Hospital

UConn Health, Waterbury Hospital

UConn Health, Waterbury Hospital in Waterbury, CT publishes cash prices for 382 common procedures listed here, from its own machine-readable price file updated May 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Connecticut median for 225 of 372 procedures and above it for 137. By typical cash price it ranks #7 of 16 Connecticut hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

64 Robbins St, Waterbury, CT 06708 Collected Sep 23, 2026 Source price file Check a bill from this hospital (203) 573-6000

Acute care hospital For-profit hospital Emergency department CMS star rating 2 of 5 CCN 070005 · CMS hospital register

State law

This state limits hospital bills for lower-income patients

Connecticut law (C.G.S. §19a-673): if you are uninsured, your income is at or below 250% of the federal poverty level and Medicaid has turned you down, a hospital and the clinicians billing through it may collect no more than the cost of your care (its charges times its cost-to-charge ratio), which is usually well below its list price. Ask the billing office to apply it. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Adrenal Mass Protocol	$1,635.80	$3,271.60	$128.10–$1,635.80	27% below	50%
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen w wo IV Contrast	$2,615.00	$5,230.00	$324.61–$2,615.00	16% above	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Adrenal Mass Protocol	$1,635.80	$3,271.60	—	—	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen w wo IV Contrast	$2,615.00	$5,230.00	—	—	50%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen AP Obliques Cone Down Views	$365.12	$730.24	$21.62–$365.12	7% below	50%
Abdominal X-ray, 2 views CPT 74019 XR Abdomen Complete w/ Decub/Erect	$558.63	$1,117.25	$21.62–$558.63	42% above	50%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen AP Obliques Cone Down Views	$365.12	$730.24	—	—	50%
Abdominal X-ray, 2 views inpatient CPT 74019 XR Abdomen Complete w/ Decub/Erect	$558.63	$1,117.25	—	—	50%
Ankle X-ray, complete, 3 or more views both sides CPT 73610 XR Ankle 3 or more Views Bilateral	$309.36	$618.72	$16.35–$309.36	—	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 or more Views Right	$326.55	$653.10	$16.35–$326.55	2% above	50%
Ankle X-ray, complete, 3 or more views one side CPT 73610 XR Ankle 3 or more Views Left	$326.55	$653.10	$16.35–$326.55	2% above	50%
Ankle X-ray, complete, 3 or more views inpatient both sides CPT 73610 XR Ankle 3 or more Views Bilateral	$309.36	$618.72	—	—	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 or more Views Left	$326.55	$653.10	—	—	50%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 XR Ankle 3 or more Views Right	$326.55	$653.10	—	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Limited Bilateral 1-2 Levels	$577.16	$1,154.32	$441.53–$7,506.00	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US UE Art Dopp 1-2Lv Physio ABI Exercise	$577.16	$1,154.32	$397.78–$1,028.00	2% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 US LE Art Dopp 1-2Lv Physio ABI Exercise	$577.16	$1,154.32	$146.00–$808.02	2% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Limited Bilateral 1-2 Levels	$577.16	$1,154.32	—	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US UE Art Dopp 1-2Lv Physio ABI Exercise	$577.16	$1,154.32	—	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 US LE Art Dopp 1-2Lv Physio ABI Exercise	$577.16	$1,154.32	—	—	50%
Arm CT scan without contrast (shoulder to hand, any part) both sides CPT 73200 CT Upper Extremity wo Contrast Bilat	$374.34	$748.68	$192.38–$583.00	—	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity wo Contrast Left	$978.70	$1,957.40	$192.38–$978.70	29% below	50%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extremity wo Contrast Right	$978.70	$1,957.40	$192.38–$978.70	29% below	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient both sides CPT 73200 CT Upper Extremity wo Contrast Bilat	$374.34	$748.68	—	—	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity wo Contrast Left	$978.70	$1,957.40	—	—	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extremity wo Contrast Right	$978.70	$1,957.40	—	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 XR Esophagram Single Contrast Study	$521.27	$1,042.53	$55.49–$597.80	19% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 XR Esophagram Single Contrast Study	$521.27	$1,042.53	—	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM Bone Imaging WB Scan 1	$1,740.14	$3,480.28	$475.54–$2,247.56	10% above	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM Bone Imaging WB Scan 1	$1,740.14	$3,480.28	—	—	50%
