microscopic | $64.09 | $188.50 | $122.53 | — | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Bill Only Urinalysis Screen | $24.33 | $71.55 | $2.18–$46.51 | 3% below | 66% |
| Urinalysis without microscope exam, automated CPT 81003 .Urinalysis (POCT) | $24.33 | $71.55 | $2.18–$46.51 | 3% below | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Kidney Stone, Urine/Saturation SO | $24.33 | $71.55 | $2.18–$46.51 | 3% below | 66% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | $2.18–$84.77 | 77% above | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Urinalysis (POCT) | $24.33 | $71.55 | $46.51 | — | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Kidney Stone, Urine/Saturation SO | $24.33 | $71.55 | $46.51 | — | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bill Only Urinalysis Screen | $24.33 | $71.55 | $46.51 | — | 66% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis without Microscopic | $44.34 | $130.41 | $84.77 | — | 66% |
| Urine culture for bacteria, with colony count CPT 87086 .Urine Culture, Routine SO | $144.70 | $425.59 | $7.83–$276.63 | 58% above | 66% |
| Urine culture for bacteria, with colony count CPT 87086 Urine Culture, Routine SO | $144.70 | $425.59 | $7.83–$276.63 | 58% above | 66% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 .Urine Culture, Routine SO | $144.70 | $425.59 | $276.63 | — | 66% |
| Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture, Routine SO | $144.70 | $425.59 | $276.63 | — | 66% |
| Urine microalbumin (albumin) test CPT 82043 Albumin, Random Urine SO | $139.22 | $409.47 | $5.61–$266.16 | 116% above | 66% |
| Urine microalbumin (albumin) test CPT 82043 Albumin, 24-Hr Urine SO | $139.22 | $409.47 | $5.61–$266.16 | 116% above | 66% |
| Urine microalbumin (albumin) test CPT 82043 Albumin/Creatinine Ratio,Ur SO | $139.22 | $409.47 | $5.61–$266.16 | 116% above | 66% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin, 24-Hr Urine SO | $139.22 | $409.47 | $266.16 | — | 66% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin, Random Urine SO | $139.22 | $409.47 | $266.16 | — | 66% |
| Urine microalbumin (albumin) test inpatient CPT 82043 Albumin/Creatinine Ratio,Ur SO | $139.22 | $409.47 | $266.16 | — | 66% |
| Urine pregnancy test, read by color change CPT 81025 HCG Qualitative Urine | $87.51 | $257.37 | $7.58–$167.29 | 18% above | 66% |
| Urine pregnancy test, read by color change CPT 81025 .HCG Urine (POCT) | $183.23 | $538.92 | $7.58–$350.30 | 147% above | 66% |
| Urine pregnancy test, read by color change inpatient CPT 81025 HCG Qualitative Urine | $87.51 | $257.37 | $167.29 | — | 66% |
| Urine pregnancy test, read by color change inpatient CPT 81025 .HCG Urine (POCT) | $183.23 | $538.92 | $350.30 | — | 66% |
| Vitamin B12 (cobalamin) blood test CPT 82607 82607 CYANOCOBALAMIN VITAMIN B-12 | $134.15 | $394.55 | $12.10–$256.46 | 4% above | 66% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level | $154.19 | $453.51 | $12.10–$294.78 | 19% above | 66% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 82607 CYANOCOBALAMIN VITAMIN B-12 | $134.15 | $394.55 | $256.46 | — | 66% |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level | $154.19 | $453.51 | $294.78 | — | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 SO | $189.92 | $558.59 | $23.76–$363.08 | 3% above | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy Level | $189.92 | $558.59 | $23.76–$363.08 | 3% above | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 25-Hydroxyvitamin D LCMS D2+D3 SO | $189.92 | $558.59 | $363.08 | — | 66% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy Level | $189.92 | $558.59 | $363.08 | — | 66% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Calcitriol(1,25 di-OH Vit D) SO | $94.27 | $277.25 | $30.89–$180.21 | 51% below | 66% |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Calcitriol(1,25 di-OH Vit D) SO | $94.27 | $277.25 | $180.21 | — | 66% |
| Zinc blood test CPT 84630 Zinc, Plasma or Serum SO | $18.21 | $53.57 | $8.91–$34.82 | 75% below | 66% |
| Zinc blood test CPT 84630 Zinc, Whole Blood SO | $18.21 | $53.57 | $8.91–$34.82 | 75% below | 66% |
| Zinc blood test inpatient CPT 84630 Zinc, Whole Blood SO | $18.21 | $53.57 | $34.82 | — | 66% |
| Zinc blood test inpatient CPT 84630 Zinc, Plasma or Serum SO | $18.21 | $53.57 | $34.82 | — | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quantitative | $183.23 | $538.92 | $14.60–$350.30 | 70% above | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 hCG Beta Subunit Qnt Serum SO | $183.23 | $538.92 | $14.60–$350.30 | 70% above | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 84702 GONADOTROPIN CHORIONIC (HCG) QUANT | $183.23 | $538.92 | $14.60–$350.30 | 70% above | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG Quantitative | $183.23 | $538.92 | $350.30 | — | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 84702 GONADOTROPIN CHORIONIC (HCG) QUANT | $183.23 | $538.92 | $350.30 | — | 66% |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 hCG Beta Subunit Qnt Serum SO | $183.23 | $538.92 | $350.30 | — | 66% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 US Breast Wire Placement 1+ Right | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left BCE | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right BCE | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 US Breast Wire Placement 1+ Left | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right | $986.57 | $2,901.67 | $482.55–$5,099.00 | 68% below | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left BCE | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Left | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 US Breast Wire Placement 1+ Left | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MG Breast Biopsy w/ Stereo Guide Right BCE | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 US Breast Wire Placement 1+ Right | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ORTHO TX FX FIBULAR DISTAL W/O MAN CLSD BCE | $247.94 | $729.24 | $121.27–$5,099.00 | 41% below | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED Fracture Site Fibula Fx, Distal, w/o manipulation BCE | $247.94 | $729.24 | $121.27–$474.01 | 41% below | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 CHED Fracture Site Fibula Fx, Distal, w/o manipulation BCE | $247.94 | $729.24 | $121.27–$474.01 | 41% below | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 ED Fracture Site -> Fibula Fx, Distal, w/o manipulation | $247.94 | $729.24 | $121.27–$474.01 | 41% below | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ORTHO TX FX FIBULAR DISTAL W/O MAN CLSD BCE | $247.94 | $729.24 | $474.01 | — | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED Fracture Site -> Fibula Fx, Distal, w/o manipulation | $247.94 | $729.24 | $474.01 | — | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 ED Fracture Site Fibula Fx, Distal, w/o manipulation BCE | $247.94 | $729.24 | $474.01 | — | 66% |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 CHED Fracture Site Fibula Fx, Distal, w/o manipulation BCE | $247.94 | $729.24 | $474.01 | — | 66% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 ORTHO TX FX METATARSAL W/O MAN CLSD EA BCE | $230.69 | $678.50 | $112.83–$5,099.00 | 64% below | 66% |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 ORTHO TX FX METATARSAL W/O MAN CLSD EA BCE | $230.69 | $678.50 | $441.03 | — | 66% |
| Cardiac catheterization with coronary angiogram CPT 93458 CATH L HRT ARTERY/VENTR | $10,661.27 | $31,356.67 | $3,252.26–$20,381.84 | 4% above | 66% |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 CATH L HRT ARTERY/VENTR | $10,661.27 | $31,356.67 | $20,381.84 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion 92960 BCE | $261.42 | $768.89 | $127.87–$1,041.00 | 78% below | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 EKG Charges - EKG -> Cardioversion 92960 | $261.42 | $768.89 | $127.87–$1,041.00 | 78% below | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CHED Cardiovascular Procedure Cardioversion BCE | $601.17 | $1,768.15 | $204.28–$1,149.30 | 50% below | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardiovascular Procedure -> Cardioversion | $601.17 | $1,768.15 | $204.28–$1,149.30 | 50% below | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION - CATH LAB | $601.17 | $1,768.15 | $294.04–$5,099.00 | 50% below | 66% |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 ED Cardiovascular Procedure Cardioversion BCE | $601.17 | $1,768.15 | $204.28–$1,149.30 | 50% below | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 EKG Charges - EKG -> Cardioversion 92960 | $261.42 | $768.89 | $499.78 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion 92960 BCE | $261.42 | $768.89 | $499.78 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardiovascular Procedure -> Cardioversion | $601.17 | $1,768.15 | $1,149.30 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 ED Cardiovascular Procedure Cardioversion BCE | $601.17 | $1,768.15 | $1,149.30 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CHED Cardiovascular Procedure Cardioversion BCE | $601.17 | $1,768.15 | $1,149.30 | — | 66% |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION - CATH LAB | $601.17 | $1,768.15 | $1,149.30 | — | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 CHED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE | $257.97 | $758.74 | $126.18–$493.18 | 50% below | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE | $257.97 | $758.74 | $126.18–$493.18 | 50% below | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ORTHO TX FX RADIAL DISTAL W/O MAN CLSD BCE | $257.97 | $758.74 | $120.00–$5,099.00 | 50% below | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 ED Fracture Site -> Radius/Ulna fx, distal, w/o manipulation | $257.97 | $758.74 | $126.18–$493.18 | 50% below | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE | $257.97 | $758.74 | $493.18 | — | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ED Fracture Site -> Radius/Ulna fx, distal, w/o manipulation | $257.97 | $758.74 | $493.18 | — | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 ORTHO TX FX RADIAL DISTAL W/O MAN CLSD BCE | $257.97 | $758.74 | $493.18 | — | 66% |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 CHED Fracture Site Radius/Ulna fx, distal, w/o manipulation BCE | $257.97 | $758.74 | $493.18 | — | 66% |
| Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 GYNE COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX BCE | $1,830.56 | $5,384.00 | $283.00–$3,499.60 | 41% below | 66% |
| Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 GYNE COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX BCE | $1,830.56 | $5,384.00 | $3,499.60 | — | 66% |
| Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 GYNE COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE BCE | $335.24 | $986.00 | $163.97–$818.00 | 30% below | 66% |
| Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 GYNE COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE BCE | $335.24 | $986.00 | $640.90 | — | 66% |
| Coronary stent placement, one artery CPT 92928 CORO STENT W ANGIOPLASTY 1ST ART | $9,642.82 | $28,361.24 | $4,716.47–$18,434.81 | 31% below | 66% |
| Coronary stent placement, one artery inpatient CPT 92928 CORO STENT W ANGIOPLASTY 1ST ART | $9,642.82 | $28,361.24 | $18,434.81 | — | 66% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED Ear Procedure -> Cerumen Irrigation/Lavage | $71.91 | $211.50 | $35.17–$137.48 | 38% below | 66% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 CHED Ear Procedures Cerumen Irrigation/Lavage BCE | $71.91 | $211.50 | $35.17–$137.48 | 38% below | 66% |
| Earwax removal by irrigation (rinsing), one ear CPT 69209 ED Ear Procedures Cerumen Irrigation/Lavage BCE | $71.91 | $211.50 | $35.17–$137.48 | 38% below | 66% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED Ear Procedures Cerumen Irrigation/Lavage BCE | $71.91 | $211.50 | $137.48 | — | 66% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 ED Ear Procedure -> Cerumen Irrigation/Lavage | $71.91 | $211.50 | $137.48 | — | 66% |
| Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 CHED Ear Procedures Cerumen Irrigation/Lavage BCE | $71.91 | $211.50 | $137.48 | — | 66% |
| Earwax removal with instruments, one ear CPT 69210 ED Ear Procedures Cerumen w/ Instrumentation BCE | $188.36 | $554.01 | $60.06–$360.11 | 51% above | 66% |
| Earwax removal with instruments, one ear CPT 69210 CHED Ear Procedures Cerumen w/ Instrumentation BCE | $188.36 | $554.01 | $60.06–$360.11 | 51% above | 66% |
| Earwax removal with instruments, one ear CPT 69210 ED Ear Procedure -> Cerumen w/ Instrumentation | $188.36 | $554.01 | $60.06–$360.11 | 51% above | 66% |
| Earwax removal with instruments, one ear one side CPT 69210 ENT REMOVAL OF EAR WAX BY INSTRU UNILAT BCE | $54.53 | $160.37 | $26.67–$104.24 | 56% below | 66% |
| Earwax removal with instruments, one ear one side CPT 69210 ORTHO REMOVAL OF EAR WAX BY INSTRU UNILAT BCE | $188.36 | $554.01 | $60.06–$360.11 | 51% above | 66% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ED Ear Procedures Cerumen w/ Instrumentation BCE | $188.36 | $554.01 | $360.11 | — | 66% |
| Earwax removal with instruments, one ear inpatient CPT 69210 ED Ear Procedure -> Cerumen w/ Instrumentation | $188.36 | $554.01 | $360.11 | — | 66% |
| Earwax removal with instruments, one ear inpatient CPT 69210 CHED Ear Procedures Cerumen w/ Instrumentation BCE | $188.36 | $554.01 | $360.11 | — | 66% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 ENT REMOVAL OF EAR WAX BY INSTRU UNILAT BCE | $54.53 | $160.37 | $104.24 | — | 66% |
