Hospital Portsmouth, OH

Kings Daughters Medical Center Ohio

Listed in its price file as “Portsmouth Hospital Corporation”.

Kings Daughters Medical Center Ohio in Portsmouth, OH publishes cash prices for 369 common procedures listed here, from its own machine-readable price file updated Sep 25, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Ohio median for 303 of 366 procedures and above it for 61. By typical cash price it ranks #22 of 139 Ohio hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1901 Argonne Road, Portsmouth, OH 45662 Collected Oct 2, 2026 Source price file Check a bill from this hospital (740) 991-4000

Acute care hospital Nonprofit hospital Emergency department CCN 360361 · CMS hospital register NPI 1417227398

Financial assistance

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

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

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

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

State law

This state limits hospital bills for lower-income patients

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Abdominal CT scan without and with contrast CPT 74170 HCHG CT ABDOMEN W&W/O	$958.78	$2,396.95	$207.43–$2,157.26	28% below	60%
Abdominal CT scan without and with contrast inpatient CPT 74170 HCHG CT ABDOMEN W&W/O	$958.78	$2,396.95	$1,529.25–$2,157.26	—	60%
Abdominal X-ray, 2 views CPT 74019 HCHG ABDO-AP & DECU OR EREC W/O CHE	$157.46	$393.64	$123.64–$354.28	53% below	60%
Abdominal X-ray, 2 views inpatient CPT 74019 HCHG ABDO-AP & DECU OR EREC W/O CHE	$157.46	$393.64	$251.14–$354.28	—	60%
Ankle X-ray, complete, 3 or more views CPT 73610 HCHG ANKLE-3-VIEWS	$203.18	$507.93	$102.92–$457.14	36% below	60%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HCHG ANKLE-3-VIEWS	$203.18	$507.93	$324.06–$457.14	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HCHG ANKEL ARM INDEX BILATERAL (1-2 LEVELS)	$290.00	$725.00	$157.34–$652.50	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HCHG PHYSIO-EXTREMITY ARTERIES	$290.00	$725.00	$157.34–$652.50	40% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries one side CPT 93922 HCHG ART DOPPLER; UNILATERAL (3 OR MORE LEVELS)	$290.00	$725.00	$157.34–$652.50	40% below	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HCHG ANKEL ARM INDEX BILATERAL (1-2 LEVELS)	$290.00	$725.00	$462.55–$652.50	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HCHG PHYSIO-EXTREMITY ARTERIES	$290.00	$725.00	$462.55–$652.50	—	60%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient one side CPT 93922 HCHG ART DOPPLER; UNILATERAL (3 OR MORE LEVELS)	$290.00	$725.00	$462.55–$652.50	—	60%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HCHG CT UPP EXTRE W/O	$820.10	$2,050.25	$123.64–$1,845.23	13% below	60%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HCHG CT UPP EXTRE W/O	$820.10	$2,050.25	$1,308.06–$1,845.23	—	60%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HCHG BA SWAL/ESOPHAGUS	$212.80	$532.00	$183.54–$478.80	52% below	60%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HCHG BA SWAL/ESOPHAGUS	$212.80	$532.00	$339.42–$478.80	—	60%
Bone scan, whole body (nuclear medicine) CPT 78306 HCHG BONE IMAGE (WHOLE BODY)	$758.86	$1,897.13	$472.77–$1,707.42	51% below	60%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HCHG BONE IMAGE (WHOLE BODY)	$758.86	$1,897.13	$1,210.37–$1,707.42	—	60%
Breast ultrasound, complete, one breast one side CPT 76641 HCHG US BREAST UNILATERAL - COMPLETE	$396.85	$992.11	$123.64–$892.90	17% below	60%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HCHG US BREAST UNILATERAL - COMPLETE	$396.85	$992.11	$632.97–$892.90	—	60%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HCHG US BREAST/AXILLA UNILATERAL-LIMITED	$330.35	$825.87	$102.92–$743.28	19% below	60%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HCHG US BREAST/AXILLA UNILATERAL-LIMITED	$330.35	$825.87	$526.91–$743.28	—	60%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HCHG CTA ABD & PELVIS /W &/OR W/O CONTRAST	$628.50	$1,571.25	$412.58–$1,595.00	71% below	60%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HCHG CTA ABD & PELVIS /W &/OR W/O CONTRAST	$628.50	$1,571.25	$1,002.46–$1,414.13	—	60%
CT angiography (CTA) of the head CPT 70496 HCHG CT ANGIO HEAD W/WO CONTRAS	$1,259.40	$3,148.50	$207.43–$2,833.65	6% below	60%
CT angiography (CTA) of the head inpatient CPT 70496 HCHG CT ANGIO HEAD W/WO CONTRAS	$1,259.40	$3,148.50	$2,008.74–$2,833.65	—	60%
CT angiography (CTA) of the neck CPT 70498 HCHG CT ANGIO NECK W/WO CONTRAST	$1,272.02	$3,180.05	$207.43–$2,862.05	2% below	60%
CT angiography (CTA) of the neck inpatient CPT 70498 HCHG CT ANGIO NECK W/WO CONTRAST	$1,272.02	$3,180.05	$2,028.87–$2,862.05	—	60%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HCHG CTA CHEST W/WO CONTRAST	$1,174.58	$2,936.45	$207.43–$2,642.81	17% below	60%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HCHG CTA CHEST W/WO CONTRAST	$1,174.58	$2,936.45	$1,873.46–$2,642.81	—	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HCHG CTA HEART,COR ARTERY,GRAFTS /W CONTRAS	$925.96	$2,314.90	$412.58–$2,083.41	42% below	60%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HCHG CTA HEART,COR ARTERY,GRAFTS /W CONTRAS	$925.96	$2,314.90	$1,476.91–$2,083.41	—	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG SCREENING CT HEART W CALCIUM SCORE W/O CONTRAST	$32.00	$80.00	$51.04–$1,595.00	89% below	60%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HCHG CT HEART W/O CONTRAST /W CALCIUM EVAL	$205.62	$514.05	$102.92–$1,595.00	27% below	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG SCREENING CT HEART W CALCIUM SCORE W/O CONTRAST	$32.00	$80.00	$51.04–$72.00	—	60%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HCHG CT HEART W/O CONTRAST /W CALCIUM EVAL	$205.62	$514.05	$327.96–$462.65	—	60%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HCHG CT ABDOMEN & PELVIS W/O CONTRAST	$1,601.32	$4,003.30	$282.17–$3,602.97	1% above	60%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HCHG CT ABDOMEN & PELVIS W/O CONTRAST	$1,601.32	$4,003.30	$2,554.11–$3,602.97	—	60%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HCHG CT ABD & PELVIS /W CONTRAST	$1,748.34	$4,370.85	$412.58–$3,933.77	12% below	60%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HCHG CT ABD & PELVIS /W CONTRAST	$1,748.34	$4,370.85	$2,788.60–$3,933.77	—	60%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HCHG CT ABD & PELVIS /W & W/O CONTRAST	$1,965.74	$4,914.35	$412.58–$4,422.92	16% below	60%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HCHG CT ABD & PELVIS /W & W/O CONTRAST	$1,965.74	$4,914.35	$3,135.36–$4,422.92	—	60%
CT scan of the abdomen with contrast CPT 74160 HCHG CT ABDOMEN W	$874.18	$2,185.45	$207.43–$1,966.91	25% below	60%
CT scan of the abdomen with contrast inpatient CPT 74160 HCHG CT ABDOMEN W	$874.18	$2,185.45	$1,394.32–$1,966.91	—	60%
CT scan of the abdomen without contrast CPT 74150 HCHG CT ABDOMEN W/O	$800.66	$2,001.65	$123.64–$1,801.49	24% below	60%
CT scan of the abdomen without contrast inpatient CPT 74150 HCHG CT ABDOMEN W/O	$800.66	$2,001.65	$1,277.05–$1,801.49	—	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT MAXIOFAC W/O	$914.82	$2,287.05	$123.64–$2,058.35	4% above	60%
CT scan of the face and sinuses, no contrast dye CPT 70486 HCHG CT SINUSES W/O	$914.82	$2,287.05	$123.64–$2,058.35	4% above	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT MAXIOFAC W/O	$914.82	$2,287.05	$1,459.14–$2,058.35	—	60%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HCHG CT SINUSES W/O	$914.82	$2,287.05	$1,459.14–$2,058.35	—	60%
CT scan of the head or brain, no contrast dye CPT 70450 HCHG CT HEAD W/O	$831.66	$2,079.15	$123.64–$1,871.24	at median	60%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HCHG CT HEAD W/O	$831.66	$2,079.15	$1,326.50–$1,871.24	—	60%
CT scan of the head with contrast CPT 70460 HCHG CT HEAD W	$880.72	$2,201.80	$207.43–$1,981.62	12% below	60%
CT scan of the head with contrast inpatient CPT 70460 HCHG CT HEAD W	$880.72	$2,201.80	$1,404.75–$1,981.62	—	60%
CT scan of the head without and with contrast CPT 70470 HCHG CT HEAD W&W/O	$1,081.16	$2,702.90	$207.43–$2,432.61	9% below	60%
CT scan of the head without and with contrast inpatient CPT 70470 HCHG CT HEAD W&W/O	$1,081.16	$2,702.90	$1,724.45–$2,432.61	—	60%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HCHG CT LUM/SPINE W/O	$831.66	$2,079.15	$123.64–$1,871.24	24% below	60%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HCHG CT LUM/SPINE W/O	$831.66	$2,079.15	$1,326.50–$1,871.24	—	60%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HCHG CT CERV/SPINE W/O	$914.82	$2,287.05	$123.64–$2,058.35	15% below	60%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HCHG CT CERV/SPINE W/O	$914.82	$2,287.05	$1,459.14–$2,058.35	—	60%
CT scan of the pelvis, with contrast dye CPT 72193 HCHG CT PELVIS W	$874.18	$2,185.45	$207.43–$1,966.91	29% below	60%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HCHG CT PELVIS W	$874.18	$2,185.45	$1,394.32–$1,966.91	—	60%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HCHG US CAROTID DUPLEX	$592.97	$1,482.42	$282.17–$1,334.18	18% below	60%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HCHG US CAROTID DUPLEX	$592.97	$1,482.42	$945.78–$1,334.18	—	60%
Chest CT scan without and with contrast CPT 71270 HCHG CT THORAX W&W/O	$949.14	$2,372.85	$207.43–$2,135.57	37% below	60%
Chest CT scan without and with contrast inpatient CPT 71270 HCHG CT THORAX W&W/O	$949.14	$2,372.85	$1,513.88–$2,135.57	—	60%
Chest X-ray, 2 views CPT 71046 HCHG CHEST PA LAT	$126.96	$317.40	$102.92–$285.66	52% below	60%
Chest X-ray, 2 views inpatient CPT 71046 HCHG CHEST PA LAT	$126.96	$317.40	$202.50–$285.66	—	60%
Chest X-ray, single view CPT 71045 HCHG CHEST-LAT DECUB	$98.42	$246.05	$84.89–$221.45	56% below	60%
Chest X-ray, single view CPT 71045 HCHG CHEST 1 VIEW	$98.42	$246.05	$84.89–$221.45	56% below	60%
Chest X-ray, single view inpatient CPT 71045 HCHG CHEST 1 VIEW	$98.42	$246.05	$156.98–$221.45	—	60%
Chest X-ray, single view inpatient CPT 71045 HCHG CHEST-LAT DECUB	$98.42	$246.05	$156.98–$221.45	—	60%
Collarbone (clavicle) X-ray, complete CPT 73000 HCHG CLAVICLE	$114.75	$286.87	$98.97–$258.18	58% below	60%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HCHG CLAVICLE	$114.75	$286.87	$183.02–$258.18	—	60%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HCHG US RETROPERITONIAL	$426.38	$1,065.95	$123.64–$959.36	40% below	60%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HCHG US RETROPERITONIAL	$426.38	$1,065.95	$680.08–$959.36	—	60%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HCHG BONE DENSITY (SPINE/BIL HIPS)	$227.06	$567.65	$123.64–$510.89	50% below	60%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HCHG BONE DENSITY (SPINE/BIL HIPS)	$227.06	$567.65	$362.16–$510.89	—	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HCHG BONE DENSITY (PERIPHERAL)	$242.10	$605.24	$102.92–$544.72	6% below	60%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HCHG BONE DENSITY (PERIPHERAL)	$242.10	$605.24	$386.14–$544.72	—	60%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HCHG US, OB DETAILED SINGLE FETUS	$422.88	$1,057.18	$282.17–$951.46	50% below	60%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HCHG US, OB DETAILED SINGLE FETUS	$422.88	$1,057.18	$674.48–$951.46	—	60%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HCHG CT THORAX W/O	$800.66	$2,001.65	$123.64–$1,801.49	15% below	60%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HCHG CT THORAX W/O	$800.66	$2,001.65	$1,277.05–$1,801.49	—	60%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HCHG CT THORAX W	$874.18	$2,185.45	$207.43–$1,966.91	28% below	60%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HCHG CT THORAX W	$874.18	$2,185.45	$1,394.32–$1,966.91	—	60%
Diagnostic mammogram, both breasts both sides CPT 77066 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL	$352.36	$880.90	$183.04–$792.81	—	60%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-BILATERAL	$352.36	$880.90	$562.01–$792.81	—	60%
Diagnostic mammogram, one breast one side CPT 77065 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL	$264.54	$661.35	$144.53–$595.22	26% below	60%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HCHG MAMMOGRAM /W CAD DIAGNOSTIC DIG-UNILATERAL	$264.54	$661.35	$421.94–$595.22	—	60%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HCHG SCAN LOW EXT ARTERIES/GRAFT BILATERAL	$564.88	$1,412.18	$282.17–$1,270.96	—	60%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HCHG SCAN LOW EXT ARTERIES/GRAFT BILATERAL	$564.88	$1,412.18	$900.97–$1,270.96	—	60%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HCHG EXTREMITY VENOUS BILATERAL	$674.15	$1,685.36	$282.17–$1,516.82	—	60%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HCHG EXTREMITY VENOUS BILATERAL	$674.15	$1,685.36	$1,075.26–$1,516.82	—	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG TRANSTHORACIC ECHO	$1,254.36	$3,135.89	$646.19–$2,822.30	26% below	60%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HCHG ECHO W CONTRAST-COMPLETE	$1,254.36	$3,135.89	$646.19–$2,822.30	26% below	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG ECHO W CONTRAST-COMPLETE	$1,254.36	$3,135.89	$2,000.70–$2,822.30	—	60%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HCHG TRANSTHORACIC ECHO	$1,254.36	$3,135.89	$2,000.70–$2,822.30	—	60%
Elbow X-ray, 2 views CPT 73070 HCHG ELBOW-AP&LATERAL	$151.91	$379.77	$102.92–$341.79	42% below	60%
Elbow X-ray, 2 views inpatient CPT 73070 HCHG ELBOW-AP&LATERAL	$151.91	$379.77	$242.29–$341.79	—	60%
Elbow X-ray, complete, 3 or more views CPT 73080 HCHG ELBOW-3-VIEWS	$188.26	$470.65	$102.92–$423.59	40% below	60%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HCHG ELBOW-3-VIEWS	$188.26	$470.65	$300.27–$423.59	—	60%
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT ORBITS W/O CONTRAST	$880.52	$2,201.30	$123.64–$1,981.17	2% above	60%
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT TEMPORAL BONES W/O CONTRAST	$880.52	$2,201.30	$123.64–$1,981.17	2% above	60%
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT POST FOSSA W/O CONTRAST	$880.52	$2,201.30	$123.64–$1,981.17	2% above	60%
Eye socket (orbit) CT scan without contrast CPT 70480 HCHG CT PIT, INNER EAR, ORBITS W/O CONTRAST	$880.52	$2,201.30	$123.64–$1,981.17	2% above	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT ORBITS W/O CONTRAST	$880.52	$2,201.30	$1,404.43–$1,981.17	—	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT TEMPORAL BONES W/O CONTRAST	$880.52	$2,201.30	$1,404.43–$1,981.17	—	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT POST FOSSA W/O CONTRAST	$880.52	$2,201.30	$1,404.43–$1,981.17	—	60%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HCHG CT PIT, INNER EAR, ORBITS W/O CONTRAST	$880.52	$2,201.30	$1,404.43–$1,981.17	—	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG ZYGOMATIC ARCH	$199.26	$498.15	$123.64–$448.34	47% below	60%
Facial bones X-ray, complete, 3 or more views CPT 70150 HCHG FACIAL BONES (3 VIEWS+)	$199.26	$498.15	$123.64–$448.34	47% below	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG ZYGOMATIC ARCH	$199.26	$498.15	$317.82–$448.34	—	60%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HCHG FACIAL BONES (3 VIEWS+)	$199.26	$498.15	$317.82–$448.34	—	60%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HCHG FOREARM 2 VIEWS	$146.64	$366.60	$102.92–$329.94	46% below	60%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HCHG FOREARM 2 VIEWS	$146.64	$366.60	$233.89–$329.94	—	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HCHG BILIARY IMAGE (INCL GALLBLADDER) (HIDA)	$1,093.27	$2,733.17	$472.77–$2,459.85	31% below	60%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HCHG BILIARY IMAGE (INCL GALLBLADDER) (HIDA)	$1,093.27	$2,733.17	$1,743.76–$2,459.85	—	60%
Hand X-ray, 2 views CPT 73120 HCHG HAND 2 VIEWS	$148.39	$370.96	$123.64–$333.86	44% below	60%
Hand X-ray, 2 views inpatient CPT 73120 HCHG HAND 2 VIEWS	$148.39	$370.96	$236.67–$333.86	—	60%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HCHG HEEL OS CALCIS	$148.18	$370.45	$102.92–$333.41	45% below	60%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HCHG HEEL OS CALCIS	$148.18	$370.45	$236.35–$333.41	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG UNATTENDED SLEEP STUDY	$225.93	$564.82	$194.86–$508.34	68% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HCHG HOME SLEEP TEST	$225.93	$564.82	$194.86–$508.34	68% below	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG UNATTENDED SLEEP STUDY	$225.93	$564.82	$360.36–$508.34	—	60%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HCHG HOME SLEEP TEST	$225.93	$564.82	$360.36–$508.34	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOMNOGRAPHY /W CPAP > 6YRS /W < 6HRS RECORDING	$2,247.30	$5,618.25	$1,015.54–$5,056.43	45% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HCHG POLYSOMNOGRAPHY > 6YRS /W CPAP	$2,472.01	$6,180.02	$1,015.54–$5,562.02	40% below	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOMNOGRAPHY /W CPAP > 6YRS /W < 6HRS RECORDING	$2,247.30	$5,618.25	$3,584.44–$5,056.43	—	60%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HCHG POLYSOMNOGRAPHY > 6YRS /W CPAP	$2,472.01	$6,180.02	$3,942.85–$5,562.02	—	60%
Knee X-ray, 3 views CPT 73562 HCHG KNEE 3 VIEWS	$232.98	$582.45	$102.92–$524.21	34% below	60%
Knee X-ray, 3 views inpatient CPT 73562 HCHG KNEE 3 VIEWS	$232.98	$582.45	$371.60–$524.21	—	60%
