Hospital New York-Newark-Jersey City, NY-NJ

Nassau University Medical Center

Listed in its price file as “Nassau Health Care Corporation”.

Nassau University Medical Center in East Meadow, NY publishes cash prices for 423 common procedures listed here, from its own machine-readable price file updated Oct 28, 2025. Compared with other hospitals in the state, its outpatient cash prices are above the New York median for 252 of 418 procedures and below it for 164. By typical cash price it ranks #65 of 115 New York hospitals and #60 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.

2201 Hempstead Turnpike, East Meadow, NY 11554-1859 Collected Sep 23, 2026 Source price file Check a bill from this hospital (516) 572-0123

Acute care hospital Government-owned hospital Emergency department CMS star rating 1 of 5 CCN 330027 · CMS hospital register

Financial assistance

Public hospital: ask for its charity care or sliding-scale discount

Nassau University Medical Center is government-owned (CMS register). The federal financial assistance rules for nonprofit hospitals do not always apply to public ones, but many public hospitals run charity care or sliding-scale discounts for uninsured and low-income patients. Ask the billing office for its financial assistance or charity care policy and application before you pay. Letters you can copy.

State law

This state limits hospital bills for lower-income patients

New York law (Public Health Law §2807-k(9-a), as amended in October 2024): uninsured patients with income below 200% of the federal poverty level owe nothing for emergency and medically necessary hospital care; up to 400% they pay on a sliding scale of at most 10% or 20% of what Medicaid would pay. Emergency care is covered for New York residents, other care for people living in the hospital's service area; immigration status does not count. Ask for the Uniform Hospital Financial Assistance form. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W&W/O Contrast	$1,158.70	$1,655.28	$124.86–$1,655.28	12% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W&W/O Contrast	$1,158.70	$1,655.28	—	—	30%
Abdominal X-ray, 2 views CPT 74019 X-Ray Exam Abdomen 2 Views	$333.88	$476.97	$17.95–$625.00	30% above	30%
Abdominal X-ray, 2 views inpatient CPT 74019 X-Ray Exam Abdomen 2 Views	$333.88	$476.97	—	—	30%
Ankle X-ray, complete, 3 or more views CPT 73610 Xray Ankle 3 Or More Views	$238.70	$341.00	$16.08–$625.00	18% above	30%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 Xray Ankle 3 Or More Views	$238.70	$341.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Hyp Tcom Bilat Singl Lvl	$319.20	$456.00	$23.07–$456.00	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 N Inv Up/Low Extr Sngl Lvl Bil	$319.20	$456.00	$23.07–$456.00	at median	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Pseudoaneurysm	$319.20	$456.00	$23.07–$456.00	at median	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/L Xtremity Art 2 Levels	$319.20	$456.00	$23.07–$456.00	at median	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Hyp Tcom Bilat Singl Lvl	$319.20	$456.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 N Inv Up/Low Extr Sngl Lvl Bil	$319.20	$456.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Pseudoaneurysm	$319.20	$456.00	—	—	30%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Upr/L Xtremity Art 2 Levels	$319.20	$456.00	—	—	30%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct; U Extr Wo Contrast	$716.34	$1,023.33	$89.08–$1,251.00	4% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct; U Extr Wo Contrast	$716.34	$1,023.33	—	—	30%
Barium swallow (esophagus X-ray with contrast) CPT 74220 Xray Esophagus	$547.43	$782.04	$50.34–$782.04	60% above	30%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Xray Esophagus	$547.43	$782.04	—	—	30%
Bone scan, whole body (nuclear medicine) CPT 78306 Nucm Bone/Jnt Imag Whole Body	$1,067.50	$1,525.00	$75.88–$1,525.00	8% above	30%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Nucm Bone/Jnt Imag Whole Body	$1,067.50	$1,525.00	—	—	30%
Breast ultrasound, complete, one breast CPT 76641 Us Breast Complete	$449.91	$642.72	$58.42–$642.72	39% above	30%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Right	$294.00	$420.00	$58.42–$420.00	9% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 Us Breast Complete Left	$294.00	$420.00	$58.42–$420.00	9% below	30%
Breast ultrasound, complete, one breast inpatient CPT 76641 Us Breast Complete	$449.91	$642.72	—	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Complete Left	$294.00	$420.00	—	—	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 Us Breast Complete Right	$294.00	$420.00	—	—	30%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 Us Breast Limited Unilateral	$238.70	$341.00	$48.01–$341.00	6% below	30%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Us Breast Limited Unilateral	$238.70	$341.00	—	—	30%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Abd&Pelv W/O&W/Dye	$1,074.11	$1,534.43	$198.99–$1,534.43	39% below	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Abd&Pelv W/O&W/Dye	$1,074.11	$1,534.43	—	—	30%
CT angiography (CTA) of the head CPT 70496 Ct Angiography Head W&W/O Cont	$1,452.06	$2,074.37	$156.94–$2,074.37	18% above	30%
CT angiography (CTA) of the head inpatient CPT 70496 Ct Angiography Head W&W/O Cont	$1,452.06	$2,074.37	—	—	30%
CT angiography (CTA) of the neck CPT 70498 Ct Angiography Neck W&W/O Cont	$1,452.83	$2,075.47	$156.94–$2,075.47	17% above	30%
CT angiography (CTA) of the neck inpatient CPT 70498 Ct Angiography Neck W&W/O Cont	$1,452.83	$2,075.47	—	—	30%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Angiogrph Chest Noncor W&Wo	$1,633.66	$2,333.80	$164.69–$2,333.80	26% above	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Angiogrph Chest Noncor W&Wo	$1,633.66	$2,333.80	—	—	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Cardiac Angio Complete	$939.06	$1,341.51	$215.41–$1,341.51	28% below	30%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Cardiac Angio Complete	$939.06	$1,341.51	—	—	30%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Cardiac Calcium Score Only	$939.06	$1,341.51	$52.48–$1,341.51	339% above	30%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Cardiac Calcium Score Only	$939.06	$1,341.51	—	—	30%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd/Pelvis W/O Contrast	$825.29	$1,178.98	$130.35–$1,251.00	28% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd/Pelvis W/O Contrast	$825.29	$1,178.98	—	—	30%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd/Pelvis W/ Contrast	$1,011.50	$1,445.00	$165.38–$1,445.00	35% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd/Pelvis W/ Contrast	$1,011.50	$1,445.00	—	—	30%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd/Pelvis W/Wo Contrast	$1,158.70	$1,655.28	$180.90–$1,655.28	44% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd/Pelvis W/Wo Contrast	$1,158.70	$1,655.28	—	—	30%
CT scan of the abdomen with contrast CPT 74160 Ct Abdomen W/ Contrast	$956.60	$1,366.57	$114.29–$1,366.57	18% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Abdomen W/ Contrast	$956.60	$1,366.57	—	—	30%
CT scan of the abdomen without contrast CPT 74150 Ct Abdomen W/O Contrast	$808.53	$1,155.03	$106.37–$1,251.00	11% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Abdomen W/O Contrast	$808.53	$1,155.03	—	—	30%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Maxillofacial W/O Contrast	$696.93	$995.61	$77.32–$1,251.00	12% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Maxillofacial W/O Contrast	$696.93	$995.61	—	—	30%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Head/Brain W/O Contrast	$657.35	$939.07	$76.63–$1,251.00	21% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Head/Brain W/O Contrast	$657.35	$939.07	—	—	30%
CT scan of the head with contrast CPT 70460 Ct Head/Brain W/ Contrast	$801.71	$1,145.29	$101.38–$1,251.00	18% below	30%
CT scan of the head with contrast inpatient CPT 70460 Ct Head/Brain W/ Contrast	$801.71	$1,145.29	—	—	30%
CT scan of the head without and with contrast CPT 70470 Ct Head/Brain W/Or W/O Cntrast	$982.52	$1,403.60	$114.29–$1,403.60	8% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 Ct Head/Brain W/Or W/O Cntrast	$982.52	$1,403.60	—	—	30%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Lumbar Spine W/O Contrast	$834.61	$1,192.29	$89.08–$1,251.00	6% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Lumbar Spine W/O Contrast	$834.61	$1,192.29	—	—	30%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Cervical Spine W/O Contrast	$833.68	$1,190.96	$89.08–$1,251.00	10% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Cervical Spine W/O Contrast	$833.68	$1,190.96	—	—	30%
CT scan of the pelvis, with contrast dye CPT 72193 Ct Pelvis W/ Contrast	$940.78	$1,343.96	$103.86–$1,343.96	9% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Pelvis W/ Contrast	$940.78	$1,343.96	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Dup Scn Xtrcran A Bi	$641.20	$916.00	$72.38–$916.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Dplx Scn Extrcranl Art Cmpl Bi	$641.20	$916.00	$72.38–$916.00	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Dup Scn Xtrcran A Bi	$641.20	$916.00	—	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Dplx Scn Extrcranl Art Cmpl Bi	$641.20	$916.00	—	—	30%
Chest CT scan without and with contrast CPT 71270 Ct Thorax W&W/O Contrast	$1,197.82	$1,711.16	$112.42–$1,711.16	9% below	30%
Chest CT scan without and with contrast inpatient CPT 71270 Ct Thorax W&W/O Contrast	$1,197.82	$1,711.16	—	—	30%
Chest X-ray, 2 views CPT 71046 X-Ray Exam Chest 2 Views	$333.88	$476.97	$16.41–$625.00	65% above	30%
Chest X-ray, 2 views inpatient CPT 71046 X-Ray Exam Chest 2 Views	$333.88	$476.97	—	—	30%
Chest X-ray, single view CPT 71045 X-Ray Exam Chest 1 View	$333.88	$476.97	$10.66–$625.00	68% above	30%
Chest X-ray, single view inpatient CPT 71045 X-Ray Exam Chest 1 View	$333.88	$476.97	—	—	30%
Collarbone (clavicle) X-ray, complete CPT 73000 Xray Clavicle Complete	$238.70	$341.00	$15.49–$625.00	18% above	30%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 Xray Clavicle Complete	$238.70	$341.00	—	—	30%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us Rtropritnl/Real Cplt	$327.98	$468.54	$66.61–$468.54	22% below	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Us Rtropritnl/Real Cplt	$327.98	$468.54	—	—	30%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Xray Dexa Ax Skltn Stud>=1site	$393.94	$562.77	$17.90–$625.00	43% above	30%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Xray Dexa Ax Skltn Stud>=1site	$393.94	$562.77	—	—	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Xray Dexa Appendic Skel Study	$238.70	$341.00	$14.85–$625.00	66% above	30%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Xray Dexa Appendic Skel Study	$238.70	$341.00	—	—	30%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Us Ob Detail Exam Sngl/1st Gst	$705.18	$1,007.40	$97.71–$1,007.40	24% above	30%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Us Ob Detail Exam Sngl/1st Gst	$705.18	$1,007.40	—	—	30%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Thorax W/O Contrast	$833.68	$1,190.96	$97.00–$1,251.00	4% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Thorax W/O Contrast	$833.68	$1,190.96	—	—	30%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Thorax W/ Contrast	$977.10	$1,395.85	$104.55–$1,395.85	25% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Thorax W/ Contrast	$977.10	$1,395.85	—	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 Dx Mammo Incl Cad Bi	$465.66	$665.22	$89.08–$665.22	—	30%
Diagnostic mammogram, both breasts both sides CPT 77066 Mm Digital Diag Mammo Bilat	$479.63	$685.18	$89.08–$685.18	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Dx Mammo Incl Cad Bi	$465.66	$665.22	—	—	30%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mm Digital Diag Mammo Bilat	$479.63	$685.18	—	—	30%
Diagnostic mammogram, one breast CPT 77065 Dx Mammo Incl Cad Uni	$479.63	$685.18	$71.87–$685.18	71% above	30%
Diagnostic mammogram, one breast CPT 77065 Mm Mammary Duct/Galact 1 Duct	$641.20	$916.00	$72.85–$916.00	128% above	30%
Diagnostic mammogram, one breast inpatient CPT 77065 Dx Mammo Incl Cad Uni	$479.63	$685.18	—	—	30%
Diagnostic mammogram, one breast inpatient CPT 77065 Mm Mammary Duct/Galact 1 Duct	$641.20	$916.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Lw Ext Cmp Bi	$641.20	$916.00	$71.02–$916.00	—	30%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplex Scan Lw Ext Art Cmp Bi	$641.20	$916.00	$71.02–$916.00	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex Scan Lw Ext Art Cmp Bi	$641.20	$916.00	—	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplex Lw Ext Cmp Bi	$641.20	$916.00	—	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 D Scn Ex Vein Cmp Bi	$641.20	$916.00	$61.88–$916.00	—	30%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Scan Extrm Vein Cmpl Bi	$641.20	$916.00	$61.88–$916.00	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Scan Extrm Vein Cmpl Bi	$641.20	$916.00	—	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 D Scn Ex Vein Cmp Bi	$641.20	$916.00	—	—	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Peds Tte W/Doppler Echo	$1,381.80	$1,974.00	$127.66–$1,974.00	25% above	30%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte W/Doppler Complete	$1,381.80	$1,974.00	$127.66–$1,974.00	25% above	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Peds Tte W/Doppler Echo	$1,381.80	$1,974.00	—	—	30%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Tte W/Doppler Complete	$1,381.80	$1,974.00	—	—	30%
Elbow X-ray, 2 views CPT 73070 Xray Elbow Less Than 3 Views	$238.70	$341.00	$15.49–$625.00	19% above	30%
Elbow X-ray, 2 views inpatient CPT 73070 Xray Elbow Less Than 3 Views	$238.70	$341.00	—	—	30%
Elbow X-ray, complete, 3 or more views CPT 73080 Xray Elbow 3 Or More Views	$529.94	$757.05	$16.08–$757.05	163% above	30%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 Xray Elbow 3 Or More Views	$529.94	$757.05	—	—	30%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Orbit/Fossa/Ear W/O Cntrast	$717.11	$1,024.43	$115.59–$1,251.00	4% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Orbit/Fossa/Ear W/O Cntrast	$717.11	$1,024.43	—	—	30%
Facial bones X-ray, complete, 3 or more views CPT 70150 Xray Facial Bones Cmplt 3or>v	$294.00	$420.00	$23.34–$625.00	8% above	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Xray Facial Bones Cmplt 3or>v	$294.00	$420.00	—	—	30%
Forearm X-ray (radius and ulna), 2 views CPT 73090 Xray Forearm 2 Vws	$238.70	$341.00	$14.81–$625.00	18% above	30%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 Xray Forearm 2 Vws	$238.70	$341.00	—	—	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary System Imaging	$1,067.50	$1,525.00	$65.92–$1,525.00	4% above	30%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Hepatobiliary System Imaging	$1,067.50	$1,525.00	—	—	30%
Hand X-ray, 2 views CPT 73120 Xray Hand Less Than 3 Views	$294.00	$420.00	$15.20–$625.00	41% above	30%
Hand X-ray, 2 views inpatient CPT 73120 Xray Hand Less Than 3 Views	$294.00	$420.00	—	—	30%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 Xray Calcaneus 2 Or More Vws	$238.70	$341.00	$14.81–$625.00	24% above	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 Xray Calcaneus 2 Or More Vws	$238.70	$341.00	—	—	30%
Knee X-ray, 3 views CPT 73562 Xray Knee 3 Views	$238.70	$341.00	$17.36–$625.00	16% above	30%
Knee X-ray, 3 views inpatient CPT 73562 Xray Knee 3 Views	$238.70	$341.00	—	—	30%
Knee X-ray, complete, 4 or more views CPT 73564 Xray Knee 4 Or More Views	$294.00	$420.00	$21.14–$625.00	7% above	30%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 Xray Knee 4 Or More Views	$294.00	$420.00	—	—	30%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct L Extr Wo Contrast	$716.34	$1,023.33	$89.08–$1,251.00	4% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct L Extr Wo Contrast	$716.34	$1,023.33	—	—	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Us Abdom B-Scan/Real Time Ltd	$294.00	$420.00	$53.08–$420.00	23% below	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Us Abdom B-Scan/Real Time Ltd	$294.00	$420.00	—	—	30%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us Xtr Non-Vasc Lmtd	$294.00	$420.00	$18.93–$420.00	9% above	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Us Xtr Non-Vasc Lmtd	$294.00	$420.00	—	—	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct Thorax Lung Cancer Scr C-	$865.20	$1,236.00	$97.00–$1,251.00	99% above	30%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Ct Thorax Lung Cancer Scr C-	$865.20	$1,236.00	—	—	30%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 Xray Tibia And Fibula 2 Views	$238.70	$341.00	$14.81–$625.00	18% above	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 Xray Tibia And Fibula 2 Views	$238.70	$341.00	—	—	30%
MR angiography (MRA) of the head without contrast CPT 70544 Mri Angiogrphy Head W/O Cntrst	$1,443.52	$2,062.16	$106.96–$2,062.16	14% above	30%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mri Angiogrphy Head W/O Cntrst	$1,443.52	$2,062.16	—	—	30%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast C-+ W/Cad Bi	$2,228.92	$3,184.16	$209.11–$3,184.16	—	30%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Breast C-+ W/Cad Bi	$2,228.92	$3,184.16	—	—	30%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Low Extrem Jnt W/O Contrst	$1,432.50	$2,046.42	$121.84–$2,046.42	19% above	30%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Low Extrem Jnt W/O Contrst	$1,432.50	$2,046.42	—	—	30%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Low Extrem Jnt W&W/O Ctrst	$3,063.22	$4,376.02	$195.58–$4,376.02	51% above	30%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Low Extrem Jnt W&W/O Ctrst	$3,063.22	$4,376.02	—	—	30%
MRI of the abdomen without contrast CPT 74181 Mri Abdomen W/O Contrast	$1,458.58	$2,083.68	$130.92–$2,083.68	33% above	30%
MRI of the abdomen without contrast inpatient CPT 74181 Mri Abdomen W/O Contrast	$1,458.58	$2,083.68	—	—	30%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Abdomen W&W/O Contrast	$3,088.36	$4,411.93	$199.27–$4,411.93	84% above	30%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Abdomen W&W/O Contrast	$3,088.36	$4,411.93	—	—	30%
MRI of the brain, no contrast dye CPT 70551 Mri Brain W/O Contrast	$1,483.88	$2,119.82	$132.79–$2,119.82	27% above	30%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain W/O Contrast	$1,483.88	$2,119.82	—	—	30%
MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W&W/O Contrast	$3,160.22	$4,514.59	$207.81–$4,514.59	79% above	30%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W&W/O Contrast	$3,160.22	$4,514.59	—	—	30%
MRI of the lower back, no contrast dye CPT 72148 Mri Spine Lumbar W/O Contrast	$1,621.55	$2,316.50	$133.47–$2,316.50	24% above	30%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Spine Lumbar W/O Contrast	$1,621.55	$2,316.50	—	—	30%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W&W/O Contrst	$953.16	$1,361.65	$208.50–$1,361.65	46% below	30%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Spine Lumbar W&W/O Cntrst	$3,161.93	$4,517.03	$208.50–$4,517.03	78% above	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine W&W/O Contrst	$953.16	$1,361.65	—	—	30%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Spine Lumbar W&W/O Cntrst	$3,161.93	$4,517.03	—	—	30%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Spine Thoracic W/O Cntrst	$1,637.39	$2,339.12	$133.47–$2,339.12	28% above	30%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Spine Thoracic W/O Cntrst	$1,637.39	$2,339.12	—	—	30%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Spine Cervicl W&W/O Cntrst	$3,188.94	$4,555.62	$208.50–$4,555.62	93% above	30%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Spine Cervicl W&W/O Cntrst	$3,188.94	$4,555.62	—	—	30%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Spine Cervical W/O Cntrst	$1,498.63	$2,140.89	$133.47–$2,140.89	13% above	30%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Spine Cervical W/O Cntrst	$1,498.63	$2,140.89	—	—	30%
MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis W&W/O Contrast	$3,088.36	$4,411.93	$199.27–$4,411.93	93% above	30%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis W&W/O Contrast	$3,088.36	$4,411.93	—	—	30%
MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis W/O Contrast	$1,456.72	$2,081.02	$131.58–$2,081.02	36% above	30%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis W/O Contrast	$1,456.72	$2,081.02	—	—	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Upr Extrem Jnt W/O Contrst	$1,432.50	$2,046.42	$121.84–$2,046.42	11% above	30%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Upr Extrem Jnt W/O Contrst	$1,432.50	$2,046.42	—	—	30%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Xray Cervical Spine 4or> Views	$960.38	$1,371.96	$24.83–$1,371.96	239% above	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Xray Cervical Spine 4or> Views	$960.38	$1,371.96	—	—	30%
Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck W/Contrast	$835.85	$1,194.07	$123.66–$1,251.00	17% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck W/Contrast	$835.85	$1,194.07	—	—	30%
Neck soft tissue CT scan without contrast CPT 70490 Ct - St Neck Wo Contr	$715.55	$1,022.21	$115.59–$1,251.00	12% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct - St Neck Wo Contr	$715.55	$1,022.21	—	—	30%
Neck soft tissue X-ray CPT 70360 Xray Neck Soft Tissue	$238.70	$341.00	$15.96–$625.00	18% above	30%
Neck soft tissue X-ray inpatient CPT 70360 Xray Neck Soft Tissue	$238.70	$341.00	—	—	30%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht Muscle Image Spect Mult	$3,643.50	$5,205.00	$141.10–$5,205.00	36% above	30%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Ht Muscle Image Spect Mult	$3,643.50	$5,205.00	—	—	30%
OCT scan of the retina (optical coherence tomography) CPT 92134 Cptr Ophth Dx Img Post Segmt	$158.20	$226.00	$30.29–$226.00	125% above	30%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Cptr Ophth Dx Img Post Segmt	$158.20	$226.00	—	—	30%