| Earwax removal with instruments, one ear inpatient one side CPT 69210 ORTHO REMOVAL OF EAR WAX BY INSTRU UNILAT BCE | $188.36 | $554.01 | $360.11 | — | 66% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 GYNE ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX BCE | $120.70 | $355.00 | $59.04–$818.00 | 65% below | 66% |
| Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 GYNE ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX BCE | $120.70 | $355.00 | $230.75 | — | 66% |
| Hemorrhoid banding (rubber band ligation) CPT 46221 COLORECTAL RB LIGATION OF HEMORRHOIDS BCE | $808.75 | $2,378.69 | $395.58–$5,099.00 | 12% below | 66% |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 COLORECTAL RB LIGATION OF HEMORRHOIDS BCE | $808.75 | $2,378.69 | $1,546.15 | — | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR Catheter for Hysterography | $112.04 | $329.52 | $54.80–$5,099.00 | 71% below | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR Catheter for Hysterography BCE | $112.04 | $329.52 | $54.80–$5,099.00 | 71% below | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 GYNE CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI BCE | $112.20 | $330.00 | $54.88–$818.00 | 71% below | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR Catheter for Hysterography | $112.04 | $329.52 | $214.19 | — | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR Catheter for Hysterography BCE | $112.04 | $329.52 | $214.19 | — | 66% |
| Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 GYNE CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI BCE | $112.20 | $330.00 | $214.50 | — | 66% |
| IUD insertion (the device itself billed separately) CPT 58300 GYNE INSERTION INTRAUTERINE DEVICE IUD BCE | $134.30 | $395.00 | $65.69–$818.00 | 63% below | 66% |
| IUD insertion (the device itself billed separately) inpatient CPT 58300 GYNE INSERTION INTRAUTERINE DEVICE IUD BCE | $134.30 | $395.00 | $256.75 | — | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 GYNE INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE BCE | $67.32 | $198.00 | $32.93–$818.00 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 OPWC I&D Abscess, Simple BCE | $67.40 | $198.23 | $32.97–$818.00 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED ID Body Site I&D Abscess/Cyst Simple BCE | $67.40 | $198.23 | $32.97–$211.27 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 ED ID Body Site -> I&D Abscess/Cyst Simple | $67.40 | $198.23 | $32.97–$211.27 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Incision & Drainage Simple | $67.40 | $198.23 | $32.97–$818.00 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 WC I&D Abscess, Simple BCE | $67.40 | $198.23 | $32.97–$818.00 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess CPT 10060 CHED ID Body Site I&D Abscess/Cyst Simple BCE | $67.40 | $198.23 | $32.97–$211.27 | 83% below | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 GYNE INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE BCE | $67.32 | $198.00 | $128.70 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED ID Body Site I&D Abscess/Cyst Simple BCE | $67.40 | $198.23 | $128.85 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CHED ID Body Site I&D Abscess/Cyst Simple BCE | $67.40 | $198.23 | $128.85 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Incision & Drainage Simple | $67.40 | $198.23 | $128.85 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 ED ID Body Site -> I&D Abscess/Cyst Simple | $67.40 | $198.23 | $128.85 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 WC I&D Abscess, Simple BCE | $67.40 | $198.23 | $128.85 | — | 66% |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 OPWC I&D Abscess, Simple BCE | $67.40 | $198.23 | $128.85 | — | 66% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 BONE-JOINT INJ SINGLE,TENDON,SHEATH,LIGAMENT BCE | $324.81 | $955.33 | $158.87–$5,099.00 | 24% below | 66% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 ORTHO INJ SINGLE TENDON SHEATH/LIGAMENT BCE | $341.02 | $1,003.00 | $166.80–$5,099.00 | 21% below | 66% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 BONE-JOINT INJ SINGLE,TENDON,SHEATH,LIGAMENT BCE | $324.81 | $955.33 | $620.96 | — | 66% |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 ORTHO INJ SINGLE TENDON SHEATH/LIGAMENT BCE | $341.02 | $1,003.00 | $651.95 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ORTHO ARTHRO/ASPIR/INJ MAJOR BCE | $324.33 | $953.90 | $158.63–$5,099.00 | 36% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR BCE | $344.24 | $1,012.48 | $168.38–$5,099.00 | 32% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 CHED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE | $359.23 | $1,056.55 | $175.70–$686.76 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WMH ASPIR/INJ MAJ JT WO/US | $359.23 | $1,056.55 | $175.70–$5,099.00 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 WMH ASPIR/INJ MAJ JT WO/US BCE | $359.23 | $1,056.55 | $175.70–$5,099.00 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED ID Aspiration -> Arthrocentesis - shoulder, hip, knee, or subacromial bursa | $359.23 | $1,056.55 | $175.70–$686.76 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE | $359.23 | $1,056.55 | $175.70–$686.76 | 29% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right | $283.85 | $834.85 | $138.84–$5,099.00 | 44% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left | $283.85 | $834.85 | $138.84–$5,099.00 | 44% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left BCE | $283.85 | $834.85 | $138.84–$5,099.00 | 44% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right BCE | $283.85 | $834.85 | $138.84–$5,099.00 | 44% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR JOINT RT BCE | $324.33 | $953.90 | $158.63–$5,099.00 | 36% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR JOINT LT BCE | $324.33 | $953.90 | $158.63–$5,099.00 | 36% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ORTHO ARTHRO ASP/INJ MAJOR JOINT RT BCE | $445.79 | $1,311.16 | $218.05–$5,099.00 | 12% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 ORTHO ARTHRO ASP/INJ MAJOR JOINT LT BCE | $445.79 | $1,311.16 | $218.05–$5,099.00 | 12% below | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ORTHO ARTHRO/ASPIR/INJ MAJOR BCE | $324.33 | $953.90 | $620.04 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR BCE | $344.24 | $1,012.48 | $658.11 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE | $359.23 | $1,056.55 | $686.76 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 WMH ASPIR/INJ MAJ JT WO/US BCE | $359.23 | $1,056.55 | $686.76 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 CHED ID Aspirate Arthrocentesis - shoulder/hip/knee/subacromial bursa BCE | $359.23 | $1,056.55 | $686.76 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ED ID Aspiration -> Arthrocentesis - shoulder, hip, knee, or subacromial bursa | $359.23 | $1,056.55 | $686.76 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 WMH ASPIR/INJ MAJ JT WO/US | $359.23 | $1,056.55 | $686.76 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left | $283.85 | $834.85 | $542.65 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right | $283.85 | $834.85 | $542.65 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Right BCE | $283.85 | $834.85 | $542.65 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 XR Joint/Bursa Major Arthr/Asp/Inj Left BCE | $283.85 | $834.85 | $542.65 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR JOINT LT BCE | $324.33 | $953.90 | $620.04 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 BONE-JOINT ARTHRO/ASPIR/INJ MAJOR JOINT RT BCE | $324.33 | $953.90 | $620.04 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ORTHO ARTHRO ASP/INJ MAJOR JOINT RT BCE | $445.79 | $1,311.16 | $852.25 | — | 66% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 ORTHO ARTHRO ASP/INJ MAJOR JOINT LT BCE | $445.79 | $1,311.16 | $852.25 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED ID Aspiration -> Arthrocentesis - temporomandibular, AC, wrist, elbow or ankl | $295.50 | $869.12 | $144.53–$564.93 | 29% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WMH ASP/INJ INTERM JT WO/US BCE | $295.50 | $869.12 | $144.53–$5,099.00 | 29% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 WMH ASP/INJ INTERM JT WO/US | $295.50 | $869.12 | $144.53–$5,099.00 | 29% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 ED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE | $295.50 | $869.12 | $144.53–$564.93 | 29% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 CHED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE | $295.50 | $869.12 | $144.53–$564.93 | 29% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 BONE-JOINT ARTHRO/ASPIR/INJ MEDIUM JOINT RT BCE | $253.13 | $744.49 | $123.81–$5,099.00 | 39% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ORTHO ARTHRO ASP/INJ MEDIUM JOINT LT BCE | $337.01 | $991.20 | $164.84–$5,099.00 | 19% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 ORTHO ARTHRO ASP/INJ MEDIUM JOINT RT BCE | $337.01 | $991.20 | $164.84–$5,099.00 | 19% below | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WMH ASP/INJ INTERM JT WO/US | $295.50 | $869.12 | $564.93 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED ID Aspiration -> Arthrocentesis - temporomandibular, AC, wrist, elbow or ankl | $295.50 | $869.12 | $564.93 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 CHED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE | $295.50 | $869.12 | $564.93 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 WMH ASP/INJ INTERM JT WO/US BCE | $295.50 | $869.12 | $564.93 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 ED ID Aspirate Arthro - temporomandibul/AC/wrist/elbow/ankle/olecranon bursa BCE | $295.50 | $869.12 | $564.93 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 BONE-JOINT ARTHRO/ASPIR/INJ MEDIUM JOINT RT BCE | $253.13 | $744.49 | $483.92 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ORTHO ARTHRO ASP/INJ MEDIUM JOINT RT BCE | $337.01 | $991.20 | $644.28 | — | 66% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 ORTHO ARTHRO ASP/INJ MEDIUM JOINT LT BCE | $337.01 | $991.20 | $644.28 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED ID Aspiration -> Arthrocentesis - fingers or toes | $330.33 | $971.57 | $161.57–$631.52 | 6% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ED ID Aspirate Arthrocentesis - fingers or toes BCE | $330.33 | $971.57 | $161.57–$631.52 | 6% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 CHED ID Aspirate Arthrocentesis - fingers or toes BCE | $330.33 | $971.57 | $161.57–$631.52 | 6% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 WMH ASPIR/INJ SM JNT WO/US BCE | $330.33 | $971.57 | $161.57–$5,099.00 | 6% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 WMH ASPIR/INJ SM JNT WO/US | $330.33 | $971.57 | $161.57–$5,099.00 | 6% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 ORTHO ARTHROCENTESIS ASP/INJ SMALL JOINT BCE | $366.32 | $1,077.40 | $179.17–$5,099.00 | 17% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 BONE-JOINT ARTHROCENTESIS ASP/INJ SMALL JOINT BCE | $403.47 | $1,186.67 | $197.34–$5,099.00 | 29% above | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WMH ASPIR/INJ SM JNT WO/US | $330.33 | $971.57 | $631.52 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 WMH ASPIR/INJ SM JNT WO/US BCE | $330.33 | $971.57 | $631.52 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED ID Aspiration -> Arthrocentesis - fingers or toes | $330.33 | $971.57 | $631.52 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 CHED ID Aspirate Arthrocentesis - fingers or toes BCE | $330.33 | $971.57 | $631.52 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ED ID Aspirate Arthrocentesis - fingers or toes BCE | $330.33 | $971.57 | $631.52 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 ORTHO ARTHROCENTESIS ASP/INJ SMALL JOINT BCE | $366.32 | $1,077.40 | $700.31 | — | 66% |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 BONE-JOINT ARTHROCENTESIS ASP/INJ SMALL JOINT BCE | $403.47 | $1,186.67 | $771.34 | — | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED Laceration Intermediate - Scalp <= 2.5 cm BCE | $1,738.53 | $5,113.33 | $403.98–$3,323.66 | 189% above | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 ED Laceration Intermediate - Scalp -> <= 2.5 cm | $1,738.53 | $5,113.33 | $403.98–$3,323.66 | 189% above | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 CHED Laceration Intermediate - Scalp <= 2.5 cm BCE | $1,738.53 | $5,113.33 | $403.98–$3,323.66 | 189% above | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED Laceration Intermediate - Scalp -> <= 2.5 cm | $1,738.53 | $5,113.33 | $3,323.66 | — | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 ED Laceration Intermediate - Scalp <= 2.5 cm BCE | $1,738.53 | $5,113.33 | $3,323.66 | — | 66% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 CHED Laceration Intermediate - Scalp <= 2.5 cm BCE | $1,738.53 | $5,113.33 | $3,323.66 | — | 66% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT LUMBAR SINGLE LEVEL INJ BCE | $1,088.00 | $3,200.00 | $532.16–$5,099.00 | 23% below | 66% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT LUMBAR SINGLE LEVEL INJ BCE | $1,088.00 | $3,200.00 | $2,080.00 | — | 66% |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Nail Plate Simple Single | $61.53 | $180.97 | $30.10–$818.00 | 79% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 CHED Nail RepairProcedure Nail plate avulsion, single BCE | $61.53 | $180.97 | $30.10–$211.27 | 79% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 OPWC Avlsn Plte, Smpl, Sngl BCE | $61.53 | $180.97 | $30.10–$818.00 | 79% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 ED Nail Repair Procedure Nail plate avulsion, single BCE | $61.53 | $180.97 | $30.10–$211.27 | 79% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 ED Nail Repair Procedure -> Nail plate avulsion, single | $61.53 | $180.97 | $30.10–$211.27 | 79% below | 66% |