Knee X-ray, complete, 4 or more views CPT 73564 HCHG PATELLA-4-VIEWS	$283.84	$709.59	$123.64–$638.63	28% below	60%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HCHG PATELLA-4-VIEWS	$283.84	$709.59	$452.72–$638.63	—	60%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HCHG CT LOWER EXT W/O	$831.66	$2,079.15	$123.64–$1,871.24	12% below	60%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HCHG CT LOWER EXT W/O	$831.66	$2,079.15	$1,326.50–$1,871.24	—	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HCHG LIMITED ADB	$453.34	$1,133.34	$123.64–$1,020.01	18% below	60%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HCHG LIMITED ADB	$453.34	$1,133.34	$723.07–$1,020.01	—	60%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HCHG US LIMITED JOINT/NONVASCULAR STRUCTURE	$330.62	$826.55	$123.64–$743.90	31% below	60%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HCHG US LIMITED JOINT/NONVASCULAR STRUCTURE	$330.62	$826.55	$527.34–$743.90	—	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HCHG CT LOW DOSE-LUNG	$136.82	$342.03	$123.64–$1,595.00	54% below	60%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HCHG CT LOW DOSE-LUNG	$136.82	$342.03	$218.22–$307.83	—	60%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HCHG TIBIA FIB 2 VIEWS	$151.91	$379.77	$102.92–$341.79	44% below	60%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HCHG TIBIA FIB 2 VIEWS	$151.91	$379.77	$242.29–$341.79	—	60%
MR angiography (MRA) of the head without contrast CPT 70544 HCHG MRA HEAD W/O CONT	$1,306.92	$3,267.30	$282.17–$2,940.57	10% below	60%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HCHG MRA HEAD W/O CONT	$1,306.92	$3,267.30	$2,084.54–$2,940.57	—	60%
MRI of both breasts, without and then with contrast dye CPT 77049 HCHG MRI BREAST BIL /W & W/O CONTRAST /CAD	$2,899.53	$7,248.82	$396.44–$6,523.94	25% below	60%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 HCHG MRI BREAST BIL /W & W/O CONTRAST /CAD	$2,899.53	$7,248.82	$4,624.75–$6,523.94	—	60%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HCHG MRI LOW EXT JNT W/O CONT	$1,208.75	$3,021.87	$282.17–$2,719.68	31% below	60%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HCHG MRI LOW EXT JNT W/O CONT	$1,208.75	$3,021.87	$1,927.95–$2,719.68	—	60%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HCHG MRI LOWER EXT JOINT /W & W/O CONTRAST	$1,646.00	$4,114.98	$412.58–$3,703.48	31% below	60%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HCHG MRI LOWER EXT JOINT /W & W/O CONTRAST	$1,646.00	$4,114.98	$2,625.36–$3,703.48	—	60%
MRI of the abdomen without contrast CPT 74181 HCHG MRI ABDOMEN W/O CONT	$1,186.43	$2,966.07	$282.17–$2,669.46	36% below	60%
MRI of the abdomen without contrast inpatient CPT 74181 HCHG MRI ABDOMEN W/O CONT	$1,186.43	$2,966.07	$1,892.35–$2,669.46	—	60%
MRI of the abdomen, without and then with contrast dye CPT 74183 HCHG MRI ABDOMEN W/WO CONT	$1,485.84	$3,714.59	$412.58–$3,343.13	35% below	60%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HCHG MRI ABDOMEN W/WO CONT	$1,485.84	$3,714.59	$2,369.91–$3,343.13	—	60%
MRI of the brain, no contrast dye CPT 70551 HCHG MRI BRAIN/HEAD W/O CONT	$1,360.68	$3,401.70	$282.17–$3,061.53	16% below	60%
MRI of the brain, no contrast dye inpatient CPT 70551 HCHG MRI BRAIN/HEAD W/O CONT	$1,360.68	$3,401.70	$2,170.28–$3,061.53	—	60%
MRI of the brain, with and without contrast dye CPT 70553 HCHG MRI HEAD W+WO CONTRAST	$1,662.20	$4,155.50	$412.58–$3,739.95	24% below	60%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HCHG MRI HEAD W+WO CONTRAST	$1,662.20	$4,155.50	$2,651.21–$3,739.95	—	60%
MRI of the lower back, no contrast dye CPT 72148 HCHG MRI LUMBAR SPINE W/O CONT	$1,140.29	$2,850.72	$282.17–$2,565.65	32% below	60%
MRI of the lower back, no contrast dye inpatient CPT 72148 HCHG MRI LUMBAR SPINE W/O CONT	$1,140.29	$2,850.72	$1,818.76–$2,565.65	—	60%
MRI of the lower back, without and then with contrast dye CPT 72158 HCHG MRI LUMBAR SPINE W W/O CONTRAC	$1,482.99	$3,707.46	$412.58–$3,336.71	37% below	60%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HCHG MRI LUMBAR SPINE W W/O CONTRAC	$1,482.99	$3,707.46	$2,365.36–$3,336.71	—	60%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HCHG MRI THORACIC SPINE W/O CONT	$1,222.66	$3,056.64	$282.17–$2,750.98	27% below	60%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HCHG MRI THORACIC SPINE W/O CONT	$1,222.66	$3,056.64	$1,950.14–$2,750.98	—	60%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HCHG MRI CERV SPINE W W/O CONTRAST	$1,661.52	$4,153.80	$412.58–$3,738.42	27% below	60%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HCHG MRI CERV SPINE W W/O CONTRAST	$1,661.52	$4,153.80	$2,650.12–$3,738.42	—	60%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HCHG MRI CERVICAL SPINE W/O CONT	$1,350.62	$3,376.55	$282.17–$3,038.90	18% below	60%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HCHG MRI CERVICAL SPINE W/O CONT	$1,350.62	$3,376.55	$2,154.24–$3,038.90	—	60%
MRI of the pelvis without and with contrast CPT 72197 HCHG MRI PELVIS W/WO CONT	$1,461.54	$3,653.84	$412.58–$3,288.46	25% below	60%
MRI of the pelvis without and with contrast inpatient CPT 72197 HCHG MRI PELVIS W/WO CONT	$1,461.54	$3,653.84	$2,331.15–$3,288.46	—	60%
MRI of the pelvis, no contrast dye CPT 72195 HCHG MRI PELVIS W/O CONTRAST	$1,196.26	$2,990.64	$282.17–$2,691.58	21% below	60%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HCHG MRI PELVIS W/O CONTRAST	$1,196.26	$2,990.64	$1,908.03–$2,691.58	—	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HCHG MRI UPPER EXT JOINT W/O	$1,222.66	$3,056.64	$282.17–$2,750.98	19% below	60%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HCHG MRI UPPER EXT JOINT W/O	$1,222.66	$3,056.64	$1,950.14–$2,750.98	—	60%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HCHG CERVICAL SPINE (4 OR 5 VIEWS)	$215.21	$538.02	$123.64–$484.22	52% below	60%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HCHG CERVICAL SPINE (4 OR 5 VIEWS)	$215.21	$538.02	$343.26–$484.22	—	60%
Neck soft tissue CT scan with contrast CPT 70491 HCHG CT NECK W	$971.66	$2,429.15	$207.43–$2,186.24	18% below	60%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HCHG CT NECK W	$971.66	$2,429.15	$1,549.80–$2,186.24	—	60%
Neck soft tissue CT scan without contrast CPT 70490 HCHG CT NECK W/O	$887.92	$2,219.80	$123.64–$1,997.82	4% below	60%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HCHG CT NECK W/O	$887.92	$2,219.80	$1,416.23–$1,997.82	—	60%
Neck soft tissue X-ray CPT 70360 HCHG NECK-SOFT TISSUE	$192.40	$480.99	$102.92–$432.89	26% below	60%
Neck soft tissue X-ray inpatient CPT 70360 HCHG NECK-SOFT TISSUE	$192.40	$480.99	$306.87–$432.89	—	60%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HCHG CARDIAC (SPECT REST/EX)	$2,371.98	$5,929.94	$1,531.05–$5,336.95	41% below	60%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HCHG CARDIAC (SPECT REST/EX)	$2,371.98	$5,929.94	$3,783.30–$5,336.95	—	60%
Pelvic CT scan without contrast CPT 72192 HCHG CT PELVIS W/O	$800.66	$2,001.65	$123.64–$1,801.49	20% below	60%
Pelvic CT scan without contrast inpatient CPT 72192 HCHG CT PELVIS W/O	$800.66	$2,001.65	$1,277.05–$1,801.49	—	60%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HCHG U/S FOLLOWUP LIMITED PELVIS	$405.00	$1,012.48	$123.64–$911.23	7% below	60%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HCHG U/S FOLLOWUP LIMITED PELVIS	$405.00	$1,012.48	$645.96–$911.23	—	60%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HCHG US PELV STRUCTUR	$404.24	$1,010.60	$123.64–$909.54	20% below	60%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HCHG US PELV STRUCTUR	$404.24	$1,010.60	$644.76–$909.54	—	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG US PREGNANCY-14 + WEEKS	$379.37	$948.41	$123.64–$853.57	37% below	60%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HCHG ECHO PREGNANCY	$379.37	$948.41	$123.64–$853.57	37% below	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG US PREGNANCY-14 + WEEKS	$379.37	$948.41	$605.09–$853.57	—	60%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HCHG ECHO PREGNANCY	$379.37	$948.41	$605.09–$853.57	—	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HCHG U/S PREGNANCY 1ST TRI TRANS	$384.47	$961.17	$123.64–$865.05	30% below	60%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HCHG U/S PREGNANCY 1ST TRI TRANS	$384.47	$961.17	$613.23–$865.05	—	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HCHG U/S LIMITED PREGNANCY	$247.11	$617.77	$123.64–$555.99	48% below	60%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HCHG U/S LIMITED PREGNANCY	$247.11	$617.77	$394.14–$555.99	—	60%
Rib X-ray, one side, 2 views one side CPT 71100 HCHG RIBS-UNILATERAL W 2 VIEWS	$176.25	$440.61	$102.92–$396.55	42% below	60%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HCHG RIBS-UNILATERAL W 2 VIEWS	$176.25	$440.61	$281.11–$396.55	—	60%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HCHG RIBS-UNILATERAL W 3 VIEWS	$188.26	$470.65	$123.64–$423.59	51% below	60%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HCHG RIBS-UNILATERAL W 3 VIEWS	$188.26	$470.65	$300.27–$423.59	—	60%
Screening mammogram, both breasts both sides CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG BILATERAL	$302.02	$755.05	$146.98–$679.55	—	60%
Screening mammogram, both breasts one side CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL	$226.52	$566.30	$146.98–$509.67	18% above	60%
Screening mammogram, both breasts inpatient both sides CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG BILATERAL	$302.02	$755.05	$481.72–$679.55	—	60%
Screening mammogram, both breasts inpatient one side CPT 77067 HCHG MAMMOGRAM /W CAD SCREENING DIG-UNILATERAL	$226.52	$566.30	$361.30–$509.67	—	60%
Shoulder X-ray, complete, 2 or more views CPT 73030 HCHG SHOULDER 2V OR >	$178.70	$446.74	$102.92–$402.07	47% below	60%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HCHG SHOULDER 2V OR >	$178.70	$446.74	$285.02–$402.07	—	60%
Sinus X-ray, complete, 3 or more views CPT 70220 HCHG PARANASAL SINUSES (3+VIEWS)	$191.50	$478.75	$102.92–$430.88	47% below	60%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HCHG PARANASAL SINUSES (3+VIEWS)	$191.50	$478.75	$305.44–$430.88	—	60%
Skull X-ray, fewer than 4 views CPT 70250 HCHG SKULL LESS THAN 4 VIEWS	$200.80	$502.00	$123.64–$451.80	30% below	60%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HCHG SKULL LESS THAN 4 VIEWS	$200.80	$502.00	$320.28–$451.80	—	60%
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSONOGRAPHY > 6YRS /W < 6HR RECORDING	$1,895.84	$4,739.58	$1,015.54–$4,265.62	47% below	60%
Sleep study in a lab (polysomnography) CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS OLD	$2,287.82	$5,719.54	$1,015.54–$5,147.59	36% below	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSONOGRAPHY > 6YRS /W < 6HR RECORDING	$1,895.84	$4,739.58	$3,023.85–$4,265.62	—	60%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HCHG POLYSOMNOGRAPHY > 6YRS OLD	$2,287.82	$5,719.54	$3,649.07–$5,147.59	—	60%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HCHG VIDEORADIO/CINERADIO	$297.94	$744.84	$207.43–$670.36	41% below	60%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HCHG VIDEORADIO/CINERADIO	$297.94	$744.84	$475.21–$670.36	—	60%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HCHG FEMUR 2 OR MORE VIEWS	$271.66	$679.15	$102.92–$611.24	at median	60%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HCHG FEMUR 2 OR MORE VIEWS	$271.66	$679.15	$433.30–$611.24	—	60%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HCHG CT THORSPINE W/O	$767.94	$1,919.85	$123.64–$1,727.87	15% below	60%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HCHG CT THORSPINE W/O	$767.94	$1,919.85	$1,224.86–$1,727.87	—	60%
Toe X-ray, 2 or more views CPT 73660 HCHG GREAT TOE 3 VIEWS	$162.85	$407.12	$102.92–$366.41	35% below	60%
Toe X-ray, 2 or more views inpatient CPT 73660 HCHG GREAT TOE 3 VIEWS	$162.85	$407.12	$259.74–$366.41	—	60%
Transvaginal pelvic ultrasound CPT 76830 HCHG US TRANS VAGINAL	$400.94	$1,002.34	$123.64–$902.11	29% below	60%
Transvaginal pelvic ultrasound inpatient CPT 76830 HCHG US TRANS VAGINAL	$400.94	$1,002.34	$639.49–$902.11	—	60%
Transvaginal ultrasound during pregnancy CPT 76817 HCHG U/S PREGNANCY TRANSVAGINAL	$372.24	$930.60	$123.64–$837.54	26% below	60%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HCHG U/S PREGNANCY TRANSVAGINAL	$372.24	$930.60	$593.72–$837.54	—	60%
Ultrasound of the abdomen, complete CPT 76700 HCHG US ABDOMEN COMPLETE	$461.43	$1,153.56	$123.64–$1,038.20	26% below	60%
Ultrasound of the abdomen, complete inpatient CPT 76700 HCHG US ABDOMEN COMPLETE	$461.43	$1,153.56	$735.97–$1,038.20	—	60%
Ultrasound of the scrotum and testicles CPT 76870 HCHG US SCROTUM AND CONTENTS	$418.72	$1,046.78	$123.64–$942.10	22% below	60%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HCHG US SCROTUM AND CONTENTS	$418.72	$1,046.78	$667.85–$942.10	—	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HCHG US SOFT TISSUE/NECK	$348.67	$871.67	$123.64–$784.50	39% below	60%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HCHG US SOFT TISSUE/NECK	$348.67	$871.67	$556.13–$784.50	—	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HCHG UPPER G.I.(W/O KUB)	$300.48	$751.20	$207.43–$676.08	49% below	60%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HCHG UPPER G.I.(W/O KUB)	$300.48	$751.20	$479.27–$676.08	—	60%
Upper arm X-ray (humerus), 2 views CPT 73060 HCHG ARM-HUMERUS	$167.03	$417.56	$102.92–$375.80	39% below	60%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HCHG ARM-HUMERUS	$167.03	$417.56	$266.40–$375.80	—	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HCHG EXTREMETY VENOUS UNILAT OR LTD	$473.15	$1,182.87	$123.64–$1,064.58	36% below	60%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HCHG EXTREMETY VENOUS UNILAT OR LTD	$473.15	$1,182.87	$754.67–$1,064.58	—	60%
Wrist X-ray, 2 views CPT 73100 HCHG WRIST 2 VIEWS	$144.86	$362.14	$102.92–$325.93	44% below	60%
Wrist X-ray, 2 views inpatient CPT 73100 HCHG WRIST 2 VIEWS	$144.86	$362.14	$231.05–$325.93	—	60%
Wrist X-ray, complete, 3 or more views CPT 73110 HCHG WRIST 3 VIEWS	$188.26	$470.65	$102.92–$423.59	44% below	60%
Wrist X-ray, complete, 3 or more views CPT 73110 HCHG NAVICULAR-4-VIEWS	$188.26	$470.65	$102.92–$423.59	44% below	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG WRIST 3 VIEWS	$188.26	$470.65	$300.27–$423.59	—	60%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HCHG NAVICULAR-4-VIEWS	$188.26	$470.65	$300.27–$423.59	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG HIP UNILATERAL /W OR W/O PELVIS 2-3 VIEWS	$168.12	$420.30	$102.92–$378.27	45% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HCHG HIP PINNING-O R RIGHT	$168.12	$420.30	$102.92–$378.27	45% below	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP UNILATERAL /W OR W/O PELVIS 2-3 VIEWS	$168.12	$420.30	$268.15–$378.27	—	60%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HCHG HIP PINNING-O R RIGHT	$168.12	$420.30	$268.15–$378.27	—	60%
X-ray of the abdomen, 1 view CPT 74018 HCHG KUB	$123.66	$309.13	$102.92–$278.22	52% below	60%
X-ray of the abdomen, 1 view inpatient CPT 74018 HCHG KUB	$123.66	$309.13	$197.22–$278.22	—	60%
X-ray of the ankle, 2 views CPT 73600 HCHG ANKLE 2 VIEWS	$147.60	$368.98	$102.92–$332.08	41% below	60%
X-ray of the ankle, 2 views inpatient CPT 73600 HCHG ANKLE 2 VIEWS	$147.60	$368.98	$235.41–$332.08	—	60%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG LITTLE FINGER 2+VIEWS	$155.09	$387.72	$102.92–$348.95	40% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG MIDDLE FINGER 2 VIEWS	$155.09	$387.72	$102.92–$348.95	40% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG RING FINGER 2+VIEWS	$155.09	$387.72	$102.92–$348.95	40% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG INDEX FINGER 3 VIEWS	$155.09	$387.72	$102.92–$348.95	40% below	60%
X-ray of the finger(s), 2 or more views CPT 73140 HCHG THUMB 3 VIEWS	$155.09	$387.72	$102.92–$348.95	40% below	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG THUMB 3 VIEWS	$155.09	$387.72	$247.37–$348.95	—	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG INDEX FINGER 3 VIEWS	$155.09	$387.72	$247.37–$348.95	—	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG LITTLE FINGER 2+VIEWS	$155.09	$387.72	$247.37–$348.95	—	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG RING FINGER 2+VIEWS	$155.09	$387.72	$247.37–$348.95	—	60%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HCHG MIDDLE FINGER 2 VIEWS	$155.09	$387.72	$247.37–$348.95	—	60%
X-ray of the foot, 2 views CPT 73620 HCHG FOOT 2 VIEWS	$147.76	$369.39	$102.92–$332.45	36% below	60%
X-ray of the foot, 2 views inpatient CPT 73620 HCHG FOOT 2 VIEWS	$147.76	$369.39	$235.67–$332.45	—	60%
X-ray of the foot, complete, 3 or more views one side CPT 73630 HCHG FOOT 3V OR > RIGHT	$180.32	$450.79	$102.92–$405.71	41% below	60%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 HCHG FOOT 3V OR > RIGHT	$180.32	$450.79	$287.60–$405.71	—	60%
X-ray of the hand, 3 or more views CPT 73130 HCHG HAND 3 VIEWS	$180.32	$450.79	$102.92–$405.71	45% below	60%
X-ray of the hand, 3 or more views inpatient CPT 73130 HCHG HAND 3 VIEWS	$180.32	$450.79	$287.60–$405.71	—	60%
X-ray of the knee, 1 or 2 views CPT 73560 HCHG KNEE 1 OR 2 VIEWS	$138.80	$347.00	$102.92–$312.30	49% below	60%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HCHG KNEE 1 OR 2 VIEWS	$138.80	$347.00	$221.39–$312.30	—	60%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HCHG LUMBAR SPINE AP & LAT ONLY	$169.68	$424.20	$123.64–$381.78	47% below	60%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HCHG LUMBAR SPINE AP & LAT ONLY	$169.68	$424.20	$270.64–$381.78	—	60%