Pelvic CT scan without contrast CPT 72192 Ct Pelvis W/O Contrast	$825.29	$1,178.98	$97.62–$1,251.00	1% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 Ct Pelvis W/O Contrast	$825.29	$1,178.98	—	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us Pelvic (Non-Ob) Ltd/Foll Up	$294.00	$420.00	$29.07–$420.00	2% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ed Us Exam Pelvic Limit	$294.00	$420.00	$29.07–$420.00	2% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Us Pelvic (Non-Ob) Ltd/Foll Up	$294.00	$420.00	—	—	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ed Us Exam Pelvic Limit	$294.00	$420.00	—	—	30%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us Pelvic (Non-Ob) Complete	$294.00	$420.00	$61.83–$420.00	26% below	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Us Pelvic (Non-Ob) Complete	$294.00	$420.00	—	—	30%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Us Ob>/=14 Wks Sngl/1st Gestat	$379.20	$541.71	$78.42–$541.71	at median	30%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Us Ob>/=14 Wks Sngl/1st Gestat	$379.20	$541.71	—	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Us Ob<14 Wks Single/1st Gestat	$364.77	$521.09	$67.49–$521.09	4% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ed Ob Us < 14 Wks Single	$364.77	$521.09	$67.49–$521.09	4% above	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ed Ob Us < 14 Wks Single	$364.77	$521.09	—	—	30%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Us Ob<14 Wks Single/1st Gestat	$364.77	$521.09	—	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ed Ob Us Limited Fetus(	$364.76	$521.08	$48.27–$521.08	26% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Us Ob Limited 1 Or > Fetus(S)	$364.76	$521.08	$48.27–$521.08	26% above	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Us Ob Limited 1 Or > Fetus(S)	$364.76	$521.08	—	—	30%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ed Ob Us Limited Fetus(	$364.76	$521.08	—	—	30%
Rib X-ray, one side, 2 views one side CPT 71100 Xray Ribs Unilateral 2 Views	$238.70	$341.00	$17.98–$625.00	14% above	30%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 Xray Ribs Unilateral 2 Views	$238.70	$341.00	—	—	30%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 Xray Ribs Unilt 2 Vw/W Chst 3v	$294.00	$420.00	$21.75–$625.00	13% above	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 Xray Ribs Unilt 2 Vw/W Chst 3v	$294.00	$420.00	—	—	30%
Screening mammogram, both breasts both sides CPT 77067 Scrn Mammo Dir Digtl Img Bilat	$479.63	$685.18	$69.16–$685.18	—	30%
Screening mammogram, both breasts both sides CPT 77067 Scr Mammo Bi Incl Cad	$479.63	$685.18	$69.16–$685.18	—	30%
Screening mammogram, both breasts CPT 77067 Mm Digital Mobile Mammo Van	$479.63	$685.18	$69.16–$685.18	157% above	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scrn Mammo Dir Digtl Img Bilat	$479.63	$685.18	—	—	30%
Screening mammogram, both breasts inpatient both sides CPT 77067 Scr Mammo Bi Incl Cad	$479.63	$685.18	—	—	30%
Screening mammogram, both breasts inpatient CPT 77067 Mm Digital Mobile Mammo Van	$479.63	$685.18	—	—	30%
Shoulder X-ray, complete, 2 or more views CPT 73030 Xray Shoulder 2or> Views	$490.28	$700.40	$17.30–$700.40	133% above	30%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 Xray Shoulder 2or> Views	$490.28	$700.40	—	—	30%
Sinus X-ray, complete, 3 or more views CPT 70220 Xray Sinuses Paranasal 3> View	$238.70	$341.00	$19.78–$625.00	15% above	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Xray Sinuses Paranasal 3> View	$238.70	$341.00	—	—	30%
Skull X-ray, fewer than 4 views CPT 70250 Xray Skull < 4 Views	$294.00	$420.00	$16.70–$625.00	27% above	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Xray Skull < 4 Views	$294.00	$420.00	—	—	30%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Tte Complete	$1,381.80	$1,974.00	$153.02–$1,974.00	19% above	30%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Tte Complete	$1,381.80	$1,974.00	—	—	30%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Swallowing Fcn W Cine/Video	$495.60	$708.00	$48.11–$708.00	37% above	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Swallowing Fcn W Cine/Video	$495.60	$708.00	—	—	30%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-Ray Exam Of Femur 2/>	$238.70	$341.00	$16.70–$625.00	22% above	30%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-Ray Exam Of Femur 2/>	$238.70	$341.00	—	—	30%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Thoracic Spine W/O Contrast	$833.68	$1,190.96	$89.08–$1,251.00	7% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Thoracic Spine W/O Contrast	$833.68	$1,190.96	—	—	30%
Toe X-ray, 2 or more views CPT 73660 Xray Toe(S) 2 Or More Views	$238.70	$341.00	$12.32–$625.00	42% above	30%
Toe X-ray, 2 or more views inpatient CPT 73660 Xray Toe(S) 2 Or More Views	$238.70	$341.00	—	—	30%
Transvaginal pelvic ultrasound CPT 76830 Us Transvaginal Non-Ob	$294.00	$420.00	$62.51–$420.00	23% below	30%
Transvaginal pelvic ultrasound inpatient CPT 76830 Us Transvaginal Non-Ob	$294.00	$420.00	—	—	30%
Transvaginal ultrasound during pregnancy CPT 76817 Ed Transvaginal Us Obste	$294.00	$420.00	$54.46–$420.00	at median	30%
Transvaginal ultrasound during pregnancy CPT 76817 Us Ob Transvaginal	$294.00	$420.00	$54.46–$420.00	at median	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Us Ob Transvaginal	$294.00	$420.00	—	—	30%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Ed Transvaginal Us Obste	$294.00	$420.00	—	—	30%
Ultrasound of the abdomen, complete CPT 76700 Us Abdom/Real Time Comp	$340.09	$485.83	$72.85–$485.83	28% below	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 Us Abdom/Real Time Comp	$340.09	$485.83	—	—	30%
Ultrasound of the scrotum and testicles CPT 76870 Us Scrotum And Contents	$294.00	$420.00	$39.62–$420.00	20% below	30%
Ultrasound of the scrotum and testicles CPT 76870 Echography Scrotum	$294.00	$420.00	$39.62–$420.00	20% below	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Us Scrotum And Contents	$294.00	$420.00	—	—	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Echography Scrotum	$294.00	$420.00	—	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Exam Of Head And Neck	$294.00	$420.00	$51.28–$420.00	20% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us Head/Neck/Real Time	$294.00	$420.00	$51.28–$420.00	20% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Head/Neck/Real Time	$294.00	$420.00	—	—	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Us Exam Of Head And Neck	$294.00	$420.00	—	—	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Xray Upper Gi Tract W/O Kub	$547.63	$782.32	$62.72–$782.32	31% above	30%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Xray Upper Gi Tract W/O Kub	$547.63	$782.32	—	—	30%
Upper arm X-ray (humerus), 2 views CPT 73060 Xray Humerus 2or> Views	$238.70	$341.00	$14.81–$625.00	18% above	30%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 Xray Humerus 2or> Views	$238.70	$341.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 D Scn Xtrm V F/U Lim	$294.00	$420.00	$39.88–$420.00	19% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 D Scn X Vein Cmp Uni	$294.00	$420.00	$39.88–$420.00	19% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan Extrm Vein Limited	$390.23	$557.46	$39.88–$557.46	7% above	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 D Scn Xtrm V F/U Lim	$294.00	$420.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 D Scn X Vein Cmp Uni	$294.00	$420.00	—	—	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Scan Extrm Vein Limited	$390.23	$557.46	—	—	30%
Wrist X-ray, 2 views CPT 73100 Xray Wrist Less Than 3 Views	$238.70	$341.00	$15.49–$625.00	22% above	30%
Wrist X-ray, 2 views inpatient CPT 73100 Xray Wrist Less Than 3 Views	$238.70	$341.00	—	—	30%
Wrist X-ray, complete, 3 or more views CPT 73110 Xray Wrist 3 Or More Views	$238.70	$341.00	$16.08–$625.00	18% above	30%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 Xray Wrist 3 Or More Views	$238.70	$341.00	—	—	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-Ray Exam Hip Uni 2-3 Views	$238.70	$341.00	$20.46–$625.00	4% above	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-Ray Exam Hip Uni 2-3 Views	$238.70	$341.00	—	—	30%
X-ray of the abdomen, 1 view CPT 74018 X-Ray Exam Abdomen 1 View	$333.88	$476.97	$14.76–$625.00	60% above	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-Ray Exam Abdomen 1 View	$333.88	$476.97	—	—	30%
X-ray of the ankle, 2 views CPT 73600 Xray Ankle 2 Views	$238.70	$341.00	$14.81–$625.00	24% above	30%
X-ray of the ankle, 2 views inpatient CPT 73600 Xray Ankle 2 Views	$238.70	$341.00	—	—	30%
X-ray of the finger(s), 2 or more views CPT 73140 Xray Finger(S) 2 Or More Views	$238.70	$341.00	$13.00–$625.00	32% above	30%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 Xray Finger(S) 2 Or More Views	$238.70	$341.00	—	—	30%
X-ray of the foot, 2 views CPT 73620 Xray Foot 2 Views	$238.70	$341.00	$14.12–$625.00	21% above	30%
X-ray of the foot, 2 views inpatient CPT 73620 Xray Foot 2 Views	$238.70	$341.00	—	—	30%
X-ray of the foot, complete, 3 or more views CPT 73630 Xray Foot 3 Or More Vw	$238.70	$341.00	$15.40–$625.00	18% above	30%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 Xray Foot 3 Or More Vw	$238.70	$341.00	—	—	30%
X-ray of the hand, 3 or more views CPT 73130 Xray Hand 3 Or More Views	$656.11	$937.30	$16.08–$937.30	213% above	30%
X-ray of the hand, 3 or more views inpatient CPT 73130 Xray Hand 3 Or More Views	$656.11	$937.30	—	—	30%
X-ray of the knee, 1 or 2 views CPT 73560 Xray Knee Less Than 3 Views	$238.70	$341.00	$15.49–$625.00	17% above	30%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 Xray Knee Less Than 3 Views	$238.70	$341.00	—	—	30%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Xray Lumbosac Spine 2/3 Views	$294.00	$420.00	$19.93–$625.00	7% above	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Xray Lumbosac Spine 2/3 Views	$294.00	$420.00	—	—	30%
X-ray of the lower back, 4 or more views CPT 72110 Xray Lumbosac Spine Min 4 Vws	$602.04	$860.05	$24.22–$860.05	99% above	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Xray Lumbosac Spine Min 4 Vws	$602.04	$860.05	—	—	30%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Xray Thoracic Spine 2 Views	$294.00	$420.00	$18.36–$625.00	32% above	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Xray Thoracic Spine 2 Views	$294.00	$420.00	—	—	30%
X-ray of the nasal bones, 3 or more views CPT 70160 Xray Nasal Bones Cmplt 3or>v	$238.70	$341.00	$16.08–$625.00	18% above	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Xray Nasal Bones Cmplt 3or>v	$238.70	$341.00	—	—	30%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Xray Cervical Spine 2-3 Vw	$576.80	$824.00	$19.93–$824.00	171% above	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Xray Cervical Spine 2-3 Vw	$576.80	$824.00	—	—	30%
X-ray of the pelvis, 1 or 2 views CPT 72170 Xray Pelvis Anteropost <3 Vws	$294.00	$420.00	$16.08–$625.00	29% above	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Xray Pelvis Anteropost <3 Vws	$294.00	$420.00	—	—	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Xray Sacrum & Coccyx 2> Vws	$238.70	$341.00	$15.96–$625.00	18% above	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Xray Sacrum & Coccyx 2> Vws	$238.70	$341.00	—	—	30%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
ACTH blood test CPT 82024 Adrenocorticotrophic Horm Acth	$220.87	$315.52	$15.81–$625.00	55% above	30%
ACTH blood test inpatient CPT 82024 Adrenocorticotrophic Horm Acth	$220.87	$315.52	—	—	30%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Chem Se Sgpt	$23.13	$33.04	$2.17–$625.00	at median	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Chem Se Sgpt	$23.13	$33.04	—	—	30%
AST (aspartate aminotransferase) enzyme test CPT 84450 Chem Se Sgot	$20.41	$29.15	$2.12–$625.00	15% below	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Chem Se Sgot	$20.41	$29.15	—	—	30%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$116.41	$166.30	$19.50–$625.00	33% below	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$116.41	$166.30	—	—	30%
Albumin blood test CPT 82040 Chem Se Albumin	$19.06	$27.22	$2.03–$625.00	4% above	30%
Albumin blood test inpatient CPT 82040 Chem Se Albumin	$19.06	$27.22	—	—	30%
Aldosterone blood test CPT 82088 Aldosterone	$220.87	$315.52	$16.68–$625.00	76% above	30%
Aldosterone blood test CPT 82088 Aldosterone (U)	$237.77	$339.66	$16.68–$625.00	89% above	30%
Aldosterone blood test inpatient CPT 82088 Aldosterone	$220.87	$315.52	—	—	30%
Aldosterone blood test inpatient CPT 82088 Aldosterone (U)	$237.77	$339.66	—	—	30%
Alkaline phosphatase (ALP) blood test CPT 84075 Chem Se Alk Phos-Smc	$23.13	$33.04	$2.12–$625.00	15% above	30%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phosphatasebone Specific	$95.79	$136.84	$2.12–$625.00	375% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Chem Se Alk Phos-Smc	$23.13	$33.04	—	—	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phosphatasebone Specific	$95.79	$136.84	—	—	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Lemon (F208) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Coconut (F36) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Beef (F27) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Jacket (I3) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Pork (F26) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mountain Cedar (T6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cladosporium Herbarum(M2) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Epicoccum Purpurascen(M14) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Almond (F20) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Coffee (F221) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab (F23) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cottonwood (T14) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Duck Feathers (E86) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Feathers (E85) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Goose Feathers (E20) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Chesnut (F299) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 H. Braziliensis (K82) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Lamb (F88) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Clam (F207) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mouse Epithelia (E71) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 House Dustgreer(H1)Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Apple (F49) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cheese Mold (F82) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Broccoli (F260) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Common Ragweed (W1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Allerg Sp Ige; Quan Or Semiqua	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Carrot (F31) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce (F215) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Grape (F259) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna (F40) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Oak (T7) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cheddar Cheese (F81) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Peach (F95) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Chicken Meat (F83) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Bermuda Grass (G2) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Black Pepper (F280) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Lamb Quarters-Goosefoot(W10)Ig	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 D. Farinae (D2) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 House Dusthollister-Stier(H2)	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 White Faced Hornet (I2) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Alternaria Tenius (M6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 False Ragweed (W4) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Olive Tree (T9) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mugwort (W6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Timothy Grass (G6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Buckwheat (F11) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cotton Seed (K83) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mustard (F89) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Horse Dander (E3) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Egg Mix Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Goldenrod (W12) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 H. Haloides (M8) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Hickory Tree (T40) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Guinea Pig Epithelia (E6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Brazil Nut (F18) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Flounder (Sas) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Salmon (F41) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Swordfish (F312) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Maple (Box Elder) (T1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Banana (F92) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Aspergillus Fumigatus(M3) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Tomato (F25) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cashew Nut (F202) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Yellow Hornet (I5) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin V (C2) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster (F80) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Blue Mussel (F37) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mosquito (I71) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Giant Ragweed (W3) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Wheat Ige (F4)	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Mucor Racemosus (M4) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Hazelnut (F17) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Sardine (F61) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Dander (E1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Meadow Fescue (G4) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Kiwi (F84) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Dog Dander	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Johnson Grass (G10) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Dandelion Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten (F79) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Trout (F204) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Barley (F6) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Hamster Epithelia (E84) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Shrimp (F24) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Curvularia Lunata (M16) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Pineapple (F210) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 D. Pteronyssinus (D1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cat Hair &Epithelium Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Onion (F48) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Birch (T3) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Fusarium Moniliforme(M9) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Chocolate (F93) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Elm (T8) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 P. Notatum (M1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cockroach Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Blueberry (F288) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut Ige (F13)	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Cocklebur (W13) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Penicillin G (C1) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Beech (T5) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Green Bean (F315) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Melons (F87) Ige	$26.18	$37.39	$2.05–$625.00	64% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex (K82) Ige	$51.00	$72.85	$2.05–$625.00	219% above	30%