Breast ultrasound, complete, one breast both sides CPT 76641 US Breast Bilateral Complete	$343.09	$686.17	$146.00–$357.70	—	50%
Breast ultrasound, complete, one breast CPT 76641 US Breast Screening Complete	$633.15	$1,266.30	$146.00–$633.15	95% above	50%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Left Complete	$525.50	$1,050.99	$146.00–$525.50	62% above	50%
Breast ultrasound, complete, one breast one side CPT 76641 US Breast Right Complete	$525.50	$1,050.99	$146.00–$525.50	62% above	50%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 US Breast Bilateral Complete	$343.09	$686.17	—	—	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US Breast Screening Complete	$633.15	$1,266.30	—	—	50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Left Complete	$525.50	$1,050.99	—	—	50%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 US Breast Right Complete	$525.50	$1,050.99	—	—	50%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 US Breast Bilateral Limited	$324.47	$648.93	$146.00–$324.47	—	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Left Limited	$726.33	$1,452.66	$146.00–$726.33	192% above	50%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 US Breast Right Limited	$726.33	$1,452.66	$146.00–$726.33	192% above	50%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 US Breast Bilateral Limited	$324.47	$648.93	—	—	50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Left Limited	$726.33	$1,452.66	—	—	50%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 US Breast Right Limited	$726.33	$1,452.66	—	—	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis	$2,240.72	$4,481.44	$466.00–$2,240.72	27% below	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA Abdomen Pelvis 74174	$2,240.72	$4,481.44	$466.00–$2,240.72	27% below	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis 74174	$2,240.72	$4,481.44	—	—	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA Abdomen Pelvis	$2,240.72	$4,481.44	—	—	50%
CT angiography (CTA) of the head CPT 70496 CTA Head Stroke Alert	$2,530.17	$5,060.33	$324.61–$2,530.17	20% above	50%
CT angiography (CTA) of the head CPT 70496 CTA Head w wo Contrast	$2,530.17	$5,060.33	$324.61–$2,530.17	20% above	50%
CT angiography (CTA) of the head CPT 70496 CTA Head w Contrast	$2,530.17	$5,060.33	$324.61–$2,530.17	20% above	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head w wo Contrast	$2,530.17	$5,060.33	—	—	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head Stroke Alert	$2,530.17	$5,060.33	—	—	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA Head w Contrast	$2,530.17	$5,060.33	—	—	50%
CT angiography (CTA) of the neck CPT 70498 CTA Neck w wo Contrast	$2,530.79	$5,061.57	$324.61–$2,530.79	5% above	50%
CT angiography (CTA) of the neck CPT 70498 CTA Neck w Contrast	$2,530.79	$5,061.57	$324.61–$2,530.79	5% above	50%
CT angiography (CTA) of the neck CPT 70498 CTA Neck Stroke Alert	$2,530.79	$5,061.57	$324.61–$2,530.79	5% above	50%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck Stroke Alert	$2,530.79	$5,061.57	—	—	50%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck w Contrast	$2,530.79	$5,061.57	—	—	50%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA Neck w wo Contrast	$2,530.79	$5,061.57	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest w Contrast	$1,814.49	$3,628.97	$324.61–$1,814.49	5% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest PE Protocol w Contrast	$1,814.49	$3,628.97	$324.61–$1,814.49	5% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest w wo Contrast	$1,814.49	$3,628.97	$324.61–$1,814.49	5% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA Chest 71275	$1,814.49	$3,628.97	$324.61–$1,814.49	5% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest 71275	$1,814.49	$3,628.97	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest w wo Contrast	$1,814.49	$3,628.97	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest w Contrast	$1,814.49	$3,628.97	—	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA Chest PE Protocol w Contrast	$1,814.49	$3,628.97	—	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA Heart w Contrast	$1,406.34	$2,812.67	$324.61–$1,406.34	2% above	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA Heart w Contrast	$1,406.34	$2,812.67	—	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT Calcium Scoring	$99.00	$198.00	$68.23–$583.00	42% below	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT Calcium Scoring	$99.00	$198.00	—	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen Pelvis wo IV Contrast	$1,950.70	$3,901.40	$420.34–$1,950.70	53% above	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen Pelvis wo IV Contrast	$1,950.70	$3,901.40	—	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis w IV Contrast	$2,345.89	$4,691.77	$466.00–$2,345.89	9% above	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography	$2,345.89	$4,691.77	$466.00–$2,345.89	9% above	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography	$2,345.89	$4,691.77	—	—	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis w IV Contrast	$2,345.89	$4,691.77	—	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis IVP w wo Contrast	$2,420.24	$4,840.48	$466.00–$2,420.24	15% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdomen Pelvis w wo IV Contrast	$2,420.24	$4,840.48	$466.00–$2,420.24	15% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis w wo IV Contrast	$2,420.24	$4,840.48	—	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdomen Pelvis IVP w wo Contrast	$2,420.24	$4,840.48	—	—	50%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen w IV Contrast	$1,366.58	$2,733.15	$324.61–$1,366.58	at median	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen w IV Contrast	$1,366.58	$2,733.15	—	—	50%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen wo IV Contrast	$1,286.78	$2,573.56	$192.38–$1,286.78	26% above	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen wo IV Contrast	$1,286.78	$2,573.56	—	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Sinuses wo Contrast	$941.16	$1,882.32	$192.38–$941.16	10% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial wo Contrast Ltmd	$1,708.09	$3,416.17	$192.38–$1,708.09	62% above	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial wo Contrast	$1,708.09	$3,416.17	$192.38–$1,708.09	62% above	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Sinuses wo Contrast	$941.16	$1,882.32	—	—	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial wo Contrast Ltmd	$1,708.09	$3,416.17	—	—	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial wo Contrast	$1,708.09	$3,416.17	—	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain wo Contrast	$958.85	$1,917.69	$192.38–$958.85	16% above	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert	$958.85	$1,917.69	$192.38–$958.85	16% above	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert	$958.85	$1,917.69	—	—	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain wo Contrast	$958.85	$1,917.69	—	—	50%
CT scan of the head with contrast CPT 70460 CT Head or Brain w Contrast	$1,708.09	$3,416.17	$324.61–$1,708.09	42% above	50%
CT scan of the head with contrast inpatient CPT 70460 CT Head or Brain w Contrast	$1,708.09	$3,416.17	—	—	50%
CT scan of the head without and with contrast CPT 70470 CT Head or Brain w wo Contrast	$2,516.52	$5,033.03	$324.61–$2,516.52	83% above	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head or Brain w wo Contrast	$2,516.52	$5,033.03	—	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Spine Lumbar wo Contrast	$1,708.09	$3,416.17	$192.38–$1,708.09	65% above	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Spine Lumbar wo Contrast	$1,708.09	$3,416.17	—	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Spine Cervical wo Contrast	$1,708.09	$3,416.17	$192.38–$1,708.09	63% above	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Spine Cervical wo Contrast	$1,708.09	$3,416.17	—	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis w IV Contrast	$608.12	$1,216.24	$324.61–$608.12	65% below	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis w IV Contrast	$608.12	$1,216.24	—	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 US Carotid Duplex Bilateral	$924.49	$1,848.98	$637.16–$1,194.07	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 CAC Carotid Duplex Bilateral	$924.49	$1,848.98	$637.16–$1,194.07	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 CAC Carotid Duplex Bilateral	$924.49	$1,848.98	—	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 US Carotid Duplex Bilateral	$924.49	$1,848.98	—	—	50%