X-ray of the lower back, 4 or more views CPT 72110 HCHG LUMBOSACRAL MIN OF 4 VIEWS	$194.22	$485.54	$123.64–$436.99	59% below	60%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HCHG LUMBOSACRAL MIN OF 4 VIEWS	$194.22	$485.54	$309.77–$436.99	—	60%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HCHG THORACIC SPINE 2 VIEWS	$149.36	$373.39	$123.64–$336.05	51% below	60%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HCHG THORACIC SPINE 2 VIEWS	$149.36	$373.39	$238.22–$336.05	—	60%
X-ray of the nasal bones, 3 or more views CPT 70160 HCHG NASAL BONES(3 VIEWS)	$180.20	$450.49	$102.92–$405.44	38% below	60%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HCHG NASAL BONES(3 VIEWS)	$180.20	$450.49	$287.41–$405.44	—	60%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HCHG C-SPINE-AP&LAT (2 OR 3 VIEWS)	$163.87	$409.66	$102.92–$368.69	51% below	60%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HCHG C-SPINE-AP&LAT (2 OR 3 VIEWS)	$163.87	$409.66	$261.36–$368.69	—	60%
X-ray of the pelvis, 1 or 2 views CPT 72170 HCHG PELVIS-AP ONLY	$133.33	$333.32	$115.00–$299.99	47% below	60%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HCHG PELVIS-AP ONLY	$133.33	$333.32	$212.66–$299.99	—	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HCHG SACRUM/COCCYX-2-VIEWS	$177.56	$443.90	$102.92–$399.51	40% below	60%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HCHG SACRUM/COCCYX-2-VIEWS	$177.56	$443.90	$283.21–$399.51	—	60%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
ACTH blood test CPT 82024 HCHG ACTH	$191.50	$478.73	$28.03–$430.86	45% above	60%
ACTH blood test inpatient CPT 82024 HCHG ACTH	$191.50	$478.73	$305.43–$430.86	—	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG SGPT(ALT)	$35.94	$89.84	$4.50–$80.86	29% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG FIBROTEST ALT (SGPT)	$35.94	$89.84	$4.50–$80.86	29% above	60%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HCHG FIBROMETER ALT (ARUP)	$43.51	$108.76	$4.50–$97.88	56% above	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG SGPT(ALT)	$35.94	$89.84	$57.32–$80.86	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG FIBROTEST ALT (SGPT)	$35.94	$89.84	$57.32–$80.86	—	60%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HCHG FIBROMETER ALT (ARUP)	$43.51	$108.76	$69.39–$97.88	—	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG FIBROMETER AST (ARUP)	$26.40	$66.00	$4.40–$59.40	5% above	60%
AST (aspartate aminotransferase) enzyme test CPT 84450 HCHG SGOT(AST)	$30.73	$76.82	$4.40–$69.14	22% above	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG FIBROMETER AST (ARUP)	$26.40	$66.00	$42.11–$59.40	—	60%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HCHG SGOT(AST)	$30.73	$76.82	$49.01–$69.14	—	60%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HCHG HEPATITIS PANEL	$97.14	$242.85	$40.48–$218.57	55% below	60%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HCHG HEPATITIS PANEL	$97.14	$242.85	$154.94–$218.57	—	60%
Albumin blood test CPT 82040 HCHG ALBUMIN (ARUP)	$9.50	$23.75	$4.20–$21.38	57% below	60%
Albumin blood test CPT 82040 HCHG ALBUMIN	$20.88	$52.20	$4.20–$46.98	6% below	60%
Albumin blood test CPT 82040 HCHG MS ALBUMIN SERUM	$20.88	$52.20	$4.20–$46.98	6% below	60%
Albumin blood test inpatient CPT 82040 HCHG ALBUMIN (ARUP)	$9.50	$23.75	$15.15–$21.38	—	60%
Albumin blood test inpatient CPT 82040 HCHG MS ALBUMIN SERUM	$20.88	$52.20	$33.30–$46.98	—	60%
Albumin blood test inpatient CPT 82040 HCHG ALBUMIN	$20.88	$52.20	$33.30–$46.98	—	60%
Aldosterone blood test CPT 82088 HCHG ALDOSTERONE 24 URINE	$136.82	$342.05	$34.63–$307.85	2% below	60%
Aldosterone blood test CPT 82088 HCHG ALDOSTERONE	$136.82	$342.05	$34.63–$307.85	2% below	60%
Aldosterone blood test inpatient CPT 82088 HCHG ALDOSTERONE 24 URINE	$136.82	$342.05	$218.23–$307.85	—	60%
Aldosterone blood test inpatient CPT 82088 HCHG ALDOSTERONE	$136.82	$342.05	$218.23–$307.85	—	60%
Alkaline phosphatase (ALP) blood test CPT 84075 HCHG PHOSPHATASE ALKALINE (ARUP)	$17.62	$44.03	$4.40–$39.63	27% below	60%
Alkaline phosphatase (ALP) blood test CPT 84075 HCHG ALK PHOSPHATASE	$28.42	$71.05	$4.40–$63.95	18% above	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG PHOSPHATASE ALKALINE (ARUP)	$17.62	$44.03	$28.09–$39.63	—	60%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HCHG ALK PHOSPHATASE	$28.42	$71.05	$45.33–$63.95	—	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN EACH (SEND OUT)	$8.60	$21.50	$4.43–$19.35	63% below	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (30)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG RAST	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (1)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (2)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (3)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (4)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (5)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (6)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (7)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (8)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (9)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (10)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (11)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (12)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (13)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (14)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (15)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (16)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (17)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (18)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (19)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (20)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (21)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (22)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (23)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (24)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (25)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (26)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (27)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (28)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (29)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG ALLERGEN IGE, EA (31)	$35.48	$88.70	$4.43–$79.83	52% above	60%
Allergy blood test, specific IgE, per allergen CPT 86003 HCHG VENISON IGE	$44.82	$112.05	$4.43–$100.85	92% above	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN EACH (SEND OUT)	$8.60	$21.50	$13.72–$19.35	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (13)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (11)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (12)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (14)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (15)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (16)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (17)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (18)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (19)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (20)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (21)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (22)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (23)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (24)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (25)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (26)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (27)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (28)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (29)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (30)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (31)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG RAST	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (1)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (2)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (3)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (4)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (5)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (6)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (7)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (8)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (9)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG ALLERGEN IGE, EA (10)	$35.48	$88.70	$56.59–$79.83	—	60%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HCHG VENISON IGE	$44.82	$112.05	$71.49–$100.85	—	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG AFP TUMOR MARKER	$53.63	$134.07	$14.26–$120.66	12% below	60%
Alpha-fetoprotein (AFP) blood test CPT 82105 HCHG AFP EXTRA FINANCIAL ONLY	$53.63	$134.07	$14.26–$120.66	12% below	60%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG AFP EXTRA FINANCIAL ONLY	$53.63	$134.07	$85.54–$120.66	—	60%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HCHG AFP TUMOR MARKER	$53.63	$134.07	$85.54–$120.66	—	60%
Ammonia blood test CPT 82140 HCHG AMMONIA	$69.00	$172.48	$12.38–$155.23	26% above	60%
Ammonia blood test inpatient CPT 82140 HCHG AMMONIA	$69.00	$172.48	$110.04–$155.23	—	60%
Amylase blood test CPT 82150 HCHG AMYLASE,24HR UR	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG TOTAL AMYLASE	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG AMYLASE,FLUID	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG FRACT AMYLASE	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG AMYLASE	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG AMYLASE RAN URINE	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG AMYBD	$53.35	$133.36	$5.51–$120.02	11% above	60%
Amylase blood test CPT 82150 HCHG AMYLASE PANCRE CYST	$75.78	$189.44	$5.51–$170.50	58% above	60%
Amylase blood test inpatient CPT 82150 HCHG FRACT AMYLASE	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG TOTAL AMYLASE	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYLASE RAN URINE	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYBD	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYLASE,FLUID	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYLASE,24HR UR	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYLASE	$53.35	$133.36	$85.08–$120.02	—	60%
Amylase blood test inpatient CPT 82150 HCHG AMYLASE PANCRE CYST	$75.78	$189.44	$120.86–$170.50	—	60%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HCHG CYCLIC CITRULLINAT PEPTIDE AB	$79.48	$198.70	$11.00–$178.83	37% above	60%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HCHG CYCLIC CITRULLINAT PEPTIDE AB	$79.48	$198.70	$126.77–$178.83	—	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANTINUCLEAR ANTIBODY (ANA); SCREEN	$53.80	$134.50	$10.27–$121.05	3% below	60%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HCHG ANA SCREEN (IN HOUSE)	$53.80	$134.50	$10.27–$121.05	3% below	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG ANTINUCLEAR ANTIBODY (ANA); SCREEN	$53.80	$134.50	$85.81–$121.05	—	60%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HCHG ANA SCREEN (IN HOUSE)	$53.80	$134.50	$85.81–$121.05	—	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG BNPEP	$106.44	$266.10	$28.85–$239.49	29% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG POCT BNP TESTING	$106.44	$266.10	$28.85–$239.49	29% below	60%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HCHG PRO BRAIN NAT PEPTIDE (ARUP)	$110.23	$275.56	$28.85–$248.00	26% below	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG BNPEP	$106.44	$266.10	$169.77–$239.49	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG POCT BNP TESTING	$106.44	$266.10	$169.77–$239.49	—	60%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HCHG PRO BRAIN NAT PEPTIDE (ARUP)	$110.23	$275.56	$175.81–$248.00	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE, GC ONLY	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE RESPIRATORY	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE, LEGIONELLA	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE GENITAL	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE FLUID	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HCHG CULTURE,RT BACT	$58.42	$146.05	$7.32–$131.45	11% below	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE RESPIRATORY	$58.42	$146.05	$93.18–$131.45	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE,RT BACT	$58.42	$146.05	$93.18–$131.45	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE, LEGIONELLA	$58.42	$146.05	$93.18–$131.45	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE GENITAL	$58.42	$146.05	$93.18–$131.45	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE FLUID	$58.42	$146.05	$93.18–$131.45	—	60%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HCHG CULTURE, GC ONLY	$58.42	$146.05	$93.18–$131.45	—	60%
Basic metabolic panel (blood test) CPT 80048 HCHG BASIC METABOLIC PANEL	$38.14	$95.35	$5.69–$85.82	42% below	60%
Basic metabolic panel (blood test) inpatient CPT 80048 HCHG BASIC METABOLIC PANEL	$38.14	$95.35	$60.83–$85.82	—	60%
Bilirubin blood test, total CPT 82247 HCHG FIBROTEST TOTAL BILIRUBIN	$34.80	$86.98	$4.26–$78.28	45% above	60%
Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN NEONTAL	$34.80	$86.98	$4.26–$78.28	45% above	60%
Bilirubin blood test, total CPT 82247 HCHG BILIRUBIN,T	$34.80	$86.98	$4.26–$78.28	45% above	60%
Bilirubin blood test, total CPT 82247 HCHG BFLA BILIRUBIN TOTAL	$34.80	$86.98	$4.26–$78.28	45% above	60%
Bilirubin blood test, total inpatient CPT 82247 HCHG FIBROTEST TOTAL BILIRUBIN	$34.80	$86.98	$55.49–$78.28	—	60%
Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN NEONTAL	$34.80	$86.98	$55.49–$78.28	—	60%
Bilirubin blood test, total inpatient CPT 82247 HCHG BILIRUBIN,T	$34.80	$86.98	$55.49–$78.28	—	60%
Bilirubin blood test, total inpatient CPT 82247 HCHG BFLA BILIRUBIN TOTAL	$34.80	$86.98	$55.49–$78.28	—	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG CELL BLOCK	$103.22	$258.05	$20.81–$232.25	49% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG BONE MARROW 11	$103.22	$258.05	$20.81–$232.25	49% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG GROSS&MICRO 88305	$103.22	$258.05	$20.81–$232.25	49% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG BM CLOT PREP	$103.22	$258.05	$20.81–$232.25	49% below	60%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HCHG RENAL PATHOLOGY, LEVEL IV	$103.22	$258.05	$20.81–$232.25	49% below	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG BM CLOT PREP	$103.22	$258.05	$164.64–$232.25	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG BONE MARROW 11	$103.22	$258.05	$164.64–$232.25	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG RENAL PATHOLOGY, LEVEL IV	$103.22	$258.05	$164.64–$232.25	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG GROSS&MICRO 88305	$103.22	$258.05	$164.64–$232.25	—	60%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HCHG CELL BLOCK	$103.22	$258.05	$164.64–$232.25	—	60%
Blood culture for bacteria CPT 87040 HCHG CULTURE, BLOOD	$90.76	$226.90	$8.77–$204.21	3% below	60%
Blood culture for bacteria inpatient CPT 87040 HCHG CULTURE, BLOOD	$90.76	$226.90	$144.76–$204.21	—	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG VENIPUNCTURE	$11.02	$27.55	$5.00–$24.80	31% below	60%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HCHG ROUTINE VENIPUNCTURE	$11.02	$27.55	$5.00–$24.80	31% below	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG ROUTINE VENIPUNCTURE	$11.02	$27.55	$17.58–$24.80	—	60%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HCHG VENIPUNCTURE	$11.02	$27.55	$17.58–$24.80	—	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE, GLUCOMETER	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE TEST ( 1 STAT)	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOMETER TEST	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE,RANDOM	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test CPT 82947 HCHG GLUCOSE, FASTING	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test one side CPT 82947 HCHG RT GLUCOSE	$18.56	$46.38	$3.34–$41.74	21% below	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE TEST ( 1 STAT)	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOMETER TEST	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE,RANDOM	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE, FASTING	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient CPT 82947 HCHG GLUCOSE, GLUCOMETER	$18.56	$46.38	$29.59–$41.74	—	60%
Blood glucose (sugar) test inpatient one side CPT 82947 HCHG RT GLUCOSE	$18.56	$46.38	$29.59–$41.74	—	60%
Blood lead test CPT 83655 HCHG LEAD URINE (ARUP)	$45.78	$114.45	$10.29–$103.01	6% below	60%
Blood lead test CPT 83655 HCHG LEAD LEVEL (ARUP)	$49.32	$123.30	$10.29–$110.97	1% above	60%
Blood lead test CPT 83655 HCHG LEAD LEVELS	$66.48	$166.20	$10.29–$149.58	37% above	60%
Blood lead test CPT 83655 HCHG LEAD UR	$66.48	$166.20	$10.29–$149.58	37% above	60%
Blood lead test inpatient CPT 83655 HCHG LEAD URINE (ARUP)	$45.78	$114.45	$73.02–$103.01	—	60%
Blood lead test inpatient CPT 83655 HCHG LEAD LEVEL (ARUP)	$49.32	$123.30	$78.67–$110.97	—	60%
Blood lead test inpatient CPT 83655 HCHG LEAD LEVELS	$66.48	$166.20	$106.04–$149.58	—	60%
Blood lead test inpatient CPT 83655 HCHG LEAD UR	$66.48	$166.20	$106.04–$149.58	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG PREGNANCY URINE, HCG QUALITATIVE	$41.74	$104.35	$6.38–$93.92	23% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HCHG PREGNANCY TEST,QUAL	$41.74	$104.35	$6.38–$93.92	23% below	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG PREGNANCY URINE, HCG QUALITATIVE	$41.74	$104.35	$66.58–$93.92	—	60%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HCHG PREGNANCY TEST,QUAL	$41.74	$104.35	$66.58–$93.92	—	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG ABO TYPE	$33.30	$83.25	$2.54–$251.75	44% below	60%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HCHG RC ABO TYPE	$108.92	$272.30	$2.54–$251.75	83% above	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG ABO TYPE	$33.30	$83.25	$53.11–$74.93	—	60%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HCHG RC ABO TYPE	$108.92	$272.30	$173.73–$245.07	—	60%