| Nail removal (partial or complete), one nail CPT 11730 WC Avlsn Plte, Smpl, Sngl BCE | $61.53 | $180.97 | $30.10–$818.00 | 79% below | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED Nail Repair Procedure Nail plate avulsion, single BCE | $61.53 | $180.97 | $117.63 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 CHED Nail RepairProcedure Nail plate avulsion, single BCE | $61.53 | $180.97 | $117.63 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 WC Avlsn Plte, Smpl, Sngl BCE | $61.53 | $180.97 | $117.63 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Nail Plate Simple Single | $61.53 | $180.97 | $117.63 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 OPWC Avlsn Plte, Smpl, Sngl BCE | $61.53 | $180.97 | $117.63 | — | 66% |
| Nail removal (partial or complete), one nail inpatient CPT 11730 ED Nail Repair Procedure -> Nail plate avulsion, single | $61.53 | $180.97 | $117.63 | — | 66% |
| Pacemaker implant (dual chamber) CPT 33208 INSRT/REPLC PERM PACER, A&V LEAD | $3,445.03 | $10,132.45 | $1,685.03–$23,174.00 | 70% below | 66% |
| Pacemaker implant (dual chamber) inpatient CPT 33208 INSRT/REPLC PERM PACER, A&V LEAD | $3,445.03 | $10,132.45 | $6,586.09 | — | 66% |
| Paracentesis with imaging guidance CPT 49083 WMH ABDOMINAL PARACENTESIS W/GUIDANCE BCE | $424.45 | $1,248.39 | $207.61–$5,099.00 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis | $424.45 | $1,248.39 | $207.61–$5,099.00 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 ED Paracentesis -> with imaging | $424.45 | $1,248.39 | $207.61–$996.88 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 ED Paracentesis with imaging BCE | $424.45 | $1,248.39 | $207.61–$996.88 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 WMH ABD PARACENTESIS W/GUIDANCE | $424.45 | $1,248.39 | $207.61–$5,099.00 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 US Paracentesis BCE | $424.45 | $1,248.39 | $207.61–$5,099.00 | 71% below | 66% |
| Paracentesis with imaging guidance CPT 49083 CHED Paracentesis with imaging BCE | $424.45 | $1,248.39 | $207.61–$996.88 | 71% below | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 CHED Paracentesis with imaging BCE | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 WMH ABD PARACENTESIS W/GUIDANCE | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 WMH ABDOMINAL PARACENTESIS W/GUIDANCE BCE | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 ED Paracentesis with imaging BCE | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 ED Paracentesis -> with imaging | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis BCE | $424.45 | $1,248.39 | $811.45 | — | 66% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED Nail Repair Procedure Nail and Nail Matrix, Excision BCE | $493.70 | $1,452.06 | $241.48–$943.84 | 21% below | 66% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 CHED Nail RepairProcedure Nail and Nail Matrix, Excision BCE | $493.70 | $1,452.06 | $241.48–$943.84 | 21% below | 66% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 ED Nail Repair Procedure -> Nail and Nail Matrix, Excision | $493.70 | $1,452.06 | $241.48–$943.84 | 21% below | 66% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED Nail Repair Procedure Nail and Nail Matrix, Excision BCE | $493.70 | $1,452.06 | $943.84 | — | 66% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 ED Nail Repair Procedure -> Nail and Nail Matrix, Excision | $493.70 | $1,452.06 | $943.84 | — | 66% |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 CHED Nail RepairProcedure Nail and Nail Matrix, Excision BCE | $493.70 | $1,452.06 | $943.84 | — | 66% |
| Removal of a foreign object under the skin, simple CPT 10120 ED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE | $699.42 | $2,057.12 | $342.10–$1,337.13 | 45% above | 66% |
| Removal of a foreign object under the skin, simple CPT 10120 ED Foreign Body Removal Site -> Skin, Subcutaneous Simple FB | $699.42 | $2,057.12 | $342.10–$1,337.13 | 45% above | 66% |
| Removal of a foreign object under the skin, simple CPT 10120 CHED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE | $699.42 | $2,057.12 | $342.10–$1,337.13 | 45% above | 66% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE | $699.42 | $2,057.12 | $1,337.13 | — | 66% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 CHED Foreign Body Removal Site Skin, Subcutaneous Simple FB BCE | $699.42 | $2,057.12 | $1,337.13 | — | 66% |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 ED Foreign Body Removal Site -> Skin, Subcutaneous Simple FB | $699.42 | $2,057.12 | $1,337.13 | — | 66% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Lithotripsy Extracorporeal Shock Wave | $1,808.61 | $5,319.44 | $884.62–$7,566.00 | 74% below | 66% |
| Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Lithotripsy Extracorporeal Shock Wave | $1,808.61 | $5,319.44 | $3,457.64 | — | 66% |
| Short arm cast (elbow to hand) CPT 29075 ED Orthopedic Cast Application -> Forearm | $183.35 | $539.26 | $89.68–$350.52 | 43% below | 66% |
| Short arm cast (elbow to hand) CPT 29075 CHED Orthopedic Cast Application Forearm BCE | $183.35 | $539.26 | $89.68–$350.52 | 43% below | 66% |
| Short arm cast (elbow to hand) CPT 29075 ED Orthopedic Cast Application Forearm BCE | $183.35 | $539.26 | $89.68–$350.52 | 43% below | 66% |
| Short arm cast (elbow to hand) CPT 29075 ORTHO APPLICATION CAST SHORT ARM BCE | $183.35 | $539.26 | $89.68–$5,099.00 | 43% below | 66% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ORTHO APPLICATION CAST SHORT ARM BCE | $183.35 | $539.26 | $350.52 | — | 66% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ED Orthopedic Cast Application Forearm BCE | $183.35 | $539.26 | $350.52 | — | 66% |
| Short arm cast (elbow to hand) inpatient CPT 29075 ED Orthopedic Cast Application -> Forearm | $183.35 | $539.26 | $350.52 | — | 66% |
| Short arm cast (elbow to hand) inpatient CPT 29075 CHED Orthopedic Cast Application Forearm BCE | $183.35 | $539.26 | $350.52 | — | 66% |
| Short arm splint (forearm and hand) CPT 29125 ORTHO APPLICATION SPLINT SHORT ARM BCE | $173.72 | $510.94 | $84.97–$5,099.00 | 31% below | 66% |
| Short arm splint (forearm and hand) CPT 29125 CHED Orthopedic Splinting Site Posterior Short Arm Splint BCE | $180.49 | $530.84 | $63.62–$345.05 | 28% below | 66% |
| Short arm splint (forearm and hand) CPT 29125 ED Orthopedic Splinting Site Posterior Short Arm Splint BCE | $180.49 | $530.84 | $63.62–$345.05 | 28% below | 66% |
| Short arm splint (forearm and hand) CPT 29125 OT Application of Short Arm Splint, Static Units | $180.49 | $530.84 | $63.62–$345.05 | 28% below | 66% |
| Short arm splint (forearm and hand) CPT 29125 ED Orthopedic Splinting Site -> Posterior Short Arm Splint | $180.49 | $530.84 | $63.62–$345.05 | 28% below | 66% |
| Short arm splint (forearm and hand) CPT 29125 OT Application of Short Arm Splint, Static Units BCE | $180.49 | $530.84 | $63.62–$345.05 | 28% below | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ORTHO APPLICATION SPLINT SHORT ARM BCE | $173.72 | $510.94 | $332.11 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 CHED Orthopedic Splinting Site Posterior Short Arm Splint BCE | $180.49 | $530.84 | $345.05 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ED Orthopedic Splinting Site -> Posterior Short Arm Splint | $180.49 | $530.84 | $345.05 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT Application of Short Arm Splint, Static Units | $180.49 | $530.84 | $345.05 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 OT Application of Short Arm Splint, Static Units BCE | $180.49 | $530.84 | $345.05 | — | 66% |
| Short arm splint (forearm and hand) inpatient CPT 29125 ED Orthopedic Splinting Site Posterior Short Arm Splint BCE | $180.49 | $530.84 | $345.05 | — | 66% |
| Short leg cast (below the knee) CPT 29405 CHED Orthopedic Cast Application Foot/Ankle BCE | $200.60 | $590.00 | $96.59–$383.50 | 44% below | 66% |
| Short leg cast (below the knee) CPT 29405 ED Orthopedic Cast Application Foot/Ankle BCE | $200.60 | $590.00 | $96.59–$383.50 | 44% below | 66% |
| Short leg cast (below the knee) CPT 29405 ORTHO APPLICATION CAST SHORT LEG BCE | $200.60 | $590.00 | $98.12–$5,099.00 | 44% below | 66% |
| Short leg cast (below the knee) CPT 29405 ED Orthopedic Cast Application -> Foot/Ankle | $200.60 | $590.00 | $96.59–$383.50 | 44% below | 66% |
| Short leg cast (below the knee) inpatient CPT 29405 ED Orthopedic Cast Application Foot/Ankle BCE | $200.60 | $590.00 | $383.50 | — | 66% |
| Short leg cast (below the knee) inpatient CPT 29405 ORTHO APPLICATION CAST SHORT LEG BCE | $200.60 | $590.00 | $383.50 | — | 66% |
| Short leg cast (below the knee) inpatient CPT 29405 CHED Orthopedic Cast Application Foot/Ankle BCE | $200.60 | $590.00 | $383.50 | — | 66% |
| Short leg cast (below the knee) inpatient CPT 29405 ED Orthopedic Cast Application -> Foot/Ankle | $200.60 | $590.00 | $383.50 | — | 66% |
| Short leg splint (calf to foot) CPT 29515 ED Orthopedic Splinting Site Posterior Short Leg Splint BCE | $180.14 | $529.82 | $79.76–$344.38 | 32% below | 66% |
| Short leg splint (calf to foot) CPT 29515 CHED Orthopedic Splinting Site Posterior Short Leg Splint BCE | $180.14 | $529.82 | $79.76–$344.38 | 32% below | 66% |
| Short leg splint (calf to foot) CPT 29515 ED Orthopedic Splinting Site -> Posterior Short Leg Splint | $180.14 | $529.82 | $79.76–$344.38 | 32% below | 66% |
| Short leg splint (calf to foot) CPT 29515 ORTHO APPLICATION SPLINT SHORT LEG BCE | $180.14 | $529.82 | $88.11–$5,099.00 | 32% below | 66% |
| Short leg splint (calf to foot) inpatient CPT 29515 CHED Orthopedic Splinting Site Posterior Short Leg Splint BCE | $180.14 | $529.82 | $344.38 | — | 66% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED Orthopedic Splinting Site Posterior Short Leg Splint BCE | $180.14 | $529.82 | $344.38 | — | 66% |
| Short leg splint (calf to foot) inpatient CPT 29515 ORTHO APPLICATION SPLINT SHORT LEG BCE | $180.14 | $529.82 | $344.38 | — | 66% |
| Short leg splint (calf to foot) inpatient CPT 29515 ED Orthopedic Splinting Site -> Posterior Short Leg Splint | $180.14 | $529.82 | $344.38 | — | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED Laceration Simple - Scalp -> <= 2.5 cm | $170.57 | $501.67 | $83.43–$326.09 | 54% below | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 CHED Laceration Simple - Scalp <= 2.5 cm BCE | $170.57 | $501.67 | $83.43–$326.09 | 54% below | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 ED Laceration Simple - Scalp <= 2.5 cm BCE | $170.57 | $501.67 | $83.43–$326.09 | 54% below | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 CHED Laceration Simple - Scalp <= 2.5 cm BCE | $170.57 | $501.67 | $326.09 | — | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED Laceration Simple - Scalp <= 2.5 cm BCE | $170.57 | $501.67 | $326.09 | — | 66% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 ED Laceration Simple - Scalp -> <= 2.5 cm | $170.57 | $501.67 | $326.09 | — | 66% |
| Skin biopsy, punch, one lesion CPT 11104 GYNE PUNCH BIOPSY SKIN SINGLE LESION BCE | $299.88 | $882.00 | $146.68–$818.00 | 19% below | 66% |
| Skin biopsy, punch, one lesion CPT 11104 OPWC Punch Biopsy Skn, One Lsn BCE | $299.97 | $882.25 | $146.72–$818.00 | 19% below | 66% |
| Skin biopsy, punch, one lesion CPT 11104 Biopsy Skin Single Lesion | $299.97 | $882.25 | $146.72–$818.00 | 19% below | 66% |
| Skin biopsy, punch, one lesion CPT 11104 WC Punch Biopsy Skn, One Lsn BCE | $299.97 | $882.25 | $146.72–$818.00 | 19% below | 66% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 GYNE PUNCH BIOPSY SKIN SINGLE LESION BCE | $299.88 | $882.00 | $573.30 | — | 66% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 OPWC Punch Biopsy Skn, One Lsn BCE | $299.97 | $882.25 | $573.46 | — | 66% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 WC Punch Biopsy Skn, One Lsn BCE | $299.97 | $882.25 | $573.46 | — | 66% |
| Skin biopsy, punch, one lesion inpatient CPT 11104 Biopsy Skin Single Lesion | $299.97 | $882.25 | $573.46 | — | 66% |
| Skin tag removal, up to 15 tags CPT 11200 ED Lesion Procedure Removal of Skin Tags BCE | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 REMOVAL OF SKIN LESION | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 WC Removal Of Skin Lesion BCE | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 CHED LesionProcedure Removal of Skin Tags BCE | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 ED Lesion Procedure -> Removal of Skin Tags | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 OPWC Removal Of Skin Lesion BCE | $591.24 | $1,738.94 | $200.92–$1,130.31 | 136% above | 66% |
| Skin tag removal, up to 15 tags CPT 11200 GYNE RMVL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 BCE | $591.26 | $1,739.00 | $200.92–$1,130.35 | 136% above | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 OPWC Removal Of Skin Lesion BCE | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 CHED LesionProcedure Removal of Skin Tags BCE | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 WC Removal Of Skin Lesion BCE | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 ED Lesion Procedure Removal of Skin Tags BCE | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVAL OF SKIN LESION | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 ED Lesion Procedure -> Removal of Skin Tags | $591.24 | $1,738.94 | $1,130.31 | — | 66% |