Allergy blood test, specific IgE, per allergen CPT 86003 S. Chartarum (Igega)	$187.01	$267.15	$2.05–$625.00	1069% above	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheese Mold (F82) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coffee (F221) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hamster Epithelia (E84) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grape (F259) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Maple (Box Elder) (T1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb Quarters-Goosefoot(W10)Ig	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut Ige (F13)	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goldenrod (W12) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Goose Feathers (E20) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Banana (F92) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 False Ragweed (W4) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Salmon (F41) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dog Dander	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allerg Sp Ige; Quan Or Semiqua	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mosquito (I71) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dusthollister-Stier(H2)	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beef (F27) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Clam (F207) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Green Bean (F315) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten (F79) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Brazil Nut (F18) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Buckwheat (F11) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Dandelion Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork (F26) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Flounder (Sas) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Epicoccum Purpurascen(M14) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hickory Tree (T40) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peach (F95) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab (F23) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Olive Tree (T9) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sardine (F61) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Birch (T3) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce (F215) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Duck Feathers (E86) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cashew Nut (F202) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Onion (F48) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. Farinae (D2) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Broccoli (F260) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Common Ragweed (W1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Elm (T8) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Melons (F87) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Beech (T5) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Hornet (I5) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Curvularia Lunata (M16) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cotton Seed (K83) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley (F6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Timothy Grass (G6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Aspergillus Fumigatus(M3) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Feathers (E85) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin G (C1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Johnson Grass (G10) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Penicillin V (C2) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blue Mussel (F37) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Apple (F49) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Wheat Ige (F4)	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cottonwood (T14) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Swordfish (F312) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Bermuda Grass (G2) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Trout (F204) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lamb (F88) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Yellow Jacket (I3) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cheddar Cheese (F81) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Blueberry (F288) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 P. Notatum (M1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chocolate (F93) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster (F80) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cladosporium Herbarum(M2) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Horse Dander (E3) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Egg Mix Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 H. Braziliensis (K82) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 House Dustgreer(H1)Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Shrimp (F24) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 White Faced Hornet (I2) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mugwort (W6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oak (T7) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 D. Pteronyssinus (D1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Black Pepper (F280) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Dander (E1) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mountain Cedar (T6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lemon (F208) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Fusarium Moniliforme(M9) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Carrot (F31) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mouse Epithelia (E71) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mucor Racemosus (M4) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Guinea Pig Epithelia (E6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Giant Ragweed (W3) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Mustard (F89) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 H. Haloides (M8) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pineapple (F210) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Coconut (F36) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cockroach Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tomato (F25) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chesnut (F299) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Alternaria Tenius (M6) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cocklebur (W13) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Meadow Fescue (G4) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Kiwi (F84) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna (F40) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Hazelnut (F17) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cat Hair &Epithelium Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Almond (F20) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Chicken Meat (F83) Ige	$26.18	$37.39	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex (K82) Ige	$51.00	$72.85	—	—	30%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 S. Chartarum (Igega)	$187.01	$267.15	—	—	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 Afp Tumor Marker	$100.59	$143.70	$6.56–$625.00	62% above	30%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Feto Protienmaternal Se	$207.35	$296.21	$6.56–$625.00	235% above	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Afp Tumor Marker	$100.59	$143.70	—	—	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Feto Protienmaternal Se	$207.35	$296.21	—	—	30%
Ammonia blood test CPT 82140 Chem Se Amonia	$58.50	$83.57	$5.97–$625.00	9% above	30%
Ammonia blood test inpatient CPT 82140 Chem Se Amonia	$58.50	$83.57	—	—	30%
Amylase blood test CPT 82150 Amylase Isoenzymes	$171.29	$244.69	$2.65–$625.00	467% above	30%
Amylase blood test CPT 82150 Chem Se Amylase	$171.29	$244.69	$2.65–$625.00	467% above	30%
Amylase blood test CPT 82150 Chem Bdy Fl Amylase	$171.29	$244.69	$2.65–$625.00	467% above	30%
Amylase blood test inpatient CPT 82150 Amylase Isoenzymes	$171.29	$244.69	—	—	30%
Amylase blood test inpatient CPT 82150 Chem Se Amylase	$171.29	$244.69	—	—	30%
Amylase blood test inpatient CPT 82150 Chem Bdy Fl Amylase	$171.29	$244.69	—	—	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana Screen Ifa W/ Rflx Titer	$28.00	$40.00	$4.95–$625.00	37% below	30%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Im Se Fana	$70.76	$101.08	$4.95–$625.00	59% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana Screen Ifa W/ Rflx Titer	$28.00	$40.00	—	—	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Im Se Fana	$70.76	$101.08	—	—	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Natriuretic (Bnp)	$132.24	$188.91	$13.90–$625.00	8% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Atrial Natriuretic Factor	$166.14	$237.34	$13.90–$625.00	35% above	30%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Probnp (Natriuretic Peptide)	$166.14	$237.34	$13.90–$625.00	35% above	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Natriuretic (Bnp)	$132.24	$188.91	—	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Probnp (Natriuretic Peptide)	$166.14	$237.34	—	—	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Atrial Natriuretic Factor	$166.14	$237.34	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Sputum/Lower Resp	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Np/Nasal	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Ear External	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Aerobic Bacteria	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Genital	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cult. Aerbc & Anaerbc W/Grm St	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Anaerobic W/Gram Stain	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Eye	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Csf	$20.30	$29.00	$3.53–$625.00	36% below	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Pod Culture-Bacteria	$50.35	$71.92	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Wound Cult	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Csf Culture	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Bdy F Culture	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Culture Bottles	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Sput Culture	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Gc Culture	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bact Misc Cult / Sensitivity	$50.36	$71.94	$3.53–$625.00	58% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Anaerobic W/Gram Stain	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Eye	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Csf	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cult. Aerbc & Anaerbc W/Grm St	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Aerobic Bacteria	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Genital	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Sputum/Lower Resp	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Ear External	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Np/Nasal	$20.30	$29.00	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Pod Culture-Bacteria	$50.35	$71.92	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Bdy F Culture	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Csf Culture	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Misc Cult / Sensitivity	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Sput Culture	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Culture Bottles	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Gc Culture	$50.36	$71.94	—	—	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bact Wound Cult	$50.36	$71.94	—	—	30%
Basic metabolic panel (blood test) CPT 80048 Chem Se Basic Metabolic Panel	$75.71	$108.15	$2.62–$625.00	31% above	30%
Basic metabolic panel (blood test) CPT 80048 Chem Ur Sod/Potass	$75.71	$108.15	$2.62–$625.00	31% above	30%
Basic metabolic panel (blood test) inpatient CPT 80048 Chem Se Basic Metabolic Panel	$75.71	$108.15	—	—	30%
Basic metabolic panel (blood test) inpatient CPT 80048 Chem Ur Sod/Potass	$75.71	$108.15	—	—	30%
Bilirubin blood test, total CPT 82247 Chem Se Tot Bili-Smc	$19.06	$27.22	$2.05–$625.00	15% below	30%
Bilirubin blood test, total CPT 82247 Bilirubin Amn Fluid	$59.74	$85.33	$2.05–$625.00	166% above	30%
Bilirubin blood test, total inpatient CPT 82247 Chem Se Tot Bili-Smc	$19.06	$27.22	—	—	30%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Amn Fluid	$59.74	$85.33	—	—	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Hist Add Block	$164.54	$235.05	$24.46–$625.00	8% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cyto Cell Block Add	$164.54	$235.05	$24.46–$625.00	8% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tiss. Exm By Pathlgst Lvl 4	$164.54	$235.05	$24.46–$625.00	8% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Bone Marrow Int Bpsy	$164.54	$235.05	$24.46–$625.00	8% above	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Cyto-Chem Add Block	$164.54	$235.05	$24.46–$625.00	8% above	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Bone Marrow Int Bpsy	$164.54	$235.05	—	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cyto-Chem Add Block	$164.54	$235.05	—	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tiss. Exm By Pathlgst Lvl 4	$164.54	$235.05	—	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Hist Add Block	$164.54	$235.05	—	—	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Cyto Cell Block Add	$164.54	$235.05	—	—	30%
Blood culture for bacteria CPT 87040 Culture Blood	$23.80	$34.00	$3.58–$625.00	62% below	30%
Blood culture for bacteria CPT 87040 Bact Bld Culture	$79.31	$113.30	$3.58–$625.00	26% above	30%
Blood culture for bacteria inpatient CPT 87040 Culture Blood	$23.80	$34.00	—	—	30%
Blood culture for bacteria inpatient CPT 87040 Bact Bld Culture	$79.31	$113.30	—	—	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Ed Venipuncture	$20.30	$29.00	$0.90–$625.00	35% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Ped Venipuncture Routine	$20.30	$29.00	$0.90–$625.00	35% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Routine Venipuncture	$20.30	$29.00	$0.90–$625.00	35% above	30%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$20.30	$29.00	$0.90–$625.00	35% above	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$20.30	$29.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Ped Venipuncture Routine	$20.30	$29.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Routine Venipuncture	$20.30	$29.00	—	—	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Ed Venipuncture	$20.30	$29.00	—	—	30%
Blood glucose (sugar) test CPT 82947 Whole Blood Glucose	$43.26	$61.80	$1.61–$625.00	140% above	30%
Blood glucose (sugar) test CPT 82947 Chem Se Glucose	$43.26	$61.80	$1.61–$625.00	140% above	30%
Blood glucose (sugar) test inpatient CPT 82947 Whole Blood Glucose	$43.26	$61.80	—	—	30%
Blood glucose (sugar) test inpatient CPT 82947 Chem Se Glucose	$43.26	$61.80	—	—	30%
Blood lead test CPT 83655 Lead Blood	$65.06	$92.94	$4.96–$625.00	49% above	30%
Blood lead test CPT 83655 Chem Se Lead	$65.06	$92.94	$4.96–$625.00	49% above	30%
Blood lead test CPT 83655 Lead Urine	$81.65	$116.63	$4.96–$625.00	86% above	30%
Blood lead test inpatient CPT 83655 Chem Se Lead	$28.00	$40.00	—	—	30%
Blood lead test inpatient CPT 83655 Lead Blood	$65.06	$92.94	—	—	30%
Blood lead test inpatient CPT 83655 Lead Urine	$81.65	$116.63	—	—	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg; Qual	$19.42	$27.73	$2.02–$625.00	39% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg; Qual	$19.42	$27.73	—	—	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing; Abo	$319.20	$456.00	$1.22–$625.00	109% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing; Abo	$319.20	$456.00	—	—	30%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Fluid	$33.25	$47.49	$1.62–$625.00	49% above	30%
Blood urea nitrogen (BUN) test CPT 84520 Chem Se Urea N	$33.25	$47.49	$1.62–$625.00	49% above	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Chem Se Urea N	$33.25	$47.49	—	—	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Fluid	$33.25	$47.49	—	—	30%
C-peptide blood test CPT 84681 C-Peptide	$140.86	$201.22	$8.52–$625.00	64% above	30%
C-peptide blood test inpatient CPT 84681 C-Peptide	$140.86	$201.22	—	—	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Chem Se C-React Prot	$20.41	$29.15	$2.12–$625.00	23% below	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Chem Se C-React Prot	$20.41	$29.15	—	—	30%
C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe	$86.10	$123.00	$14.36–$625.00	32% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe	$86.10	$123.00	—	—	30%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9	$135.23	$193.18	$8.52–$625.00	79% above	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9	$135.23	$193.18	—	—	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca 125 (Cancer Ag 125)	$135.23	$193.18	$8.52–$625.00	76% above	30%
CA-125 blood test (ovarian cancer marker) CPT 86304 Hep C Virus Ab By Imm	$225.38	$321.96	$8.52–$625.00	193% above	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca 125 (Cancer Ag 125)	$135.23	$193.18	—	—	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Hep C Virus Ab By Imm	$225.38	$321.96	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$118.30	$169.00	$15.40–$625.00	21% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Rapid Molecular Infl. A/B/Cov2	$118.30	$169.00	$15.40–$625.00	21% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Lab Test Non-Cdc	$133.39	$190.55	$15.40–$625.00	36% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Cov-19 Amp Prb Hgh Thruput	$180.25	$257.50	$15.40–$625.00	84% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Sars-Cov-2 Covid-19 Amp Prb	$118.30	$169.00	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Rapid Molecular Infl. A/B/Cov2	$118.30	$169.00	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 Lab Test Non-Cdc	$133.39	$190.55	—	—	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Cov-19 Amp Prb Hgh Thruput	$180.25	$257.50	—	—	30%
Calcium blood test, total CPT 82310 Chem Se Calcium	$38.94	$55.62	$2.11–$625.00	54% above	30%
Calcium blood test, total inpatient CPT 82310 Chem Se Calcium	$38.94	$55.62	—	—	30%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Ag	$44.10	$63.00	$7.77–$625.00	45% below	30%
Carcinoembryonic antigen (CEA) test CPT 82378 Chem Se Cea	$91.17	$130.23	$7.77–$625.00	13% above	30%
Carcinoembryonic antigen (CEA) test CPT 82378 Im Se Cea	$91.17	$130.23	$7.77–$625.00	13% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Ag	$44.10	$63.00	—	—	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Chem Se Cea	$91.17	$130.23	—	—	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Im Se Cea	$91.17	$130.23	—	—	30%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab (Igg)	$30.10	$43.00	$2.38–$625.00	33% below	30%
Chickenpox (varicella) immunity blood test CPT 86787 Im Varicella Zoost	$80.28	$114.68	$2.38–$625.00	78% above	30%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster Ab Igm Ifa	$118.33	$169.03	$2.38–$625.00	163% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab (Igg)	$30.10	$43.00	—	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Im Varicella Zoost	$80.28	$114.68	—	—	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster Ab Igm Ifa	$118.33	$169.03	—	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Virlgy Ct Nat Testing	$81.20	$116.00	$14.36–$625.00	19% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Virlgy Ct Aptima Nat Assay	$81.20	$116.00	$14.36–$625.00	19% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Virlgy Ct Aptima Nat Assay	$81.20	$116.00	—	—	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Virlgy Ct Nat Testing	$81.20	$116.00	—	—	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$30.80	$44.00	$5.48–$625.00	55% below	30%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Chem Se Lipid Profile	$30.80	$44.00	$5.48–$625.00	55% below	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Chem Se Lipid Profile	$30.80	$44.00	—	—	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$30.80	$44.00	—	—	30%
Complete blood count (CBC) with differential CPT 85025 Hem Cbc/Diff Auto	$90.13	$128.75	$3.19–$625.00	120% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 Hem Cbc/Diff Auto	$90.13	$128.75	—	—	30%
Complete blood count (CBC), no differential CPT 85027 Hem Bld Ct Coult	$28.59	$40.83	$2.38–$625.00	1% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 Hem Bld Ct Coult	$28.59	$40.83	—	—	30%
Comprehensive metabolic panel (blood test) CPT 80053 Chem Se Comp Metabolic Panel	$195.15	$278.78	$3.91–$625.00	234% above	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Chem Se Comp Metabolic Panel	$195.15	$278.78	—	—	30%
Cortisol blood test, total CPT 82533 Cortisol Total	$37.80	$54.00	$6.67–$625.00	23% below	30%
Cortisol blood test, total CPT 82533 Chem Plas Cortisol Total	$224.53	$320.75	$6.67–$625.00	358% above	30%
Cortisol blood test, total inpatient CPT 82533 Cortisol Total	$37.80	$54.00	—	—	30%
Cortisol blood test, total inpatient CPT 82533 Chem Plas Cortisol Total	$224.53	$320.75	—	—	30%
Creatine kinase (CK) blood test, total CPT 82550 Chem Se Cpk	$27.23	$38.89	$2.67–$625.00	9% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Chem Se Cpk	$27.23	$38.89	—	—	30%
Creatinine blood test CPT 82565 Chem Se Creatinne-S Blood	$48.31	$69.01	$2.10–$625.00	96% above	30%
Creatinine blood test CPT 82565 Chem Se Creatnne Ast Blood	$48.31	$69.01	$2.10–$625.00	96% above	30%
Creatinine blood test inpatient CPT 82565 Chem Se Creatinne-S Blood	$48.31	$69.01	—	—	30%
Creatinine blood test inpatient CPT 82565 Chem Se Creatnne Ast Blood	$48.31	$69.01	—	—	30%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Ab	$33.60	$48.00	$5.89–$625.00	36% below	30%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg Ab Csf	$117.21	$167.43	$5.89–$625.00	125% above	30%
Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Igg+igm Ab By Eia	$184.81	$264.01	$5.89–$625.00	255% above	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Ab	$33.60	$48.00	—	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg Ab Csf	$117.21	$167.43	—	—	30%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Igg+igm Ab By Eia	$184.81	$264.01	—	—	30%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea Sulfate	$152.14	$217.33	$9.10–$625.00	80% above	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea Sulfate	$152.14	$217.33	—	—	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Chem Se Ethanol	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Chem Se Salicylate	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Urine	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Chem Urine Detox Panel-9drugs	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine Urine	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Chem Se Acetominophn	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Chem Urine Drug Scn-6 Drugs	$149.97	$214.24	$7.58–$625.00	23% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Urine	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chem Urine Drug Scn-6 Drugs	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chem Se Salicylate	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine Urine	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chem Se Ethanol	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chem Se Acetominophn	$149.97	$214.24	—	—	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Chem Urine Detox Panel-9drugs	$149.97	$214.24	—	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Chem Se Arterial Na K Cl	$16.10	$23.00	$2.19–$625.00	48% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Chem Se Electrolytes	$16.10	$23.00	$2.19–$625.00	48% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Chem Venous Wb Nakcl	$16.10	$23.00	$2.19–$625.00	48% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Profile 22818(Electrolyt Feces	$16.10	$23.00	$2.19–$625.00	48% below	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Chem Se Arterial Na K Cl	$16.10	$23.00	—	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Chem Se Electrolytes	$16.10	$23.00	—	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Profile 22818(Electrolyt Feces	$16.10	$23.00	—	—	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Chem Venous Wb Nakcl	$16.10	$23.00	—	—	30%
Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Ab Comp (A+c)	$231.01	$330.01	$7.43–$625.00	407% above	30%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Ab Comp (A+c)	$231.01	$330.01	—	—	30%
Estradiol blood test CPT 82670 Chem Se Estadiol Ria	$103.42	$147.74	$11.44–$625.00	1% above	30%
Estradiol blood test CPT 82670 Estradiol Rapid (Ivb)	$161.16	$230.22	$11.44–$625.00	58% above	30%
Estradiol blood test inpatient CPT 82670 Chem Se Estadiol Ria	$103.42	$147.74	—	—	30%
Estradiol blood test inpatient CPT 82670 Estradiol Rapid (Ivb)	$161.16	$230.22	—	—	30%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$42.70	$61.00	$7.61–$625.00	43% below	30%
FSH (follicle-stimulating hormone) test CPT 83001 Chem Se Fsh	$74.84	$106.91	$7.61–$625.00	1% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh	$42.70	$61.00	—	—	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Chem Se Fsh	$74.84	$106.91	—	—	30%
Ferritin blood test (iron stores) CPT 82728 Chem Se Ferritin Ria	$55.80	$79.71	$5.58–$625.00	8% below	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Chem Se Ferritin Ria	$55.80	$79.71	—	—	30%
Fibrinogen blood test CPT 85384 Hem Fibrinogen	$47.63	$68.04	$3.48–$625.00	26% above	30%
Fibrinogen blood test inpatient CPT 85384 Hem Fibrinogen	$47.63	$68.04	—	—	30%
Folate (folic acid) blood test CPT 82746 Folic Acid; Serum	$34.30	$49.00	$6.02–$625.00	38% below	30%