Blood urea nitrogen (BUN) test CPT 84520 HCHG BLOOD UREA NIT	$23.91	$59.76	$3.35–$53.78	2% above	60%
Blood urea nitrogen (BUN) test CPT 84520 HCHG POCT BUN	$23.91	$59.76	$3.35–$53.78	2% above	60%
Blood urea nitrogen (BUN) test CPT 84520 HCHG RTBUN	$23.91	$59.76	$3.35–$53.78	2% above	60%
Blood urea nitrogen (BUN) test CPT 84520 HCHG UREA NITROGEN	$23.91	$59.76	$3.35–$53.78	2% above	60%
Blood urea nitrogen (BUN) test CPT 84520 HCHG FIBROMETER UREA NITROGEN (ARUP)	$32.34	$80.84	$3.35–$72.76	38% above	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG RTBUN	$23.91	$59.76	$38.13–$53.78	—	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG POCT BUN	$23.91	$59.76	$38.13–$53.78	—	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG UREA NITROGEN	$23.91	$59.76	$38.13–$53.78	—	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG BLOOD UREA NIT	$23.91	$59.76	$38.13–$53.78	—	60%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HCHG FIBROMETER UREA NITROGEN (ARUP)	$32.34	$80.84	$51.58–$72.76	—	60%
C-peptide blood test CPT 84681 HCHG C-PEPTIDE	$58.84	$147.10	$16.31–$132.39	26% below	60%
C-peptide blood test inpatient CPT 84681 HCHG C-PEPTIDE	$58.84	$147.10	$93.85–$132.39	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG IBD SGI-CRP ASSAY	$36.90	$92.25	$3.25–$83.03	27% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HCHG CRP QUANT	$36.90	$92.25	$3.25–$83.03	27% below	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG CRP QUANT	$36.90	$92.25	$58.86–$83.03	—	60%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HCHG IBD SGI-CRP ASSAY	$36.90	$92.25	$58.86–$83.03	—	60%
C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFFICILE B TOXIN PCR	$69.37	$173.42	$29.83–$156.08	47% below	60%
C. difficile toxin gene test (stool PCR) CPT 87493 HCHG C DIFFICILE 017/NAP1/B1 PCR	$69.37	$173.42	$29.83–$156.08	47% below	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFFICILE B TOXIN PCR	$69.37	$173.42	$110.64–$156.08	—	60%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HCHG C DIFFICILE 017/NAP1/B1 PCR	$69.37	$173.42	$110.64–$156.08	—	60%
CA 19-9 blood test (tumor marker) CPT 86301 HCHG CA-19-9	$99.34	$248.35	$17.69–$223.52	36% above	60%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HCHG CA-19-9	$99.34	$248.35	$158.45–$223.52	—	60%
CA-125 blood test (ovarian cancer marker) CPT 86304 HCHG CA - 125	$75.68	$189.20	$17.69–$170.28	19% below	60%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HCHG CA - 125	$75.68	$189.20	$120.71–$170.28	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS-COV-2 RNA	$110.77	$276.92	$51.31–$249.23	21% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS COV 2 RNA (IN HOUSE)	$110.77	$276.92	$51.31–$249.23	21% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HCHG SARS-COV-19, PCR AMP NON-VACCINATED	$110.77	$276.92	$51.31–$249.23	21% below	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS-COV-19, PCR AMP NON-VACCINATED	$110.77	$276.92	$176.67–$249.23	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS-COV-2 RNA	$110.77	$276.92	$176.67–$249.23	—	60%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HCHG SARS COV 2 RNA (IN HOUSE)	$110.77	$276.92	$176.67–$249.23	—	60%
Calcium blood test, total CPT 82310 HCHG CALCIUM U	$26.66	$66.65	$4.38–$59.99	16% below	60%
Calcium blood test, total CPT 82310 HCHG CALCIUM	$26.66	$66.65	$4.38–$59.99	16% below	60%
Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM	$26.66	$66.65	$42.52–$59.99	—	60%
Calcium blood test, total inpatient CPT 82310 HCHG CALCIUM U	$26.66	$66.65	$42.52–$59.99	—	60%
Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA	$86.98	$217.43	$16.12–$195.69	at median	60%
Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA PANCRE CYST (ARUP)	$99.58	$248.94	$16.12–$224.05	14% above	60%
Carcinoembryonic antigen (CEA) test CPT 82378 HCHG CEA PANCRE CYST	$99.58	$248.94	$16.12–$224.05	14% above	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA	$86.98	$217.43	$138.72–$195.69	—	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA PANCRE CYST (ARUP)	$99.58	$248.94	$158.82–$224.05	—	60%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HCHG CEA PANCRE CYST	$99.58	$248.94	$158.82–$224.05	—	60%
Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA ZOSTER AB	$77.34	$193.35	$10.95–$174.02	34% above	60%
Chickenpox (varicella) immunity blood test CPT 86787 HCHG VARICELLA ZOSTER IGG	$77.34	$193.35	$10.95–$174.02	34% above	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA ZOSTER IGG	$77.34	$193.35	$123.36–$174.02	—	60%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HCHG VARICELLA ZOSTER AB	$77.34	$193.35	$123.36–$174.02	—	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HCHG CHLAMYDIA TRACH AMP PROBE	$115.99	$289.97	$29.83–$260.97	26% above	60%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HCHG CHLAMYDIA TRACH AMP PROBE	$115.99	$289.97	$185.00–$260.97	—	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL CHOLESTEC	$40.84	$102.10	$9.68–$91.89	23% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL	$40.84	$102.10	$9.68–$91.89	23% below	60%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HCHG LIPID PANEL (ARUP)	$74.32	$185.80	$9.68–$167.22	40% above	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL	$40.84	$102.10	$65.14–$91.89	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL CHOLESTEC	$40.84	$102.10	$65.14–$91.89	—	60%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HCHG LIPID PANEL (ARUP)	$74.32	$185.80	$118.54–$167.22	—	60%
Complete blood count (CBC) with differential CPT 85025 HCHG POCT-CBC	$35.68	$89.19	$6.61–$80.27	2% below	60%
Complete blood count (CBC) with differential CPT 85025 HCHG CBC /W DIFF	$35.68	$89.19	$6.61–$80.27	2% below	60%
Complete blood count (CBC) with differential inpatient CPT 85025 HCHG POCT-CBC	$35.68	$89.19	$56.90–$80.27	—	60%
Complete blood count (CBC) with differential inpatient CPT 85025 HCHG CBC /W DIFF	$35.68	$89.19	$56.90–$80.27	—	60%
Complete blood count (CBC), no differential CPT 85027 HCHG HEMOGRAM	$34.47	$86.17	$5.50–$77.55	2% above	60%
Complete blood count (CBC), no differential CPT 85027 HCHG BLOOD CELL PROF	$34.47	$86.17	$5.50–$77.55	2% above	60%
Complete blood count (CBC), no differential inpatient CPT 85027 HCHG HEMOGRAM	$34.47	$86.17	$54.98–$77.55	—	60%
Complete blood count (CBC), no differential inpatient CPT 85027 HCHG BLOOD CELL PROF	$34.47	$86.17	$54.98–$77.55	—	60%
Comprehensive metabolic panel (blood test) CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL	$55.74	$139.35	$7.15–$125.42	12% below	60%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HCHG COMPREHENSIVE METABOLIC PANEL	$55.74	$139.35	$88.91–$125.42	—	60%
Cortisol blood test, total CPT 82533 HCHG CORTISOL	$50.24	$125.60	$13.86–$113.04	31% below	60%
Cortisol blood test, total CPT 82533 HCHG CORTISOL SALIVA (ARUP)	$92.33	$230.81	$13.86–$207.73	27% above	60%
Cortisol blood test, total CPT 82533 HCHG CORTISOL SALIVA (MAYO)	$92.33	$230.81	$13.86–$207.73	27% above	60%
Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL	$50.24	$125.60	$80.13–$113.04	—	60%
Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL SALIVA (MAYO)	$92.33	$230.81	$147.26–$207.73	—	60%
Cortisol blood test, total inpatient CPT 82533 HCHG CORTISOL SALIVA (ARUP)	$92.33	$230.81	$147.26–$207.73	—	60%
Creatine kinase (CK) blood test, total CPT 82550 HCHG CK TOTAL	$35.14	$87.85	$5.30–$79.07	1% below	60%
Creatine kinase (CK) blood test, total CPT 82550 HCHG CPK	$35.14	$87.85	$5.30–$79.07	1% below	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CK TOTAL	$35.14	$87.85	$56.05–$79.07	—	60%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HCHG CPK	$35.14	$87.85	$56.05–$79.07	—	60%
Creatinine blood test CPT 82565 HCHG POCT SERUM CREATININE	$23.66	$59.15	$4.36–$53.24	4% below	60%
Creatinine blood test CPT 82565 HCHG CREATININE	$23.66	$59.15	$4.36–$53.24	4% below	60%
Creatinine blood test inpatient CPT 82565 HCHG POCT SERUM CREATININE	$23.66	$59.15	$37.74–$53.24	—	60%
Creatinine blood test inpatient CPT 82565 HCHG CREATININE	$23.66	$59.15	$37.74–$53.24	—	60%
Cytomegalovirus (CMV) antibody test CPT 86644 HCHG RC CMV TESTING	$73.32	$183.30	$12.23–$164.97	7% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG SERUM	$73.32	$183.30	$12.23–$164.97	7% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG	$73.32	$183.30	$12.23–$164.97	7% above	60%
Cytomegalovirus (CMV) antibody test CPT 86644 HCHG CMV IGG (ARUP)	$88.12	$220.28	$12.23–$198.25	28% above	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG	$73.32	$183.30	$116.95–$164.97	—	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG RC CMV TESTING	$73.32	$183.30	$116.95–$164.97	—	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG SERUM	$73.32	$183.30	$116.95–$164.97	—	60%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HCHG CMV IGG (ARUP)	$88.12	$220.28	$140.54–$198.25	—	60%
D-dimer blood test (blood clot marker) CPT 85379 HCHG FIBRIN DEG. PRODUCTS QUANTATATIVE	$62.58	$156.44	$8.65–$140.80	10% below	60%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HCHG FIBRIN DEG. PRODUCTS QUANTATATIVE	$62.58	$156.44	$99.81–$140.80	—	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA-SULFATE	$104.93	$262.32	$18.89–$236.09	6% above	60%
DHEA sulfate (DHEA-S) blood test CPT 82627 HCHG DHEA SULFATE	$104.93	$262.32	$18.89–$236.09	6% above	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA-SULFATE	$104.93	$262.32	$167.36–$236.09	—	60%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HCHG DHEA SULFATE	$104.93	$262.32	$167.36–$236.09	—	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG BUPRENOPHINE SCRN	$36.32	$90.80	$31.33–$124.28	62% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG GABAPENTIN (NEURONTIN), URINE	$36.32	$90.80	$31.33–$124.28	62% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN NOS, PRESUMPTIVE EA PROCEDURE	$36.32	$90.80	$31.33–$124.28	62% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG FENTANYL SCREEN	$61.90	$154.75	$34.27–$139.28	35% below	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN LIST A - IN HOUSE PER DOS	$184.06	$460.15	$34.27–$414.14	93% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN, LIST A - REFERENCE LAB PER DOS	$184.06	$460.15	$34.27–$414.14	93% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRG SCRN CORDSTAT 12	$184.06	$460.15	$34.27–$414.14	93% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN TARGET LC-MS/MS S/P (ARUP)	$195.68	$489.18	$34.27–$440.26	105% above	60%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HCHG DRUG SCREEN PANEL 13 URINE PER DOS	$217.42	$543.53	$34.27–$489.18	128% above	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG BUPRENOPHINE SCRN	$36.32	$90.80	$57.93–$81.72	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG GABAPENTIN (NEURONTIN), URINE	$36.32	$90.80	$57.93–$81.72	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN NOS, PRESUMPTIVE EA PROCEDURE	$36.32	$90.80	$57.93–$81.72	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG FENTANYL SCREEN	$61.90	$154.75	$98.73–$139.28	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN, LIST A - REFERENCE LAB PER DOS	$184.06	$460.15	$293.58–$414.14	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN LIST A - IN HOUSE PER DOS	$184.06	$460.15	$293.58–$414.14	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRG SCRN CORDSTAT 12	$184.06	$460.15	$293.58–$414.14	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN TARGET LC-MS/MS S/P (ARUP)	$195.68	$489.18	$312.10–$440.26	—	60%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HCHG DRUG SCREEN PANEL 13 URINE PER DOS	$217.42	$543.53	$346.77–$489.18	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE SUR	$38.06	$95.15	$4.75–$85.64	20% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HCHG ELECTROLYTE SURV	$38.06	$95.15	$4.75–$85.64	20% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) one side CPT 80051 HCHG RT ELECTROLYTES	$38.06	$95.15	$4.75–$85.64	20% below	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE SURV	$38.06	$95.15	$60.71–$85.64	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HCHG ELECTROLYTE SUR	$38.06	$95.15	$60.71–$85.64	—	60%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient one side CPT 80051 HCHG RT ELECTROLYTES	$38.06	$95.15	$60.71–$85.64	—	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV-VCA IGM	$51.44	$128.60	$15.41–$115.74	21% below	60%
Epstein-Barr virus (EBV) antibody test CPT 86665 HCHG EBV-VCA IGG	$51.44	$128.60	$15.41–$115.74	21% below	60%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV-VCA IGM	$51.44	$128.60	$82.05–$115.74	—	60%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HCHG EBV-VCA IGG	$51.44	$128.60	$82.05–$115.74	—	60%
Estradiol blood test CPT 82670 HCHG ESTRADIOL	$101.46	$253.64	$23.75–$228.28	9% below	60%
Estradiol blood test inpatient CPT 82670 HCHG ESTRADIOL	$101.46	$253.64	$161.82–$228.28	—	60%
FSH (follicle-stimulating hormone) test CPT 83001 HCHG FSH	$78.84	$197.10	$15.79–$177.39	8% below	60%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HCHG FSH	$78.84	$197.10	$125.75–$177.39	—	60%
Fecal calprotectin (stool inflammation test) CPT 83993 HCHG CALPROTECTIN, F	$222.41	$556.01	$16.68–$500.41	49% above	60%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HCHG CALPROTECTIN, F	$222.41	$556.01	$354.73–$500.41	—	60%
Ferritin blood test (iron stores) CPT 82728 HCHG FERRITIN	$45.22	$113.03	$11.58–$101.73	41% below	60%
Ferritin blood test (iron stores) inpatient CPT 82728 HCHG FERRITIN	$45.22	$113.03	$72.11–$101.73	—	60%
Fibrinogen blood test CPT 85384 HCHG FIBRINOGEN(200-40	$40.94	$102.33	$7.22–$92.10	9% below	60%
Fibrinogen blood test inpatient CPT 85384 HCHG FIBRINOGEN(200-40	$40.94	$102.33	$65.29–$92.10	—	60%
Folate (folic acid) blood test CPT 82746 HCHG FOLIC ACID	$48.71	$121.76	$12.49–$109.58	28% below	60%
Folate (folic acid) blood test inpatient CPT 82746 HCHG FOLIC ACID	$48.71	$121.76	$77.68–$109.58	—	60%
Free T3 thyroid hormone test CPT 84481 HCHG FREE T3	$23.19	$57.97	$14.40–$52.17	70% below	60%
Free T3 thyroid hormone test inpatient CPT 84481 HCHG FREE T3	$23.19	$57.97	$36.98–$52.17	—	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG FREE T4	$38.27	$95.66	$7.66–$86.09	10% below	60%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HCHG T4 FREE BY DIALYSIS	$67.44	$168.60	$7.66–$151.74	59% above	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG FREE T4	$38.27	$95.66	$61.03–$86.09	—	60%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HCHG T4 FREE BY DIALYSIS	$67.44	$168.60	$107.57–$151.74	—	60%
Free testosterone test CPT 84402 HCHG TTB TESTOST BIOAVAILABLE	$97.21	$243.02	$21.64–$218.72	at median	60%
Free testosterone test CPT 84402 HCHG TESTOS FREE(FINANCIAL)	$97.21	$243.02	$21.64–$218.72	at median	60%
Free testosterone test inpatient CPT 84402 HCHG TESTOS FREE(FINANCIAL)	$97.21	$243.02	$155.05–$218.72	—	60%
Free testosterone test inpatient CPT 84402 HCHG TTB TESTOST BIOAVAILABLE	$97.21	$243.02	$155.05–$218.72	—	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG FIBROTEST GGT	$33.10	$82.74	$6.12–$74.47	22% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG GGT	$33.10	$82.74	$6.12–$74.47	22% below	60%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HCHG FIBROMETER GGT (ARUP)	$50.21	$125.52	$6.12–$112.97	18% above	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG FIBROTEST GGT	$33.10	$82.74	$52.79–$74.47	—	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG GGT	$33.10	$82.74	$52.79–$74.47	—	60%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HCHG FIBROMETER GGT (ARUP)	$50.21	$125.52	$80.08–$112.97	—	60%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HCHG GENERAL HEALTH PANEL	$129.16	$322.90	$10.26–$290.61	42% below	60%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HCHG GENERAL HEALTH PANEL	$129.16	$322.90	$206.01–$290.61	—	60%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HCHG GLUCOSE, PP	$20.68	$51.69	$4.04–$46.52	46% below	60%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HCHG GLUCOSE, PP	$20.68	$51.69	$32.98–$46.52	—	60%
Glucose tolerance test, 3 samples CPT 82951 HCHG GLUCOSE TOL	$47.54	$118.85	$10.94–$106.97	29% below	60%
Glucose tolerance test, 3 samples inpatient CPT 82951 HCHG GLUCOSE TOL	$47.54	$118.85	$75.83–$106.97	—	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HCHG NEISSERIA GON AMP PROBE	$115.99	$289.97	$29.83–$260.97	25% above	60%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HCHG NEISSERIA GON AMP PROBE	$115.99	$289.97	$185.00–$260.97	—	60%
H. pylori antibody blood test CPT 86677 HCHG H PYLORI ABS IGM	$70.92	$177.30	$12.34–$159.57	6% below	60%
H. pylori antibody blood test CPT 86677 HCHG HELIOBACTER IGA, ABS	$70.92	$177.30	$12.34–$159.57	6% below	60%
H. pylori antibody blood test CPT 86677 HCHG ANTI HELICOBACTER	$70.92	$177.30	$12.34–$159.57	6% below	60%
H. pylori antibody blood test inpatient CPT 86677 HCHG ANTI HELICOBACTER	$70.92	$177.30	$113.12–$159.57	—	60%
H. pylori antibody blood test inpatient CPT 86677 HCHG H PYLORI ABS IGM	$70.92	$177.30	$113.12–$159.57	—	60%
H. pylori antibody blood test inpatient CPT 86677 HCHG HELIOBACTER IGA, ABS	$70.92	$177.30	$113.12–$159.57	—	60%
H. pylori stool antigen test CPT 87338 HCHG H PYLORI AG	$92.28	$230.69	$12.22–$207.62	32% above	60%