| Skin tag removal, up to 15 tags inpatient CPT 11200 GYNE RMVL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 BCE | $591.26 | $1,739.00 | $1,130.35 | — | 66% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED Injections/Nerve Block Lumbar puncture - Diagnostic BCE | $405.62 | $1,193.00 | $198.40–$775.45 | 57% below | 66% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 CHED Injections/Nerve Block Lumbar puncture - Diagnostic BCE | $405.62 | $1,193.00 | $198.40–$775.45 | 57% below | 66% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 ED Injections/Nerve Block -> Lumbar puncture - Diagnostic | $405.62 | $1,193.00 | $198.40–$775.45 | 57% below | 66% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED Injections/Nerve Block -> Lumbar puncture - Diagnostic | $405.62 | $1,193.00 | $775.45 | — | 66% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 CHED Injections/Nerve Block Lumbar puncture - Diagnostic BCE | $405.62 | $1,193.00 | $775.45 | — | 66% |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 ED Injections/Nerve Block Lumbar puncture - Diagnostic BCE | $405.62 | $1,193.00 | $775.45 | — | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED Laceration Simple - Scalp -> 2.6 to 7.5 cm | $206.25 | $606.63 | $100.88–$394.31 | 50% below | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 ED Laceration Simple - Scalp 2.6 to 7.5 cm BCE | $206.25 | $606.63 | $100.88–$394.31 | 50% below | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 CHED Laceration Simple - Scalp 2.6 to 7.5 cm BCE | $206.25 | $606.63 | $100.88–$394.31 | 50% below | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED Laceration Simple - Scalp 2.6 to 7.5 cm BCE | $206.25 | $606.63 | $394.31 | — | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 ED Laceration Simple - Scalp -> 2.6 to 7.5 cm | $206.25 | $606.63 | $394.31 | — | 66% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 CHED Laceration Simple - Scalp 2.6 to 7.5 cm BCE | $206.25 | $606.63 | $394.31 | — | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 CHED Laceration Simple - Face <= 2.5 cm BCE | $126.66 | $372.52 | $61.95–$242.14 | 68% below | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED Laceration Simple - Face -> <= 2.5 cm | $126.66 | $372.52 | $61.95–$242.14 | 68% below | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 PLASTIC SIMPL REPR FACE/MUCOUS <2.5CM BCE | $126.66 | $372.52 | $61.95–$5,099.00 | 68% below | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 ED Laceration Simple - Face <= 2.5 cm BCE | $126.66 | $372.52 | $61.95–$242.14 | 68% below | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 PLASTIC SIMPL REPR FACE/MUCOUS <2.5CM BCE | $126.66 | $372.52 | $242.14 | — | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 CHED Laceration Simple - Face <= 2.5 cm BCE | $126.66 | $372.52 | $242.14 | — | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED Laceration Simple - Face <= 2.5 cm BCE | $126.66 | $372.52 | $242.14 | — | 66% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 ED Laceration Simple - Face -> <= 2.5 cm | $126.66 | $372.52 | $242.14 | — | 66% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 OPWC Tangntl Bx Skin Single Les BCE | $299.97 | $882.25 | $146.72–$818.00 | 1% above | 66% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 WC Tangntl Bx Skin Single Les BCE | $299.97 | $882.25 | $146.72–$818.00 | 1% above | 66% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 TANGNTL BX SKIN SINGLE LES | $299.97 | $882.25 | $120.00–$798.00 | 1% above | 66% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 TANGNTL BX SKIN SINGLE LES | $299.97 | $882.25 | $573.46 | — | 66% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 OPWC Tangntl Bx Skin Single Les BCE | $299.97 | $882.25 | $573.46 | — | 66% |
| Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 WC Tangntl Bx Skin Single Les BCE | $299.97 | $882.25 | $573.46 | — | 66% |
| Thoracentesis with imaging guidance CPT 32555 ED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE | $579.49 | $1,704.37 | $283.44–$1,107.84 | 54% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 ED Airway/Intubation Procedure -> Thoracentesis w/ imaging | $579.49 | $1,704.37 | $283.44–$1,107.84 | 54% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 CHED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE | $579.49 | $1,704.37 | $283.44–$1,107.84 | 54% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 WMH THORACENTESIS NEEDLE/ CATHETER | $579.49 | $1,704.37 | $283.44–$5,099.00 | 54% below | 66% |
| Thoracentesis with imaging guidance CPT 32555 WMH THORACENTESIS NEEDLE/ CATHETER BCE | $579.49 | $1,704.37 | $283.44–$5,099.00 | 54% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Left | $551.51 | $1,622.08 | $269.75–$5,099.00 | 56% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Right | $551.51 | $1,622.08 | $269.75–$5,099.00 | 56% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Right BCE | $551.51 | $1,622.08 | $269.75–$5,099.00 | 56% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Left BCE | $551.51 | $1,622.08 | $269.75–$5,099.00 | 56% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis w/ CT Guidance Left | $593.97 | $1,746.98 | $290.52–$5,099.00 | 52% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis w/ CT Guidance Right BCE | $593.97 | $1,746.98 | $290.52–$5,099.00 | 52% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis w/ CT Guidance Right | $593.97 | $1,746.98 | $290.52–$5,099.00 | 52% below | 66% |
| Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis w/ CT Guidance Left BCE | $593.97 | $1,746.98 | $290.52–$5,099.00 | 52% below | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 WMH THORACENTESIS NEEDLE/ CATHETER | $579.49 | $1,704.37 | $1,107.84 | — | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ED Airway/Intubation Procedure -> Thoracentesis w/ imaging | $579.49 | $1,704.37 | $1,107.84 | — | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 ED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE | $579.49 | $1,704.37 | $1,107.84 | — | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 CHED Airway/Intubation Procedures Thoracentesis w/ Imaging BCE | $579.49 | $1,704.37 | $1,107.84 | — | 66% |
| Thoracentesis with imaging guidance inpatient CPT 32555 WMH THORACENTESIS NEEDLE/ CATHETER BCE | $579.49 | $1,704.37 | $1,107.84 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Right BCE | $551.51 | $1,622.08 | $1,054.35 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Left | $551.51 | $1,622.08 | $1,054.35 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Left BCE | $551.51 | $1,622.08 | $1,054.35 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Right | $551.51 | $1,622.08 | $1,054.35 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis w/ CT Guidance Left | $593.97 | $1,746.98 | $1,135.54 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis w/ CT Guidance Right BCE | $593.97 | $1,746.98 | $1,135.54 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis w/ CT Guidance Left BCE | $593.97 | $1,746.98 | $1,135.54 | — | 66% |
| Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis w/ CT Guidance Right | $593.97 | $1,746.98 | $1,135.54 | — | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 BONE-JOINT INJ TRIGGER POINTS 1/2 MUSCLES BCE | $246.98 | $726.42 | $120.80–$818.00 | 53% below | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ED Injections/Nerve Block Injection trigger point BCE | $333.44 | $980.70 | $163.09–$637.46 | 36% below | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ED Injections/Nerve Block -> Injection trigger point | $333.44 | $980.70 | $163.09–$637.46 | 36% below | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 ORTHO INJ TRIGGER POINTS 1/2 MUSCLES BCE | $333.44 | $980.70 | $163.09–$5,099.00 | 36% below | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 CHED Injections/Nerve Block Injection trigger point BCE | $333.44 | $980.70 | $163.09–$637.46 | 36% below | 66% |
| Trigger point injections, 1 or 2 muscles CPT 20552 PAIN INJ TRIGGER POINT 1-2 MUSCLE GROUP BCE | $333.54 | $981.00 | $163.14–$818.00 | 36% below | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 BONE-JOINT INJ TRIGGER POINTS 1/2 MUSCLES BCE | $246.98 | $726.42 | $472.17 | — | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CHED Injections/Nerve Block Injection trigger point BCE | $333.44 | $980.70 | $637.46 | — | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED Injections/Nerve Block Injection trigger point BCE | $333.44 | $980.70 | $637.46 | — | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ORTHO INJ TRIGGER POINTS 1/2 MUSCLES BCE | $333.44 | $980.70 | $637.46 | — | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 ED Injections/Nerve Block -> Injection trigger point | $333.44 | $980.70 | $637.46 | — | 66% |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 PAIN INJ TRIGGER POINT 1-2 MUSCLE GROUP BCE | $333.54 | $981.00 | $637.65 | — | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left BCE | $986.57 | $2,901.67 | $482.55–$5,099.00 | 60% below | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right BCE | $986.57 | $2,901.67 | $482.55–$5,099.00 | 60% below | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Right | $986.57 | $2,901.67 | $482.55–$5,099.00 | 60% below | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy w/ US Guide Left | $986.57 | $2,901.67 | $482.55–$5,099.00 | 60% below | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right BCE | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left BCE | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Left | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy w/ US Guide Right | $986.57 | $2,901.67 | $1,886.09 | — | 66% |
| Vein ablation, radiofrequency, first vein CPT 36475 VASC PRC ABLTN EXT INIT VN RF BCE | $2,831.59 | $8,328.21 | $1,384.98–$6,781.00 | 46% below | 66% |
| Vein ablation, radiofrequency, first vein inpatient CPT 36475 VASC PRC ABLTN EXT INIT VN RF BCE | $2,831.59 | $8,328.21 | $5,413.34 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED Debridement To subcutaneous tissue, <= 20 sq cm BCE | $605.81 | $1,781.80 | $296.31–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 OPWC Debrid Skin/Sq Tiss <=20 BCE | $605.81 | $1,781.80 | $283.00–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 ED Debridement -> To subcutaneous tissue, <= 20 sq cm | $605.81 | $1,781.80 | $296.31–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 CHED Debridement To subcutaneous tissue, <= 20 sq cm BCE | $605.81 | $1,781.80 | $296.31–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 WC Debrid Skin/Sq Tiss <=20 BCE | $605.81 | $1,781.80 | $283.00–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Subcutan First 20 sq cm | $605.81 | $1,781.80 | $283.00–$1,158.17 | 12% below | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED Debridement -> To subcutaneous tissue, <= 20 sq cm | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Subcutan First 20 sq cm | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 OPWC Debrid Skin/Sq Tiss <=20 BCE | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 ED Debridement To subcutaneous tissue, <= 20 sq cm BCE | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 WC Debrid Skin/Sq Tiss <=20 BCE | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 CHED Debridement To subcutaneous tissue, <= 20 sq cm BCE | $605.81 | $1,781.80 | $1,158.17 | — | 66% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 ED BLOOD TRANSFUSION BCE | $507.62 | $1,493.00 | $171.00–$970.45 | 43% below | 66% |
| Blood transfusion (giving blood or blood components) CPT 36430 CHED BLOOD TRANSFUSION BCE | $507.62 | $1,493.00 | $171.00–$970.45 | 43% below | 66% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Charges: -> Blood Administration Complete | $513.77 | $1,511.10 | $171.00–$982.22 | 42% below | 66% |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration Complete Blood Bank BCE | $513.77 | $1,511.10 | $171.00–$982.22 | 42% below | 66% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 ED BLOOD TRANSFUSION BCE | $507.62 | $1,493.00 | $970.45 | — | 66% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 CHED BLOOD TRANSFUSION BCE | $507.62 | $1,493.00 | $970.45 | — | 66% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Charges: -> Blood Administration Complete | $513.77 | $1,511.10 | $982.22 | — | 66% |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration Complete Blood Bank BCE | $513.77 | $1,511.10 | $982.22 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy -> Initial | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI -> Demo/Initial | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy Subsequent BCE | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB -> Yes | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI Demo/Initial BCE | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE Aerosol Therapy Initial BCE | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI Subsequent BCE | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE MDI -> Subsequent | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RT CHARGE IPPB BCE | $66.81 | $196.51 | $28.68–$216.26 | 65% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 ED PRESSD NONPRESSD INHAL TRMENT BCE | $131.08 | $385.53 | $28.68–$250.59 | 32% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 CHED PRESSD NONPRESSD INHAL TRMENT BCE | $131.08 | $385.53 | $28.68–$250.59 | 32% below | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI -> Subsequent | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI -> Demo/Initial | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy Initial BCE | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy -> Initial | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI Subsequent BCE | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy Subsequent BCE | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE IPPB BCE | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE IPPB -> Yes | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE Aerosol Therapy -> Subsequent | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RT CHARGE MDI Demo/Initial BCE | $66.81 | $196.51 | $127.73 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 CHED PRESSD NONPRESSD INHAL TRMENT BCE | $131.08 | $385.53 | $250.59 | — | 66% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 ED PRESSD NONPRESSD INHAL TRMENT BCE | $131.08 | $385.53 | $250.59 | — | 66% |