Folate (folic acid) blood test CPT 82746 Chem Se Folate	$58.50	$83.57	$6.02–$625.00	6% above	30%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid; Serum	$34.30	$49.00	—	—	30%
Folate (folic acid) blood test inpatient CPT 82746 Chem Se Folate	$58.50	$83.57	—	—	30%
Free T3 thyroid hormone test CPT 84481 T3; Free	$39.20	$56.00	$6.94–$625.00	38% below	30%
Free T3 thyroid hormone test CPT 84481 T3 Free	$39.20	$56.00	$6.94–$625.00	38% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$39.20	$56.00	—	—	30%
Free T3 thyroid hormone test inpatient CPT 84481 T3; Free	$39.20	$56.00	—	—	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Chem Se Free Thyrox	$108.18	$154.53	$3.69–$625.00	125% above	30%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Freedirect Dialysis	$108.18	$154.53	$3.69–$625.00	125% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Chem Se Free Thyrox	$108.18	$154.53	—	—	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Freedirect Dialysis	$108.18	$154.53	—	—	30%
Free testosterone test CPT 84402 Testosterone Free+weaklybound	$58.80	$84.00	$10.42–$625.00	36% below	30%
Free testosterone test inpatient CPT 84402 Testosterone Free+weaklybound	$58.80	$84.00	—	—	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$16.80	$24.00	$2.95–$625.00	38% below	30%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Chem Se Ggtp	$27.23	$38.89	$2.95–$625.00	1% above	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$16.80	$24.00	—	—	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Chem Se Ggtp	$27.23	$38.89	—	—	30%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 General Health Panel	$112.48	$160.68	$15.49–$625.00	28% below	30%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 General Health Panel	$112.48	$160.68	—	—	30%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Chem Se 50g Glu Challenge	$12.25	$17.50	$1.95–$625.00	42% below	30%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Chem Se 50g Glu Challenge	$12.25	$17.50	—	—	30%
Glucose tolerance test, 3 samples CPT 82951 Chem Se Glu Tolr Test 3 Spec	$35.39	$50.55	$5.27–$625.00	38% below	30%
Glucose tolerance test, 3 samples inpatient CPT 82951 Chem Se Glu Tolr Test 3 Spec	$35.39	$50.55	—	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Virlgy Gc Nat Testing	$81.20	$116.00	$14.36–$625.00	19% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Virlgy Gc Aptima Nat Assay	$81.20	$116.00	$14.36–$625.00	19% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Virlgy Gc Aptima Nat Assay	$81.20	$116.00	—	—	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Virlgy Gc Nat Testing	$81.20	$116.00	—	—	30%
H. pylori antibody blood test CPT 86677 Chem Helicobacter Puloriab	$78.89	$112.69	$2.38–$625.00	50% above	30%
H. pylori antibody blood test CPT 86677 Helicobacter Pylori Quant.	$118.33	$169.03	$2.38–$625.00	125% above	30%
H. pylori antibody blood test inpatient CPT 86677 Chem Helicobacter Puloriab	$78.89	$112.69	—	—	30%
H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Quant.	$118.33	$169.03	—	—	30%
H. pylori stool antigen test CPT 87338 H.Pylori Agdeteiastool	$134.11	$191.58	$5.89–$625.00	151% above	30%
H. pylori stool antigen test inpatient CPT 87338 H.Pylori Agdeteiastool	$134.11	$191.58	—	—	30%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Virlgy Viral Quant-Pcr	$281.73	$402.46	$34.83–$625.00	20% above	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Virlgy Viral Quant-Pcr	$281.73	$402.46	—	—	30%
HIV-1 and HIV-2 antibody test CPT 86703 Viral Ab 1&2 Screening - Eia	$54.25	$77.50	$5.61–$625.00	8% above	30%
HIV-1 and HIV-2 antibody test CPT 86703 Chem Viral Anti Body Screening	$55.89	$79.83	$5.61–$625.00	12% above	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Viral Ab 1&2 Screening - Eia	$54.25	$77.50	—	—	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Chem Viral Anti Body Screening	$55.89	$79.83	—	—	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$55.30	$79.00	$9.86–$625.00	23% below	30%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv-1 Ag W/Hiv-1 & Hiv-2 Ab	$55.30	$79.00	—	—	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv High Risk Types	$73.69	$105.27	$14.33–$625.00	22% below	30%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Mp-Hpv High Risk	$92.67	$132.38	$14.33–$625.00	2% below	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv High Risk Types	$73.69	$105.27	—	—	30%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Mp-Hpv High Risk	$92.67	$132.38	—	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin Ac1	$22.40	$32.00	$3.97–$625.00	38% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Chem Bld A1c Hgb	$25.24	$36.05	$3.97–$625.00	30% below	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin Ac1	$22.40	$32.00	—	—	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Chem Bld A1c Hgb	$25.24	$36.05	—	—	30%
Hemoglobin blood test CPT 85018 Hemioglobin Electrophoresis	$5.60	$8.00	$0.97–$625.00	61% below	30%
Hemoglobin blood test CPT 85018 Hem Hgb Coult	$11.18	$15.97	$0.97–$625.00	23% below	30%
Hemoglobin blood test CPT 85018 Chem Se O2hgb	$11.18	$15.97	$0.97–$625.00	23% below	30%
Hemoglobin blood test CPT 85018 Poct Hemoglobin	$11.18	$15.97	$0.97–$625.00	23% below	30%
Hemoglobin blood test inpatient CPT 85018 Hemioglobin Electrophoresis	$5.60	$8.00	—	—	30%
Hemoglobin blood test inpatient CPT 85018 Chem Se O2hgb	$11.18	$15.97	—	—	30%
Hemoglobin blood test inpatient CPT 85018 Poct Hemoglobin	$11.18	$15.97	—	—	30%
Hemoglobin blood test inpatient CPT 85018 Hem Hgb Coult	$11.18	$15.97	—	—	30%
Hepatitis B core antibody test (total) CPT 86704 Hep B Core Ab Total	$107.10	$153.00	$4.93–$625.00	146% above	30%
Hepatitis B core antibody test (total) CPT 86704 Total Anti Hbs Core	$107.10	$153.00	$4.93–$625.00	146% above	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Ab Total	$107.10	$153.00	—	—	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 Total Anti Hbs Core	$107.10	$153.00	—	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Ab (Quan)	$71.00	$101.42	$4.40–$625.00	79% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Antihbs	$71.00	$101.42	$4.40–$625.00	79% above	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Ab (Quan)	$71.00	$101.42	—	—	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Antihbs	$71.00	$101.42	—	—	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Ag	$67.34	$96.19	$4.23–$625.00	80% above	30%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Chem Hbsag-Eia	$70.76	$101.08	$4.23–$625.00	89% above	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Ag	$67.34	$96.19	—	—	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Chem Hbsag-Eia	$70.76	$101.08	—	—	30%
Hepatitis C antibody blood test (screening) CPT 86803 Hep C Ab	$113.62	$162.31	$5.84–$625.00	114% above	30%
Hepatitis C antibody blood test (screening) CPT 86803 Hcv Screening	$113.62	$162.31	$5.84–$625.00	114% above	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hep C Ab	$113.62	$162.31	—	—	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hcv Screening	$113.62	$162.31	—	—	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Virus Rna By Branch Dna	$276.09	$394.41	$17.53–$625.00	103% above	30%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Rna Quant By Pcr	$276.09	$394.41	$17.53–$625.00	103% above	30%
Hepatitis C viral load (HCV RNA) test one side CPT 87522 Reflexed Hcv Rna Qnt Rt Pcr	$98.70	$141.00	$17.53–$625.00	28% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Virus Rna By Branch Dna	$276.09	$394.41	—	—	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Rna Quant By Pcr	$276.09	$394.41	—	—	30%
Hepatitis C viral load (HCV RNA) test inpatient one side CPT 87522 Reflexed Hcv Rna Qnt Rt Pcr	$98.70	$141.00	—	—	30%
Herpes blood test, HSV-1 antibody CPT 86695 Antibody; Herpes Simplex Type	$30.80	$44.00	$5.40–$625.00	24% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 Hsv 1 Igm Titer	$30.80	$44.00	$5.40–$625.00	24% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 Ab; Hsv 1	$34.05	$48.64	$5.40–$625.00	16% below	30%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex 1+2 Igg Ab(A+c)	$87.90	$125.57	$5.40–$625.00	118% above	30%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex V1+2 Igm Ab	$216.36	$309.08	$5.40–$625.00	437% above	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Antibody; Herpes Simplex Type	$30.80	$44.00	—	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Hsv 1 Igm Titer	$30.80	$44.00	—	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Ab; Hsv 1	$34.05	$48.64	—	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex 1+2 Igg Ab(A+c)	$87.90	$125.57	—	—	30%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex V1+2 Igm Ab	$216.36	$309.08	—	—	30%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv 2 Igm Titer	$44.80	$64.00	$7.92–$625.00	23% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 Hsv-2 Igg	$44.80	$64.00	$7.92–$625.00	23% below	30%
Herpes blood test, HSV-2 antibody CPT 86696 Ab; Hsv 1	$49.78	$71.11	$7.92–$625.00	14% below	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv-2 Igg	$44.80	$64.00	—	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Hsv 2 Igm Titer	$44.80	$64.00	—	—	30%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Ab; Hsv 1	$49.78	$71.11	—	—	30%
Homocysteine blood test CPT 83090 Homocysteinetotal (U)	$253.55	$362.21	$6.91–$625.00	247% above	30%
Homocysteine blood test CPT 83090 Homocysteine	$253.55	$362.21	$6.91–$625.00	247% above	30%
Homocysteine blood test inpatient CPT 83090 Homocysteinetotal (U)	$253.55	$362.21	—	—	30%
Homocysteine blood test inpatient CPT 83090 Homocysteine	$253.55	$362.21	—	—	30%
Insulin blood test CPT 83525 Insulin	$70.45	$100.63	$4.68–$625.00	67% above	30%
Insulin blood test inpatient CPT 83525 Insulin	$70.45	$100.63	—	—	30%
Iron blood test (serum iron) CPT 83540 Chem Se Iron Qnt	$29.95	$42.78	$2.65–$625.00	16% above	30%
Iron blood test (serum iron) CPT 83540 Iron Urine	$185.95	$265.63	$2.65–$625.00	623% above	30%
Iron blood test (serum iron) inpatient CPT 83540 Chem Se Iron Qnt	$29.95	$42.78	—	—	30%
Iron blood test (serum iron) inpatient CPT 83540 Iron Urine	$185.95	$265.63	—	—	30%
Iron-binding capacity (TIBC) test CPT 83550 Chem Se Tibc	$44.92	$64.16	$3.58–$625.00	12% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Chem Se Tibc	$44.92	$64.16	—	—	30%
Kidney function blood test panel CPT 80069 Renal Function Panel	$20.30	$29.00	$3.28–$625.00	70% below	30%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$20.30	$29.00	—	—	30%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$42.70	$61.00	$7.58–$625.00	45% below	30%
LH (luteinizing hormone) test CPT 83002 Chem Se Lh	$76.20	$108.85	$7.58–$625.00	1% below	30%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$42.70	$61.00	—	—	30%
LH (luteinizing hormone) test inpatient CPT 83002 Chem Se Lh	$76.20	$108.85	—	—	30%
Lactate (lactic acid) blood test CPT 83605 Chem Se Lactic Acid	$115.49	$164.98	$3.54–$625.00	186% above	30%
Lactate (lactic acid) blood test inpatient CPT 83605 Chem Se Lactic Acid	$115.49	$164.98	—	—	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chem Se Ldh	$24.50	$34.99	$2.47–$625.00	10% above	30%
Lactate dehydrogenase (LDH) blood test CPT 83615 Chem Bdy Fl Ldh	$24.50	$34.99	$2.47–$625.00	10% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chem Se Ldh	$24.50	$34.99	—	—	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Chem Bdy Fl Ldh	$24.50	$34.99	—	—	30%
Lipase blood test (pancreas enzyme) CPT 83690 Chem Se Lipase Aca	$34.02	$48.60	$2.38–$625.00	21% above	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Chem Se Lipase Aca	$34.02	$48.60	—	—	30%
Liver function blood test panel CPT 80076 Chem Se Prof Hepatic	$39.44	$56.34	$2.62–$625.00	30% below	30%
Liver function blood test panel inpatient CPT 80076 Chem Se Prof Hepatic	$39.44	$56.34	—	—	30%
Lyme disease antibody test CPT 86618 Lyme Dis. Ab W/Rflx Blot	$39.20	$56.00	$6.97–$625.00	19% below	30%
Lyme disease antibody test CPT 86618 Lyme Test Csf	$64.73	$92.46	$6.97–$625.00	34% above	30%
Lyme disease antibody test CPT 86618 Im Se Lyme	$80.28	$114.68	$6.97–$625.00	66% above	30%
Lyme disease antibody test CPT 86618 Lyme Disease W/Rfx Ratio	$272.88	$389.82	$6.97–$625.00	463% above	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Dis. Ab W/Rflx Blot	$39.20	$56.00	—	—	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Test Csf	$64.73	$92.46	—	—	30%
Lyme disease antibody test inpatient CPT 86618 Im Se Lyme	$80.28	$114.68	—	—	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease W/Rfx Ratio	$272.88	$389.82	—	—	30%
Magnesium blood test CPT 83735 Chem Se Magnesium	$82.84	$118.34	$2.74–$625.00	235% above	30%
Magnesium blood test CPT 83735 Magnesium Rbc	$82.84	$118.34	$2.74–$625.00	235% above	30%
Magnesium blood test inpatient CPT 83735 Magnesium Rbc	$82.84	$118.34	—	—	30%
Magnesium blood test inpatient CPT 83735 Chem Se Magnesium	$82.84	$118.34	—	—	30%
Measles (rubeola) antibody test CPT 86765 Measles Ab (Igg)	$30.10	$43.00	$5.28–$625.00	35% below	30%
Measles (rubeola) antibody test CPT 86765 Im Measles	$80.28	$114.68	$5.28–$625.00	73% above	30%
Measles (rubeola) antibody test CPT 86765 Cannabinoids(S)	$107.06	$152.93	$5.28–$625.00	131% above	30%
Measles (rubeola) antibody test CPT 86765 Measles (Rubeola) Igm	$109.04	$155.76	$5.28–$625.00	136% above	30%
Measles (rubeola) antibody test inpatient CPT 86765 Measles Ab (Igg)	$30.10	$43.00	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Im Measles	$80.28	$114.68	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Cannabinoids(S)	$107.06	$152.93	—	—	30%
Measles (rubeola) antibody test inpatient CPT 86765 Measles (Rubeola) Igm	$109.04	$155.76	—	—	30%
Mono test (heterophile antibody, Monospot) CPT 86308 Serlgy Inf Mono-S	$23.13	$33.04	$2.12–$625.00	33% below	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Serlgy Inf Mono-S	$23.13	$33.04	—	—	30%
Mumps immunity blood test CPT 86735 Mumps Virus Ab (Igg)	$30.10	$43.00	$2.38–$625.00	29% below	30%
Mumps immunity blood test CPT 86735 Im Mumps	$80.28	$114.68	$2.38–$625.00	89% above	30%
Mumps immunity blood test CPT 86735 Mumps Ab Igm	$106.50	$152.13	$2.38–$625.00	151% above	30%
Mumps immunity blood test inpatient CPT 86735 Mumps Virus Ab (Igg)	$30.10	$43.00	—	—	30%
Mumps immunity blood test inpatient CPT 86735 Im Mumps	$80.28	$114.68	—	—	30%
Mumps immunity blood test inpatient CPT 86735 Mumps Ab Igm	$106.50	$152.13	—	—	30%
PSA (prostate-specific antigen) blood test, free CPT 84154 Psa; Free	$42.70	$61.00	$7.53–$625.00	36% below	30%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Psa; Free	$42.70	$61.00	—	—	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Chem Se Psa Diagnostic	$48.99	$69.98	$7.53–$625.00	26% below	30%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Prost Spec Ag	$96.61	$138.01	$7.53–$625.00	45% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Chem Se Psa Diagnostic	$48.99	$69.98	—	—	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Prost Spec Ag	$96.61	$138.01	—	—	30%
Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath C/V Auto Fluid Redo	$70.63	$100.90	$10.20–$625.00	4% above	30%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Cytopath C/V Auto Fluid Redo	$70.63	$100.90	—	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep Pap Cytology	$65.20	$93.13	$8.29–$625.00	7% below	30%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cyto Thin Prep	$74.51	$106.43	$8.29–$625.00	6% above	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep Pap Cytology	$65.20	$93.13	—	—	30%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Cyto Thin Prep	$74.51	$106.43	—	—	30%
Parathyroid hormone (PTH) blood test CPT 83970 Chem Se Parathormone	$220.87	$315.52	$16.90–$625.00	50% above	30%
Parathyroid hormone (PTH) blood test CPT 83970 Pth Intact (Irma)	$220.87	$315.52	$16.90–$625.00	50% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Chem Se Parathormone	$220.87	$315.52	—	—	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth Intact (Irma)	$220.87	$315.52	—	—	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 Hem Part Throm Tm Au	$23.13	$33.04	$2.46–$625.00	2% below	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Hem Part Throm Tm Au	$23.13	$33.04	—	—	30%
Phosphorus (phosphate) blood test CPT 84100 Chem Se Inorg Phos-S	$19.06	$27.22	$1.94–$625.00	6% below	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 Chem Se Inorg Phos-S	$19.06	$27.22	—	—	30%
Potassium blood test CPT 84132 Chem Se Potass	$19.06	$27.22	$1.88–$625.00	17% below	30%
Potassium blood test CPT 84132 Whole Blood Potass.	$19.56	$27.93	$1.88–$625.00	15% below	30%
Potassium blood test inpatient CPT 84132 Chem Se Potass	$19.06	$27.22	—	—	30%
Potassium blood test inpatient CPT 84132 Whole Blood Potass.	$19.56	$27.93	—	—	30%
Progesterone blood test CPT 84144 Chem Plas Progestern	$74.84	$106.91	$8.54–$625.00	13% below	30%
Progesterone blood test CPT 84144 Progesterone	$103.67	$148.10	$8.54–$625.00	21% above	30%
Progesterone blood test inpatient CPT 84144 Chem Plas Progestern	$74.84	$106.91	—	—	30%
Progesterone blood test inpatient CPT 84144 Progesterone	$103.67	$148.10	—	—	30%
Prolactin blood test CPT 84146 Prolactin Assay	$44.80	$64.00	$7.93–$625.00	38% below	30%
Prolactin blood test CPT 84146 Chem Se Prolactin	$77.57	$110.81	$7.93–$625.00	7% above	30%
Prolactin blood test inpatient CPT 84146 Prolactin Assay	$44.80	$64.00	—	—	30%
Prolactin blood test inpatient CPT 84146 Chem Se Prolactin	$77.57	$110.81	—	—	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$10.50	$15.00	$1.61–$625.00	32% below	30%
Prothrombin time (PT/INR) clotting test CPT 85610 Hem Prothr Time Auto	$16.34	$23.33	$1.61–$625.00	5% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$10.50	$15.00	—	—	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Hem Prothr Time Auto	$16.34	$23.33	—	—	30%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Drug Test Prsmv Dir Opt Obs	$56.24	$80.34	$4.49–$625.00	61% above	30%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Drug Test Prsmv Dir Opt Obs	$56.24	$80.34	—	—	30%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Assay W/Optic	$38.50	$55.00	$3.58–$625.00	4% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Assay W/Optic	$38.50	$55.00	—	—	30%
Renin blood test CPT 84244 Renin Activity	$127.34	$181.91	$9.01–$625.00	57% above	30%
Renin blood test inpatient CPT 84244 Renin Activity	$127.34	$181.91	—	—	30%
Rh blood typing CPT 86901 Blood Typing; Rh (D)	$93.80	$134.00	$1.22–$625.00	71% above	30%
Rh blood typing inpatient CPT 86901 Blood Typing; Rh (D)	$93.80	$134.00	—	—	30%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor	$13.30	$19.00	$2.32–$625.00	36% below	30%
Rheumatoid factor (RF) test CPT 86431 Rheum Factor Nephlo	$14.96	$21.37	$2.32–$625.00	29% below	30%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor	$13.30	$19.00	—	—	30%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheum Factor Nephlo	$14.96	$21.37	—	—	30%
Rubella antibody test (immunity check) CPT 86762 Chem Se Rubella Hd	$33.60	$48.00	$5.89–$625.00	25% below	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Virus Igm Ab	$33.60	$48.00	$5.89–$625.00	25% below	30%
Rubella antibody test (immunity check) CPT 86762 Rubella Igg (Immune Status)	$33.60	$48.00	$5.89–$625.00	25% below	30%
Rubella antibody test (immunity check) CPT 86762 Im Se Rubella Igg	$33.60	$48.00	$5.89–$625.00	25% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Igg (Immune Status)	$33.60	$48.00	—	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Chem Se Rubella Hd	$33.60	$48.00	—	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Im Se Rubella Igg	$33.60	$48.00	—	—	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella Virus Igm Ab	$33.60	$48.00	—	—	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Parasit Semen Quant	$89.82	$128.31	$4.93–$625.00	139% above	30%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Analysis	$158.33	$226.18	$4.93–$625.00	322% above	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Parasit Semen Quant	$89.82	$128.31	—	—	30%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Analysis	$158.33	$226.18	—	—	30%
Sodium blood test CPT 84295 Chem Se Sodium	$19.06	$27.22	$1.97–$625.00	12% below	30%
Sodium blood test inpatient CPT 84295 Chem Se Sodium	$19.06	$27.22	—	—	30%
Stool ova and parasites exam CPT 87177 O&P Conc& Perm Smear	$21.00	$30.00	$3.64–$625.00	36% below	30%
Stool ova and parasites exam CPT 87177 Parasit Arthropod/Worm Id	$44.92	$64.16	$3.64–$625.00	37% above	30%
Stool ova and parasites exam CPT 87177 Parasit Intestinal	$47.63	$68.04	$3.64–$625.00	45% above	30%
Stool ova and parasites exam inpatient CPT 87177 O&P Conc& Perm Smear	$21.00	$30.00	—	—	30%
Stool ova and parasites exam inpatient CPT 87177 Parasit Arthropod/Worm Id	$44.92	$64.16	—	—	30%
Stool ova and parasites exam inpatient CPT 87177 Parasit Intestinal	$47.63	$68.04	—	—	30%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Parasit Stool Occ Bl	$13.62	$19.45	$1.33–$625.00	4% below	30%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Parasit Stool Occ Bl	$13.62	$19.45	—	—	30%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Bld Fhg Qual 1-3	$37.10	$53.00	$3.43–$625.00	24% below	30%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Bld Fhg Qual 1-3	$37.10	$53.00	—	—	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidum	$34.05	$48.64	$5.42–$625.00	20% below	30%
Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema Pallidium Ab	$74.67	$106.66	$5.42–$625.00	77% above	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidum	$34.05	$48.64	—	—	30%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Treponema Pallidium Ab	$74.67	$106.66	—	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Vdrl Csf	$9.80	$14.00	$1.75–$625.00	38% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Serlgy Csf Vorl	$17.70	$25.28	$1.75–$625.00	12% above	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Vdrl Csf	$9.80	$14.00	—	—	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Serlgy Csf Vorl	$17.70	$25.28	—	—	30%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Quantiferon- Tb Gold Plus	$285.41	$407.72	$25.37–$625.00	75% above	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Quantiferon- Tb Gold Plus	$285.41	$407.72	—	—	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Total Testosterone	$59.50	$85.00	$10.57–$625.00	36% below	30%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total	$149.89	$214.12	$10.57–$625.00	60% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Total Testosterone	$59.50	$85.00	—	—	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total	$149.89	$214.12	—	—	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Autoantibodies	$33.60	$48.00	$5.96–$625.00	37% below	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver/Kidney Microsomal Ab	$153.26	$218.94	$5.96–$625.00	188% above	30%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Ab	$153.26	$218.94	$5.96–$625.00	188% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Autoantibodies	$33.60	$48.00	—	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Ab	$153.26	$218.94	—	—	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver/Kidney Microsomal Ab	$153.26	$218.94	—	—	30%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Chem Se Tsh	$68.04	$97.20	$6.88–$625.00	7% below	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Chem Se Tsh	$68.04	$97.20	—	—	30%