H. pylori stool antigen test inpatient CPT 87338 HCHG H PYLORI AG	$92.28	$230.69	$147.18–$207.62	—	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG HIV BY PCR	$326.42	$816.04	$72.31–$734.44	9% below	60%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HCHG HIV BY PCR (ARUP)	$347.63	$869.06	$72.31–$782.15	3% below	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG HIV BY PCR	$326.42	$816.04	$520.63–$734.44	—	60%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HCHG HIV BY PCR (ARUP)	$347.63	$869.06	$554.46–$782.15	—	60%
HIV-1 and HIV-2 antibody test CPT 86703 HCHG HIV TYPES 1, 2 SINGLE RESULT	$75.52	$188.80	$11.66–$169.92	22% above	60%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HCHG HIV TYPES 1, 2 SINGLE RESULT	$75.52	$188.80	$120.45–$169.92	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG /WHIV 1 & 2 AB AG IA	$26.32	$65.78	$20.47–$59.20	64% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HCHG HIV-1 AG/WHIV 1 & 2 AB AG IA (ARUP)	$27.70	$69.23	$20.47–$62.31	63% below	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG /WHIV 1 & 2 AB AG IA	$26.32	$65.78	$41.97–$59.20	—	60%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HCHG HIV-1 AG/WHIV 1 & 2 AB AG IA (ARUP)	$27.70	$69.23	$44.17–$62.31	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG POCT HBAI1C	$33.51	$83.76	$8.25–$75.38	27% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG HBAIC(GLY HEMO)	$33.51	$83.76	$8.25–$75.38	27% below	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG A1C REF LAB	$60.46	$151.13	$8.25–$136.02	33% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HCHG A1C (ARUP)	$60.46	$151.13	$8.25–$136.02	33% above	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG POCT HBAI1C	$33.51	$83.76	$53.44–$75.38	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG HBAIC(GLY HEMO)	$33.51	$83.76	$53.44–$75.38	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG A1C (ARUP)	$60.46	$151.13	$96.42–$136.02	—	60%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HCHG A1C REF LAB	$60.46	$151.13	$96.42–$136.02	—	60%
Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN-ISTAT	$8.76	$21.89	$1.81–$19.70	46% below	60%
Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN	$8.76	$21.89	$1.81–$19.70	46% below	60%
Hemoglobin blood test CPT 85018 HCHG HEMOGLOBIN, FILTER PAPER (REFERENCE LAB)	$8.76	$21.89	$1.81–$19.70	46% below	60%
Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN, FILTER PAPER (REFERENCE LAB)	$8.76	$21.89	$13.97–$19.70	—	60%
Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN-ISTAT	$8.76	$21.89	$13.97–$19.70	—	60%
Hemoglobin blood test inpatient CPT 85018 HCHG HEMOGLOBIN	$8.76	$21.89	$13.97–$19.70	—	60%
Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B CORE (REFERENCE LAB ONLY)	$42.12	$105.30	$10.24–$94.77	22% below	60%
Hepatitis B core antibody test (total) CPT 86704 HCHG HEPATITIS B, CORE AB TOTAL	$42.12	$105.30	$10.24–$94.77	22% below	60%
Hepatitis B core antibody test (total) CPT 86704 HCHG ANTI HBC IGG/IGM	$42.12	$105.30	$10.24–$94.77	22% below	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG ANTI HBC IGG/IGM	$42.12	$105.30	$67.18–$94.77	—	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B, CORE AB TOTAL	$42.12	$105.30	$67.18–$94.77	—	60%
Hepatitis B core antibody test (total) inpatient CPT 86704 HCHG HEPATITIS B CORE (REFERENCE LAB ONLY)	$42.12	$105.30	$67.18–$94.77	—	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HCHG ANTI-HBS	$56.68	$141.70	$9.13–$127.53	17% above	60%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HCHG ANTI-HBS	$56.68	$141.70	$90.40–$127.53	—	60%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HCHG HBSAG SCREENING	$51.11	$127.77	$8.78–$114.99	8% above	60%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HCHG HBSAG SCREENING	$51.11	$127.77	$81.52–$114.99	—	60%
Hepatitis C antibody blood test (screening) CPT 86803 HCHG HEPATITIS C (ANTI HCV)	$67.84	$169.60	$12.13–$152.64	6% above	60%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HCHG HEPATITIS C (ANTI HCV)	$67.84	$169.60	$108.20–$152.64	—	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG HCV RNA PCR QUANT	$341.53	$853.82	$36.40–$768.44	78% above	60%
Hepatitis C viral load (HCV RNA) test CPT 87522 HCHG HCV AB SCRN /W REFLEX HCV PCR	$341.53	$853.82	$36.40–$768.44	78% above	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG HCV AB SCRN /W REFLEX HCV PCR	$341.53	$853.82	$544.74–$768.44	—	60%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HCHG HCV RNA PCR QUANT	$341.53	$853.82	$544.74–$768.44	—	60%
Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES II AB IGM	$42.58	$106.45	$11.21–$95.81	28% below	60%
Herpes blood test, HSV-1 antibody CPT 86695 HCHG HERPES AB 1 IGG	$42.58	$106.45	$11.21–$95.81	28% below	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG HERPES II AB IGM	$42.58	$106.45	$67.92–$95.81	—	60%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HCHG HERPES AB 1 IGG	$42.58	$106.45	$67.92–$95.81	—	60%
Herpes blood test, HSV-2 antibody CPT 86696 HCHG HERPES AB 2 IGG	$42.58	$106.45	$16.45–$95.81	36% below	60%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HCHG HERPES AB 2 IGG	$42.58	$106.45	$67.92–$95.81	—	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG CRP HIGH SENSITIVE	$48.96	$122.40	$11.00–$110.16	27% below	60%
High-sensitivity CRP (hs-CRP) test CPT 86141 HCHG HSCRP	$48.96	$122.40	$11.00–$110.16	27% below	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG HSCRP	$48.96	$122.40	$78.09–$110.16	—	60%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HCHG CRP HIGH SENSITIVE	$48.96	$122.40	$78.09–$110.16	—	60%
Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE LIPOMED	$79.15	$197.87	$14.33–$178.08	2% below	60%
Homocysteine blood test CPT 83090 HCHG HOMOCYSTINE	$79.15	$197.87	$14.33–$178.08	2% below	60%
Homocysteine blood test CPT 83090 HCHG HOMOCYSTEINE ASSAY (ARUP)	$101.03	$252.56	$14.33–$227.30	25% above	60%
Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTINE	$79.15	$197.87	$126.24–$178.08	—	60%
Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTEINE LIPOMED	$79.15	$197.87	$126.24–$178.08	—	60%
Homocysteine blood test inpatient CPT 83090 HCHG HOMOCYSTEINE ASSAY (ARUP)	$101.03	$252.56	$161.13–$227.30	—	60%
Insulin blood test CPT 83525 HCHG INSULIN LEVEL	$42.70	$106.75	$9.71–$96.08	17% below	60%
Insulin blood test inpatient CPT 83525 HCHG INSULIN LEVEL	$42.70	$106.75	$68.11–$96.08	—	60%
Iron blood test (serum iron) CPT 83540 HCHG IRON LIVER TISSUE	$32.32	$80.80	$5.51–$72.72	15% below	60%
Iron blood test (serum iron) CPT 83540 HCHG IRON,SERUM	$32.32	$80.80	$5.51–$72.72	15% below	60%
Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON,SERUM	$32.32	$80.80	$51.55–$72.72	—	60%
Iron blood test (serum iron) inpatient CPT 83540 HCHG IRON LIVER TISSUE	$32.32	$80.80	$51.55–$72.72	—	60%
Iron-binding capacity (TIBC) test CPT 83550 HCHG TIBC	$31.32	$78.30	$7.43–$70.47	20% below	60%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HCHG TIBC	$31.32	$78.30	$49.96–$70.47	—	60%
Kidney function blood test panel CPT 80069 HCHG RENAL PANEL	$47.24	$118.10	$5.69–$106.29	34% below	60%
Kidney function blood test panel inpatient CPT 80069 HCHG RENAL PANEL	$47.24	$118.10	$75.35–$106.29	—	60%
LH (luteinizing hormone) test CPT 83002 HCHG LH	$76.66	$191.64	$15.74–$172.48	20% below	60%
LH (luteinizing hormone) test inpatient CPT 83002 HCHG LH	$76.66	$191.64	$122.27–$172.48	—	60%
Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID	$47.54	$118.85	$9.08–$106.97	9% below	60%
Lactate (lactic acid) blood test CPT 83605 HCHG LACTIC ACID OR LACTATE	$47.54	$118.85	$9.08–$106.97	9% below	60%
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID OR LACTATE	$47.54	$118.85	$75.83–$106.97	—	60%
Lactate (lactic acid) blood test inpatient CPT 83605 HCHG LACTIC ACID	$47.54	$118.85	$75.83–$106.97	—	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH	$30.14	$75.34	$5.13–$67.81	10% above	60%
Lactate dehydrogenase (LDH) blood test CPT 83615 HCHG LDH,FLUID	$30.14	$75.34	$5.13–$67.81	10% above	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH,FLUID	$30.14	$75.34	$48.07–$67.81	—	60%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HCHG LDH	$30.14	$75.34	$48.07–$67.81	—	60%
Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE BODY FLD	$49.94	$124.83	$5.86–$112.35	14% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE	$49.94	$124.83	$5.86–$112.35	14% below	60%
Lipase blood test (pancreas enzyme) CPT 83690 HCHG LIPASE (ARUP)	$70.35	$175.86	$5.86–$158.27	21% above	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE	$49.94	$124.83	$79.64–$112.35	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE BODY FLD	$49.94	$124.83	$79.64–$112.35	—	60%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HCHG LIPASE (ARUP)	$70.35	$175.86	$112.20–$158.27	—	60%
Liver function blood test panel CPT 80076 HCHG HEPATIC FUNCTION PANEL	$46.22	$115.55	$5.69–$104.00	24% below	60%
Liver function blood test panel inpatient CPT 80076 HCHG HEPATIC FUNCTION PANEL	$46.22	$115.55	$73.72–$104.00	—	60%
Lyme disease antibody test CPT 86618 HCHG LYME	$57.68	$144.20	$14.47–$129.78	25% below	60%
Lyme disease antibody test CPT 86618 HCHG BORRELIA BURGDORFERI AB (ARUP)	$197.05	$492.62	$14.47–$443.36	157% above	60%
Lyme disease antibody test inpatient CPT 86618 HCHG LYME	$57.68	$144.20	$92.00–$129.78	—	60%
Lyme disease antibody test inpatient CPT 86618 HCHG BORRELIA BURGDORFERI AB (ARUP)	$197.05	$492.62	$314.29–$443.36	—	60%
Magnesium blood test CPT 83735 HCHG MAGNESIUM URINE (ARUP)	$17.28	$43.18	$5.69–$38.86	49% below	60%
Magnesium blood test CPT 83735 HCHG MAGNESIUM RBC (ARUP)	$17.28	$43.18	$5.69–$38.86	49% below	60%
Magnesium blood test CPT 83735 HCHG MAGNESIUM, FECES	$34.90	$87.24	$5.69–$78.52	3% above	60%
Magnesium blood test CPT 83735 HCHG MAGNESIUM	$34.90	$87.24	$5.69–$78.52	3% above	60%
Magnesium blood test CPT 83735 HCHG MAGNESIUM 24 UA	$34.90	$87.24	$5.69–$78.52	3% above	60%
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM URINE (ARUP)	$17.28	$43.18	$27.55–$38.86	—	60%
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM RBC (ARUP)	$17.28	$43.18	$27.55–$38.86	—	60%
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM	$34.90	$87.24	$55.66–$78.52	—	60%
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM 24 UA	$34.90	$87.24	$55.66–$78.52	—	60%
Magnesium blood test inpatient CPT 83735 HCHG MAGNESIUM, FECES	$34.90	$87.24	$55.66–$78.52	—	60%
Measles (rubeola) antibody test CPT 86765 HCHG MEASLES ANTIBODIES	$67.40	$168.50	$10.95–$151.65	18% above	60%
Measles (rubeola) antibody test CPT 86765 HCHG ANTIBODY,RUBEOLA	$67.40	$168.50	$10.95–$151.65	18% above	60%
Measles (rubeola) antibody test CPT 86765 HCHG ANTIBODY RUBEOLA (ARUP)	$70.91	$177.26	$10.95–$159.53	24% above	60%
Measles (rubeola) antibody test inpatient CPT 86765 HCHG MEASLES ANTIBODIES	$67.40	$168.50	$107.50–$151.65	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 HCHG ANTIBODY,RUBEOLA	$67.40	$168.50	$107.50–$151.65	—	60%
Measles (rubeola) antibody test inpatient CPT 86765 HCHG ANTIBODY RUBEOLA (ARUP)	$70.91	$177.26	$113.09–$159.53	—	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG MONOTEST	$56.38	$140.95	$4.40–$126.86	6% above	60%
Mono test (heterophile antibody, Monospot) CPT 86308 HCHG POCT INFECTIOUS MONO ANTIBODIES	$56.38	$140.95	$4.40–$126.86	6% above	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG POCT INFECTIOUS MONO ANTIBODIES	$56.38	$140.95	$89.93–$126.86	—	60%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HCHG MONOTEST	$56.38	$140.95	$89.93–$126.86	—	60%
Mumps immunity blood test CPT 86735 HCHG MUMPS ANTIBODIES	$40.12	$100.30	$11.09–$90.27	31% below	60%
Mumps immunity blood test inpatient CPT 86735 HCHG MUMPS ANTIBODIES	$40.12	$100.30	$63.99–$90.27	—	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA, FREE	$70.49	$176.21	$15.64–$158.59	15% below	60%
PSA (prostate-specific antigen) blood test, free CPT 84154 HCHG PSA FREE AND TOTAL	$70.49	$176.21	$15.64–$158.59	15% below	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA FREE AND TOTAL	$70.49	$176.21	$112.42–$158.59	—	60%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HCHG PSA, FREE	$70.49	$176.21	$112.42–$158.59	—	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA SCREEN	$48.00	$119.98	$15.64–$107.98	39% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA, ULTRASENSITIVE, S (REFERENCE LAB)	$48.00	$119.98	$15.64–$107.98	39% below	60%
PSA (prostate-specific antigen) blood test, total CPT 84153 HCHG PSA, TOTAL	$48.00	$119.98	$15.64–$107.98	39% below	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA SCREEN	$48.00	$119.98	$76.55–$107.98	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA, TOTAL	$48.00	$119.98	$76.55–$107.98	—	60%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HCHG PSA, ULTRASENSITIVE, S (REFERENCE LAB)	$48.00	$119.98	$76.55–$107.98	—	60%
Pap test (liquid-based, automated screening with review) CPT 88175 HCHG IMAGED THIN PREP PAP	$74.48	$186.20	$21.82–$167.58	24% below	60%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HCHG IMAGED THIN PREP PAP	$74.48	$186.20	$118.80–$167.58	—	60%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HCHG THIN PREP PAP	$43.64	$109.10	$17.22–$98.19	52% below	60%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HCHG THIN PREP PAP	$43.64	$109.10	$69.61–$98.19	—	60%
Parathyroid hormone (PTH) blood test CPT 83970 HCHG PARATHY HOR INTACT	$55.68	$139.18	$35.08–$125.26	61% below	60%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HCHG PARATHY HOR INTACT	$55.68	$139.18	$88.80–$125.26	—	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT (ARUP)	$29.62	$74.05	$5.10–$66.65	21% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG APTT	$31.73	$79.32	$5.10–$71.39	15% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT HEPARIN	$31.73	$79.32	$5.10–$71.39	15% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG PTT RATIO TREATED (ARUP)	$35.70	$89.23	$5.10–$80.31	5% below	60%
Partial thromboplastin time (PTT) clotting test CPT 85730 HCHG APTT REF LAB	$37.64	$94.10	$5.10–$84.69	at median	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT (ARUP)	$29.62	$74.05	$47.24–$66.65	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG APTT	$31.73	$79.32	$50.61–$71.39	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT HEPARIN	$31.73	$79.32	$50.61–$71.39	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG PTT RATIO TREATED (ARUP)	$35.70	$89.23	$56.93–$80.31	—	60%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HCHG APTT REF LAB	$37.64	$94.10	$60.04–$84.69	—	60%
Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHORUS	$23.91	$59.76	$4.03–$53.78	33% below	60%
Phosphorus (phosphate) blood test CPT 84100 HCHG PHOSPHOROUS, FECES	$23.91	$59.76	$4.03–$53.78	33% below	60%
Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHOROUS, FECES	$23.91	$59.76	$38.13–$53.78	—	60%
Phosphorus (phosphate) blood test inpatient CPT 84100 HCHG PHOSPHORUS	$23.91	$59.76	$38.13–$53.78	—	60%
Potassium blood test CPT 84132 HCHG POTASSIUM	$23.19	$57.97	$3.91–$52.17	1% below	60%
Potassium blood test CPT 84132 HCHG POCT POTASSIUM	$23.19	$57.97	$3.91–$52.17	1% below	60%
Potassium blood test one side CPT 84132 HCHG RT K	$23.19	$57.97	$3.91–$52.17	1% below	60%
Potassium blood test inpatient CPT 84132 HCHG POTASSIUM	$23.19	$57.97	$36.98–$52.17	—	60%
Potassium blood test inpatient CPT 84132 HCHG POCT POTASSIUM	$23.19	$57.97	$36.98–$52.17	—	60%
Potassium blood test inpatient one side CPT 84132 HCHG RT K	$23.19	$57.97	$36.98–$52.17	—	60%
Progesterone blood test CPT 84144 HCHG PROGESTERONE	$69.57	$173.91	$17.73–$156.52	14% below	60%
Progesterone blood test inpatient CPT 84144 HCHG PROGESTERONE	$69.57	$173.91	$110.95–$156.52	—	60%
Prolactin blood test CPT 84146 HCHG PROLACTIN LEVEL	$96.03	$240.06	$16.47–$216.05	10% above	60%
Prolactin blood test inpatient CPT 84146 HCHG PROLACTIN LEVEL	$96.03	$240.06	$153.16–$216.05	—	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG POCT PT/INR	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT PRE A	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT/INR	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT/INR/CAP	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT POST A	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT POST B	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PT PRE B	$25.98	$64.95	$3.34–$58.46	8% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTIME REF LAB	$29.62	$74.05	$3.34–$66.65	23% above	60%
Prothrombin time (PT/INR) clotting test CPT 85610 HCHG PROTIME (ARUP)	$29.62	$74.05	$3.34–$66.65	23% above	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT/INR/CAP	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG POCT PT/INR	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT POST B	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT POST A	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT PRE B	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT PRE A	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PT/INR	$25.98	$64.95	$41.44–$58.46	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTIME (ARUP)	$29.62	$74.05	$47.24–$66.65	—	60%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HCHG PROTIME REF LAB	$29.62	$74.05	$47.24–$66.65	—	60%
Rapid flu test (influenza antigen) CPT 87804 HCHG POCT INFLUENZA A	$44.03	$110.06	$9.73–$99.05	33% below	60%
Rapid flu test (influenza antigen) CPT 87804 HCHG FLU B	$44.03	$110.06	$9.73–$99.05	33% below	60%
Rapid flu test (influenza antigen) CPT 87804 HCHG RAPID INFLUENZA A	$44.03	$110.06	$9.73–$99.05	33% below	60%