Chest CT scan without and with contrast CPT 71270 CT Chest w wo Contrast	$3,335.31	$6,670.62	$324.61–$3,335.31	90% above	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT Chest w wo Contrast	$3,335.31	$6,670.62	—	—	50%
Chest X-ray, 2 views CPT 71046 XR Chest 2 Views	$328.03	$656.05	$20.26–$328.03	5% below	50%
Chest X-ray, 2 views inpatient CPT 71046 XR Chest 2 Views	$328.03	$656.05	—	—	50%
Chest X-ray, single view CPT 71045 XR Chest Portable 1 View	$306.72	$613.44	$16.97–$306.72	8% above	50%
Chest X-ray, single view CPT 71045 XR Chest 1 View	$306.74	$613.48	$16.97–$306.74	8% above	50%
Chest X-ray, single view inpatient CPT 71045 XR Chest Portable 1 View	$306.72	$613.44	—	—	50%
Chest X-ray, single view inpatient CPT 71045 XR Chest 1 View	$306.74	$613.48	—	—	50%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 XR Clavicle Bilateral	$309.36	$618.72	$15.71–$309.36	—	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Right	$271.05	$542.10	$15.71–$295.66	4% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 XR Clavicle Left	$271.05	$542.10	$15.71–$295.66	4% below	50%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 XR Clavicle Bilateral	$309.36	$618.72	—	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Right	$271.05	$542.10	—	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 XR Clavicle Left	$271.05	$542.10	—	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Retroperitoneal Complete	$1,113.17	$2,226.34	$146.00–$1,113.17	197% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US Renal with Doppler	$1,113.17	$2,226.34	$146.00–$1,113.17	197% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Retroperitoneal Complete	$1,113.17	$2,226.34	—	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US Renal with Doppler	$1,113.17	$2,226.34	—	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA Bone Density Hips/Spine	$386.86	$773.72	$18.26–$386.86	50% above	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA Bone Density Hips/Spine	$386.86	$773.72	—	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA Bone Density Wrist/Heel	$154.19	$308.38	$18.26–$295.66	21% below	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA Bone Density Wrist/Heel	$154.19	$308.38	—	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 US Pregnancy Complete with Detail	$745.81	$1,491.61	$146.00–$797.26	87% above	50%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ultrasound Detailed First Gestation Charge	$958.24	$1,916.48	$146.00–$958.24	140% above	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 US Pregnancy Complete with Detail	$745.81	$1,491.61	—	—	50%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Ultrasound Detailed First Gestation Charge	$958.24	$1,916.48	—	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest Low Dose Lung Diagnostic	$1,112.72	$2,225.43	$192.38–$1,112.72	21% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest wo Contrast	$2,066.78	$4,133.55	$192.38–$2,066.78	47% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Chest wo Contrast High Resolution	$2,066.84	$4,133.67	$192.38–$2,066.84	47% above	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest Low Dose Lung Diagnostic	$1,112.72	$2,225.43	—	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest wo Contrast	$2,066.78	$4,133.55	—	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Chest wo Contrast High Resolution	$2,066.84	$4,133.67	—	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Chest w Contrast	$1,303.45	$2,606.89	$324.61–$1,303.45	8% below	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Chest w Contrast	$1,303.45	$2,606.89	—	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 MA Digital Mammo Diag Bilat Augmented	$735.42	$1,470.83	$91.58–$735.42	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 MA Mammogram Digital Bilat Diagnostic	$735.42	$1,470.83	$91.58–$735.42	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Mammogram Digital Bilat Diagnostic	$735.42	$1,470.83	—	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MA Digital Mammo Diag Bilat Augmented	$735.42	$1,470.83	—	—	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Digital Diagnostic Left	$454.95	$909.89	$74.38–$454.95	12% above	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Digital Mammo Diagnostic Augmented RT	$454.95	$909.89	$74.38–$454.95	12% above	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Digital Mammo Diagnostic Augmented LT	$454.95	$909.89	$74.38–$454.95	12% above	50%