| Chemotherapy IV infusion, first hour CPT 96413 Onc Chemo Inf 1 hr Single/Initial Drug 96413 BCE | $575.32 | $1,692.11 | $241.17–$1,099.87 | 10% below | 66% |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Onc Chemo Inf 1 hr Single/Initial Drug 96413 BCE | $575.32 | $1,692.11 | $1,099.87 | — | 66% |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291 | $301.95 | $888.10 | $147.69–$4,566.00 | 85% below | 66% |
| Critical care, first 30 to 74 minutes CPT 99291 CHED Critical Care Ill/Injured Patient Init 30-74 Min 99291 BCE | $301.95 | $888.10 | $147.69–$4,566.00 | 85% below | 66% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 CHED Critical Care Ill/Injured Patient Init 30-74 Min 99291 BCE | $301.95 | $888.10 | $577.27 | — | 66% |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Ill/Injured Patient Init 30-74 Min 99291 | $301.95 | $888.10 | $577.27 | — | 66% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Charges -> EEG Awake/Drowsy 95816 | $537.51 | $1,580.91 | $262.91–$1,027.59 | 38% below | 66% |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG Awake/Drowsy 95816 BCE | $537.51 | $1,580.91 | $262.91–$1,027.59 | 38% below | 66% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Charges -> EEG Awake/Drowsy 95816 | $537.51 | $1,580.91 | $1,027.59 | — | 66% |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG Awake/Drowsy 95816 BCE | $537.51 | $1,580.91 | $1,027.59 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Charges - ED -> Routine ECG 12 lead/15 lead tracing only | $153.36 | $451.07 | $14.78–$293.20 | 34% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 CHED Routine ECG 12 lead/15 lead tracing only BCE | $153.36 | $451.07 | $14.78–$293.20 | 34% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005 | $153.36 | $451.07 | $14.78–$293.20 | 34% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ED Routine ECG 12 lead/15 lead tracing only BCE | $153.36 | $451.07 | $14.78–$293.20 | 34% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine ECG 12 lead/15 lead tracing only 93005 BCE | $153.36 | $451.07 | $14.78–$293.20 | 34% below | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 CHED Routine ECG 12 lead/15 lead tracing only BCE | $153.36 | $451.07 | $293.20 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Charges - EKG -> Routine ECG 12 lead/15 lead tracing only 93005 | $153.36 | $451.07 | $293.20 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine ECG 12 lead/15 lead tracing only 93005 BCE | $153.36 | $451.07 | $293.20 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Charges - ED -> Routine ECG 12 lead/15 lead tracing only | $153.36 | $451.07 | $293.20 | — | 66% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ED Routine ECG 12 lead/15 lead tracing only BCE | $153.36 | $451.07 | $293.20 | — | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 CHED 99281 - Level 1 BCE | $167.71 | $493.26 | $28.32–$967.00 | 25% below | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1 | $167.71 | $493.26 | $28.32–$967.00 | 25% below | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 CHED 99281 - Level 1 BCE | $167.71 | $493.26 | $320.62 | — | 66% |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1 | $167.71 | $493.26 | $320.62 | — | 66% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 CHED 99282 - Level 2 BCE | $283.61 | $834.16 | $56.17–$1,286.00 | 29% below | 66% |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2 | $283.61 | $834.16 | $56.17–$1,286.00 | 29% below | 66% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2 | $283.61 | $834.16 | $542.20 | — | 66% |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 CHED 99282 - Level 2 BCE | $283.61 | $834.16 | $542.20 | — | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3 | $519.33 | $1,527.43 | $85.36–$1,821.00 | 26% below | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 CHED 99283 - Level 3 BCE | $519.33 | $1,527.43 | $85.36–$1,821.00 | 26% below | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3 | $519.33 | $1,527.43 | $992.83 | — | 66% |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 CHED 99283 - Level 3 BCE | $519.33 | $1,527.43 | $992.83 | — | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 CHED 99284 - Level 4 BCE | $833.78 | $2,452.28 | $162.93–$2,760.00 | 27% below | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4 | $833.78 | $2,452.28 | $162.93–$2,760.00 | 27% below | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4 | $833.78 | $2,452.28 | $1,593.98 | — | 66% |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 CHED 99284 - Level 4 BCE | $833.78 | $2,452.28 | $1,593.98 | — | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5 | $1,135.44 | $3,339.54 | $242.30–$3,360.00 | 29% below | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 CHED 99285 - Level 5 BCE | $1,135.44 | $3,339.54 | $242.30–$3,360.00 | 29% below | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 CHED 99285 - Level 5 BCE | $1,135.44 | $3,339.54 | $2,170.70 | — | 66% |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5 | $1,135.44 | $3,339.54 | $2,170.70 | — | 66% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 DOBUTAMINE CARDIOVASCULAR STRESS TEST W/ THALLIUM BCE | $559.70 | $1,646.18 | $58.18–$1,070.02 | 41% below | 66% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 EKG Charges - EKG -> Cardiovascular stress test trace 93017 | $697.27 | $2,050.79 | $58.18–$1,333.01 | 27% below | 66% |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular stress test trace 93017 BCE | $697.27 | $2,050.79 | $58.18–$1,333.01 | 27% below | 66% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 DOBUTAMINE CARDIOVASCULAR STRESS TEST W/ THALLIUM BCE | $559.70 | $1,646.18 | $1,070.02 | — | 66% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular stress test trace 93017 BCE | $697.27 | $2,050.79 | $1,333.01 | — | 66% |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 EKG Charges - EKG -> Cardiovascular stress test trace 93017 | $697.27 | $2,050.79 | $1,333.01 | — | 66% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $187.00 | $550.00 | $82.60–$357.50 | 45% above | 66% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $187.00 | $550.00 | $357.50 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360 | $210.79 | $619.97 | $72.21–$402.98 | 38% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration, first hour | $216.79 | $637.61 | $72.21–$414.45 | 36% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 CHED 96360 - Hydration, first hour BCE | $216.79 | $637.61 | $72.21–$414.45 | 36% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Onc Inf Hydration Initial 31 to 60 Min 96360 BCE | $216.79 | $637.61 | $72.21–$414.45 | 36% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Imaging Nursing Procedure Charges -> HYDRATION IV INFUSION INIT | $219.37 | $645.21 | $72.21–$419.39 | 35% below | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Infusion for Hydration Initial 31 to 60 Minutes 96360 | $210.79 | $619.97 | $402.98 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 CHED 96360 - Hydration, first hour BCE | $216.79 | $637.61 | $414.45 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration, first hour | $216.79 | $637.61 | $414.45 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Onc Inf Hydration Initial 31 to 60 Min 96360 BCE | $216.79 | $637.61 | $414.45 | — | 66% |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Imaging Nursing Procedure Charges -> HYDRATION IV INFUSION INIT | $219.37 | $645.21 | $419.39 | — | 66% |
| IV infusion of a medicine, first hour CPT 96365 96365- IV tx, first hour | $190.81 | $561.20 | $93.33–$393.00 | 53% below | 66% |
| IV infusion of a medicine, first hour CPT 96365 CHED 96365- IV tx, first hour BCE | $190.81 | $561.20 | $93.33–$393.00 | 53% below | 66% |
| IV infusion of a medicine, first hour CPT 96365 Inf for Therapy, Prophylaxis, Dx Initial up to 1 Hour 96365 | $374.47 | $1,101.39 | $120.43–$715.90 | 8% below | 66% |
| IV infusion of a medicine, first hour CPT 96365 Inf Tx Prophylaxis Dx up to 1 Hour 96365 BCE | $374.47 | $1,101.39 | $120.43–$715.90 | 8% below | 66% |
| IV infusion of a medicine, first hour CPT 96365 Onc Inf Tx Prophylaxis Dx up to 1 Hour 96365 BCE | $374.48 | $1,101.40 | $120.43–$715.91 | 8% below | 66% |
| IV infusion of a medicine, first hour inpatient CPT 96365 CHED 96365- IV tx, first hour BCE | $190.81 | $561.20 | $364.78 | — | 66% |
| IV infusion of a medicine, first hour inpatient CPT 96365 96365- IV tx, first hour | $190.81 | $561.20 | $364.78 | — | 66% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Inf Tx Prophylaxis Dx up to 1 Hour 96365 BCE | $374.47 | $1,101.39 | $715.90 | — | 66% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Inf for Therapy, Prophylaxis, Dx Initial up to 1 Hour 96365 | $374.47 | $1,101.39 | $715.90 | — | 66% |
| IV infusion of a medicine, first hour inpatient CPT 96365 Onc Inf Tx Prophylaxis Dx up to 1 Hour 96365 BCE | $374.48 | $1,101.40 | $715.91 | — | 66% |
| IV push of a medicine, first drug CPT 96374 Tx Prophylactic or Diag IVP Single or Initial Drug 96374 | $65.27 | $191.98 | $31.93–$393.00 | 70% below | 66% |
| IV push of a medicine, first drug CPT 96374 Inf Tx Prophylactic Diag IVP Drug 96374 BCE | $65.27 | $191.98 | $31.93–$393.00 | 70% below | 66% |
| IV push of a medicine, first drug CPT 96374 Onc Tx Prophylactic Diag IVP Drug 96374 BCE | $106.12 | $312.11 | $51.90–$393.00 | 51% below | 66% |
| IV push of a medicine, first drug CPT 96374 96374- IV Injection, single/initial | $131.39 | $386.43 | $64.26–$393.00 | 39% below | 66% |
| IV push of a medicine, first drug CPT 96374 CHED 96374- IV Injection, single/initial BCE | $131.39 | $386.43 | $64.26–$393.00 | 39% below | 66% |
| IV push of a medicine, first drug inpatient CPT 96374 Inf Tx Prophylactic Diag IVP Drug 96374 BCE | $65.27 | $191.98 | $124.79 | — | 66% |
| IV push of a medicine, first drug inpatient CPT 96374 Tx Prophylactic or Diag IVP Single or Initial Drug 96374 | $65.27 | $191.98 | $124.79 | — | 66% |
| IV push of a medicine, first drug inpatient CPT 96374 Onc Tx Prophylactic Diag IVP Drug 96374 BCE | $106.12 | $312.11 | $202.87 | — | 66% |
| IV push of a medicine, first drug inpatient CPT 96374 96374- IV Injection, single/initial | $131.39 | $386.43 | $251.18 | — | 66% |
| IV push of a medicine, first drug inpatient CPT 96374 CHED 96374- IV Injection, single/initial BCE | $131.39 | $386.43 | $251.18 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Therapy, Prophylactic, Diagnostic Injection SQ or IM 96372 | $35.80 | $105.29 | $17.51–$393.00 | 67% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Inf Tx Proph Diag Injection SQ or IM 96372 BCE | $35.80 | $105.29 | $17.51–$393.00 | 67% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 PLASTIC INJ INTRAMUSCULAR OR SUBCUTANEOUS BCE | $40.80 | $120.00 | $19.96–$393.00 | 63% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 ORTHO INJ INTRAMUSCULAR OR SUBCUTANEOUS BCE | $73.16 | $215.17 | $33.68–$139.86 | 33% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHED 96372- Subq/IM Injection BCE | $77.12 | $226.81 | $33.68–$393.00 | 29% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372- Subq/IM Injection | $77.12 | $226.81 | $33.68–$393.00 | 29% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 GYNE THERAPEUTIC PROPHYLACTIC/DX INJ SUBQ/IM BCE | $77.18 | $227.00 | $33.68–$818.00 | 29% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Onc Tx Proph Diag Injection SQ or IM 96372 BCE | $85.10 | $250.28 | $33.68–$393.00 | 22% below | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Inf Tx Proph Diag Injection SQ or IM 96372 BCE | $35.80 | $105.29 | $68.44 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Therapy, Prophylactic, Diagnostic Injection SQ or IM 96372 | $35.80 | $105.29 | $68.44 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 PLASTIC INJ INTRAMUSCULAR OR SUBCUTANEOUS BCE | $40.80 | $120.00 | $78.00 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 ORTHO INJ INTRAMUSCULAR OR SUBCUTANEOUS BCE | $73.16 | $215.17 | $139.86 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHED 96372- Subq/IM Injection BCE | $77.12 | $226.81 | $147.43 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372- Subq/IM Injection | $77.12 | $226.81 | $147.43 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 GYNE THERAPEUTIC PROPHYLACTIC/DX INJ SUBQ/IM BCE | $77.18 | $227.00 | $147.55 | — | 66% |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Onc Tx Proph Diag Injection SQ or IM 96372 BCE | $85.10 | $250.28 | $162.68 | — | 66% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PSYCH DIAGNOSTIC EVALUATION BCE | $153.29 | $450.85 | $74.98–$293.05 | 43% below | 66% |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PSYCH DIAGNOSTIC EVALUATION BCE | $153.29 | $450.85 | $293.05 | — | 66% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Tests -> 7-8 Studies 95910 | $87.98 | $258.77 | $43.03–$354.00 | 88% below | 66% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction Tests7-8 Studies 95910 BCE | $87.98 | $258.77 | $43.03–$354.00 | 88% below | 66% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Tests -> 7-8 Studies 95910 | $87.98 | $258.77 | $168.20 | — | 66% |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction Tests7-8 Studies 95910 BCE | $87.98 | $258.77 | $168.20 | — | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units BCE | $26.96 | $79.28 | $13.18–$161.00 | 77% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assistant Units | $26.96 | $79.28 | $13.18–$161.00 | 77% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units BCE | $26.96 | $79.28 | $13.18–$161.00 | 77% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units | $26.96 | $79.28 | $13.18–$161.00 | 77% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units BCE | $62.37 | $183.43 | $30.07–$161.00 | 48% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assistant Units | $62.37 | $183.43 | $30.07–$161.00 | 48% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units BCE | $62.37 | $183.43 | $30.07–$161.00 | 48% below | 66% |
| Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units | $62.37 | $183.43 | $30.07–$161.00 | 48% below | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units | $26.96 | $79.28 | $51.53 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units BCE | $26.96 | $79.28 | $51.53 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assistant Units | $26.96 | $79.28 | $51.53 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units BCE | $26.96 | $79.28 | $51.53 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units | $62.37 | $183.43 | $119.23 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units | $62.37 | $183.43 | $119.23 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units BCE | $62.37 | $183.43 | $119.23 | — | 66% |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assistant Units BCE | $62.37 | $183.43 | $119.23 | — | 66% |
| New patient office visit, about 30 minutes CPT 99203 COLORECTAL NEW PT CLINIC VISIT LVL 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3 | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 GYNE ONC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 PLASTIC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 ENT NEW PT OFC VSIT LVEL 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 Neurology New Pt Level III BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 Neurology Visit Patient Levels -> New Pt Level III | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 BONE-JOINT OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 WC New PT Visit Level 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes CPT 99203 OPWC New PT Visit Level 3 BCE | $132.60 | $390.00 | $64.86–$253.50 | 40% below | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ORTHO OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 BONE-JOINT OFC/OUTPT E&M NEW DETAILED VISIT BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 ENT NEW PT OFC VSIT LVEL 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PAIN CLINIC NEW PT LVL 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OPWC New PT Visit Level 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 COLORECTAL NEW PT CLINIC VISIT LVL 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 PLASTIC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 GYNE ONC OFC VISIT NEW PT LVL 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Onc Facility Eval, New Patient Level 3 99203 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neurology New Pt Level III BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 Neurology Visit Patient Levels -> New Pt Level III | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 WC New PT Visit Level 3 BCE | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 30 minutes inpatient CPT 99203 *Wound Visit Levels -> New PT Wound Visit Level 3 | $132.60 | $390.00 | $253.50 | — | 66% |
| New patient office visit, about 45 minutes CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 ENT NEW PT OFC VSIT LVEL 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 COLORECTAL NEW PT CLINIC VISIT LVL 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 BONE-JOINT OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 Neurology New Pt Level IV BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 WC New PT Visit Level 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 OPWC New PT Visit Level 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 GYNE ONC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 PLASTIC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes CPT 99204 Neurology Visit Patient Levels -> New Pt Level IV | $169.32 | $498.00 | $82.82–$323.70 | 43% below | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ENT NEW PT OFC VSIT LVEL 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Neurology New Pt Level IV BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 GYNE ONC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PLASTIC OFC VISIT NEW PT LVL 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 COLORECTAL NEW PT CLINIC VISIT LVL 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Neurology Visit Patient Levels -> New Pt Level IV | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 ORTHO OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 *Wound Visit Levels -> New PT Wound Visit Level 4 | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 Onc Facility Eval, New Patient Level 4 99204 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 PAIN CLINIC NEW PT LVL 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 WC New PT Visit Level 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OPWC New PT Visit Level 4 BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 45 minutes inpatient CPT 99204 BONE-JOINT OFC/OUTPT E&M NEW MOD COMPLEXITY BCE | $169.32 | $498.00 | $323.70 | — | 66% |
| New patient office visit, about 60 minutes CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 COLORECTAL NEW PT CLINIC VISIT LVL 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 BONE-JOINT OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 OPWC New PT Visit Level 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 WC New PT Visit Level 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 Neurology New Pt Level V BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 GYNE ONC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 ENT NEW PT OFC VSIT LVEL 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 PLASTIC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes CPT 99205 Neurology Visit Patient Levels -> New Pt Level V | $215.90 | $635.00 | $105.60–$412.75 | 45% below | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 COLORECTAL NEW PT CLINIC VISIT LVL 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Neurology Visit Patient Levels -> New Pt Level V | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 WC New PT Visit Level 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ENT NEW PT OFC VSIT LVEL 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PLASTIC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Onc Facility Eval, New Patient Level 5 99205 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 Neurology New Pt Level V BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 BONE-JOINT OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 *Wound Visit Levels -> New PT Wound Visit Level 5 | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 ORTHO OFC/OUTPT E&M NEW HI COMPLEXITY BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 PAIN CLINIC NEW PT LVL 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 GYNE ONC OFC VISIT NEW PT LVL 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OPWC New PT Visit Level 5 BCE | $215.90 | $635.00 | $412.75 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PLASTIC OFC VISIT NEW PT LVL 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ORTHO OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Neurology Visit Patient Levels -> New Pt Level II | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 *Wound Visit Levels -> New PT Wound Visit Level 2 | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 ENT NEW PT OFC VSIT LVEL 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Neurology New Pt Level II BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 BONE-JOINT OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 COLORECTAL NEW PT CLINIC VISIT LVL 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Onc Facility Eval, New Patient Level 2 99202 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 GYNE ONC OFC VISIT NEW PT LVL 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 WC New PT Visit Level 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 PAIN CLINIC E&M NEW PT SF 15-29 MIN 99202 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 OPWC New PT Visit Level 2 BCE | $119.00 | $350.00 | $56.63–$227.50 | 32% below | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Onc Facility Eval, New Patient Level 2 99202 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BONE-JOINT OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 WC New PT Visit Level 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 GYNE ONC OFC VISIT NEW PT LVL 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 OPWC New PT Visit Level 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ORTHO OFC/OUTPT E&M NEW EXP PROB FOCUSED BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 COLORECTAL NEW PT CLINIC VISIT LVL 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ENT NEW PT OFC VSIT LVEL 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Neurology New Pt Level II BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PLASTIC OFC VISIT NEW PT LVL 2 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 *Wound Visit Levels -> New PT Wound Visit Level 2 | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 PAIN CLINIC E&M NEW PT SF 15-29 MIN 99202 BCE | $119.00 | $350.00 | $227.50 | — | 66% |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Neurology Visit Patient Levels -> New Pt Level II | $119.00 | $350.00 | $227.50 | — | 66% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity BCE | $189.00 | $555.89 | $77.88–$361.33 | 26% below | 66% |
| Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units, Low Complexity | $189.00 | $555.89 | $77.88–$361.33 | 26% below | 66% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity BCE | $189.00 | $555.89 | $361.33 | — | 66% |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units, Low Complexity | $189.00 | $555.89 | $361.33 | — | 66% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity BCE | $273.72 | $805.06 | $82.99–$523.29 | 20% below | 66% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units, High Complexity | $273.72 | $805.06 | $82.99–$523.29 | 20% below | 66% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity BCE | $273.72 | $805.06 | $523.29 | — | 66% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units, High Complexity | $273.72 | $805.06 | $523.29 | — | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity | $194.62 | $572.41 | $67.89–$372.07 | 14% below | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units, Low Complexity BCE | $194.62 | $572.41 | $67.89–$372.07 | 14% below | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity BCE | $194.62 | $572.41 | $372.07 | — | 66% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units, Low Complexity | $194.62 | $572.41 | $372.07 | — | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity BCE | $263.63 | $775.39 | $75.44–$504.00 | 14% below | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units, Moderate Complexity | $263.63 | $775.39 | $75.44–$504.00 | 14% below | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity | $263.63 | $775.39 | $504.00 | — | 66% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units, Moderate Complexity BCE | $263.63 | $775.39 | $504.00 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units BCE | $40.17 | $118.16 | $19.26–$161.00 | 70% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units | $40.17 | $118.16 | $19.26–$161.00 | 70% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units BCE | $40.17 | $118.16 | $19.26–$161.00 | 70% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units | $40.17 | $118.16 | $19.26–$161.00 | 70% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units | $83.34 | $245.11 | $19.26–$161.00 | 38% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units | $83.34 | $245.11 | $19.26–$161.00 | 38% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units BCE | $83.34 | $245.11 | $19.26–$161.00 | 38% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units BCE | $83.34 | $245.11 | $19.26–$161.00 | 38% below | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units BCE | $40.17 | $118.16 | $76.80 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units | $40.17 | $118.16 | $76.80 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units | $40.17 | $118.16 | $76.80 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units BCE | $40.17 | $118.16 | $76.80 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units BCE | $83.34 | $245.11 | $159.32 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units BCE | $83.34 | $245.11 | $159.32 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units | $83.34 | $245.11 | $159.32 | — | 66% |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units | $83.34 | $245.11 | $159.32 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units BCE | $93.31 | $274.44 | $27.06–$178.39 | 17% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units | $93.31 | $274.44 | $27.06–$178.39 | 17% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $93.31 | $274.44 | $27.06–$178.39 | 17% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $93.31 | $274.44 | $27.06–$178.39 | 17% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $97.81 | $287.67 | $27.06–$186.99 | 13% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $97.81 | $287.67 | $27.06–$186.99 | 13% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units BCE | $97.81 | $287.67 | $27.06–$186.99 | 13% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units | $97.81 | $287.67 | $27.06–$186.99 | 13% below | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units BCE | $93.31 | $274.44 | $178.39 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $93.31 | $274.44 | $178.39 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units BCE | $93.31 | $274.44 | $178.39 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units | $93.31 | $274.44 | $178.39 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units BCE | $97.81 | $287.67 | $186.99 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units | $97.81 | $287.67 | $186.99 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $97.81 | $287.67 | $186.99 | — | 66% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units BCE | $97.81 | $287.67 | $186.99 | — | 66% |