Rapid flu test (influenza antigen) CPT 87804 HCHG POCT INFLUENZA B	$44.03	$110.06	$9.73–$99.05	33% below	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG POCT INFLUENZA B	$44.03	$110.06	$70.22–$99.05	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG POCT INFLUENZA A	$44.03	$110.06	$70.22–$99.05	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG FLU B	$44.03	$110.06	$70.22–$99.05	—	60%
Rapid flu test (influenza antigen) inpatient CPT 87804 HCHG RAPID INFLUENZA A	$44.03	$110.06	$70.22–$99.05	—	60%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HCHG POCT RAPID STREP TEST	$26.09	$65.21	$9.73–$58.69	54% below	60%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HCHG POCT RAPID STREP TEST	$26.09	$65.21	$41.60–$58.69	—	60%
Renin blood test CPT 84244 HCHG RENIN-PLASMA	$87.55	$218.86	$18.69–$196.97	2% above	60%
Renin blood test inpatient CPT 84244 HCHG RENIN-PLASMA	$87.55	$218.86	$139.63–$196.97	—	60%
Rh blood typing CPT 86901 HCHG RC RH(D) TYPE	$32.70	$81.75	$2.54–$73.58	12% below	60%
Rh blood typing CPT 86901 HCHG RH TYPE	$33.08	$82.70	$2.54–$74.43	11% below	60%
Rh blood typing CPT 86901 HCHG UNIT RH	$33.08	$82.70	$2.54–$74.43	11% below	60%
Rh blood typing inpatient CPT 86901 HCHG RC RH(D) TYPE	$32.70	$81.75	$52.16–$73.58	—	60%
Rh blood typing inpatient CPT 86901 HCHG RH TYPE	$33.08	$82.70	$52.76–$74.43	—	60%
Rh blood typing inpatient CPT 86901 HCHG UNIT RH	$33.08	$82.70	$52.76–$74.43	—	60%
Rheumatoid factor (RF) test CPT 86431 HCHG RHEUMATOID FLUID QUANT	$46.84	$117.10	$4.82–$105.39	41% above	60%
Rheumatoid factor (RF) test CPT 86431 HCHG RHEUM FACTOR IGA	$63.27	$158.17	$4.82–$142.35	91% above	60%
Rheumatoid factor (RF) test CPT 86431 HCHG RHEUM FACTOR IGM	$63.27	$158.17	$4.82–$142.35	91% above	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUMATOID FLUID QUANT	$46.84	$117.10	$74.71–$105.39	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUM FACTOR IGA	$63.27	$158.17	$100.91–$142.35	—	60%
Rheumatoid factor (RF) test inpatient CPT 86431 HCHG RHEUM FACTOR IGM	$63.27	$158.17	$100.91–$142.35	—	60%
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA, IGM	$58.10	$145.25	$12.23–$130.73	18% above	60%
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB IGM	$58.10	$145.25	$12.23–$130.73	18% above	60%
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA SCREEN	$58.10	$145.25	$12.23–$130.73	18% above	60%
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA AB IGG	$58.10	$145.25	$12.23–$130.73	18% above	60%
Rubella antibody test (immunity check) CPT 86762 HCHG RUBELLA ANTIBODIES	$58.10	$145.25	$12.23–$130.73	18% above	60%
Rubella antibody test (immunity check) CPT 86762 HCHG ANTIBODY RUBELLA (ARUP)	$61.12	$152.78	$12.23–$137.50	24% above	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA, IGM	$58.10	$145.25	$92.67–$130.73	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB IGM	$58.10	$145.25	$92.67–$130.73	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA ANTIBODIES	$58.10	$145.25	$92.67–$130.73	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA SCREEN	$58.10	$145.25	$92.67–$130.73	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG RUBELLA AB IGG	$58.10	$145.25	$92.67–$130.73	—	60%
Rubella antibody test (immunity check) inpatient CPT 86762 HCHG ANTIBODY RUBELLA (ARUP)	$61.12	$152.78	$97.47–$137.50	—	60%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HCHG SED RATE	$30.71	$76.76	$2.30–$69.08	19% below	60%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HCHG SED RATE	$30.71	$76.76	$48.97–$69.08	—	60%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 HCHG SEMEN ANALYSIS	$104.54	$261.35	$10.24–$235.22	22% below	60%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 HCHG SEMEN ANALYSIS	$104.54	$261.35	$166.74–$235.22	—	60%
Sodium blood test CPT 84295 HCHG SODIUM,CSF	$18.86	$47.14	$4.09–$42.43	31% below	60%
Sodium blood test CPT 84295 HCHG SODIUM	$18.86	$47.14	$4.09–$42.43	31% below	60%
Sodium blood test one side CPT 84295 HCHG RT NA	$18.86	$47.14	$4.09–$42.43	31% below	60%
Sodium blood test inpatient CPT 84295 HCHG SODIUM,CSF	$18.86	$47.14	$30.08–$42.43	—	60%
Sodium blood test inpatient CPT 84295 HCHG SODIUM	$18.86	$47.14	$30.08–$42.43	—	60%
Sodium blood test inpatient one side CPT 84295 HCHG RT NA	$18.86	$47.14	$30.08–$42.43	—	60%
Stool ova and parasites exam CPT 87177 HCHG PINWORM SLIDE	$70.84	$177.10	$7.42–$159.39	79% above	60%
Stool ova and parasites exam CPT 87177 HCHG OAP DIRECT SMEARS CONCEN. & ID (ARUP)	$89.78	$224.44	$7.42–$202.00	126% above	60%
Stool ova and parasites exam inpatient CPT 87177 HCHG PINWORM SLIDE	$70.84	$177.10	$112.99–$159.39	—	60%
Stool ova and parasites exam inpatient CPT 87177 HCHG OAP DIRECT SMEARS CONCEN. & ID (ARUP)	$89.78	$224.44	$143.19–$202.00	—	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG OCCULT BLOOD	$19.70	$49.24	$2.77–$44.32	32% below	60%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HCHG POCT OCCULT BLOOD	$19.70	$49.24	$2.77–$44.32	32% below	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG OCCULT BLOOD	$19.70	$49.24	$31.42–$44.32	—	60%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HCHG POCT OCCULT BLOOD	$19.70	$49.24	$31.42–$44.32	—	60%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HCHG OCCULT BLOOD IMMUNOASSAY	$44.85	$112.11	$13.52–$100.90	16% below	60%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HCHG OCCULT BLOOD IMMUNOASSAY	$44.85	$112.11	$71.53–$100.90	—	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG ANTIBODY TREPONEMA PALLIDUM	$59.05	$147.61	$5.42–$132.85	2% above	60%
Syphilis antibody test (Treponema pallidum) CPT 86780 HCHG TREPONEMA PALLIDIUM AB	$64.98	$162.45	$5.42–$146.21	12% above	60%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG ANTIBODY TREPONEMA PALLIDUM	$59.05	$147.61	$94.18–$132.85	—	60%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HCHG TREPONEMA PALLIDIUM AB	$64.98	$162.45	$103.64–$146.21	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG VDRL,CSF	$34.00	$85.00	$3.63–$76.50	43% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG SYPHILIS NON-TREP QL	$34.00	$85.00	$3.63–$76.50	43% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG RPR (ARUP)	$53.48	$133.68	$3.63–$120.31	124% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HCHG VDRL, CSF (ARUP)	$53.48	$133.68	$3.63–$120.31	124% above	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG VDRL,CSF	$34.00	$85.00	$54.23–$76.50	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG SYPHILIS NON-TREP QL	$34.00	$85.00	$54.23–$76.50	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG VDRL, CSF (ARUP)	$53.48	$133.68	$85.29–$120.31	—	60%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HCHG RPR (ARUP)	$53.48	$133.68	$85.29–$120.31	—	60%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HCHG TB QUANTIFERON	$140.42	$351.05	$52.67–$315.95	20% above	60%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HCHG TB QUANTIFERON	$140.42	$351.05	$223.97–$315.95	—	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL	$106.61	$266.51	$21.94–$239.86	16% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE HIR	$106.61	$266.51	$21.94–$239.86	16% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TTB TESTOSTERONE TOTAL	$106.61	$266.51	$21.94–$239.86	16% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE TOTAL F	$106.61	$266.51	$21.94–$239.86	16% above	60%
Testosterone blood test, total (not free testosterone) CPT 84403 HCHG TESTOSTERONE, TOTAL	$106.61	$266.51	$21.94–$239.86	16% above	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL	$106.61	$266.51	$170.03–$239.86	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE, TOTAL	$106.61	$266.51	$170.03–$239.86	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TTB TESTOSTERONE TOTAL	$106.61	$266.51	$170.03–$239.86	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE HIR	$106.61	$266.51	$170.03–$239.86	—	60%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HCHG TESTOSTERONE TOTAL F	$106.61	$266.51	$170.03–$239.86	—	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG LKM1 ANTIBODIES (ARUP)	$65.26	$163.14	$12.37–$146.83	at median	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG LKM1 ANTIBODIES	$71.50	$178.75	$12.37–$160.88	10% above	60%
Thyroid peroxidase (TPO) antibody test CPT 86376 HCHG ANTIBODY THYROID ANTIMICOSOMAL	$71.50	$178.75	$12.37–$160.88	10% above	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG LKM1 ANTIBODIES (ARUP)	$65.26	$163.14	$104.08–$146.83	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG ANTIBODY THYROID ANTIMICOSOMAL	$71.50	$178.75	$114.04–$160.88	—	60%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HCHG LKM1 ANTIBODIES	$71.50	$178.75	$114.04–$160.88	—	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH NEWBORN SCRN	$58.82	$147.05	$14.28–$132.35	22% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH HIGH SENS	$60.09	$150.21	$14.28–$135.19	20% below	60%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HCHG TSH	$60.09	$150.21	$14.28–$135.19	20% below	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH NEWBORN SCRN	$58.82	$147.05	$93.82–$132.35	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH HIGH SENS	$60.09	$150.21	$95.83–$135.19	—	60%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HCHG TSH	$60.09	$150.21	$95.83–$135.19	—	60%
Total IgE blood test CPT 82785 HCHG IGE	$41.95	$104.86	$13.99–$94.37	32% below	60%
Total IgE blood test inpatient CPT 82785 HCHG IGE	$41.95	$104.86	$66.90–$94.37	—	60%
Total cholesterol blood test CPT 82465 HCHG NMR CHOLESTEROL	$25.07	$62.67	$3.70–$56.40	32% below	60%
Total cholesterol blood test CPT 82465 HCHG CHOLESTEROL	$25.07	$62.67	$3.70–$56.40	32% below	60%
Total cholesterol blood test inpatient CPT 82465 HCHG NMR CHOLESTEROL	$25.07	$62.67	$39.98–$56.40	—	60%
Total cholesterol blood test inpatient CPT 82465 HCHG CHOLESTEROL	$25.07	$62.67	$39.98–$56.40	—	60%
Total thyroxine (T4) blood test CPT 84436 HCHG T4	$31.32	$78.30	$5.84–$70.47	25% below	60%
Total thyroxine (T4) blood test CPT 84436 HCHG T4 NEONATAL	$31.32	$78.30	$5.84–$70.47	25% below	60%
Total thyroxine (T4) blood test inpatient CPT 84436 HCHG T4	$31.32	$78.30	$49.96–$70.47	—	60%
Total thyroxine (T4) blood test inpatient CPT 84436 HCHG T4 NEONATAL	$31.32	$78.30	$49.96–$70.47	—	60%
Total triiodothyronine (T3) blood test CPT 84480 HCHG TOTAL T3	$69.34	$173.35	$12.05–$156.02	15% above	60%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HCHG TOTAL T3	$69.34	$173.35	$110.60–$156.02	—	60%
Transferrin blood test CPT 84466 HCHG TRANSFERRIN	$41.27	$103.17	$10.85–$92.85	44% below	60%
Transferrin blood test inpatient CPT 84466 HCHG TRANSFERRIN	$41.27	$103.17	$65.82–$92.85	—	60%
Trichomonas test (NAAT) CPT 87661 HCHG TRICH VAG AMP PROBE	$38.34	$95.85	$33.07–$86.27	56% below	60%
Trichomonas test (NAAT) inpatient CPT 87661 HCHG TRICH VAG AMP PROBE	$38.34	$95.85	$61.15–$86.27	—	60%
Triglycerides blood test CPT 84478 HCHG NMR TRIGYCERIDES	$27.83	$69.57	$4.89–$62.61	19% below	60%
Triglycerides blood test CPT 84478 HCHG BLFA TRIGLYCERIDES	$27.83	$69.57	$4.89–$62.61	19% below	60%
Triglycerides blood test CPT 84478 HCHG TRIGLYCERIDE	$27.83	$69.57	$4.89–$62.61	19% below	60%
Triglycerides blood test inpatient CPT 84478 HCHG BLFA TRIGLYCERIDES	$27.83	$69.57	$44.39–$62.61	—	60%
Triglycerides blood test inpatient CPT 84478 HCHG TRIGLYCERIDE	$27.83	$69.57	$44.39–$62.61	—	60%
Triglycerides blood test inpatient CPT 84478 HCHG NMR TRIGYCERIDES	$27.83	$69.57	$44.39–$62.61	—	60%
Troponin test, quantitative CPT 84484 HCHG TROPONIN	$54.29	$135.71	$8.36–$122.14	35% below	60%
Troponin test, quantitative inpatient CPT 84484 HCHG TROPONIN	$54.29	$135.71	$86.58–$122.14	—	60%
Uric acid blood test CPT 84550 HCHG URIC ACID	$23.19	$57.97	$3.84–$52.17	34% below	60%
Uric acid blood test inpatient CPT 84550 HCHG URIC ACID	$23.19	$57.97	$36.98–$52.17	—	60%
Urinalysis with microscope exam, automated CPT 81001 HCHG URINALYSIS	$23.02	$57.55	$2.69–$51.80	15% below	60%
Urinalysis with microscope exam, automated inpatient CPT 81001 HCHG URINALYSIS	$23.02	$57.55	$36.72–$51.80	—	60%
Urinalysis with microscope exam, manual CPT 81000 HCHG ACETONE,URINE	$4.64	$11.60	$2.69–$10.44	75% below	60%
Urinalysis with microscope exam, manual CPT 81000 HCHG URINE RED SUB	$4.64	$11.60	$2.69–$10.44	75% below	60%
Urinalysis with microscope exam, manual CPT 81000 HCHG PH URINE	$4.64	$11.60	$2.69–$10.44	75% below	60%
Urinalysis with microscope exam, manual CPT 81000 HCHG SPECIFIC GRAVITY	$4.64	$11.60	$2.69–$10.44	75% below	60%
Urinalysis with microscope exam, manual CPT 81000 HCHG BILIRUBIN,URINE	$4.64	$11.60	$2.69–$10.44	75% below	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG SPECIFIC GRAVITY	$4.64	$11.60	$7.40–$10.44	—	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG URINE RED SUB	$4.64	$11.60	$7.40–$10.44	—	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG BILIRUBIN,URINE	$4.64	$11.60	$7.40–$10.44	—	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG ACETONE,URINE	$4.64	$11.60	$7.40–$10.44	—	60%
Urinalysis with microscope exam, manual inpatient CPT 81000 HCHG PH URINE	$4.64	$11.60	$7.40–$10.44	—	60%
Urinalysis without microscope exam, automated CPT 81003 HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK)	$23.02	$57.55	$1.91–$51.80	2% below	60%
Urinalysis without microscope exam, automated inpatient CPT 81003 HCHG URINALYSIS-AUTOMATED WITHOUT MICROSCOPY(CLINTEK)	$23.02	$57.55	$36.72–$51.80	—	60%
Urinalysis without microscope exam, manual CPT 81002 HCHG URINE W/O MICRO	$24.52	$61.30	$2.05–$55.17	51% above	60%
Urinalysis without microscope exam, manual inpatient CPT 81002 HCHG URINE W/O MICRO	$24.52	$61.30	$39.11–$55.17	—	60%
Urine culture for bacteria, with colony count CPT 87086 HCHG CULTURE, URINE	$60.61	$151.51	$6.86–$136.36	7% above	60%
Urine culture for bacteria, with colony count inpatient CPT 87086 HCHG CULTURE, URINE	$60.61	$151.51	$96.66–$136.36	—	60%
Urine microalbumin (albumin) test CPT 82043 HCHG MICROALB 24 URINE	$55.08	$137.70	$4.91–$123.93	8% above	60%
Urine microalbumin (albumin) test CPT 82043 HCHG MICRO ALB/URINE	$55.08	$137.70	$4.91–$123.93	8% above	60%
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICRO ALB/URINE	$55.08	$137.70	$87.85–$123.93	—	60%
Urine microalbumin (albumin) test inpatient CPT 82043 HCHG MICROALB 24 URINE	$55.08	$137.70	$87.85–$123.93	—	60%
Urine pregnancy test, read by color change CPT 81025 HCHG POCT URINE PREG TEST	$33.02	$82.55	$1.02–$74.30	32% below	60%
Urine pregnancy test, read by color change inpatient CPT 81025 HCHG POCT URINE PREG TEST	$33.02	$82.55	$52.67–$74.30	—	60%
Vitamin B12 (cobalamin) blood test CPT 82607 HCHG VITAMIN B 12	$56.82	$142.04	$12.81–$127.84	24% below	60%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HCHG VITAMIN B 12	$56.82	$142.04	$90.62–$127.84	—	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HCHG VIT D, 25 HYDROXY	$60.29	$150.72	$23.22–$135.65	36% below	60%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HCHG VIT D, 25 HYDROXY	$60.29	$150.72	$96.16–$135.65	—	60%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HCHG VIT D1, 25 DIHYDROXY	$222.86	$557.13	$32.72–$501.42	45% above	60%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HCHG VIT D1, 25 DIHYDROXY	$222.86	$557.13	$355.45–$501.42	—	60%
Zinc blood test CPT 84630 HCHG ZINC SERUM	$53.78	$134.43	$9.67–$120.99	5% above	60%
Zinc blood test inpatient CPT 84630 HCHG ZINC SERUM	$53.78	$134.43	$85.77–$120.99	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG PREGNANCY TEST,QUANT	$101.18	$252.93	$12.80–$227.64	50% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG HCG AFP EXTRA	$101.18	$252.93	$12.80–$227.64	50% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCHG B-HCG,QUAN MALE	$101.18	$252.93	$12.80–$227.64	50% above	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG B-HCG,QUAN MALE	$101.18	$252.93	$161.37–$227.64	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG HCG AFP EXTRA	$101.18	$252.93	$161.37–$227.64	—	60%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCHG PREGNANCY TEST,QUANT	$101.18	$252.93	$161.37–$227.64	—	60%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Botox injections for chronic migraine CPT 64615 HCHG CHEMODENERV MUSCLE MIGRAINE	$387.85	$969.61	$334.52–$872.65	30% below	60%
Botox injections for chronic migraine inpatient CPT 64615 HCHG CHEMODENERV MUSCLE MIGRAINE	$387.85	$969.61	$618.61–$872.65	—	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 HCHG STERO GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS	$2,811.94	$7,029.85	$1,145.00–$6,326.87	30% below	60%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 HCHG STERO GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS	$2,811.94	$7,029.85	$4,485.04–$6,326.87	—	60%
Cardiac catheterization with coronary angiogram one side CPT 93458 HCHG CORONARY ANGIOGRAPHY /W LT HEART CATH\	$8,428.70	$21,071.74	$2,698.00–$18,964.57	30% below	60%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 HCHG CORONARY ANGIOGRAPHY /W LT HEART CATH\	$8,428.70	$21,071.74	$13,443.77–$18,964.57	—	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG CARDIOVERSION ELECT EXTERNAL	$1,005.29	$2,513.21	$781.63–$2,261.89	51% below	60%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HCHG ELECTIVE CARDIOVERSION	$1,005.29	$2,513.21	$781.63–$2,261.89	51% below	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG CARDIOVERSION ELECT EXTERNAL	$1,005.29	$2,513.21	$1,603.43–$2,261.89	—	60%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HCHG ELECTIVE CARDIOVERSION	$1,005.29	$2,513.21	$1,603.43–$2,261.89	—	60%