Total IgE blood test CPT 82785 Immunoglobulin E(Ige)Serum	$37.80	$54.00	$6.74–$625.00	38% below	30%
Total IgE blood test CPT 82785 Im Se Ige	$57.16	$81.65	$6.74–$625.00	6% below	30%
Total IgE blood test inpatient CPT 82785 Immunoglobulin E(Ige)Serum	$37.80	$54.00	—	—	30%
Total IgE blood test inpatient CPT 82785 Im Se Ige	$57.16	$81.65	—	—	30%
Total cholesterol blood test CPT 82465 Cholesterol Total	$10.50	$15.00	$1.78–$625.00	54% below	30%
Total cholesterol blood test CPT 82465 Lipoprotein Electrophoresis	$10.50	$15.00	$1.78–$625.00	54% below	30%
Total cholesterol blood test CPT 82465 Chem Se Cholesterl-S	$10.50	$15.00	$1.78–$625.00	54% below	30%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$10.50	$15.00	—	—	30%
Total cholesterol blood test inpatient CPT 82465 Chem Se Cholesterl-S	$10.50	$15.00	—	—	30%
Total cholesterol blood test inpatient CPT 82465 Lipoprotein Electrophoresis	$10.50	$15.00	—	—	30%
Total thyroxine (T4) blood test CPT 84436 T4 Total	$16.10	$23.00	$2.81–$625.00	45% below	30%
Total thyroxine (T4) blood test CPT 84436 Chem Se T 4	$44.92	$64.16	$2.81–$625.00	54% above	30%
Total thyroxine (T4) blood test inpatient CPT 84436 T4 Total	$16.10	$23.00	—	—	30%
Total thyroxine (T4) blood test inpatient CPT 84436 Chem Se T 4	$44.92	$64.16	—	—	30%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$32.90	$47.00	$5.76–$625.00	48% below	30%
Total triiodothyronine (T3) blood test CPT 84480 Chem Se T 3-Ria	$69.40	$99.13	$5.76–$625.00	10% above	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$32.90	$47.00	—	—	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Chem Se T 3-Ria	$69.40	$99.13	—	—	30%
Transferrin blood test CPT 84466 Transferrin	$81.43	$116.32	$5.23–$625.00	73% above	30%
Transferrin blood test inpatient CPT 84466 Transferrin	$81.43	$116.32	—	—	30%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis By Tma	$93.92	$134.16	$14.36–$625.00	24% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis By Tma	$93.92	$134.16	—	—	30%
Triglycerides blood test CPT 84478 Chem Se Triglycrds-S	$24.50	$34.99	$2.35–$625.00	at median	30%
Triglycerides blood test CPT 84478 Triglycerides Fluid	$41.44	$59.20	$2.35–$625.00	69% above	30%
Triglycerides blood test inpatient CPT 84478 Chem Se Triglycrds-S	$24.50	$34.99	—	—	30%
Triglycerides blood test inpatient CPT 84478 Triglycerides Fluid	$41.44	$59.20	—	—	30%
Troponin test, quantitative CPT 84484 Troponin I High Sensativity	$28.70	$41.00	$2.52–$625.00	34% below	30%
Troponin test, quantitative CPT 84484 Chem Se Treponin T	$198.28	$283.25	$2.52–$625.00	358% above	30%
Troponin test, quantitative inpatient CPT 84484 Troponin I High Sensativity	$28.70	$41.00	—	—	30%
Troponin test, quantitative inpatient CPT 84484 Chem Se Treponin T	$198.28	$283.25	—	—	30%
Uric acid blood test CPT 84550 Chem Se Uric Acd-Smc	$16.34	$23.33	$1.85–$625.00	19% below	30%
Uric acid blood test inpatient CPT 84550 Chem Se Uric Acd-Smc	$16.34	$23.33	—	—	30%
Urinalysis with microscope exam, automated CPT 81001 Ur Anal/Micro	$34.72	$49.60	$1.30–$625.00	7% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Ur Anal/Micro	$34.72	$49.60	—	—	30%
Urinalysis with microscope exam, manual CPT 81000 N-Autom Urine Dip W Micro	$9.80	$14.00	$1.30–$625.00	17% below	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 N-Autom Urine Dip W Micro	$9.80	$14.00	—	—	30%
Urinalysis without microscope exam, automated CPT 81003 Chem Ur Urinalysis Wo Scope	$28.59	$40.83	$0.92–$625.00	68% above	30%
Urinalysis without microscope exam, automated CPT 81003 Hem Urine Analysis Wo Scope	$28.59	$40.83	$0.92–$625.00	68% above	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Hem Urine Analysis Wo Scope	$28.59	$40.83	—	—	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Chem Ur Urinalysis Wo Scope	$28.59	$40.83	—	—	30%
Urinalysis without microscope exam, manual CPT 81002 Hem Ur Ketone	$23.13	$33.04	$1.05–$625.00	122% above	30%
Urinalysis without microscope exam, manual CPT 81002 Hem Stl Red Subst	$23.13	$33.04	$1.05–$625.00	122% above	30%
Urinalysis without microscope exam, manual CPT 81002 Hem Ur Bilirubin	$23.13	$33.04	$1.05–$625.00	122% above	30%
Urinalysis without microscope exam, manual CPT 81002 Hem Ur Sp Gravity	$23.13	$33.04	$1.05–$625.00	122% above	30%
Urinalysis without microscope exam, manual CPT 81002 Hem Ur Reducing Sub	$23.13	$33.04	$1.05–$625.00	122% above	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hem Ur Sp Gravity	$23.13	$33.04	—	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hem Ur Reducing Sub	$23.13	$33.04	—	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hem Stl Red Subst	$23.13	$33.04	—	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hem Ur Ketone	$23.13	$33.04	—	—	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Hem Ur Bilirubin	$23.13	$33.04	—	—	30%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Special	$18.90	$27.00	$3.31–$625.00	50% below	30%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine Routine	$18.90	$27.00	$3.31–$625.00	50% below	30%
Urine culture for bacteria, with colony count CPT 87086 Bact Urine Quant Col/Ct	$26.64	$38.05	$3.31–$625.00	30% below	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine Special	$18.90	$27.00	—	—	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine Routine	$18.90	$27.00	—	—	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bact Urine Quant Col/Ct	$26.64	$38.05	—	—	30%
Urine microalbumin (albumin) test CPT 82043 Chem Micro Albumin	$13.30	$19.00	$2.37–$625.00	55% below	30%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24hrs W/ Creatin	$13.30	$19.00	$2.37–$625.00	55% below	30%
Urine microalbumin (albumin) test CPT 82043 Microalbumin (U)	$13.30	$19.00	$2.37–$625.00	55% below	30%
Urine microalbumin (albumin) test CPT 82043 Microalbumin Random W/ Creatin	$13.30	$19.00	$2.37–$625.00	55% below	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Random W/ Creatin	$13.30	$19.00	—	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24hrs W/ Creatin	$13.30	$19.00	—	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Chem Micro Albumin	$13.30	$19.00	—	—	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin (U)	$13.30	$19.00	—	—	30%
Urine pregnancy test, read by color change CPT 81025 Chem Ur Pregnancy	$31.30	$44.71	$2.02–$625.00	8% above	30%
Urine pregnancy test, read by color change CPT 81025 Poct Ucg	$31.67	$45.24	$2.02–$625.00	10% above	30%
Urine pregnancy test, read by color change inpatient CPT 81025 Chem Ur Pregnancy	$31.30	$44.71	—	—	30%
Urine pregnancy test, read by color change inpatient CPT 81025 Poct Ucg	$31.67	$45.24	—	—	30%
Vitamin B12 (cobalamin) blood test CPT 82607 Chem Se	$35.00	$50.00	$6.17–$625.00	37% below	30%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12 Level	$35.00	$50.00	$6.17–$625.00	37% below	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Chem Se	$35.00	$50.00	—	—	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12 Level	$35.00	$50.00	—	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D (25-Hydroxy)	$265.95	$379.92	$12.12–$625.00	148% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$265.95	$379.92	$12.12–$625.00	148% above	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$265.95	$379.92	—	—	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D (25-Hydroxy)	$265.95	$379.92	—	—	30%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D(125 Dihydroxy)	$274.96	$392.80	$15.76–$625.00	157% above	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D(125 Dihydroxy)	$274.96	$392.80	—	—	30%
Zinc blood test CPT 84630 Zinc (P)	$74.67	$106.66	$3.01–$625.00	84% above	30%
Zinc blood test CPT 84630 Zinc Urine	$88.74	$126.77	$3.01–$625.00	119% above	30%
Zinc blood test inpatient CPT 84630 Zinc (P)	$74.67	$106.66	—	—	30%
Zinc blood test inpatient CPT 84630 Zinc Urine	$88.74	$126.77	—	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Afp Part B	$35.00	$50.00	$6.16–$625.00	37% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chem Se Btasub U Hcg	$87.09	$124.41	$6.16–$625.00	57% above	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Afp Part B	$35.00	$50.00	—	—	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Chem Se Btasub U Hcg	$87.09	$124.41	—	—	30%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Bx Breast 1st Lesion Strtctc	$4,116.70	$5,881.00	$1,353.92–$5,881.00	34% above	30%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Bx Breast 1st Lesion Strtctc	$4,116.70	$5,881.00	—	—	30%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Ed Treatmt Of Ankle Fract	$568.40	$812.00	$203.00–$1,641.00	8% above	30%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Ed Treatmt Of Ankle Fract	$568.40	$812.00	—	—	30%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Ed Treat Metatarsal Fract	$568.40	$812.00	$203.00–$1,641.00	25% above	30%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Ed Treat Metatarsal Fract	$568.40	$812.00	—	—	30%
Cardiac catheterization with coronary angiogram CPT 93458 L Hrt Artery/Ventricle Angio	$8,121.40	$11,602.00	$3,134.00–$11,602.00	33% above	30%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 L Hrt Artery/Ventricle Angio	$8,121.40	$11,602.00	—	—	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Ed Cardiovr Electr Ext Electve	$1,614.90	$2,307.00	$250.00–$2,307.00	56% above	30%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Countershock (Cardioversion)	$1,614.90	$2,307.00	$209.20–$2,307.00	56% above	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Countershock (Cardioversion)	$1,614.90	$2,307.00	—	—	30%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Ed Cardiovr Electr Ext Electve	$1,614.90	$2,307.00	—	—	30%
Carpal tunnel release, open surgery CPT 64721 Ed Carpal Tunnel	$4,935.00	$7,050.00	$250.00–$7,050.00	114% above	30%
Carpal tunnel release, open surgery inpatient CPT 64721 Ed Carpal Tunnel	$4,935.00	$7,050.00	—	—	30%
Cervical biopsy CPT 57500 Biopsy Of Cervix	$1,931.30	$2,759.00	$153.07–$3,498.00	29% above	30%
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix	$1,931.30	$2,759.00	—	—	30%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Ed Treat Fractre Radius/U	$568.40	$812.00	$203.00–$1,641.00	1% above	30%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Ed Treat Fractre Radius/U	$568.40	$812.00	—	—	30%
Colonoscopy with endoscopic ultrasound CPT 45391 Colonoscopy W/Endoscope Us	$2,261.00	$3,230.00	$1,325.51–$3,498.00	55% above	30%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Colonoscopy W/Endoscope Us	$2,261.00	$3,230.00	—	—	30%
Colonoscopy, diagnostic CPT 45378 Surg Colonoscopy	$2,281.30	$3,259.00	$1,024.94–$3,498.00	17% above	30%
Colonoscopy, diagnostic inpatient CPT 45378 Surg Colonoscopy	$2,281.30	$3,259.00	—	—	30%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Ped Colposcopy W/Biopsy W/Scop	$801.50	$1,145.00	$180.00–$1,145.00	20% above	30%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Ped Colposcopy W/Biopsy W/Scop	$801.50	$1,145.00	—	—	30%
Complex cataract surgery with lens implant CPT 66982 Cataract Surgery Complex	$5,928.30	$8,469.00	$180.00–$8,469.00	120% above	30%
Complex cataract surgery with lens implant inpatient CPT 66982 Cataract Surgery Complex	$2,353.81	$3,362.58	—	—	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruct Premalg Lesion	$496.30	$709.00	$167.37–$709.00	71% above	30%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruct Premalg Lesion	$496.30	$709.00	—	—	30%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impacted Ear Wax Uni	$158.20	$226.00	$56.50–$1,641.00	31% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impacted Ear Wax Uni	$158.20	$226.00	—	—	30%
Earwax removal with instruments, one ear CPT 69210 Remove Impacted Ear Wax 1-2 Ea	$158.20	$226.00	$66.78–$333.00	22% above	30%
Earwax removal with instruments, one ear CPT 69210 Ed Irrigation Of Ears	$158.20	$226.00	$56.50–$1,641.00	22% above	30%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impacted Ear Wax 1-2 Ea	$158.20	$226.00	—	—	30%
Earwax removal with instruments, one ear inpatient CPT 69210 Ed Irrigation Of Ears	$158.20	$226.00	—	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterus Lining	$489.30	$699.00	$193.33–$3,498.00	6% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial Bx Wo Cervical Dil	$489.30	$699.00	$127.19–$3,498.00	6% above	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial Bx Wo Cervical Dil	$489.30	$699.00	—	—	30%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Of Uterus Lining	$489.30	$699.00	—	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc W/ I	$1,348.90	$1,927.00	$778.53–$3,498.00	3% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx Interlaminar Crv/Thrc	$1,349.60	$1,928.00	$778.53–$3,498.00	3% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc W/ I	$1,348.90	$1,927.00	—	—	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx Interlaminar Crv/Thrc	$1,349.60	$1,928.00	—	—	30%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Intravitrial Injection Of Drug	$913.50	$1,305.00	$180.00–$1,305.00	27% above	30%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Intravitrial Injection Of Drug	$913.50	$1,305.00	—	—	30%
Hemorrhoidectomy (internal and external), one area CPT 46255 Ed Hemorrhoidctmy Simpl I	$7,053.90	$10,077.00	$250.00–$10,077.00	93% above	30%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 Ed Hemorrhoidctmy Simpl I	$7,053.90	$10,077.00	—	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterogr/Sis Contr/Saline Inj	$52.00	$74.28	$33.43–$3,498.00	83% below	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Hysterogr/Sis Contr/Saline	$130.38	$186.25	$83.81–$3,498.00	57% below	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hysterogr/Sis Contr/Saline Inj	$52.00	$74.28	—	—	30%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Hysterogr/Sis Contr/Saline	$130.38	$186.25	—	—	30%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Hysteroscopy Biopsy	$7,761.60	$11,088.00	$711.55–$11,088.00	81% above	30%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Hysteroscopy Biopsy	$7,761.60	$11,088.00	—	—	30%
IUD insertion (the device itself billed separately) CPT 58300 Birth Control Iud	$271.25	$387.50	$174.38–$387.50	34% below	30%
IUD insertion (the device itself billed separately) CPT 58300 Birth Control Iud Insertion	$279.40	$399.13	$179.61–$399.13	32% below	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Birth Control Iud	$271.25	$387.50	—	—	30%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Birth Control Iud Insertion	$279.40	$399.13	—	—	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Absc; Smpl Or Sgl	$496.30	$709.00	$216.00–$3,498.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Pod I & D Abcess	$496.30	$709.00	$180.00–$709.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Ed I & D Simple	$496.30	$709.00	$177.25–$1,641.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Hyp Abscess Single	$496.30	$709.00	$223.38–$3,498.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess; Simple Or Single	$496.30	$709.00	$180.00–$709.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 Pod I & D Paronychia	$496.30	$709.00	$180.00–$709.00	23% above	30%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess Simple Or Single	$496.30	$709.00	$180.00–$709.00	23% above	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Ed I & D Simple	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Absc; Smpl Or Sgl	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Pod I & D Abcess	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess Simple Or Single	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Pod I & D Paronychia	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Hyp Abscess Single	$496.30	$709.00	—	—	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess; Simple Or Single	$496.30	$709.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendn Shth Or Lig	$746.90	$1,067.00	$118.21–$1,067.00	51% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Ed Inject Tendon/Ligament	$746.90	$1,067.00	$250.00–$1,641.00	51% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Rhb Med Trig Pts Inj	$746.90	$1,067.00	$118.21–$1,067.00	51% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Sgl Tendon Shth Or Ligamnt	$746.90	$1,067.00	$118.21–$1,067.00	51% above	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Rhb Med Trig Pts Inj	$746.90	$1,067.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Ed Inject Tendon/Ligament	$746.90	$1,067.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Sgl Tendon Shth Or Ligamnt	$746.90	$1,067.00	—	—	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Sgl Tendn Shth Or Lig	$746.90	$1,067.00	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Injectjoint/Bursa	$531.63	$759.46	$139.20–$3,498.00	5% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	$250.00–$1,641.00	48% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/Injectjoint/Bursa 20610	$746.90	$1,067.00	$139.20–$3,498.00	48% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Injectjoint/Bursa	$531.63	$759.46	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	—	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/Injectjoint/Bursa 20610	$746.90	$1,067.00	—	—	30%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insert Drug Implant	$319.20	$456.00	$144.91–$456.00	13% above	30%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insert Drug Implant	$319.20	$456.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	$250.00–$1,641.00	63% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drn/Inj Inter Jnt/Bursa W/O Us	$746.90	$1,067.00	$110.58–$1,067.00	63% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/Inj Joint/Bursa W/O Us	$746.90	$1,067.00	$110.58–$1,067.00	63% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drn/Inj Inter Jnt/Bursa W/O Us	$746.90	$1,067.00	—	—	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/Inj Joint/Bursa W/O Us	$746.90	$1,067.00	—	—	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain/Inj Sm Jnt/Bursa W/O Us	$746.90	$1,067.00	$107.70–$1,067.00	66% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	$250.00–$1,641.00	66% above	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drn/Inj Small Jnt/Bursa W/O Us	$746.90	$1,067.00	$107.70–$1,067.00	66% above	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drn/Inj Small Jnt/Bursa W/O Us	$746.90	$1,067.00	—	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain/Inj Sm Jnt/Bursa W/O Us	$746.90	$1,067.00	—	—	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Ed Drain/Injectjoint/Bur	$746.90	$1,067.00	—	—	30%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Ed Lap W/Rem Adnexa Salpi	$14,308.00	$20,440.00	$250.00–$20,440.00	107% above	30%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 Ed Lap W/Rem Adnexa Salpi	$14,308.00	$20,440.00	—	—	30%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Yag Laser	$1,457.40	$2,082.00	$180.00–$2,082.00	16% above	30%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Yag Laser	$1,457.40	$2,082.00	—	—	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Ed Lac Intermediate	$1,024.80	$1,464.00	$250.00–$1,641.00	73% above	30%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Ed Lac Intermediate	$1,024.80	$1,464.00	—	—	30%
Left heart catheterization, diagnostic one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$8,121.40	$11,602.00	$3,134.00–$11,602.00	17% above	30%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Left Hrt Cath W/Ventrclgrphy	$8,121.40	$11,602.00	—	—	30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx Interlaminar Lmbr/Sac	$1,348.90	$1,927.00	$778.53–$3,498.00	10% below	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx Interlaminar Lmbr/Sac	$1,348.90	$1,927.00	—	—	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$1,784.30	$2,549.00	$1,000.86–$3,498.00	15% above	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrm Epi L/S 1	$1,784.30	$2,549.00	—	—	30%
Miscarriage treatment with D&C, first trimester CPT 59820 Ed D&E Missed Abortion-1s	$7,761.60	$11,088.00	$250.00–$11,088.00	90% above	30%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Ed D&E Missed Abortion-1s	$7,761.60	$11,088.00	—	—	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Ed Removal Of Skin Lesion	$1,781.50	$2,545.00	$250.00–$2,545.00	65% above	30%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Ed Removal Of Skin Lesion	$1,781.50	$2,545.00	—	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Eye Xanthelsmexc-1e <=0.5 Cm	$1,781.50	$2,545.00	$790.97–$3,498.00	69% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Exc Face-Mm B9+marg 0.5cm/<	$1,781.50	$2,545.00	$250.00–$2,545.00	69% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Eye Xanthelsmexc-2e <= 0.5 Cm	$1,781.50	$2,545.00	$790.97–$3,498.00	69% above	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Exc Face-Mm B9+marg 0.5cm/<	$1,781.50	$2,545.00	—	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Eye Xanthelsmexc-1e <=0.5 Cm	$1,781.50	$2,545.00	—	—	30%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Eye Xanthelsmexc-2e <= 0.5 Cm	$1,781.50	$2,545.00	—	—	30%
Nail removal (partial or complete), one nail CPT 11730 Avul Nail Plt Prt/Cm	$496.30	$709.00	$158.94–$3,498.00	49% above	30%
Nail removal (partial or complete), one nail CPT 11730 Spl Avulse Np; Sgl	$496.30	$709.00	$177.25–$1,641.00	49% above	30%
Nail removal (partial or complete), one nail CPT 11730 Remove Nail Plate	$496.30	$709.00	$158.94–$3,498.00	49% above	30%
Nail removal (partial or complete), one nail CPT 11730 Simple Avulse Np; Single	$496.30	$709.00	$158.94–$709.00	49% above	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 Simple Avulse Np; Single	$496.30	$709.00	—	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 Avul Nail Plt Prt/Cm	$496.30	$709.00	—	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 Remove Nail Plate	$496.30	$709.00	—	—	30%
Nail removal (partial or complete), one nail inpatient CPT 11730 Spl Avulse Np; Sgl	$496.30	$709.00	—	—	30%
Occipital nerve block (injection for headaches) CPT 64405 Njx Aa&/Strd Gr Ocpl Nrv	$616.70	$881.00	$331.85–$3,498.00	30% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx Aa&/Strd Gr Ocpl Nrv	$616.70	$881.00	—	—	30%