Diagnostic mammogram, one breast one side CPT 77065 MA Mammogram Digital Diagnostic Right	$454.95	$909.89	$74.38–$454.95	12% above	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Digital Mammo Diagnostic Augmented LT	$454.95	$909.89	—	—	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Digital Mammo Diagnostic Augmented RT	$454.95	$909.89	—	—	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammogram Digital Diagnostic Left	$454.95	$909.89	—	—	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MA Mammogram Digital Diagnostic Right	$454.95	$909.89	—	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 US LE Arterial Duplex Bilateral	$723.85	$1,447.70	$498.88–$1,028.00	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 US LE Arterial Duplex Bilateral	$723.85	$1,447.70	—	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Venous Duplex Bilateral	$1,029.71	$2,059.41	$709.67–$1,329.97	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US LE Doppler Vein Mapping Bilateral	$1,029.71	$2,059.41	$709.67–$1,329.97	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 US UE Doppler Vein Mapping Bilateral	$1,029.71	$2,059.41	$709.67–$1,329.97	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US UE Doppler Vein Mapping Bilateral	$1,029.71	$2,059.41	—	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Venous Duplex Bilateral	$1,029.71	$2,059.41	—	—	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 US LE Doppler Vein Mapping Bilateral	$1,029.71	$2,059.41	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transesophageal w/Bubbles 93312	$1,900.45	$3,800.90	$996.00–$1,900.45	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo w/ Bubble Procedure	$1,900.45	$3,800.90	$996.00–$1,900.45	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 BCE ONLY-CHRG - Echocardiogram-Echo w/ Doppler Complete 93306	$1,900.45	$3,800.90	$996.00–$1,900.45	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo w/ Doppler Complete 93306	$1,900.45	$3,800.90	$996.00–$1,900.45	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 CAC Echocardiogram- Transthoracic w/wo M-Modes recording	$1,900.45	$3,800.90	$1,309.79–$2,660.63	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echo Transthoracic 2D Complete 93306	$1,900.45	$3,800.90	$996.00–$1,900.45	3% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo w/ Doppler Complete 93306	$1,900.45	$3,800.90	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo w/ Bubble Procedure	$1,900.45	$3,800.90	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 CAC Echocardiogram- Transthoracic w/wo M-Modes recording	$1,900.45	$3,800.90	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transesophageal w/Bubbles 93312	$1,900.45	$3,800.90	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 BCE ONLY-CHRG - Echocardiogram-Echo w/ Doppler Complete 93306	$1,900.45	$3,800.90	—	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echo Transthoracic 2D Complete 93306	$1,900.45	$3,800.90	—	—	50%
Elbow X-ray, 2 views both sides CPT 73070 XR Elbow 2 Views Bilateral	$309.36	$618.72	$15.71–$309.36	—	50%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Left	$259.76	$519.51	$15.71–$295.66	9% below	50%
Elbow X-ray, 2 views one side CPT 73070 XR Elbow 2 Views Right	$259.76	$519.51	$15.71–$295.66	9% below	50%
Elbow X-ray, 2 views inpatient both sides CPT 73070 XR Elbow 2 Views Bilateral	$309.36	$618.72	—	—	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Left	$259.76	$519.51	—	—	50%
Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow 2 Views Right	$259.76	$519.51	—	—	50%
Elbow X-ray, complete, 3 or more views both sides CPT 73080 XR Elbow 3 or more Views Bilateral	$309.36	$618.72	$16.35–$309.36	—	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 or more Views Right	$326.55	$653.10	$16.35–$326.55	3% above	50%
Elbow X-ray, complete, 3 or more views one side CPT 73080 XR Elbow 3 or more Views Left	$326.55	$653.10	$16.35–$326.55	3% above	50%