Catheter ablation for atrial fibrillation CPT 93656 HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY	$16,477.09	$41,192.71	$14,211.48–$49,456.86	52% below	60%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HCHG ABLATION BY PULMONARY VEIN /W COMPLETE EP STUDY	$16,477.09	$41,192.71	$26,280.95–$37,073.44	—	60%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HCHG CIRCUMCISION, 28 DAYS OR OLDER	$5,043.12	$12,607.80	$1,145.00–$11,347.02	18% below	60%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HCHG CIRCUMCISION, 28 DAYS OR OLDER	$5,043.12	$12,607.80	$8,043.78–$11,347.02	—	60%
Coronary stent placement, one artery CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL (DES)	$6,830.46	$17,076.13	$5,891.26–$21,843.39	47% below	60%
Coronary stent placement, one artery CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL	$9,033.28	$22,583.18	$7,791.20–$21,843.39	30% below	60%
Coronary stent placement, one artery inpatient CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL (DES)	$6,830.46	$17,076.13	$10,894.57–$15,368.52	—	60%
Coronary stent placement, one artery inpatient CPT 92928 HCHG PCI (STENT) ANY CORONARY VESSEL	$9,033.28	$22,583.18	$14,408.07–$20,324.86	—	60%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HCHG CYSTOURETHROSCOPY	$1,092.16	$2,730.40	$824.62–$2,457.36	45% below	60%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HCHG CYSTOURETHROSCOPY	$1,092.16	$2,730.40	$1,742.00–$2,457.36	—	60%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HCHG REMOVE EAR WAX (CERUMEN) /W IRRIGATION	$132.53	$331.32	$69.76–$298.19	14% below	60%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HCHG REMOVE EAR WAX (CERUMEN) /W IRRIGATION	$132.53	$331.32	$211.38–$298.19	—	60%
Earwax removal with instruments, one ear CPT 69210 HCHG REMOVAL EAR WAX/CERUMEN /W INSTRUMENTATION	$254.87	$637.16	$69.76–$1,093.00	65% above	60%
Earwax removal with instruments, one ear inpatient CPT 69210 HCHG REMOVAL EAR WAX/CERUMEN /W INSTRUMENTATION	$254.87	$637.16	$406.51–$573.44	—	60%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HCHG INJECTION CERV/THORAC INTERLAM /W GUIDANCE	$2,891.63	$7,229.07	$834.77–$6,506.16	29% above	60%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HCHG INJECTION CERV/THORAC INTERLAM /W GUIDANCE	$2,891.63	$7,229.07	$4,612.15–$6,506.16	—	60%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HCHG INJ, LUMBAR/SACRAL FACET SINGLE LEVEL	$778.37	$1,945.92	$671.34–$1,751.33	64% below	60%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HCHG INJ, LUMBAR/SACRAL FACET SINGLE LEVEL	$778.37	$1,945.92	$1,241.50–$1,751.33	—	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HCHG INJECTION HYSTEROSALPINGOGRAM	$244.24	$610.60	$210.66–$549.54	36% below	60%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HCHG INJECTION HYSTEROSALPINGOGRAM	$244.24	$610.60	$389.56–$549.54	—	60%
Incision and drainage of a simple or single skin abscess CPT 10060 HCHG I & D ABCESS-SIMPLE OR SINGLE	$199.99	$499.96	$172.49–$449.96	48% below	60%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HCHG I & D ABCESS-SIMPLE OR SINGLE	$199.99	$499.96	$318.97–$449.96	—	60%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HCHG INJECT SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS (PLANTAR FASCIA)	$331.36	$828.40	$285.80–$745.56	2% below	60%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HCHG INJECT SINGLE TENDON SHEATH/LIGAMENT APONEUROSIS (PLANTAR FASCIA)	$331.36	$828.40	$528.52–$745.56	—	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HCHG INJ/ASP LARGE JOINT/BURSA W/O US GUIDE	$397.13	$992.82	$342.52–$1,093.00	43% below	60%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HCHG INJ/ASP LARGE JOINT/BURSA W/O US GUIDE	$397.13	$992.82	$633.42–$893.54	—	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HCHG INJ/ASP INTERMEDIATE JOINT/BURSA W/O US GUIDE	$406.07	$1,015.16	$350.23–$913.64	34% below	60%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HCHG INJ/ASP INTERMEDIATE JOINT/BURSA W/O US GUIDE	$406.07	$1,015.16	$647.67–$913.64	—	60%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HCHG INJ/ASP SMALL JOINT/BURSA W/O US GUIDE	$373.92	$934.78	$322.50–$841.30	24% below	60%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HCHG INJ/ASP SMALL JOINT/BURSA W/O US GUIDE	$373.92	$934.78	$596.39–$841.30	—	60%
Left heart catheterization, diagnostic one side CPT 93452 HCHG LEFT HEART CATH	$6,646.54	$16,616.35	$2,698.00–$14,954.72	28% below	60%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HCHG LEFT HEART CATH	$6,646.54	$16,616.35	$10,601.23–$14,954.72	—	60%
Lower-back epidural injection, with imaging guidance CPT 62323 HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE	$3,541.20	$8,852.99	$834.77–$7,967.69	74% above	60%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HCHG INJECTION LUMBAR/SACRAL INTERLAM /W GUIDANCE	$3,541.20	$8,852.99	$5,648.21–$7,967.69	—	60%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO)	$892.10	$2,230.25	$769.44–$2,007.23	57% below	60%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HCHG INJ LUMBAR/SACRAL TRANSFOR SNGL LVL (INCL FLUORO)	$892.10	$2,230.25	$1,422.90–$2,007.23	—	60%
Nail removal (partial or complete), one nail CPT 11730 HCHG AVULSION NAIL PLATE-SIMPLE, SINGLE	$168.36	$420.90	$145.21–$1,093.00	47% below	60%
Nail removal (partial or complete), one nail inpatient CPT 11730 HCHG AVULSION NAIL PLATE-SIMPLE, SINGLE	$168.36	$420.90	$268.53–$378.81	—	60%
Pacemaker implant (dual chamber) CPT 33208 HCHG INSERT NEW PPM /W ATRIAL & VENTRICULAR LEAD	$15,059.16	$37,647.90	$12,360.49–$33,883.11	3% below	60%
Pacemaker implant (dual chamber) inpatient CPT 33208 HCHG INSERT NEW PPM /W ATRIAL & VENTRICULAR LEAD	$15,059.16	$37,647.90	$24,019.36–$33,883.11	—	60%
Paracentesis with imaging guidance CPT 49083 HCHG PARACENTESIS /W IMAGE GUIDANCE	$720.60	$1,801.50	$621.52–$1,716.16	58% below	60%
Paracentesis with imaging guidance inpatient CPT 49083 HCHG PARACENTESIS /W IMAGE GUIDANCE	$720.60	$1,801.50	$1,149.36–$1,621.35	—	60%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HCHG FACET NEUROLYTIC LUMBAR/SACRAL; SINGLE LEVEL (INCL FLUORO)	$1,769.06	$4,422.63	$1,051.00–$3,980.37	47% below	60%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HCHG FACET NEUROLYTIC LUMBAR/SACRAL; SINGLE LEVEL (INCL FLUORO)	$1,769.06	$4,422.63	$2,821.64–$3,980.37	—	60%
Removal of a foreign object under the skin, simple CPT 10120 HCHG INCISION AND REMOVAL FB SUBQ; SIMPLE	$441.49	$1,103.71	$380.78–$1,093.00	34% below	60%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HCHG INCISION AND REMOVAL FB SUBQ; SIMPLE	$441.49	$1,103.71	$704.17–$993.34	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) both sides CPT 50590 HCHG LITHOTRIPSY BILATERAL	$6,579.89	$16,449.72	$2,003.00–$14,804.75	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HCHG LITHOTRIPSY RIGHT	$5,525.27	$13,813.17	$2,003.00–$12,431.85	45% below	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) one side CPT 50590 HCHG LITHOTRIPSY LEFT	$5,525.27	$13,813.17	$2,003.00–$12,431.85	45% below	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient both sides CPT 50590 HCHG LITHOTRIPSY BILATERAL	$6,579.89	$16,449.72	$10,494.92–$14,804.75	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HCHG LITHOTRIPSY LEFT	$5,525.27	$13,813.17	$8,812.80–$12,431.85	—	60%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient one side CPT 50590 HCHG LITHOTRIPSY RIGHT	$5,525.27	$13,813.17	$8,812.80–$12,431.85	—	60%
Short arm splint (forearm and hand) CPT 29125 HCHG APPLY SHORT ARM SPLINT-STATIC (ER USE ONLY)	$134.07	$335.17	$115.63–$301.65	54% below	60%
Short arm splint (forearm and hand) inpatient CPT 29125 HCHG APPLY SHORT ARM SPLINT-STATIC (ER USE ONLY)	$134.07	$335.17	$213.84–$301.65	—	60%
Short leg splint (calf to foot) CPT 29515 HCHG APPL SHORT LEG SPLINT (ER USE ONLY)	$98.03	$245.07	$84.55–$307.48	67% below	60%
Short leg splint (calf to foot) inpatient CPT 29515 HCHG APPL SHORT LEG SPLINT (ER USE ONLY)	$98.03	$245.07	$156.35–$220.56	—	60%
Skin biopsy, punch, one lesion CPT 11104 HCHG BIOPSY SKIN PUNCH 1ST LESION	$520.36	$1,300.88	$448.80–$1,170.79	17% above	60%
Skin biopsy, punch, one lesion inpatient CPT 11104 HCHG BIOPSY SKIN PUNCH 1ST LESION	$520.36	$1,300.88	$829.96–$1,170.79	—	60%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HCHG SPINAL PUNCTURE LUMBAR	$740.63	$1,851.56	$638.79–$1,666.40	31% below	60%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HCHG SPINAL PUNCTURE LUMBAR	$740.63	$1,851.56	$1,181.30–$1,666.40	—	60%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HCHG BIOPSY SKIN TANGENTIAL 1ST LESION	$433.62	$1,084.05	$374.00–$975.65	44% above	60%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HCHG BIOPSY SKIN TANGENTIAL 1ST LESION	$433.62	$1,084.05	$691.62–$975.65	—	60%
Thoracentesis with imaging guidance CPT 32555 HCHG THORACENTESIS /W IMAGE GUIDANCE	$2,127.28	$5,318.18	$741.85–$4,786.36	22% above	60%
Thoracentesis with imaging guidance inpatient CPT 32555 HCHG THORACENTESIS /W IMAGE GUIDANCE	$2,127.28	$5,318.18	$3,393.00–$4,786.36	—	60%
Trigger point injections, 1 or 2 muscles CPT 20552 HCHG INJ TRIGGER POINT 1OR 2 MUSCLE/S	$234.24	$585.60	$202.03–$580.80	66% below	60%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HCHG INJ TRIGGER POINT 1OR 2 MUSCLE/S	$234.24	$585.60	$373.61–$527.04	—	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HCHG US GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS	$2,276.26	$5,690.65	$1,145.00–$5,121.59	31% below	60%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HCHG US GUIDE BREAST BX W/WO CLIP-PERCUTANEOUS	$2,276.26	$5,690.65	$3,630.63–$5,121.59	—	60%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 HCHG VASECTOMY, INCL EXAM	$2,503.00	$6,257.50	$1,145.00–$5,631.75	27% below	60%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 HCHG VASECTOMY, INCL EXAM	$2,503.00	$6,257.50	$3,992.29–$5,631.75	—	60%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HCHG BLOOD TRANSFUSION SERVICE	$732.69	$1,831.72	$521.73–$1,648.55	34% below	60%
Blood transfusion (giving blood or blood components) CPT 36430 HCHG TRANSFUSION OR COMPONENTS	$732.69	$1,831.72	$521.73–$1,648.55	34% below	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG TRANSFUSION OR COMPONENTS	$732.69	$1,831.72	$1,168.64–$1,648.55	—	60%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HCHG BLOOD TRANSFUSION SERVICE	$732.69	$1,831.72	$1,168.64–$1,648.55	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI SUBSEQUENT	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL SUBSEQUENT	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG AEROSOL INITIAL	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG MDI INITIAL	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB INITIAL	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HCHG IPPB IP/OBS EA SUBSEQUENT TREATMENT	$103.78	$259.44	$89.51–$414.34	41% below	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB INITIAL	$103.78	$259.44	$165.52–$233.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG IPPB IP/OBS EA SUBSEQUENT TREATMENT	$103.78	$259.44	$165.52–$233.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI SUBSEQUENT	$103.78	$259.44	$165.52–$233.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG MDI INITIAL	$103.78	$259.44	$165.52–$233.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL INITIAL	$103.78	$259.44	$165.52–$233.50	—	60%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HCHG AEROSOL SUBSEQUENT	$103.78	$259.44	$165.52–$233.50	—	60%
Critical care, first 30 to 74 minutes CPT 99291 HCHG CRITICAL CARE FIRST 30-74 MINS	$649.86	$1,624.64	$560.50–$1,562.97	78% below	60%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HCHG CRITICAL CARE FIRST 30-74 MINS	$649.86	$1,624.64	$1,036.52–$1,462.18	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG	$112.41	$281.02	$69.76–$252.92	39% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HCHG EKG SUBSEQUENT	$133.38	$333.43	$69.76–$300.09	28% below	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG	$112.41	$281.02	$179.29–$252.92	—	60%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HCHG EKG SUBSEQUENT	$133.38	$333.43	$212.73–$300.09	—	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HCHG BRIEF VISIT (LEVEL 1)	$141.88	$354.68	$99.72–$400.00	55% below	60%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HCHG BRIEF VISIT (LEVEL 1)	$141.88	$354.68	$226.29–$319.21	—	60%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HCHG LIMITED VISIT (LEVEL 2)	$210.50	$526.24	$181.58–$473.62	59% below	60%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HCHG LIMITED VISIT (LEVEL 2)	$210.50	$526.24	$335.74–$473.62	—	60%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HCHG INTERMEDIATE VISIT (LEVEL 3)	$306.63	$766.57	$322.82–$708.00	64% below	60%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HCHG INTERMEDIATE VISIT (LEVEL 3)	$306.63	$766.57	$489.07–$689.91	—	60%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HCHG EXTENDED VISIT (LEVEL 4)	$448.48	$1,121.19	$493.45–$1,022.00	66% below	60%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HCHG EXTENDED VISIT (LEVEL 4)	$448.48	$1,121.19	$715.32–$1,009.07	—	60%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HCHG COMPREHENSIVE VISIT (LEVEL 5)	$558.33	$1,395.82	$704.27–$1,256.24	68% below	60%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HCHG COMPREHENSIVE VISIT (LEVEL 5)	$558.33	$1,395.82	$890.53–$1,256.24	—	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG CARDIAC STRESS TEST/PUL LAB	$533.49	$1,333.72	$255.35–$1,200.35	41% below	60%
Exercise stress test, tracing only, the hospital charge CPT 93017 HCHG EXER EKG-HOSP	$533.49	$1,333.72	$255.35–$1,200.35	41% below	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG CARDIAC STRESS TEST/PUL LAB	$533.49	$1,333.72	$850.91–$1,200.35	—	60%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HCHG EXER EKG-HOSP	$533.49	$1,333.72	$850.91–$1,200.35	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG INF HYDRATION, INIT 1ST HR	$187.58	$468.95	$161.79–$422.06	55% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HCHG EMR INF HYDRATION, INT.1ST HR	$187.58	$468.95	$161.79–$422.06	55% below	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG EMR INF HYDRATION, INT.1ST HR	$187.58	$468.95	$299.19–$422.06	—	60%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HCHG INF HYDRATION, INIT 1ST HR	$187.58	$468.95	$299.19–$422.06	—	60%
IV infusion of a medicine, first hour CPT 96365 HCHG EMR INF THER/DIAG, INT;1ST HR	$228.84	$572.10	$197.37–$514.89	47% below	60%
IV infusion of a medicine, first hour CPT 96365 HCHG INF THERAPY/DIAG INIT 1STHR	$228.84	$572.10	$197.37–$514.89	47% below	60%
IV infusion of a medicine, first hour CPT 96365 HCHG IV THER INIT SUBSQ VISIT 31-60 MINS	$228.84	$572.10	$197.37–$514.89	47% below	60%
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG IV THER INIT SUBSQ VISIT 31-60 MINS	$228.84	$572.10	$365.00–$514.89	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG INF THERAPY/DIAG INIT 1STHR	$228.84	$572.10	$365.00–$514.89	—	60%
IV infusion of a medicine, first hour inpatient CPT 96365 HCHG EMR INF THER/DIAG, INT;1ST HR	$228.84	$572.10	$365.00–$514.89	—	60%
IV push of a medicine, first drug CPT 96374 HCHG IV PUSH INITIAL DRUG	$122.70	$306.75	$105.83–$402.47	52% below	60%
IV push of a medicine, first drug inpatient CPT 96374 HCHG IV PUSH INITIAL DRUG	$122.70	$306.75	$195.71–$276.08	—	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ IM ANTIBIOTIC	$75.44	$188.60	$65.07–$169.74	47% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ SUBCUTAN OR INTRA MUSCUAL	$75.44	$188.60	$65.07–$169.74	47% below	60%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HCHG INJ SUB-Q OR IM	$75.44	$188.60	$65.07–$169.74	47% below	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ SUBCUTAN OR INTRA MUSCUAL	$75.44	$188.60	$120.33–$169.74	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ SUB-Q OR IM	$75.44	$188.60	$120.33–$169.74	—	60%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HCHG INJ IM ANTIBIOTIC	$75.44	$188.60	$120.33–$169.74	—	60%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HCHG NERVE CONDUCTION 7-8 STUDIES	$1,832.50	$4,581.25	$441.29–$4,123.13	33% above	60%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HCHG NERVE CONDUCTION 7-8 STUDIES	$1,832.50	$4,581.25	$2,922.84–$4,123.13	—	60%
Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSC RE-ED PER 15 MIN	$68.10	$170.25	$39.21–$153.23	38% below	60%
Neuromuscular re-education, 15 minutes CPT 97112 HCHG NEUROMUSCULAR RE-ED REH	$68.10	$170.25	$39.21–$153.23	38% below	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEUROMUSCULAR RE-ED REH	$68.10	$170.25	$108.62–$153.23	—	60%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HCHG NEUROMUSC RE-ED PER 15 MIN	$68.10	$170.25	$108.62–$153.23	—	60%
New patient office visit, about 30 minutes CPT 99203 HCHG NEW PATIENT LEVEL III	$115.08	$287.70	$99.26–$258.93	5% above	60%
New patient office visit, about 30 minutes inpatient CPT 99203 HCHG NEW PATIENT LEVEL III	$115.08	$287.70	$183.55–$258.93	—	60%
New patient office visit, about 45 minutes CPT 99204 HCHG NEW PATIENT LEVE IV	$168.10	$420.25	$144.99–$378.23	39% above	60%
New patient office visit, about 45 minutes inpatient CPT 99204 HCHG NEW PATIENT LEVE IV	$168.10	$420.25	$268.12–$378.23	—	60%
New patient office visit, about 60 minutes CPT 99205 HCHG NEW PATIENT LEVEL V	$178.20	$445.50	$153.70–$455.05	3% above	60%
New patient office visit, about 60 minutes inpatient CPT 99205 HCHG NEW PATIENT LEVEL V	$178.20	$445.50	$284.23–$400.95	—	60%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HCHG NEW PATIENT LEVEL II	$90.42	$226.05	$77.99–$203.45	11% below	60%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HCHG NEW PATIENT LEVEL II	$90.42	$226.05	$144.22–$203.45	—	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HCHG NUTRITIONAL CONSULT PER 15 MIN	$60.84	$152.09	$43.90–$136.88	6% below	60%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HCHG NUTRITIONAL CONSULT PER 15 MIN	$60.84	$152.09	$97.03–$136.88	—	60%