Paracentesis with imaging guidance CPT 49083 Abd Paracentesis W/Imaging	$2,266.60	$3,238.00	$250.00–$3,238.00	59% above	30%
Paracentesis with imaging guidance inpatient CPT 49083 Abd Paracentesis W/Imaging	$2,266.60	$3,238.00	—	—	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail Bed	$1,024.80	$1,464.00	$180.00–$1,464.00	40% above	30%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Ed Ingrown Toenail	$1,024.80	$1,464.00	$250.00–$1,641.00	40% above	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail Bed	$1,024.80	$1,464.00	—	—	30%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Ed Ingrown Toenail	$1,024.80	$1,464.00	—	—	30%
Prostate biopsy CPT 55700 Prostate Needle Punch Bx	$3,731.45	$5,330.64	$1,353.92–$5,330.64	54% above	30%
Prostate biopsy inpatient CPT 55700 Prostate Needle Punch Bx	$3,731.45	$5,330.64	—	—	30%
Removal of a foreign object under the skin, simple CPT 10120 Inc & Removal Fb Sq; Simple	$1,024.80	$1,464.00	$180.00–$1,464.00	59% above	30%
Removal of a foreign object under the skin, simple CPT 10120 Ed Remove Fb Simple	$1,024.80	$1,464.00	$250.00–$1,641.00	59% above	30%
Removal of a foreign object under the skin, simple CPT 10120 Aspirate/Inj Ganglion Cyst	$1,024.80	$1,464.00	$180.00–$1,464.00	59% above	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Ed Remove Fb Simple	$1,024.80	$1,464.00	—	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Aspirate/Inj Ganglion Cyst	$1,024.80	$1,464.00	—	—	30%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Inc & Removal Fb Sq; Simple	$1,024.80	$1,464.00	—	—	30%
Short arm cast (elbow to hand) CPT 29075 Ed Appl Cast Shrt Arm Elb	$658.70	$941.00	$235.25–$1,641.00	54% above	30%
Short arm cast (elbow to hand) inpatient CPT 29075 Ed Appl Cast Shrt Arm Elb	$658.70	$941.00	—	—	30%
Short arm splint (forearm and hand) CPT 29125 O/T App. Short Arm Splntstatc	$319.20	$456.00	$65.00–$456.00	52% above	30%
Short arm splint (forearm and hand) CPT 29125 Apply Short Arm Splint; Static	$319.20	$456.00	$82.95–$3,498.00	52% above	30%
Short arm splint (forearm and hand) CPT 29125 O/T Stat Splnt-Smple	$319.20	$456.00	$65.00–$456.00	52% above	30%
Short arm splint (forearm and hand) CPT 29125 Ed Appl Splnt Short Arm S	$319.20	$456.00	$114.00–$1,641.00	52% above	30%
Short arm splint (forearm and hand) inpatient CPT 29125 O/T Stat Splnt-Smple	$319.20	$456.00	—	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 Apply Short Arm Splint; Static	$319.20	$456.00	—	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 Ed Appl Splnt Short Arm S	$319.20	$456.00	—	—	30%
Short arm splint (forearm and hand) inpatient CPT 29125 O/T App. Short Arm Splntstatc	$319.20	$456.00	—	—	30%
Short leg cast (below the knee) CPT 29405 Ed Appl Cast Short Leg Kn	$658.70	$941.00	$235.25–$1,641.00	34% above	30%
Short leg cast (below the knee) CPT 29405 Apply Sh Leg Cast	$658.70	$941.00	$180.00–$941.00	34% above	30%
Short leg cast (below the knee) inpatient CPT 29405 Apply Sh Leg Cast	$658.70	$941.00	—	—	30%
Short leg cast (below the knee) inpatient CPT 29405 Ed Appl Cast Short Leg Kn	$658.70	$941.00	—	—	30%
Short leg splint (calf to foot) CPT 29515 Apply Short Leg Splint	$400.40	$572.00	$102.50–$3,498.00	40% above	30%
Short leg splint (calf to foot) CPT 29515 O/T Applic Of Short Leg Splint	$400.40	$572.00	$65.00–$572.00	40% above	30%
Short leg splint (calf to foot) CPT 29515 Ed Appl Splnt Shrt Leg Ca	$400.40	$572.00	$143.00–$1,641.00	40% above	30%
Short leg splint (calf to foot) inpatient CPT 29515 Ed Appl Splnt Shrt Leg Ca	$400.40	$572.00	—	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 Apply Short Leg Splint	$400.40	$572.00	—	—	30%
Short leg splint (calf to foot) inpatient CPT 29515 O/T Applic Of Short Leg Splint	$400.40	$572.00	—	—	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Ed Lac Simple	$496.30	$709.00	$177.25–$1,641.00	31% above	30%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Ed Lac Simple	$496.30	$709.00	—	—	30%
Skin biopsy, punch, one lesion CPT 11104 Punch Bx Skin Single Lesion	$1,024.80	$1,464.00	$141.03–$3,498.00	49% above	30%
Skin biopsy, punch, one lesion CPT 11104 Ed Punch Bx Skin Single Lesion	$1,024.80	$1,464.00	$250.00–$1,641.00	49% above	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch Bx Skin Single Lesion	$1,024.80	$1,464.00	—	—	30%
Skin biopsy, punch, one lesion inpatient CPT 11104 Ed Punch Bx Skin Single Lesion	$1,024.80	$1,464.00	—	—	30%
Skin tag removal, up to 15 tags CPT 11200 Rem Skin Tags; <=15 Lesions	$396.55	$566.50	$155.23–$3,498.00	9% above	30%
Skin tag removal, up to 15 tags inpatient CPT 11200 Rem Skin Tags; <=15 Lesions	$496.30	$709.00	—	—	30%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Ed Spinl Fld Tap/Lmbar Pn	$1,768.90	$2,527.00	$250.00–$2,527.00	49% above	30%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Ed Spinl Fld Tap/Lmbar Pn	$1,768.90	$2,527.00	—	—	30%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Ed Repair Superficl Wound	$496.30	$709.00	$177.25–$1,641.00	25% above	30%
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 Repair Superficl Wound	$496.30	$709.00	—	—	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Ed Repair Superficl Wound	$496.30	$709.00	$177.25–$1,641.00	31% above	30%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Ed Repair Superficl Wound	$496.30	$709.00	—	—	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx Skin Subq/Muc Mem; Single	$673.45	$962.07	$111.64–$962.07	35% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Bx-Skin Sq/Mm; Sgl	$673.45	$962.07	$73.45–$3,498.00	35% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hyp Punch Biopsy Single Site	$673.45	$962.07	$111.64–$3,498.00	35% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Hyp Biopsy Skin Lesion	$673.45	$962.07	$111.64–$3,498.00	35% above	30%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Ed Biopsy Of Skin Sngle L	$673.45	$962.07	$223.38–$1,641.00	35% above	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Ed Biopsy Of Skin Sngle L	$673.45	$962.07	—	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hyp Punch Biopsy Single Site	$673.45	$962.07	—	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Hyp Biopsy Skin Lesion	$673.45	$962.07	—	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx Skin Subq/Muc Mem; Single	$673.45	$962.07	—	—	30%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Bx-Skin Sq/Mm; Sgl	$673.45	$962.07	—	—	30%
Thoracentesis with imaging guidance CPT 32555 Paracentesis Without Guidance	$946.05	$1,351.50	$695.04–$3,498.00	26% below	30%
Thoracentesis with imaging guidance CPT 32555 Aspirate Pleura W/ Imaging	$1,588.30	$2,269.00	$250.00–$2,269.00	24% above	30%
Thoracentesis with imaging guidance inpatient CPT 32555 Paracentesis Without Guidance	$946.05	$1,351.50	—	—	30%
Thoracentesis with imaging guidance inpatient CPT 32555 Aspirate Pleura W/ Imaging	$1,588.30	$2,269.00	—	—	30%
Trigger finger release surgery CPT 26055 Ed Trigger Finger	$3,938.20	$5,626.00	$250.00–$5,626.00	51% above	30%
Trigger finger release surgery inpatient CPT 26055 Ed Trigger Finger	$3,938.20	$5,626.00	—	—	30%
Trigger point injections, 1 or 2 muscles CPT 20552 Inj Trigger Point 1-2 Muscles	$746.90	$1,067.00	$250.00–$1,641.00	78% above	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Inj Trigger Point 1-2 Muscles	$746.90	$1,067.00	—	—	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Ed Lap-Bil Tubl Fulg W/In	$14,308.00	$20,440.00	$250.00–$20,440.00	107% above	30%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 Ed Lap-Bil Tubl Fulg W/In	$14,308.00	$20,440.00	—	—	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Bx Breast 1st Lesion Us Imag	$5,768.00	$8,240.00	$1,353.92–$8,240.00	99% above	30%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Bx Breast 1st Lesion Us Imag	$5,768.00	$8,240.00	—	—	30%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 Routin Ob Care After Vag Deliv	$5,022.05	$7,174.35	$180.00–$8,144.47	25% below	30%
Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 Routin Ob Care After Vag Deliv	$5,022.05	$7,174.35	—	—	30%
Wart removal, up to 14 warts CPT 17110 Destruct B9 Lesion 1-14	$496.30	$709.00	$180.00–$709.00	43% above	30%
Wart removal, up to 14 warts inpatient CPT 17110 Destruct B9 Lesion 1-14	$496.30	$709.00	—	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debride Skin/Tissue	$1,024.80	$1,464.00	$184.13–$3,498.00	22% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Ed Dbrdmt Subq Tis 1st 20sqcm/	$1,024.80	$1,464.00	$250.00–$1,641.00	22% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Deb Subq Tissue =<20 Sq Cm	$1,024.80	$1,464.00	$180.00–$1,714.00	22% above	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Deb Subq Tissue =<20 Sq Cm	$1,024.80	$1,464.00	—	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debride Skin/Tissue	$1,024.80	$1,464.00	—	—	30%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Ed Dbrdmt Subq Tis 1st 20sqcm/	$1,024.80	$1,464.00	—	—	30%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion Admin	$1,120.00	$1,600.00	$88.83–$1,600.00	53% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Bld Or Bld Compone	$1,120.00	$1,600.00	$88.83–$1,600.00	53% above	30%
Blood transfusion (giving blood or blood components) CPT 36430 Ed Blood Admin 0-2 Hrs	$1,120.00	$1,600.00	$88.83–$1,600.00	53% above	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Bld Or Bld Compone	$1,120.00	$1,600.00	$640.00	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion Admin	$1,120.00	$1,600.00	$640.00	—	30%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Ed Blood Admin 0-2 Hrs	$1,120.00	$1,600.00	$640.00	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I/T Spltum Induction	$141.88	$202.68	$16.71–$252.72	37% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 P-F Airway Inhal Trt	$525.68	$750.97	$16.71–$750.97	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I/T Continuous Med Neb 1 Hr	$525.70	$751.00	$16.71–$751.00	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I/T Hnd Hld Nebulizr/Mdi	$525.70	$751.00	$16.71–$751.00	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway Inhalation Treatment	$525.70	$751.00	$16.71–$751.00	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I/T Aerosol	$525.70	$751.00	$16.71–$751.00	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 I/T Special Gases Per Cylinder	$525.70	$751.00	$16.71–$751.00	135% above	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I/T Spltum Induction	$141.88	$202.68	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 P-F Airway Inhal Trt	$525.68	$750.97	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I/T Continuous Med Neb 1 Hr	$525.70	$751.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I/T Hnd Hld Nebulizr/Mdi	$525.70	$751.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I/T Aerosol	$525.70	$751.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 I/T Special Gases Per Cylinder	$525.70	$751.00	—	—	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Airway Inhalation Treatment	$525.70	$751.00	—	—	30%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion <= 1 Hour	$913.50	$1,305.00	$269.00–$1,305.00	49% above	30%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Infusion Up To 1 Hour	$913.50	$1,305.00	$269.00–$1,305.00	49% above	30%
Chemotherapy IV infusion, first hour CPT 96413 Chemo Admin Iv Initial To 1 Hr	$913.50	$1,305.00	$269.00–$1,305.00	49% above	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Admin Iv Initial To 1 Hr	$913.50	$1,305.00	—	—	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion <= 1 Hour	$913.50	$1,305.00	—	—	30%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemo Infusion Up To 1 Hour	$913.50	$1,305.00	—	—	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye Exam New Patient 1+ Visits	$331.80	$474.00	$144.87–$474.00	44% above	30%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Ophth Med Exam/Eval;New Pt Com	$331.80	$474.00	$144.87–$474.00	44% above	30%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Ophth Med Exam/Eval;New Pt Com	$331.80	$474.00	—	—	30%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye Exam New Patient 1+ Visits	$331.80	$474.00	—	—	30%
Comprehensive eye exam, returning patient CPT 92014 Eye Exam & Treatment 1+visits	$331.80	$474.00	$144.87–$474.00	70% above	30%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye Exam & Treatment 1+visits	$331.80	$474.00	—	—	30%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Basic Comprehensive Audiometry	$399.70	$571.00	$60.74–$571.00	116% above	30%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Basic Comprehensive Audiometry	$399.70	$571.00	—	—	30%
Critical care, first 30 to 74 minutes CPT 99291 Ed Critcl Care Intl 30-74 Mins	$1,581.66	$2,259.51	$250.00–$2,259.51	8% below	30%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Ed Critcl Care Intl 30-74 Mins	$1,581.66	$2,259.51	—	—	30%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake & Drowsy	$768.79	$1,098.26	$106.12–$1,192.11	12% above	30%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake & Drowsy	$768.79	$1,098.26	—	—	30%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ekg Routine Ecg W/Interp&Rept	$55.89	$79.83	$19.96–$97.00	9% below	30%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ekg Routine Ecg W/Interp&Rept	$55.89	$79.83	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg (12 Leads)	$157.79	$225.41	$13.30–$225.41	10% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Rd/Int Hlth	$157.79	$225.41	$13.30–$225.41	10% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ekg; Tracing Only	$158.20	$226.00	$13.30–$226.00	11% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg Occ Health Ekg	$158.20	$226.00	$13.30–$226.00	11% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Perform Ekg	$158.20	$226.00	$13.30–$226.00	11% above	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Rd/Int Hlth	$157.79	$225.41	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg Occ Health Ekg	$157.79	$225.41	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg (12 Leads)	$158.20	$226.00	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Perform Ekg	$158.20	$226.00	—	—	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Ekg; Tracing Only	$158.20	$226.00	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Room Fee - Level 1	$1,045.45	$1,493.50	$98.99–$1,641.00	319% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Ed Visit Level 1 W/Proc	$1,045.45	$1,493.50	$98.99–$1,641.00	319% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Er Assessment Only	$1,045.45	$1,493.50	$98.99–$1,641.00	319% above	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Room Fee - Level 1	$1,045.45	$1,493.50	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Ed Visit Level 1 W/Proc	$1,045.45	$1,493.50	—	—	30%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Er Assessment Only	$1,045.45	$1,493.50	—	—	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Room Fee - Level 2	$1,153.60	$1,648.00	$178.03–$1,648.00	242% above	30%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Ed Visit Level 2 W/Proc	$1,153.60	$1,648.00	$178.03–$1,648.00	242% above	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Ed Visit Level 2 W/Proc	$1,153.60	$1,648.00	—	—	30%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Room Fee - Level 2	$1,153.60	$1,648.00	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Ed Visit Level 3 W/Proc	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Follow-Up	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Fee	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E.R. Accident	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Cast Check	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Removal Of Suture	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 E.R. Omni-Urgicare Fee	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Room Fee - Level 3	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Er Dental Exam Fee	$1,333.85	$1,905.50	$250.00–$1,905.50	137% above	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Removal Of Suture	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Dental Exam Fee	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Cast Check	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room Fee	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Ed Visit Level 3 W/Proc	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Room Fee - Level 3	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E.R. Omni-Urgicare Fee	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 E.R. Accident	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Er Follow-Up	$1,333.85	$1,905.50	—	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Room Fee - Level 4	$1,442.00	$2,060.00	$250.00–$2,060.00	71% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Ed Visit Level 4 W/Proc	$1,442.00	$2,060.00	$250.00–$2,060.00	71% above	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Room Fee - Level 4	$1,442.00	$2,060.00	—	—	30%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Ed Visit Level 4 W/Proc	$1,442.00	$2,060.00	—	—	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Room Fee - Level 5	$1,600.67	$2,286.67	$250.00–$2,286.67	35% above	30%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Ed Visit Level 5 W/Proc	$1,600.68	$2,286.68	$250.00–$2,286.68	35% above	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Room Fee - Level 5	$1,600.67	$2,286.67	—	—	30%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Ed Visit Level 5 W/Proc	$1,600.68	$2,286.68	—	—	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ekg Thal.Stress Test	$768.79	$1,098.26	$78.93–$1,098.26	40% above	30%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ekg Ecg Stress Test	$769.30	$1,099.00	$78.93–$1,099.00	40% above	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Ekg Thal.Stress Test	$768.79	$1,098.26	—	—	30%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Ekg Ecg Stress Test	$768.79	$1,098.26	—	—	30%
Eye exam, returning patient, intermediate CPT 92012 Ophth Med Exam Est Pt	$331.80	$474.00	$143.96–$474.00	44% above	30%
Eye exam, returning patient, intermediate CPT 92012 Eye Eye Exam Established Pat	$331.80	$474.00	$143.96–$474.00	44% above	30%
Eye exam, returning patient, intermediate inpatient CPT 92012 Ophth Med Exam Est Pt	$331.80	$474.00	—	—	30%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye Eye Exam Established Pat	$331.80	$474.00	—	—	30%
Family therapy with the patient, 50 minutes CPT 90847 Family Psytx W/Pt 50 Min	$400.40	$572.00	$143.00–$429.00	43% above	30%
Family therapy with the patient, 50 minutes CPT 90847 Rhb Family Pthy With Patient	$400.40	$572.00	$143.00–$429.00	43% above	30%
Family therapy with the patient, 50 minutes CPT 90847 Psychotherapy Family W/ Pat	$400.40	$572.00	$143.00–$429.00	43% above	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Rhb Family Pthy With Patient	$400.40	$572.00	—	—	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Psychotherapy Family W/ Pat	$400.40	$572.00	—	—	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psytx W/Pt 50 Min	$400.40	$572.00	—	—	30%
Family therapy without the patient, 50 minutes CPT 90846 Family Psytx W/O Pt 50 Min	$400.40	$572.00	$143.00–$429.00	52% above	30%
Family therapy without the patient, 50 minutes CPT 90846 Psychotherapy Family W/O Pat	$400.40	$572.00	$143.00–$429.00	52% above	30%
Family therapy without the patient, 50 minutes CPT 90846 Rhb Family Pthy W/O Patient	$400.40	$572.00	$143.00–$429.00	52% above	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Rhb Family Pthy W/O Patient	$400.40	$572.00	—	—	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Psychotherapy Family W/O Pat	$400.40	$572.00	—	—	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psytx W/O Pt 50 Min	$400.40	$572.00	—	—	30%
Group psychotherapy session CPT 90853 Psy Psythrpy Gr 1.5h	$208.60	$298.00	$46.78–$223.50	64% above	30%
Group psychotherapy session CPT 90853 Group Psycotherapy- Tele	$208.60	$298.00	$71.10–$298.00	64% above	30%
Group psychotherapy session CPT 90853 Rhb Group Psycotherapy Other	$208.60	$298.00	$46.78–$298.00	64% above	30%
Group psychotherapy session CPT 90853 Group Psycotherapy	$208.60	$298.00	$46.78–$298.00	64% above	30%
Group psychotherapy session CPT 90853 Group Therapy Not Multi-Family	$209.54	$299.34	$46.78–$299.34	65% above	30%
Group psychotherapy session inpatient CPT 90853 Group Psycotherapy- Tele	$208.60	$298.00	—	—	30%
Group psychotherapy session inpatient CPT 90853 Rhb Group Psycotherapy Other	$208.60	$298.00	—	—	30%
Group psychotherapy session inpatient CPT 90853 Psy Psythrpy Gr 1.5h	$208.60	$298.00	—	—	30%
Group psychotherapy session inpatient CPT 90853 Group Psycotherapy	$208.60	$298.00	—	—	30%
Group psychotherapy session inpatient CPT 90853 Group Therapy Not Multi-Family	$209.54	$299.34	—	—	30%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Ekg Ecg Monitor/Report <=48 Hr	$281.73	$402.46	$100.62–$402.46	4% above	30%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Ekg Ecg Monitor/Report <=48 Hr	$281.73	$402.46	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Inf Hydrat Init 31min-1hr	$567.70	$811.00	$62.28–$811.00	53% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Ed Iv Inf Hydrt Init 31-60min	$567.70	$811.00	$62.28–$811.00	53% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Pharm Iv Infusion Therapy1 Hr	$567.70	$811.00	$62.28–$811.00	53% above	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Pharm Iv Infusion Therapy1 Hr	$567.70	$811.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Inf Hydrat Init 31min-1hr	$567.70	$811.00	—	—	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Ed Iv Inf Hydrt Init 31-60min	$567.70	$811.00	—	—	30%
IV infusion of a medicine, first hour CPT 96365 Ther/Proph/Diag Iv Inf Init =<	$567.70	$811.00	$184.82–$3,498.00	36% above	30%
IV infusion of a medicine, first hour CPT 96365 Iv Inf < 61 Mins Initial	$567.70	$811.00	$121.59–$811.00	36% above	30%
IV infusion of a medicine, first hour CPT 96365 Ed Iv Inf Initial Up To 1hr	$567.70	$811.00	$202.75–$1,641.00	36% above	30%
IV infusion of a medicine, first hour CPT 96365 Iv Inf Initial Up To 1 Hr	$567.70	$811.00	$121.59–$811.00	36% above	30%
IV infusion of a medicine, first hour inpatient CPT 96365 Ther/Proph/Diag Iv Inf Init =<	$567.70	$811.00	—	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 Ed Iv Inf Initial Up To 1hr	$567.70	$811.00	—	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf Initial Up To 1 Hr	$567.70	$811.00	—	—	30%
IV infusion of a medicine, first hour inpatient CPT 96365 Iv Inf < 61 Mins Initial	$567.70	$811.00	—	—	30%
IV push of a medicine, first drug CPT 96374 Echo Bubble Study	$567.05	$810.07	$70.75–$810.07	122% above	30%
IV push of a medicine, first drug CPT 96374 Pharm Injection Iv	$567.70	$811.00	$70.75–$811.00	122% above	30%