| Preventive checkup, new patient aged 18–39 CPT 99385 GYNE INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS BCE | $90.10 | $265.00 | $44.07–$818.00 | 64% below | 66% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 GYNE INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS BCE | $90.10 | $265.00 | $172.25 | — | 66% |
| Preventive checkup, new patient aged 40–64 CPT 99386 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS BCE | $109.48 | $322.00 | $53.55–$209.30 | 55% below | 66% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS BCE | $109.48 | $322.00 | $209.30 | — | 66% |
| Preventive checkup, new patient aged 65 or older CPT 99387 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> BCE | $117.30 | $345.00 | $57.37–$224.25 | 48% below | 66% |
| Preventive checkup, new patient aged 65 or older inpatient CPT 99387 GYNE INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> BCE | $117.30 | $345.00 | $224.25 | — | 66% |
| Preventive checkup, returning patient aged 18–39 CPT 99395 GYNE PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS BCE | $81.26 | $239.00 | $39.75–$155.35 | 57% below | 66% |
| Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 GYNE PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS BCE | $81.26 | $239.00 | $155.35 | — | 66% |
| Preventive checkup, returning patient aged 40–64 CPT 99396 GYNE PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS BCE | $89.42 | $263.00 | $43.74–$170.95 | 58% below | 66% |
| Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 GYNE PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS BCE | $89.42 | $263.00 | $170.95 | — | 66% |
| Preventive checkup, returning patient aged 65 or older CPT 99397 GYNE PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER BCE | $94.18 | $277.00 | $46.07–$180.05 | 59% below | 66% |
| Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 GYNE PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER BCE | $94.18 | $277.00 | $180.05 | — | 66% |
| Psychiatric evaluation with medical services CPT 90792 PSYCH DIAG EVAL W/MED SRVCS BCE | $150.00 | $441.19 | $73.37–$286.77 | 58% below | 66% |
| Psychiatric evaluation with medical services inpatient CPT 90792 PSYCH DIAG EVAL W/MED SRVCS BCE | $150.00 | $441.19 | $286.77 | — | 66% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCH W PT 30 MINUTES BCE | $89.19 | $262.32 | $43.62–$170.84 | 53% below | 66% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCH W PT 30 MINUTES BCE | $89.19 | $262.32 | $170.51 | — | 66% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Onc Counselling Smoking Cessatn 3-10Min BCE | $19.17 | $56.39 | $9.38–$152.00 | 53% below | 66% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 OPWC Counsel Smoking Cessatn 3-10Min BCE | $28.02 | $82.42 | $13.71–$53.57 | 32% below | 66% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 WC Counsel Smoking Cessatn 3-10Min BCE | $28.02 | $82.42 | $13.71–$53.57 | 32% below | 66% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Onc Counselling Smoking Cessatn 3-10Min BCE | $19.17 | $56.39 | $36.65 | — | 66% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 OPWC Counsel Smoking Cessatn 3-10Min BCE | $28.02 | $82.42 | $53.57 | — | 66% |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 WC Counsel Smoking Cessatn 3-10Min BCE | $28.02 | $82.42 | $53.57 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ORTHO OFC/OUTPT E&M EST HIGH COMPLEXITY BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 ENT EST PT OFC VSIT LVEL 5 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Rad Onc Visit Levels EST High Complexity BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min) | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Neurology Visit Patient Levels -> Est Pt Level V | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Onc Facility Eval, Management Level 5 99215 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 COLORECTAL EST PT CLINIC VISIT LVL 5 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 GYNE ONC OFC VISIT EST PT LVL 5 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 OPWC EST PT Visit Level 5 (60+ Min) BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Neurology Est Pt Level V BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PLASTIC OFC VISIT EST PT LVL 5 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 WC EST PT Visit Level 5 (60+ Min) BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 CHRG - Oncology Visit Levels -> EST High Complexity | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 PAIN CLINIC EST PT LVL 5 BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 BONE-JOINT OFC/OUTPT E&M EST HIGH COMPLEXITY BCE | $149.60 | $440.00 | $73.17–$286.00 | 46% below | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 WC EST PT Visit Level 5 (60+ Min) BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PLASTIC OFC VISIT EST PT LVL 5 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Rad Onc Visit Levels EST High Complexity BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ORTHO OFC/OUTPT E&M EST HIGH COMPLEXITY BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 GYNE ONC OFC VISIT EST PT LVL 5 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 OPWC EST PT Visit Level 5 (60+ Min) BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COLORECTAL EST PT CLINIC VISIT LVL 5 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 CHRG - Oncology Visit Levels -> EST High Complexity | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PAIN CLINIC EST PT LVL 5 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 *Wound Visit Levels -> EST PT Wound Visit Level 5 (60+ Min) | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Neurology Est Pt Level V BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ENT EST PT OFC VSIT LVEL 5 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Neurology Visit Patient Levels -> Est Pt Level V | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Onc Facility Eval, Management Level 5 99215 BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BONE-JOINT OFC/OUTPT E&M EST HIGH COMPLEXITY BCE | $149.60 | $440.00 | $286.00 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Rad Onc Visit Levels EST Low Complexity BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 OPWC EST PT Visit Level 3 (31-45 Min) BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PAIN CLINIC EST PT LVL 3 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ENT EST PT OFC VSIT LVEL 3 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Neurology Est Pt Level III BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 GYNE ONC OFC VISIT EST PT LVL 3 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 COLORECTAL EST PT CLINIC VISIT LVL 3 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 CHRG - Oncology Visit Levels -> EST Low Complexity | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 ORTHO OFC/OUTPT E&M EST LOW COMPLEXITY BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 BONE-JOINT OFC/OUTPT E&M EST LOW COMPLEXITY BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 WC EST PT Visit Level 3 (31-45 Min) BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 PLASTIC OFC VISIT EST PT LVL 3 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Onc Facility Eval, Management Level 3 99213 BCE | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 *Wound Visit Levels -> EST PT Wound Visit Level 3 (31-45 Min) | $98.26 | $289.00 | $48.06–$187.85 | 36% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Neurology Visit Patient Levels -> Est Pt Level III | $132.60 | $390.00 | $55.53–$253.50 | 13% below | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 *Wound Visit Levels -> EST PT Wound Visit Level 3 (31-45 Min) | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Neurology Est Pt Level III BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 CHRG - Oncology Visit Levels -> EST Low Complexity | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Onc Facility Eval, Management Level 3 99213 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 WC EST PT Visit Level 3 (31-45 Min) BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Rad Onc Visit Levels EST Low Complexity BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 COLORECTAL EST PT CLINIC VISIT LVL 3 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PLASTIC OFC VISIT EST PT LVL 3 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 OPWC EST PT Visit Level 3 (31-45 Min) BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 GYNE ONC OFC VISIT EST PT LVL 3 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ORTHO OFC/OUTPT E&M EST LOW COMPLEXITY BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ENT EST PT OFC VSIT LVEL 3 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BONE-JOINT OFC/OUTPT E&M EST LOW COMPLEXITY BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PAIN CLINIC EST PT LVL 3 BCE | $98.26 | $289.00 | $187.85 | — | 66% |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Neurology Visit Patient Levels -> Est Pt Level III | $132.60 | $390.00 | $253.50 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BONE-JOINT OFC/OUTPT E&M EST MOD COMPLEXITY BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PAIN CLINIC EST PT LVL 4 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ORTHO OFC/OUTPT E&M EST MOD COMPLEXITY BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Onc Facility Eval, Management Level 4 99214 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Rad Onc Visit Levels EST Moderate Complexity BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 CHRG - Oncology Visit Levels -> EST Moderate Complexity | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 GYNE ONC OFC VISIT EST PT LVL 4 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 *Wound Visit Levels -> EST PT Wound Visit Level 4 (46-60 Min) | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Neurology Est Pt Level IV BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 COLORECTAL EST PT CLINIC VISIT LVL 4 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ENT EST PT OFC VSIT LVEL 4 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Neurology Visit Patient Levels -> Est Pt Level IV | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 OPWC EST PT Visit Level 4 (46-60 Min) BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PLASTIC OFC VISIT EST PT LVL 4 BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 WC EST PT Visit Level 4 (46-60 Min) BCE | $126.14 | $371.00 | $61.70–$241.15 | 32% below | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 *Wound Visit Levels -> EST PT Wound Visit Level 4 (46-60 Min) | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ENT EST PT OFC VSIT LVEL 4 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ORTHO OFC/OUTPT E&M EST MOD COMPLEXITY BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PLASTIC OFC VISIT EST PT LVL 4 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 CHRG - Oncology Visit Levels -> EST Moderate Complexity | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 COLORECTAL EST PT CLINIC VISIT LVL 4 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Onc Facility Eval, Management Level 4 99214 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PAIN CLINIC EST PT LVL 4 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 GYNE ONC OFC VISIT EST PT LVL 4 BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Rad Onc Visit Levels EST Moderate Complexity BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 OPWC EST PT Visit Level 4 (46-60 Min) BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Neurology Visit Patient Levels -> Est Pt Level IV | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BONE-JOINT OFC/OUTPT E&M EST MOD COMPLEXITY BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 WC EST PT Visit Level 4 (46-60 Min) BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Neurology Est Pt Level IV BCE | $126.14 | $371.00 | $241.15 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 WC EST PT Visit Level 2 (16-30 Min) BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 CHRG - Oncology Visit Levels -> EST Focused | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 GYNE ONC OFC VISIT EST PT LVL 2 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Neurology Visit Patient Levels -> Est Pt Level II | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PAIN CLINIC EST PT LVL 2 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Onc Facility Eval, Management Level 2 99212 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 COLORECTAL EST PT CLINIC VISIT LVL 2 