Occupational therapy evaluation, low complexity CPT 97165 HCHG OT EVAL; LOW COMPLEXITY	$104.80	$262.00	$90.39–$235.80	60% below	60%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HCHG OT EVAL; LOW COMPLEXITY	$104.80	$262.00	$167.16–$235.80	—	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HCHG PT EVAL; HIGH COMPLEXITY	$202.66	$506.65	$117.32–$455.99	33% below	60%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HCHG PT EVAL; HIGH COMPLEXITY	$202.66	$506.65	$323.24–$455.99	—	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HCHG PT EVAL; LOW COMPLEXITY	$134.54	$336.35	$116.04–$302.72	48% below	60%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HCHG PT EVAL; LOW COMPLEXITY	$134.54	$336.35	$214.59–$302.72	—	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HCHG PT EVAL; MODERATE COMPLEXITY	$168.88	$422.20	$117.32–$379.98	39% below	60%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HCHG PT EVAL; MODERATE COMPLEXITY	$168.88	$422.20	$269.36–$379.98	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY	$72.80	$182.00	$33.24–$163.80	34% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY REH	$72.80	$182.00	$33.24–$163.80	34% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HCHG MANUAL THERAPY LYMPHADEMA	$72.80	$182.00	$33.24–$163.80	34% below	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY REH	$72.80	$182.00	$116.12–$163.80	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY	$72.80	$182.00	$116.12–$163.80	—	60%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HCHG MANUAL THERAPY LYMPHADEMA	$72.80	$182.00	$116.12–$163.80	—	60%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HCHG THERAPEUTIC EX EA 15 MINS	$70.32	$175.80	$34.84–$158.22	41% below	60%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HCHG THERAPEUTIC EX EA 15 MINS	$70.32	$175.80	$112.16–$158.22	—	60%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HCHG ESTABLISHED PATIENT LEVEL V	$172.30	$430.75	$148.61–$387.68	2% above	60%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HCHG ESTABLISHED PATIENT LEVEL V	$172.30	$430.75	$274.82–$387.68	—	60%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HCHG ESTABLISHED PATIENT LEVEL III	$103.18	$257.95	$88.99–$232.16	11% below	60%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HCHG ESTABLISHED PATIENT LEVEL III	$103.18	$257.95	$164.57–$232.16	—	60%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HCHG ESTABLISHED PATIENT LEVEL IV	$142.04	$355.10	$122.51–$319.59	4% above	60%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HCHG ESTABLISHED PATIENT LEVEL IV	$142.04	$355.10	$226.55–$319.59	—	60%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HCHG ESTABLISHED PATIENT LEVEL II	$70.36	$175.90	$60.69–$158.31	30% below	60%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HCHG ESTABLISHED PATIENT LEVEL II	$70.36	$175.90	$112.22–$158.31	—	60%
Speech and language evaluation CPT 92523 HCHG SPEECH SOUND LANGUAGE COMPREHENSION	$151.56	$378.90	$130.72–$435.89	56% below	60%
Speech and language evaluation inpatient CPT 92523 HCHG SPEECH SOUND LANGUAGE COMPREHENSION	$151.56	$378.90	$241.74–$341.01	—	60%
Spirometry (breathing test) CPT 94010 HCHG SPIRO TEST	$70.96	$177.40	$61.20–$408.56	77% below	60%
Spirometry (breathing test) inpatient CPT 94010 HCHG SPIRO TEST	$70.96	$177.40	$113.18–$159.66	—	60%
Spirometry before and after a bronchodilator CPT 94060 HCHG SPIROMETRY PRE & POST	$259.56	$648.90	$223.87–$706.07	55% below	60%
Spirometry before and after a bronchodilator inpatient CPT 94060 HCHG SPIROMETRY PRE & POST	$259.56	$648.90	$414.00–$584.01	—	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG TRAIN,TRANSFER	$63.16	$157.90	$41.66–$142.11	48% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVE INCR	$63.16	$157.90	$41.66–$142.11	48% below	60%
Therapeutic activities (functional training), 15 minutes CPT 97530 HCHG THERAPEUTIC ACTIVE INCR REH	$63.16	$157.90	$41.66–$142.11	48% below	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG TRAIN,TRANSFER	$63.16	$157.90	$100.74–$142.11	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVE INCR	$63.16	$157.90	$100.74–$142.11	—	60%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HCHG THERAPEUTIC ACTIVE INCR REH	$63.16	$157.90	$100.74–$142.11	—	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG PHLEBOTOMY	$127.36	$318.38	$109.84–$286.54	46% below	60%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HCHG RC PHLEBOTOMY	$127.36	$318.38	$109.84–$286.54	46% below	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG RC PHLEBOTOMY	$127.36	$318.38	$203.13–$286.54	—	60%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HCHG PHLEBOTOMY	$127.36	$318.38	$203.13–$286.54	—	60%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Ohio	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HCHG FLU IIV ADJUVANT VACCINE	$76.86	$192.13	$0.02–$245.04	1% above	60%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HCHG FLU IIV ADJUVANT VACCINE	$76.86	$192.13	$122.58–$172.92	—	60%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 HCHG SARSCOV2 VAC 50 MCG/0.5ML IM (MODERNA)	$125.44	$313.60	$108.19–$323.30	40% below	60%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 HCHG SARSCOV2 VAC 50 MCG/0.5ML IM (MODERNA)	$125.44	$313.60	$200.08–$282.24	—	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 HCHG SARSCV2 VAC 30MCG TRS-SUC IM (PFIZER)	$126.92	$317.30	$109.47–$336.74	62% below	60%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older inpatient CPT 91320 HCHG SARSCV2 VAC 30MCG TRS-SUC IM (PFIZER)	$126.92	$317.30	$202.44–$285.57	—	60%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 varicella virus vacc live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial	$102.62	$256.54	$88.51–$348.64	72% below	60%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 varicella virus vacc live (PF) 1,350 unit/0.5 mL Susr 1 Each Vial	$102.62	$256.54	$163.67–$230.89	—	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 diph,pertus(acel),tet,pol (PF) 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syringe	$44.10	$110.25	$38.04–$122.16	66% below	60%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 diph,pertus(acel),tet,pol (PF) 25 Lf-58 mcg-10 Lf/0.5 mL Syrg 0.5 mL Syringe	$44.10	$110.25	$70.34–$99.23	—	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 diptheria-acellular pertussis-tetanus vaccine 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$18.81	$47.01	$16.22–$57.60	71% below	60%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 diptheria-acellular pertussis-tetanus vaccine 25-58-10 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$18.81	$47.01	$29.99–$42.31	—	60%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 dip,per(a)tet-hepB-polio-Hib(PF) 15 unit-5 unit- 10 mcg/0.5 mL Syrg 0.5 mL Syringe	$132.62	$331.54	$114.38–$301.70	61% below	60%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 dip,per(a)tet-hepB-polio-Hib(PF) 15 unit-5 unit- 10 mcg/0.5 mL Syrg 0.5 mL Syringe	$132.62	$331.54	$211.52–$298.39	—	60%
Flu shot, recombinant, egg-free (Flublok) CPT 90673 HCHG FLUBLOK 2025-2026 (PF) 135 MCG (45 MCG X 3)/0.5 ML IM SYRINGE	$76.86	$192.13	$0.02–$245.04	58% below	60%
Flu shot, recombinant, egg-free (Flublok) inpatient CPT 90673 HCHG FLUBLOK 2025-2026 (PF) 135 MCG (45 MCG X 3)/0.5 ML IM SYRINGE	$76.86	$192.13	$122.58–$172.92	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 flu vacc ts2024-25 6mos up(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$19.54	$48.83	$0.02–$47.78	57% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HCHG FLU IIV3 VACCINE NO PRSV 0.5ML	$21.25	$53.12	$0.02–$47.81	54% below	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 flu vacc ts2024-25 6mos up(PF) 45 mcg (15 mcg x 3)/0.5 mL Syrg 0.5 mL Syringe	$19.54	$48.83	$31.15–$43.95	—	60%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HCHG FLU IIV3 VACCINE NO PRSV 0.5ML	$21.25	$53.12	$33.89–$47.81	—	60%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Susp 0.5 mL Vial	$173.42	$433.54	$149.57–$575.08	67% below	60%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 human papillomav vac,9-val(PF) 0.5 mL Susp 0.5 mL Vial	$173.42	$433.54	$276.60–$390.19	—	60%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 25 unit/0.5 mL Susp 0.5 mL Vial	$36.25	$90.61	$31.26–$141.08	81% below	60%
Hepatitis A vaccine, adult dose CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe	$80.48	$201.18	$69.41–$181.06	59% below	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 25 unit/0.5 mL Susp 0.5 mL Vial	$36.25	$90.61	$57.81–$81.55	—	60%
Hepatitis A vaccine, adult dose inpatient CPT 90632 hepatitis A virus vaccine (PF) 1,440 ELISA unit/mL Syrg 1 mL Syringe	$80.48	$201.18	$128.35–$181.06	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Susp 0.5 mL Vial	$25.84	$64.60	$22.29–$150.29	83% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL Vial	$33.69	$84.21	$29.05–$150.29	78% below	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Susp 0.5 mL Vial	$25.84	$64.60	$41.21–$58.14	—	60%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 hepatitis B virus vacc.rec(PF) 20 mcg/mL Susp 1 mL Vial	$33.69	$84.21	$53.73–$75.79	—	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe	$25.84	$64.60	$22.29–$66.44	57% below	60%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 hepatitis B virus vacc.rec(PF) 5 mcg/0.5 mL Syrg 0.5 mL Syringe	$25.84	$64.60	$41.21–$58.14	—	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemoph B poly conj-tet tox/PF 10 mcg/0.5 mL Solr 1 Each Vial	$9.32	$23.30	$8.04–$24.10	69% below	60%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemoph B poly conj-tet tox/PF 10 mcg/0.5 mL Solr 1 Each Vial	$9.32	$23.30	$14.87–$20.97	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 flu vacc ts2024-25(65yr up)-PF 180 mcg/0.5 mL Syrg 0.5 mL Syringe	$71.16	$177.90	$61.38–$245.04	31% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HCHG FLU IIV VACCINE PRSV FREE INCREASED AG CONTENT	$76.86	$192.13	$66.28–$245.04	26% below	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 flu vacc ts2024-25(65yr up)-PF 180 mcg/0.5 mL Syrg 0.5 mL Syringe	$71.16	$177.90	$113.50–$160.11	—	60%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HCHG FLU IIV VACCINE PRSV FREE INCREASED AG CONTENT	$76.86	$192.13	$122.58–$172.92	—	60%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 Each Vial	$56.51	$141.27	$48.74–$184.98	73% below	60%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles, mumps and rubella vaccine 1,000-12,500 TCID50/0.5 mL Solr 1 Each Vial	$56.51	$141.27	$90.13–$127.14	—	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 measles,mumps,mub, and varicel (pf) 10exp3-4.3-3- 3.99 TCID50/0.5 Susr 1 Each Vial	$184.36	$460.89	$159.01–$540.30	64% below	60%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 measles,mumps,mub, and varicel (pf) 10exp3-4.3-3- 3.99 TCID50/0.5 Susr 1 Each Vial	$184.36	$460.89	$294.05–$414.80	—	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 5 Each KIT	$114.34	$285.84	$98.61–$314.70	64% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 1 Each KIT	$120.13	$300.32	$103.61–$314.70	62% below	60%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Mening Vac A,C,Y,W135 Dip (PF) 4 mcg/0.5 mL Soln 0.5 mL Vial	$129.54	$323.84	$111.72–$314.70	59% below	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 5 Each KIT	$114.34	$285.84	$182.37–$257.26	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 mening vac A,C,Y,W135 Dip (PF) 10-5 mcg/0.5 mL Kit 1 Each KIT	$120.13	$300.32	$191.60–$270.29	—	60%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 Mening Vac A,C,Y,W135 Dip (PF) 4 mcg/0.5 mL Soln 0.5 mL Vial	$129.54	$323.84	$206.61–$291.46	—	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe	$156.80	$392.00	$135.24–$447.50	72% below	60%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal B vaccine,4-comp 50-50-50-25 mcg/0.5 mL Syrg 0.5 mL Syringe	$156.80	$392.00	$250.10–$352.80	—	60%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HCHG FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE	$4.99	$12.47	$0.02–$61.16	87% below	60%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HCHG FLUMIST 2025-2026 10EXP6.5-7.5 FF UNIT/0.2 ML NASAL SPRAY SYRINGE	$4.99	$12.47	$7.96–$11.22	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HCHG PNEUMOCOCCAL 20-VALENT VACCINE 0.5ML	$121.85	$304.61	$105.09–$682.00	82% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 pneumococcal 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL Syringe	$250.93	$627.32	$216.43–$682.00	62% below	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HCHG PNEUMOCOCCAL 20-VALENT VACCINE 0.5ML	$121.85	$304.61	$194.34–$274.15	—	60%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 pneumococcal 20-val conj-dip cr(PF) 0.5 mL Syrg 0.5 mL Syringe	$250.93	$627.32	$400.23–$564.59	—	60%
Polio vaccine, inactivated (IPV) CPT 90713 poliovirus vaccine (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial	$30.46	$76.15	$26.27–$85.28	52% below	60%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 poliovirus vaccine (inactivate) 40-8-32 unit/0.5 mL Susp 5 mL Vial	$30.46	$76.15	$48.58–$68.54	—	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 HCHG BEYFORTUS 100MG / NIRSEVIMAB -ALIP RSV VACCINE 100 MG/0.5 ML	$485.10	$1,212.75	$418.40–$1,091.48	53% below	60%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 HCHG BEYFORTUS 100MG / NIRSEVIMAB -ALIP RSV VACCINE 100 MG/0.5 ML	$485.10	$1,212.75	$773.73–$1,091.48	—	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 HCHG BEYFORTUS 50MG / NIRSEVIMAB-ALIP RSV VACCINE 50 MG/0.5 ML	$485.10	$1,212.75	$418.40–$1,091.48	64% below	60%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 HCHG BEYFORTUS 50MG / NIRSEVIMAB-ALIP RSV VACCINE 50 MG/0.5 ML	$485.10	$1,212.75	$773.73–$1,091.48	—	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 HCHG ABRYSVO RSV VACCINE 0.5ML	$289.10	$722.75	$249.35–$650.48	60% below	60%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 HCHG ABRYSVO RSV VACCINE 0.5ML	$289.10	$722.75	$461.11–$650.48	—	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 HCHG AREXVY RSV VACCINE 0.5ML IM 60+YRS	$274.40	$686.00	$236.67–$617.40	23% below	60%
RSV vaccine with adjuvant (Arexvy), one dose for older adults inpatient CPT 90679 HCHG AREXVY RSV VACCINE 0.5ML IM 60+YRS	$274.40	$686.00	$437.67–$617.40	—	60%
Rabies vaccine, one dose CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 Each Vial	$315.86	$789.64	$272.43–$710.68	67% below	60%
Rabies vaccine, one dose CPT 90675 rabies vaccine, PCEC (PF) 2.5 unit Susr 1 Each KIT	$405.64	$1,014.08	$349.86–$912.67	57% below	60%
Rabies vaccine, one dose inpatient CPT 90675 rabies vacc,human diploid (PF) 2.5 unit Solr 1 Each Vial	$315.86	$789.64	$503.79–$710.68	—	60%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine, PCEC (PF) 2.5 unit Susr 1 Each KIT	$405.64	$1,014.08	$646.98–$912.67	—	60%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 Each KIT	$137.20	$343.00	$118.34–$395.80	73% below	60%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 varicella-zoster gE-AS01B (PF) 50 mcg/0.5 mL Susr 1 Each KIT	$137.20	$343.00	$218.83–$308.70	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial	$21.52	$53.78	$18.55–$48.40	76% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 tetanus and diphtheria tox-PF 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe	$30.76	$76.90	$26.53–$69.21	66% below	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus-diphtheria toxoids-Td 2-2 Lf unit/0.5 mL Susp 0.5 mL Vial	$21.52	$53.78	$34.31–$48.40	—	60%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 tetanus and diphtheria tox-PF 5-2 Lf unit/0.5 mL Syrg 0.5 mL Syringe	$30.76	$76.90	$49.06–$69.21	—	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$35.64	$89.08	$30.73–$80.17	68% below	60%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 diphth,pertus(acell),tetanus 2.5-8-5 Lf-mcg-Lf/0.5mL Syrg 0.5 mL Syringe	$35.64	$89.08	$56.83–$80.17	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ADMINISTRATION PNEUMOCCOCAL (PNEUMONIA) VACCINE	$37.26	$93.15	$32.14–$136.24	8% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG VACC/TD INJ INITIAL	$37.26	$93.15	$32.14–$136.24	8% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG ADMIN FLU VIRUS VACCINE	$37.26	$93.15	$32.14–$136.24	8% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HCHG VACC ADMIN SINGLE	$37.26	$93.15	$32.14–$136.24	8% below	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ADMIN FLU VIRUS VACCINE	$37.26	$93.15	$59.43–$83.84	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG VACC/TD INJ INITIAL	$37.26	$93.15	$59.43–$83.84	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG VACC ADMIN SINGLE	$37.26	$93.15	$59.43–$83.84	—	60%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HCHG ADMINISTRATION PNEUMOCCOCAL (PNEUMONIA) VACCINE	$37.26	$93.15	$59.43–$83.84	—	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG VACC ADMIN EA ADD'L	$31.40	$78.50	$18.88–$70.65	10% below	60%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HCHG VACC/TD INJ ADD'L	$31.40	$78.50	$18.88–$70.65	10% below	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG VACC ADMIN EA ADD'L	$31.40	$78.50	$50.08–$70.65	—	60%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HCHG VACC/TD INJ ADD'L	$31.40	$78.50	$50.08–$70.65	—	60%

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/7805/453215312_portsmouth-hospital-corporation_standardcharges.csv