IV push of a medicine, first drug CPT 96374 Inj Iv Push Single/Initial Sub	$567.70	$811.00	$70.75–$811.00	122% above	30%
IV push of a medicine, first drug CPT 96374 Ther/Proph/Diag Inj Iv Push	$567.70	$811.00	$107.54–$3,498.00	122% above	30%
IV push of a medicine, first drug CPT 96374 Injection Iv Push Initial	$567.70	$811.00	$70.75–$811.00	122% above	30%
IV push of a medicine, first drug CPT 96374 Ed Injection Iv Push Initial	$567.70	$811.00	$202.75–$1,641.00	122% above	30%
IV push of a medicine, first drug inpatient CPT 96374 Echo Bubble Study	$567.05	$810.07	—	—	30%
IV push of a medicine, first drug inpatient CPT 96374 Pharm Injection Iv	$567.70	$811.00	—	—	30%
IV push of a medicine, first drug inpatient CPT 96374 Inj Iv Push Single/Initial Sub	$567.70	$811.00	—	—	30%
IV push of a medicine, first drug inpatient CPT 96374 Ther/Proph/Diag Inj Iv Push	$567.70	$811.00	—	—	30%
IV push of a medicine, first drug inpatient CPT 96374 Ed Injection Iv Push Initial	$567.70	$811.00	—	—	30%
IV push of a medicine, first drug inpatient CPT 96374 Injection Iv Push Initial	$567.70	$811.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/Proph/Diag Inj Sc/Im	$185.50	$265.00	$43.04–$265.00	67% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Subq Or Im	$185.50	$265.00	$28.32–$482.00	67% above	30%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ed Injection Subq Or Im	$185.50	$265.00	$66.25–$1,641.00	67% above	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ed Injection Subq Or Im	$185.50	$265.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Subq Or Im	$185.50	$265.00	—	—	30%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Ther/Proph/Diag Inj Sc/Im	$185.50	$265.00	—	—	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Evaluation	$400.40	$572.00	$61.00–$572.00	58% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Rhb Psy Diag Interview I/P	$400.40	$572.00	$61.00–$572.00	58% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Rhb Psy Diagnostic Interview	$488.93	$698.47	$61.00–$698.47	92% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Rhb Psy Diag Interview I/P	$400.40	$572.00	—	—	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Evaluation	$400.40	$572.00	—	—	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Rhb Psy Diagnostic Interview	$488.93	$698.47	—	—	30%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv Cndj Test 7-8 Studies	$768.79	$1,098.26	$95.00–$1,098.26	68% above	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nrv Cndj Test 7-8 Studies	$769.30	$1,099.00	—	—	30%
Neuromuscular re-education, 15 minutes CPT 97112 O/T Neurmusc Develop	$90.30	$129.00	$29.59–$194.00	10% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 O/T Neuromuscular Re-Ed Coord	$111.76	$159.65	$29.59–$194.00	36% above	30%
Neuromuscular re-education, 15 minutes CPT 97112 P/T Neuromusc Reeducat 15min	$111.76	$159.65	$29.59–$194.00	36% above	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 O/T Neurmusc Develop	$90.30	$129.00	—	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 O/T Neuromuscular Re-Ed Coord	$111.76	$159.65	—	—	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 P/T Neuromusc Reeducat 15min	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
New patient office visit, about 30 minutes CPT 99203 Omni Trav - Off/Op New Low 30	$180.25	$257.50	$144.87–$257.50	19% below	30%
New patient office visit, about 30 minutes CPT 99203 Psych Off/Op New Low 30 Min	$243.70	$348.14	$87.04–$261.11	9% above	30%
New patient office visit, about 30 minutes CPT 99203 Occ Health - Off O/P New Low 3	$243.70	$348.14	$144.87–$348.14	9% above	30%
New patient office visit, about 30 minutes CPT 99203 Office O/P New Low Mdm 30 Min	$243.70	$348.14	$144.87–$348.14	9% above	30%
New patient office visit, about 30 minutes CPT 99203 Outpatient Visit- New 30 Tele	$243.70	$348.14	$144.87–$348.14	9% above	30%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient Visit New	$243.70	$348.14	$144.87–$348.14	9% above	30%
New patient office visit, about 30 minutes CPT 99203 Office/Outpt Visit New Lvl 3	$331.80	$474.00	$144.87–$474.00	49% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Omni Trav - Off/Op New Low 30	$180.25	$257.50	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Outpatient Visit- New 30 Tele	$243.70	$348.14	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Occ Health - Off O/P New Low 3	$243.70	$348.14	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Psych Off/Op New Low 30 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Office O/P New Low Mdm 30 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient Visit New	$243.70	$348.14	—	—	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpt Visit New Lvl 3	$331.80	$474.00	—	—	30%
New patient office visit, about 45 minutes CPT 99204 Outpatient Visit- New 45 Tele	$243.70	$348.14	$144.87–$396.45	18% below	30%
New patient office visit, about 45 minutes CPT 99204 Psych Off/Op New Mod 45 Min	$243.70	$348.14	$144.87–$396.45	18% below	30%
New patient office visit, about 45 minutes CPT 99204 Rehab - Off/O/P New Mod 45 Min	$243.70	$348.14	$144.87–$396.45	18% below	30%
New patient office visit, about 45 minutes CPT 99204 Office O/P New Mod Mdm 45 Min	$243.70	$348.14	$144.87–$396.45	18% below	30%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient Visit New	$243.70	$348.14	$144.87–$396.45	18% below	30%
New patient office visit, about 45 minutes CPT 99204 Office/Outpt Visit New Lvl 4	$331.80	$474.00	$144.87–$474.00	11% above	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Psych Off/Op New Mod 45 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Rehab - Off/O/P New Mod 45 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office O/P New Mod Mdm 45 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Outpatient Visit- New 45 Tele	$243.70	$348.14	—	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient Visit New	$243.70	$348.14	—	—	30%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpt Visit New Lvl 4	$331.80	$474.00	—	—	30%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient Visit New	$243.70	$348.14	$156.66–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Rhb Initial Med Eval	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Psych Off/Op New Hi 60 Min	$243.70	$348.14	$87.04–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Tb Clinic Initial Visit	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Complex Vst-New Patient	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Office O/P New Hi Mdm 60 Min	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Pre-Natal Hi Risk Initial	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Pre-Natal New Ob Cl	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 Outpatient Visit- New 60 Tele	$243.70	$348.14	$144.87–$540.80	35% below	30%
New patient office visit, about 60 minutes CPT 99205 New Pat Comprehen/60min	$310.44	$443.48	$144.87–$540.80	18% below	30%
New patient office visit, about 60 minutes CPT 99205 Office/Outpt Visit New Lvl 5	$331.80	$474.00	$144.87–$540.80	12% below	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Outpatient Visit- New 60 Tele	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Tb Clinic Initial Visit	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient Visit New	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Pre-Natal New Ob Cl	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Pre-Natal Hi Risk Initial	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office O/P New Hi Mdm 60 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Psych Off/Op New Hi 60 Min	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Complex Vst-New Patient	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Rhb Initial Med Eval	$243.70	$348.14	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 New Pat Comprehen/60min	$310.44	$443.48	—	—	30%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpt Visit New Lvl 5	$331.80	$474.00	—	—	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pod Subseq Evaluatn	$107.49	$153.55	$92.13–$220.00	38% below	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpatient Visit New	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Occ. Health Complete Physical	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Cnsult Dir Bld Don	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Outpatient Visit- New 20 Tele	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office O/P New Mdm Sf 15 Min	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Inf. Dis. - Routine	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Psych Off/Op New Sf 15 Min	$243.70	$348.14	$87.04–$261.11	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pod Brief Hist & P.E	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Cnsult Autlg Bld Don	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Intermediate Vst - New Patient	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Occ Health - Questionnaire	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Employ Clinic Pre-Employ Phys	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Pod Initial Evaluatn	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Hearing Clinic	$243.70	$348.14	$138.03–$348.14	40% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpt Visit New Lvl 1	$331.80	$474.00	$138.03–$474.00	90% above	30%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Office/Outpt Visit New Lvl 2	$331.80	$474.00	$138.03–$474.00	90% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Pod Subseq Evaluatn	$107.49	$153.55	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office O/P New Mdm Sf 15 Min	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Employ Clinic Pre-Employ Phys	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Hearing Clinic	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Pod Initial Evaluatn	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpatient Visit New	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Cnsult Autlg Bld Don	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Psych Off/Op New Sf 15 Min	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Occ. Health Complete Physical	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Inf. Dis. - Routine	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Cnsult Dir Bld Don	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Outpatient Visit- New 20 Tele	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Occ Health - Questionnaire	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Intermediate Vst - New Patient	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Pod Brief Hist & P.E	$243.70	$348.14	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpt Visit New Lvl 1	$331.80	$474.00	—	—	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Office/Outpt Visit New Lvl 2	$331.80	$474.00	—	—	30%
Occupational therapy evaluation, low complexity CPT 97165 Ot Eval Low Complex 30 Min	$268.10	$383.00	$65.00–$383.00	57% above	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Ot Eval Low Complex 30 Min	$268.10	$383.00	—	—	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt Eval High Complex 45 Min	$320.58	$457.96	$65.00–$457.96	21% above	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Pt Eval High Complex 45 Min	$320.58	$457.96	$1,672.00–$2,102.00	—	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt Eval Low Complex 20 Min	$320.58	$457.96	$65.00–$457.96	78% above	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Pt Eval Low Complex 20 Min	$320.58	$457.96	$1,672.00–$2,102.00	—	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt Eval Mod Complex 30 Min	$320.58	$457.96	$65.00–$457.96	34% above	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Pt Eval Mod Complex 30 Min	$320.58	$457.96	$1,672.00–$2,102.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T Min Supv Treatmt	$72.10	$103.00	$25.10–$194.00	13% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T Manual Therapy	$111.76	$159.65	$25.10–$194.00	34% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T Myofascial Release 15min	$111.76	$159.65	$25.10–$194.00	34% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 O/T Myofascial Release	$111.76	$159.65	$25.10–$194.00	34% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T Joint Mobilization 15min	$111.76	$159.65	$25.10–$194.00	34% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 P/T Manual Traction Ea 15min	$111.76	$159.65	$25.10–$194.00	34% above	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 O/T Min Supv Treatmt	$72.10	$103.00	—	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 P/T Manual Traction Ea 15min	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 P/T Manual Therapy	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 P/T Joint Mobilization 15min	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 P/T Myofascial Release 15min	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 O/T Myofascial Release	$111.76	$159.65	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T Hme/Com Rhb Prgm Ea 15min	$78.40	$112.00	$26.59–$194.00	4% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 P/T Exrcse-Un/ Ea 15 Min	$78.40	$112.00	$26.59–$194.00	4% above	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 O/T Therapeutic Exercise	$78.40	$112.00	$26.59–$194.00	4% above	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 O/T Hme/Com Rhb Prgm Ea 15min	$78.40	$112.00	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 O/T Therapeutic Exercise	$78.40	$112.00	—	—	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 P/T Exrcse-Un/ Ea 15 Min	$78.40	$112.00	$1,672.00–$2,102.00	—	30%
Preventive checkup, new patient aged 18–39 CPT 99385 Well Visit Init 18 - 39 Yoa	$130.39	$186.27	$83.82–$220.00	36% below	30%
Preventive checkup, new patient aged 18–39 CPT 99385 Prevent Visit-New-Age 18-39	$180.84	$258.34	$116.25–$258.34	11% below	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Well Visit Init 18 - 39 Yoa	$130.39	$186.27	—	—	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Prevent Visit-New-Age 18-39	$180.84	$258.34	—	—	30%
Preventive checkup, new patient aged 40–64 CPT 99386 Well Visit Init 40 - 64 Yoa	$130.39	$186.27	$83.82–$220.00	42% below	30%
Preventive checkup, new patient aged 40–64 CPT 99386 Prevent Visit-New-Age 40-64	$180.84	$258.34	$116.25–$258.34	20% below	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Well Visit Init 40 - 64 Yoa	$130.39	$186.27	—	—	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Prevent Visit-New-Age 40-64	$180.84	$258.34	—	—	30%
Preventive checkup, new patient aged 65 or older CPT 99387 Prevent Visitnewage 65 &Over	$173.04	$247.20	$61.80–$491.70	33% below	30%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Prevent Visitnewage 65 &Over	$173.04	$247.20	—	—	30%
Preventive checkup, returning patient aged 18–39 CPT 99395 Well Re-Visit 18 - 39 Yoa	$130.39	$186.27	$83.82–$220.00	36% below	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Well Re-Visit 18 - 39 Yoa	$130.39	$186.27	—	—	30%
Preventive checkup, returning patient aged 40–64 CPT 99396 Well Re-Visit 40-64 Yoa	$130.39	$186.27	$111.76–$389.37	44% below	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Well Re-Visit 40-64 Yoa	$130.39	$186.27	—	—	30%
Preventive checkup, returning patient aged 65 or older CPT 99397 Well Re-Visit 65+	$130.39	$186.27	$111.76–$389.37	36% below	30%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Well Re-Visit 65+	$130.39	$186.27	—	—	30%
Psychiatric evaluation with medical services CPT 90792 Psych Diag Eval W/Med Srvcs	$400.40	$572.00	$61.00–$572.00	34% above	30%
Psychiatric evaluation with medical services inpatient CPT 90792 Psych Diag Eval W/Med Srvcs	$400.40	$572.00	—	—	30%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psycl Tst Eval Phys/Qhp 1st	$769.30	$1,099.00	$61.00–$1,099.00	121% above	30%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psycl Tst Eval Phys/Qhp 1st	$769.30	$1,099.00	—	—	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psytx Crisis Initial 60 Min	$400.40	$572.00	$143.00–$429.00	50% above	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psytx Crisis Initial 60 Min	$400.40	$572.00	—	—	30%
Psychotherapy session, 30 minutes CPT 90832 Psycotherapy- Tele	$400.40	$572.00	$180.00–$572.00	102% above	30%
Psychotherapy session, 30 minutes CPT 90832 Psytx 30 Mins W/Patient	$400.40	$572.00	$132.09–$429.00	102% above	30%
Psychotherapy session, 30 minutes CPT 90832 Psytx Pt&/Family 30 Minutes	$400.40	$572.00	$61.00–$572.00	102% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx 30 Mins W/Patient	$400.40	$572.00	—	—	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psytx Pt&/Family 30 Minutes	$400.40	$572.00	—	—	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psycotherapy- Tele	$400.40	$572.00	—	—	30%
Psychotherapy session, 45 minutes CPT 90834 Psycotherapy- Tele	$400.40	$572.00	$180.00–$572.00	53% above	30%
Psychotherapy session, 45 minutes CPT 90834 Psytx 45 Mins W/Patient	$400.40	$572.00	$143.00–$429.00	53% above	30%
Psychotherapy session, 45 minutes CPT 90834 Psytx Pt&/Family 45 Minutes	$400.40	$572.00	$143.00–$429.00	53% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx 45 Mins W/Patient	$400.40	$572.00	—	—	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psytx Pt&/Family 45 Minutes	$400.40	$572.00	—	—	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psycotherapy- Tele	$400.40	$572.00	—	—	30%
Psychotherapy session, 60 minutes CPT 90837 Psytx Pt&/Family 60 Minutes	$400.40	$572.00	$143.00–$429.00	34% above	30%
Psychotherapy session, 60 minutes CPT 90837 Psytx 60 Min W/Patient	$400.40	$572.00	$143.00–$429.00	34% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx Pt&/Family 60 Minutes	$400.40	$572.00	—	—	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psytx 60 Min W/Patient	$400.40	$572.00	—	—	30%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tabacco-Use Counsel 3-10mins	$81.48	$116.39	$33.49–$220.00	74% above	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tabacco-Use Counsel 3-10mins	$81.90	$117.00	—	—	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Psych Off/Op Est Hi 40 Min	$243.70	$348.14	$87.04–$423.26	4% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Outpatient Visit- Est 40 Tele	$243.70	$348.14	$144.87–$423.26	4% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Pre-Natal Hi Risk Re-Visit	$243.70	$348.14	$144.87–$423.26	4% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpatient Visit Est	$243.70	$348.14	$144.87–$423.26	4% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office O/P Est Hi Mdm 40 Min	$243.70	$348.14	$144.87–$423.26	4% above	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Office/Outpt Visit Est Lvl 5	$331.80	$474.00	$144.87–$474.00	41% above	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpatient Visit Est	$243.70	$348.14	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Pre-Natal Hi Risk Re-Visit	$243.70	$348.14	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Psych Off/Op Est Hi 40 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Outpatient Visit- Est 40 Tele	$243.70	$348.14	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office O/P Est Hi Mdm 40 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Office/Outpt Visit Est Lvl 5	$331.80	$474.00	—	—	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office Visit/Consultation	$88.74	$126.77	$57.05–$220.00	52% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Hyperbaric Wound Care-Debride	$157.76	$225.36	$101.41–$3,498.00	14% below	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Extended Visit - Re-Visit	$243.70	$348.14	$144.87–$348.14	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Outpatient Visit- Est 15 Tele	$243.70	$348.14	$144.87–$348.14	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpatient Visit Est	$243.70	$348.14	$144.87–$348.14	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office O/P Est Low Mdm 20 Min	$243.70	$348.14	$144.87–$348.14	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Psych Off/Op Est Low 20 Min	$243.70	$348.14	$87.04–$261.11	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Rehab - Off O/P Est Low 20 Min	$243.70	$348.14	$144.87–$348.14	33% above	30%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Office/Outpt Visit Est Lvl 3	$331.80	$474.00	$144.87–$474.00	81% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office Visit/Consultation	$88.74	$126.77	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Hyperbaric Wound Care-Debride	$157.76	$225.36	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Outpatient Visit- Est 15 Tele	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office O/P Est Low Mdm 20 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Psych Off/Op Est Low 20 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpatient Visit Est	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Extended Visit - Re-Visit	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Rehab - Off O/P Est Low 20 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Office/Outpt Visit Est Lvl 3	$331.80	$474.