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 OPWC EST PT Visit Level 2 (16-30 Min) BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BONE-JOINT OFC/OUTPT E&M ESTAB FOCUSED BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ORTHO OFC/OUTPT E&M ESTAB FOCUSED BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 *Wound Visit Levels -> EST PT Wound Visit Level 2 (16-30 Min) | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Neurology Est Pt Level II BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PLASTIC OFC VISIT EST PT LVL 2 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ENT EST PT OFC VSIT LVEL 2 BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Rad Onc Visit Levels EST Focused BCE | $87.72 | $258.00 | $27.74–$167.70 | 30% below | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 OPWC EST PT Visit Level 2 (16-30 Min) BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 *Wound Visit Levels -> EST PT Wound Visit Level 2 (16-30 Min) | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Neurology Visit Patient Levels -> Est Pt Level II | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ORTHO OFC/OUTPT E&M ESTAB FOCUSED BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Onc Facility Eval, Management Level 2 99212 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BONE-JOINT OFC/OUTPT E&M ESTAB FOCUSED BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 GYNE ONC OFC VISIT EST PT LVL 2 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Neurology Est Pt Level II BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 COLORECTAL EST PT CLINIC VISIT LVL 2 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ENT EST PT OFC VSIT LVEL 2 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 WC EST PT Visit Level 2 (16-30 Min) BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PLASTIC OFC VISIT EST PT LVL 2 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 CHRG - Oncology Visit Levels -> EST Focused | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Rad Onc Visit Levels EST Focused BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PAIN CLINIC EST PT LVL 2 BCE | $87.72 | $258.00 | $167.70 | — | 66% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit BCE | $184.99 | $544.10 | $90.48–$353.67 | 47% below | 66% |
| Speech and language evaluation CPT 92523 SLP Eval Lang Comprehension,Express Unit | $184.99 | $544.10 | $90.48–$353.67 | 47% below | 66% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit BCE | $184.99 | $544.10 | $353.67 | — | 66% |
| Speech and language evaluation inpatient CPT 92523 SLP Eval Lang Comprehension,Express Unit | $184.99 | $544.10 | $353.67 | — | 66% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units BCE | $94.09 | $276.73 | $46.02–$179.87 | 45% below | 66% |
| Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units | $94.09 | $276.73 | $46.02–$179.87 | 45% below | 66% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units | $94.09 | $276.73 | $179.87 | — | 66% |
| Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units BCE | $94.09 | $276.73 | $179.87 | — | 66% |
| Spirometry (breathing test) CPT 94010 PFT Spirometry BCE | $374.73 | $1,102.16 | $41.99–$716.40 | 24% above | 66% |
| Spirometry (breathing test) CPT 94010 RT CHARGE PFT -> Spirometry | $374.73 | $1,102.16 | $41.99–$716.40 | 24% above | 66% |
| Spirometry (breathing test) inpatient CPT 94010 RT CHARGE PFT -> Spirometry | $374.73 | $1,102.16 | $716.40 | — | 66% |
| Spirometry (breathing test) inpatient CPT 94010 PFT Spirometry BCE | $374.73 | $1,102.16 | $716.40 | — | 66% |
| Spirometry before and after a bronchodilator CPT 94060 PFT Spirometry before & after BCE | $290.10 | $853.24 | $72.35–$554.61 | 47% below | 66% |
| Spirometry before and after a bronchodilator CPT 94060 RT CHARGE PFT -> Spirometry before & after | $290.10 | $853.24 | $72.35–$554.61 | 47% below | 66% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 RT CHARGE PFT -> Spirometry before & after | $290.10 | $853.24 | $554.61 | — | 66% |
| Spirometry before and after a bronchodilator inpatient CPT 94060 PFT Spirometry before & after BCE | $290.10 | $853.24 | $554.61 | — | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units | $30.40 | $89.40 | $14.87–$161.00 | 76% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assistant Units BCE | $30.40 | $89.40 | $14.87–$161.00 | 76% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units | $30.40 | $89.40 | $14.87–$161.00 | 76% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units BCE | $30.40 | $89.40 | $14.87–$161.00 | 76% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units BCE | $70.69 | $207.90 | $32.17–$161.00 | 43% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units | $70.69 | $207.90 | $32.17–$161.00 | 43% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units | $70.69 | $207.90 | $32.17–$161.00 | 43% below | 66% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units BCE | $70.69 | $207.90 | $32.17–$161.00 | 43% below | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units | $30.40 | $89.40 | $58.11 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assistant Units BCE | $30.40 | $89.40 | $58.11 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units BCE | $30.40 | $89.40 | $58.11 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units | $30.40 | $89.40 | $58.11 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units BCE | $70.69 | $207.90 | $135.14 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units | $70.69 | $207.90 | $135.14 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units BCE | $70.69 | $207.90 | $135.14 | — | 66% |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units | $70.69 | $207.90 | $135.14 | — | 66% |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Onc Therapeutic Phlebotomy 99195 BCE | $68.18 | $200.54 | $33.35–$264.00 | 68% below | 66% |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Onc Therapeutic Phlebotomy 99195 BCE | $68.18 | $200.54 | $130.35 | — | 66% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Illinois | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Initial Admin Charge 90471 | $28.24 | $83.05 | $13.81–$75.67 | 51% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IV Therapy/Nursing Flu Initial Admin Charge 90471/G0008 BCE | $28.24 | $83.05 | $13.81–$75.67 | 51% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Onc Pneum Initial Admin Charge 90471/G0009 BCE | $28.24 | $83.05 | $13.81–$75.67 | 51% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Onc Flu Initial Admin Charge 90471/G0008 BCE | $28.24 | $83.05 | $13.81–$75.67 | 51% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Flu Initial Admin Charge 90471 BCE | $31.71 | $93.27 | $15.00–$75.67 | 45% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Flu -> ED - Initial Admin Charge 90471 | $31.71 | $93.27 | $15.00–$75.67 | 45% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHED Flu Initial Admin Charge 90471 BCE | $31.71 | $93.27 | $15.00–$75.67 | 45% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Pneum Initial Admin Charge 90471/G0009 BCE | $33.25 | $97.79 | $15.00–$75.67 | 42% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHED Pneum Initial Admin Charge 90471/G0009 BCE | $33.25 | $97.79 | $15.00–$75.67 | 42% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> L&D - Initial Admin Charge 90471 | $43.42 | $127.70 | $15.00–$83.01 | 25% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ORTHO IMMUNIZATION ADMINISTRATION SNGL BCE | $43.83 | $128.90 | $15.00–$83.79 | 24% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Initial Admin Charge 90471 | $44.12 | $129.77 | $15.00–$84.35 | 23% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IV Therapy/Nursing Hep B Initial Admin Charge 90471/G0010 BCE | $44.12 | $129.77 | $15.00–$84.35 | 23% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Hep B -> IV Therapy/Nursing - Initial Admin Charge 90471 | $44.12 | $129.77 | $15.00–$84.35 | 23% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> IV Therapy/Nursing - Initial Admin Charge 90471 | $48.29 | $142.03 | $15.00–$92.32 | 16% below | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ED Initial Admin Charge 90471 BCE | $70.84 | $208.36 | $15.00–$135.43 | 23% above | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge -> ED - Initial Admin Charge 90471 | $70.84 | $208.36 | $15.00–$135.43 | 23% above | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 CHED Initial Admin Charge 90471 BCE | $70.84 | $208.36 | $15.00–$135.43 | 23% above | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IV Therapy/Nursing Pnuem Initial Admin Charge 90471/G0009 BCE | $70.84 | $208.36 | $15.00–$135.43 | 23% above | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Initial Admin Charge 90471 | $70.84 | $208.36 | $15.00–$135.43 | 23% above | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Initial Admin Charge 90471 | $28.24 | $83.05 | $53.98 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Onc Pneum Initial Admin Charge 90471/G0009 BCE | $28.24 | $83.05 | $53.98 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IV Therapy/Nursing Flu Initial Admin Charge 90471/G0008 BCE | $28.24 | $83.05 | $53.98 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Onc Flu Initial Admin Charge 90471/G0008 BCE | $28.24 | $83.05 | $53.98 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHED Flu Initial Admin Charge 90471 BCE | $31.71 | $93.27 | $60.63 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Flu -> ED - Initial Admin Charge 90471 | $31.71 | $93.27 | $60.63 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED Flu Initial Admin Charge 90471 BCE | $31.71 | $93.27 | $60.63 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHED Pneum Initial Admin Charge 90471/G0009 BCE | $33.25 | $97.79 | $63.56 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED Pneum Initial Admin Charge 90471/G0009 BCE | $33.25 | $97.79 | $63.56 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> L&D - Initial Admin Charge 90471 | $43.42 | $127.70 | $83.01 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ORTHO IMMUNIZATION ADMINISTRATION SNGL BCE | $43.83 | $128.90 | $83.79 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Hep B -> IV Therapy/Nursing - Initial Admin Charge 90471 | $44.12 | $129.77 | $84.35 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IV Therapy/Nursing Hep B Initial Admin Charge 90471/G0010 BCE | $44.12 | $129.77 | $84.35 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Initial Admin Charge 90471 | $44.12 | $129.77 | $84.35 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> IV Therapy/Nursing - Initial Admin Charge 90471 | $48.29 | $142.03 | $92.32 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 CHED Initial Admin Charge 90471 BCE | $70.84 | $208.36 | $135.43 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IV Therapy/Nursing Pnuem Initial Admin Charge 90471/G0009 BCE | $70.84 | $208.36 | $135.43 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ED Initial Admin Charge 90471 BCE | $70.84 | $208.36 | $135.43 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge -> ED - Initial Admin Charge 90471 | $70.84 | $208.36 | $135.43 | — | 66% |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Initial Admin Charge 90471 | $70.84 | $208.36 | $135.43 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ORTHO IMMUNIZATION ADMIN EACH ADD BCE | $27.54 | $81.01 | $8.00–$66.00 | 29% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Onc Addl Admin Charge 90472 BCE | $27.54 | $81.01 | $8.00–$66.00 | 29% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IV Therapy/Nursing Addl Admin Charge 90472 BCE | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Hep B -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $8.00–$72.54 | 2% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $8.00–$72.87 | 1% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Pneumococcal -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $8.00–$72.87 | 1% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 CHED Addl Admin Charge 90472 BCE | $38.12 | $112.11 | $8.00–$72.87 | 1% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Admin Immunization Charge - Flu -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $8.00–$72.87 | 1% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ED Addl Admin Charge 90472 BCE | $38.12 | $112.11 | $8.00–$72.87 | 1% below | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Onc Addl Admin Charge 90472 BCE | $27.54 | $81.01 | $52.66 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ORTHO IMMUNIZATION ADMIN EACH ADD BCE | $27.54 | $81.01 | $52.66 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Flu -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Pneumococcal -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Hep B Ped -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Hep B -> IV Therapy/Nursing - Addl Admin Charge 90472 | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IV Therapy/Nursing Addl Admin Charge 90472 BCE | $37.94 | $111.60 | $72.54 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ED Addl Admin Charge 90472 BCE | $38.12 | $112.11 | $72.87 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 CHED Addl Admin Charge 90472 BCE | $38.12 | $112.11 | $72.87 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Flu -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $72.87 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge - Pneumococcal -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $72.87 | — | 66% |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Admin Immunization Charge -> ED - Addl Admin Charge 90472 | $38.12 | $112.11 | $72.87 | — | 66% |
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.