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Rhb Med Re-Eval	$155.12	$221.60	$99.72–$286.30	21% below	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Pre-Natal Clinic Re-Visit	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office O/P Est Mod Mdm 30 Min	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpatient Visit Est	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office O/P Est Mod Mdm 30 Min	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Tb Clinic Follow Up Visit	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Psych - Off/Op Est Mod 30 Min	$243.70	$348.14	$87.04–$286.30	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Outpatient Visit- Est 25 Tele	$243.70	$348.14	$144.87–$348.14	23% above	30%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office/Outpt Visit Est Lvl 4	$331.80	$474.00	$144.87–$474.00	68% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Rhb Med Re-Eval	$155.12	$221.60	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpatient Visit Est	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Pre-Natal Clinic Re-Visit	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Tb Clinic Follow Up Visit	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Outpatient Visit- Est 25 Tele	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Psych - Off/Op Est Mod 30 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office O/P Est Mod Mdm 30 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office/Outpt Visit Est Lvl 4	$331.80	$474.00	—	—	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Office O/P Est Mod Mdm 30 Min	$366.08	$522.96	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Endo/Ped Follow-Up	$65.20	$93.13	$41.91–$220.00	61% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Pod Subseq Evaluatn	$80.28	$114.68	$51.61–$220.00	52% below	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office O/P Est Sf Mdm 10 Min	$243.70	$348.14	$103.34–$348.14	45% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office O/P Est Sf Mdm10 Min	$243.70	$348.14	$103.34–$348.14	45% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Psych Off/Op Est Sf 10 Min	$243.70	$348.14	$67.99–$261.11	45% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Outpatient Visit- Est 10 Tele	$243.70	$348.14	$103.34–$348.14	45% above	30%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office/Outpt Visit Est Lvl 2	$331.80	$474.00	$103.34–$474.00	98% above	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Endo/Ped Follow-Up	$65.20	$93.13	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Pod Subseq Evaluatn	$80.28	$114.68	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Psych Off/Op Est Sf 10 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Outpatient Visit- Est 10 Tele	$243.70	$348.14	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office O/P Est Sf Mdm 10 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office O/P Est Sf Mdm10 Min	$243.70	$348.14	—	—	30%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Office/Outpt Visit Est Lvl 2	$331.80	$474.00	—	—	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Oral Consult Est Sev 40 Min	$102.44	$146.34	$65.85–$220.00	66% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consultation 40	$149.01	$212.87	$95.79–$220.00	50% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Consulation - Level 3	$186.27	$266.09	$119.74–$266.09	37% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Pod Extnded Con/Mgmt	$215.00	$307.14	$138.21–$307.14	28% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Psych Off/Op Cnsltj New/Est Lo	$243.70	$348.14	$87.04–$261.11	18% below	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consult Lvl 3	$331.80	$474.00	$144.87–$474.00	11% above	30%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office Consultation	$382.62	$546.59	$144.87–$546.59	28% above	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Oral Consult Est Sev 40 Min	$102.44	$146.34	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Consultation 40	$149.01	$212.87	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Consulation - Level 3	$186.27	$266.09	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Pod Extnded Con/Mgmt	$215.00	$307.14	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Psych Off/Op Cnsltj New/Est Lo	$243.70	$348.14	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consult Lvl 3	$331.80	$474.00	—	—	30%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office Consultation	$382.62	$546.59	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consultation 60	$243.70	$348.14	$144.87–$348.14	18% below	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Pych Off/Op Cnsltj New/Est Mod	$243.70	$348.14	$87.04–$261.11	18% below	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consultation	$243.70	$348.14	$144.87–$348.14	18% below	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Consulation - Level 4	$243.70	$348.14	$144.87–$348.14	18% below	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Oral Surg Conslt Est Pat 60min	$243.70	$348.14	$144.87–$348.14	18% below	30%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office Consult Lvl 4	$331.80	$474.00	$144.87–$474.00	11% above	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Consultation 60	$243.70	$348.14	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Consulation - Level 4	$243.70	$348.14	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Oral Surg Conslt Est Pat 60min	$243.70	$348.14	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Pych Off/Op Cnsltj New/Est Mod	$243.70	$348.14	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consultation	$243.70	$348.14	—	—	30%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office Consult Lvl 4	$331.80	$474.00	—	—	30%
Speech and language evaluation CPT 92523 Speech Sound Lang Comprehen	$433.89	$619.83	$65.00–$619.83	11% above	30%
Speech and language evaluation inpatient CPT 92523 Speech Sound Lang Comprehen	$433.89	$619.83	—	—	30%
Speech therapy session, individual CPT 92507 Rhb Speech Lang Indiv Trtmt1.0	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Spch/H I/Ther&Cns1.5	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Rhb Speech Lang Indiv Trtmt.75	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Speech Therapy 3/4 Hr Individl	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Counselling Session 1hr Indivl	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Rhb Speech Lang Indiv Trtmt .5	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Speech Therapy 1/4 Hr Individl	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Spch/H I/Ther&Cnsl.5	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual CPT 92507 Spch/H I/Ther&Cnsl 1	$203.00	$290.00	$65.00–$290.00	21% above	30%
Speech therapy session, individual inpatient CPT 92507 Counselling Session 1hr Indivl	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Spch/H I/Ther&Cns1.5	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Spch/H I/Ther&Cnsl.5	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Speech Therapy 1/4 Hr Individl	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Rhb Speech Lang Indiv Trtmt.75	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Rhb Speech Lang Indiv Trtmt .5	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Spch/H I/Ther&Cnsl 1	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Speech Therapy 3/4 Hr Individl	$203.00	$290.00	—	—	30%
Speech therapy session, individual inpatient CPT 92507 Rhb Speech Lang Indiv Trtmt1.0	$203.00	$290.00	—	—	30%
Spirometry (breathing test) CPT 94010 P-F Breathing Capacity Test	$149.20	$213.13	$15.40–$213.13	33% below	30%
Spirometry (breathing test) CPT 94010 P-F Spromtry Vol Vnt	$399.22	$570.31	$15.40–$570.31	80% above	30%
Spirometry (breathing test) CPT 94010 I/T Incent-Spiromtr	$399.70	$571.00	$15.40–$571.00	80% above	30%
Spirometry (breathing test) inpatient CPT 94010 P-F Breathing Capacity Test	$149.20	$213.13	—	—	30%
Spirometry (breathing test) inpatient CPT 94010 P-F Spromtry Vol Vnt	$399.70	$571.00	—	—	30%
Spirometry (breathing test) inpatient CPT 94010 I/T Incent-Spiromtr	$399.70	$571.00	—	—	30%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Bef&Aft Bronchdilat	$768.79	$1,098.26	$19.09–$1,098.26	98% above	30%
Spirometry before and after a bronchodilator CPT 94060 Bronchospasm - Pre & Post Bd	$769.30	$1,099.00	$19.09–$1,099.00	98% above	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Bef&Aft Bronchdilat	$768.79	$1,098.26	—	—	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 Bronchospasm - Pre & Post Bd	$769.30	$1,099.00	—	—	30%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Tcranial Magm Stim Tx Plan	$769.30	$1,099.00	$61.00–$1,099.00	109% above	30%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Tcranial Magm Stim Tx Plan	$769.30	$1,099.00	—	—	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 O/T Therap Activty Each 15 Min	$100.10	$143.00	$31.83–$194.00	16% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 O/T Lv Skl&Perf/1pt	$100.10	$143.00	$31.83–$194.00	16% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 P/T Therapeut/Dynamic Actv 15m	$111.76	$159.65	$31.83–$194.00	30% above	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Kinematic Act/R Of M	$179.61	$256.58	$31.83–$256.58	109% above	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 O/T Lv Skl&Perf/1pt	$100.10	$143.00	—	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 O/T Therap Activty Each 15 Min	$100.10	$143.00	—	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 P/T Therapeut/Dynamic Actv 15m	$111.76	$159.65	$1,672.00–$2,102.00	—	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Kinematic Act/R Of M	$179.61	$256.58	$1,672.00–$2,102.00	—	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic (Separ	$319.20	$456.00	$96.00–$456.00	50% above	30%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy Therapeutic	$319.20	$456.00	$96.00–$456.00	50% above	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic	$319.20	$456.00	—	—	30%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Phlebotomy Therapeutic (Separ	$319.20	$456.00	—	—	30%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 Ekg Cardiovascular Stress Test	$204.89	$292.70	$73.18–$292.70	40% below	30%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 Ekg Cardiovascular Stress Test	$204.89	$292.70	—	—	30%
Visual field test, extended CPT 92083 Eye Visual Field Examination(S	$319.20	$456.00	$50.24–$456.00	5% below	30%
Visual field test, extended inpatient CPT 92083 Eye Visual Field Examination(S	$319.20	$456.00	—	—	30%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs New York	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Flu Vaccine Adjuvant Im	$37.68	$53.82	$13.46–$87.66	64% below	30%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 Flu Vaccine Adjuvant Im	$37.68	$53.82	$21.53–$26.91	—	30%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Sq Live Varicella Vaccine	$91.00	$130.00	$32.50–$130.00	66% below	30%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Sq Live Varicella Vaccine	$91.00	$130.00	$52.00–$65.00	—	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Dtap-Ipv Vacc 4-6 Yr Im	$68.14	$97.33	$24.33–$97.33	25% below	30%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 Dtap-Ipv Vacc 4-6 Yr Im	$68.14	$97.33	$38.93–$48.67	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dtap Vaccine < 7 Yrs Im	$36.17	$51.67	$12.92–$51.67	26% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Dip/Tet/Acel Pertuss Ped Vac	$37.68	$53.82	$13.46–$53.82	23% below	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dtap Vaccine < 7 Yrs Im	$36.17	$51.67	$20.67–$25.84	—	30%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 Dip/Tet/Acel Pertuss Ped Vac	$37.68	$53.82	$21.53–$26.91	—	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Pediarix 0.5 Ml Vial	$37.68	$53.82	$13.46–$53.82	73% below	30%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 Pediarix 0.5 Ml Vial	$37.68	$53.82	$21.53–$26.91	—	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Hepb-Ipv Inactiv Im	$43.76	$62.51	$15.63–$62.51	70% below	30%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Dtap-Hib-Ip Vaccine Im	$203.89	$291.27	$72.82–$291.27	40% above	30%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Hepb-Ipv Inactiv Im	$43.76	$62.51	$25.00–$31.26	—	30%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 Dtap-Hib-Ip Vaccine Im	$203.89	$291.27	$116.51–$145.64	—	30%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 Flu Vacc Riv3 No Preserv	$68.76	$98.22	$24.56–$98.22	35% below	30%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 Flu Vacc Riv3 No Preserv	$68.76	$98.22	$39.29–$49.11	—	30%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Flu Vaccine Pediatric Vial	$37.68	$53.82	$13.46–$53.82	33% above	30%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Flu Vaccine Pediatric Vial	$37.68	$53.82	$21.53–$26.91	—	30%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 Hpv Vaccine 4 Valent Im	$140.15	$200.21	$50.05–$200.21	72% below	30%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 Hpv Vaccine 4 Valent Im	$140.15	$200.21	$80.08–$100.11	—	30%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Im Adult Hepa-Hepb	$69.89	$99.84	$24.96–$99.84	69% below	30%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 Im Adult Hepa-Hepb	$69.89	$99.84	$39.94–$49.92	—	30%
Hepatitis A vaccine, adult dose CPT 90632 Im Adult Hep-A Vaccine	$50.24	$71.77	$17.94–$71.77	51% below	30%
Hepatitis A vaccine, adult dose inpatient CPT 90632 Im Adult Hep-A Vaccine	$50.24	$71.77	$32.30	—	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Hepatitis A Vaccine Ped	$37.68	$53.82	$13.46–$53.82	33% below	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Pedi 2 Dose Hep-A Vaccine	$37.68	$53.82	$13.46–$53.82	33% below	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Pedi 2 Dose Hep-A Vaccine	$37.68	$53.82	$21.53–$26.91	—	30%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 Hepatitis A Vaccine Ped	$37.68	$53.82	$21.53–$26.91	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hepatitis B Vaccine Adult	$37.68	$53.82	$13.46–$73.90	58% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vacc Adult 3 Dose Im	$52.84	$75.48	$18.87–$75.48	41% below	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hepatitis B Vaccine Adult	$37.68	$53.82	$21.53–$26.91	—	30%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vacc Adult 3 Dose Im	$52.84	$75.48	$30.19–$37.74	—	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Hep B Vacc Adult 2 Dose Im	$37.68	$53.82	$13.46–$186.43	84% below	30%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 Hep B Vacc Adult 2 Dose Im	$37.68	$53.82	$21.53–$26.91	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hep B Vacc Ped/Adol 3 Dose Im	$62.66	$89.51	$22.38–$89.51	38% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B 10 Mcg/0.5 Ml Pedi	$62.66	$89.51	$22.38–$89.51	38% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepb Vacc Ped/Adol 3 Dose Im	$62.66	$89.51	$22.38–$89.51	38% above	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B 10 Mcg/0.5 Ml Pedi	$62.66	$89.51	$35.80–$44.76	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hep B Vacc Ped/Adol 3 Dose Im	$62.66	$89.51	$35.80–$44.76	—	30%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepb Vacc Ped/Adol 3 Dose Im	$62.66	$89.51	$35.80–$44.76	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Im 4 Dose Hib Prp-T	$37.68	$53.82	$13.46–$53.82	17% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Acthib Vacc Haemophilus B	$37.68	$53.82	$13.46–$53.82	17% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Zoster Vacc Sc	$188.37	$269.10	$67.28–$269.10	487% above	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Im 4 Dose Hib Prp-T	$37.68	$53.82	$21.53–$26.91	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Acthib Vacc Haemophilus B	$37.68	$53.82	$21.53–$26.91	—	30%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 Zoster Vacc Sc	$188.37	$269.10	$107.64–$134.55	—	30%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Flu Vac Prsv Free Inc Antig Im	$59.90	$85.57	$21.39–$87.67	46% below	30%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Flu Vac Prsv Free Inc Antig Im	$59.90	$85.57	$34.23–$42.79	—	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Inactivated Je Vacc Im	$229.32	$327.60	$81.90–$327.60	1% above	30%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule inpatient CPT 90738 Inactivated Je Vacc Im	$229.32	$327.60	$131.04–$163.80	—	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Sq Mmr Vaccine	$49.51	$70.72	$17.68–$70.72	63% below	30%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Measlesmumps& Rubella Vac	$49.51	$70.72	$17.68–$70.72	63% below	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Sq Mmr Vaccine	$49.51	$70.72	$28.29–$35.36	—	30%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measlesmumps& Rubella Vac	$49.51	$70.72	$28.29–$35.36	—	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Proquad-Measmumpsrubvar	$439.60	$628.00	$157.00–$628.00	at median	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Sq Live Mmrv Vaccine	$439.60	$628.00	$157.00–$628.00	at median	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Proquad-Measmumpsrubvar	$439.60	$628.00	$251.20–$314.00	—	30%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 Sq Live Mmrv Vaccine	$439.60	$628.00	$251.20–$314.00	—	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Meningococcal Vaccine Im	$117.21	$167.44	$41.86–$167.44	43% below	30%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Sq Mpv Vaccine	$158.90	$226.99	$56.75–$226.99	22% below	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Meningococcal Vaccine Im	$117.21	$167.44	$66.98–$83.72	—	30%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Sq Mpv Vaccine	$158.90	$226.99	$90.80–$113.50	—	30%
Nasal spray flu vaccine, live (FluMist) CPT 90660 Flu Vaccine Nasal	$31.65	$45.21	$11.30–$45.21	27% below	30%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 Flu Vaccine Nasal	$31.65	$45.21	$18.08–$22.61	—	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 Pneumococcal Vacc 13 Val Im	$91.00	$130.00	$32.50–$270.89	72% below	30%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 Pneumococcal Vacc 13 Val Im	$91.00	$130.00	$52.00–$65.00	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumovax 23 Vial	$139.40	$199.14	$49.79–$199.14	18% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneum Vac 23 Valent>2 Yr Sq/Im	$139.40	$199.14	$49.79–$199.14	18% below	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumovax 23 Vial	$139.40	$199.14	$79.66–$99.57	—	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneum Vac 23 Valent>2 Yr Sq/Im	$139.40	$199.14	$79.66–$99.57	—	30%
Polio vaccine, inactivated (IPV) CPT 90713 Poliovirus Ipv Sc/Im	$37.68	$53.82	$13.46–$53.82	56% below	30%
Polio vaccine, inactivated (IPV) CPT 90713 Poliomyelitis Vaccine	$37.68	$53.82	$13.46–$53.82	56% below	30%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliomyelitis Vaccine	$37.68	$53.82	$21.53–$26.91	—	30%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 Poliovirus Ipv Sc/Im	$37.68	$53.82	$21.53–$26.91	—	30%
Rabies vaccine, one dose CPT 90675 Rabavert Rabies Vaccine Kit	$975.10	$1,393.00	$301.79–$1,393.00	107% above	30%
Rabies vaccine, one dose CPT 90675 Im Rabies Vaccine	$975.10	$1,393.00	$301.79–$1,393.00	107% above	30%
Rabies vaccine, one dose inpatient CPT 90675 Im Rabies Vaccine	$975.10	$1,393.00	$557.20–$696.50	—	30%
Rabies vaccine, one dose inpatient CPT 90675 Rabavert Rabies Vaccine Kit	$975.10	$1,393.00	$557.20–$696.50	—	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Rotavirus Vacc 2 Dose Oral	$185.36	$264.79	$66.20–$264.79	14% below	30%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 Rotavirus Vacc 2 Dose Oral	$185.36	$264.79	$105.92–$132.40	—	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus Vacc 3 Dose Oral	$49.73	$71.04	$17.76–$71.04	62% below	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Rotavirus Vacc 2 Dose Oral	$123.40	$176.28	$44.07–$176.28	6% below	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotavirus Vacc 3 Dose Oral	$49.73	$71.04	$28.42–$35.52	—	30%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 Rotavirus Vacc 2 Dose Oral	$123.40	$176.28	$70.51–$88.14	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Td Vaccine No Prsrv >= 7 Im	$43.39	$61.98	$15.50–$61.98	18% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanus Dip Toxoid Ped 0.5ml	$43.39	$61.98	$15.50–$61.98	18% below	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Td Vaccine No Prsrv >= 7 Im	$43.39	$61.98	$24.79–$30.99	—	30%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanus Dip Toxoid Ped 0.5ml	$43.39	$61.98	$24.79–$30.99	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tetanus/Dip Tox Adult 0.5ml	$36.40	$52.00	$13.00–$52.00	34% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Tdap Vaccine >7 Im	$37.68	$53.82	$13.46–$53.82	32% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel Tetanus Toxoiddipther	$37.68	$53.82	$13.46–$53.82	32% below	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tetanus/Dip Tox Adult 0.5ml	$36.40	$52.00	$20.80–$26.00	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Tdap Vaccine >7 Im	$37.68	$53.82	$21.53–$26.91	—	30%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel Tetanus Toxoiddipther	$37.68	$53.82	$21.53–$26.91	—	30%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Im Vicps Typhoid Vaccine	$118.68	$169.53	$42.38–$169.53	49% below	30%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 Im Vicps Typhoid Vaccine	$118.68	$169.53	$67.81–$84.77	—	30%
Typhoid vaccine, oral capsules (Vivotif) CPT 90690 Oral Live Typhoid Vaccine	$43.54	$62.19	$15.55–$62.19	60% below	30%
Typhoid vaccine, oral capsules (Vivotif) inpatient CPT 90690 Oral Live Typhoid Vaccine	$43.54	$62.19	$24.88–$31.10	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Influenza Virus Vaccine	$116.90	$167.00	$20.50–$167.00	39% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Admin Pneumococcal Vaccine	$116.90	$167.00	$41.75–$167.00	39% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin	$185.50	$265.00	$62.64–$265.00	120% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin 1 Vaccine	$185.50	$265.00	$62.64–$265.00	120% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Monkeypox 2nd	$185.50	$265.00	$62.64–$265.00	120% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Ed Administration Tetanus Im	$185.50	$265.00	$62.64–$265.00	120% above	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Pneumococcal Vaccine	$116.90	$167.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Admin Influenza Virus Vaccine	$116.90	$167.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin 1 Vaccine	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Ed Administration Tetanus Im	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Monkeypox 2nd	$185.50	$265.00	—	—	30%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin	$185.50	$265.00	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Adm; Ea Addtl Vac	$61.85	$88.35	$22.09–$88.35	37% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Ed Immuniztn Admin Ea Addl Vac	$100.13	$143.03	$35.76–$143.03	123% above	30%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin Ea Addl	$100.13	$143.03	$35.76–$143.03	123% above	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Adm; Ea Addtl Vac	$61.85	$88.35	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Ed Immuniztn Admin Ea Addl Vac	$100.13	$143.03	—	—	30%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin Ea Addl	$100.13	$143.03	—	—	30%
Yellow fever vaccine, live CPT 90717 Sq Live Yellow Fever Vaccine	$400.40	$572.00	$143.00–$572.00	63% above	30%
Yellow fever vaccine, live inpatient CPT 90717 Sq Live Yellow Fever Vaccine	$400.40	$572.00	$228.80–$286.00	—	30%

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

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

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

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

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

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

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

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

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

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/13384/113465690-1801857172_nassau-health-care-corporation_standardcharges.csv