Elbow X-ray, complete, 3 or more views inpatient both sides CPT 73080 XR Elbow 3 or more Views Bilateral	$309.36	$618.72	—	—	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 or more Views Right	$326.55	$653.10	—	—	50%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 XR Elbow 3 or more Views Left	$326.55	$653.10	—	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Posterior Fossa without Contrast	$695.50	$1,391.00	$192.38–$695.50	44% below	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Temporal Bones wo Contrast	$695.50	$1,391.00	$192.38–$695.50	44% below	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit without Contrast	$695.50	$1,391.00	$192.38–$695.50	44% below	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT IAC without Contrast	$695.50	$1,391.00	$192.38–$695.50	44% below	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Sella Turcica without Contrast	$695.50	$1,391.00	$192.38–$695.50	44% below	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Temporal Bones wo Contrast	$695.50	$1,391.00	—	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Sella Turcica without Contrast	$695.50	$1,391.00	—	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT IAC without Contrast	$695.50	$1,391.00	—	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit without Contrast	$695.50	$1,391.00	—	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Posterior Fossa without Contrast	$695.50	$1,391.00	—	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 XR Facial Bones Minimum 3 Views	$556.88	$1,113.75	$24.26–$556.88	36% above	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 XR Facial Bones Minimum 3 Views	$556.88	$1,113.75	—	—	50%
Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 XR Forearm 2 Views Bilateral	$309.36	$618.72	$14.97–$309.36	—	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Left	$282.76	$565.51	$14.97–$295.66	5% below	50%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 XR Forearm 2 Views Right	$282.76	$565.51	$14.97–$295.66	5% below	50%
Forearm X-ray (radius and ulna), 2 views inpatient both sides CPT 73090 XR Forearm 2 Views Bilateral	$309.36	$618.72	—	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Left	$282.76	$565.51	—	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 XR Forearm 2 Views Right	$282.76	$565.51	—	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 NM Hepatobiliary Imaging W GB (HIDA)Scan	$1,170.46	$2,340.92	$699.62–$1,511.77	6% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 NM Hepatobiliary Imaging W GB (HIDA)Scan	$1,170.46	$2,340.92	—	—	50%
Hand X-ray, 2 views both sides CPT 73120 XR Hand 2 Views Bilateral	$374.34	$748.68	$15.71–$374.34	—	50%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Left	$259.76	$519.51	$15.71–$357.70	21% below	50%
Hand X-ray, 2 views one side CPT 73120 XR Hand 2 Views Right	$259.76	$519.51	$15.71–$357.70	21% below	50%
Hand X-ray, 2 views inpatient both sides CPT 73120 XR Hand 2 Views Bilateral	$374.34	$748.68	—	—	50%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Left	$259.76	$519.51	—	—	50%
Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand 2 Views Right	$259.76	$519.51	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 XR Calcaneus Minimum 2 Views Bilateral	$309.36	$618.72	$14.97–$309.36	—	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Minimum 2 Views Left	$246.03	$492.06	$14.97–$295.66	18% below	50%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 XR Calcaneus Minimum 2 Views Right	$246.03	$492.06	$14.97–$295.66	18% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient both sides CPT 73650 XR Calcaneus Minimum 2 Views Bilateral	$309.36	$618.72	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Minimum 2 Views Right	$246.03	$492.06	—	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 XR Calcaneus Minimum 2 Views Left	$246.03	$492.06	—	—	50%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Home Sleep Testing	$1,498.00	$2,996.00	$661.00–$5,575.00	21% above	50%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Home Sleep Testing	$1,498.00	$2,996.00	—	—	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 Sleep Staging with Continuous Positive Airway; Age 6 years or older	$4,403.05	$8,806.09	$2,527.00–$5,575.00	17% below	50%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 Sleep Staging with Continuous Positive Airway; Age 6 years or older	$4,403.05	$8,806.09	—	—	50%
Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 views w Patella Bilateral	$309.36	$618.72	$17.71–$309.36	—	50%
Knee X-ray, 3 views both sides CPT 73562 XR Knee 3 Views Bilateral	$309.36	$618.72	$17.71–$309.36	—	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Right	$293.89	$587.78	$17.71–$295.66	5% below	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 views w Patella Left	$293.89	$587.78	$17.71–$295.66	5% below	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 views w Patella Right	$293.89	$587.78	$17.71–$295.66	5% below	50%
Knee X-ray, 3 views one side CPT 73562 XR Knee 3 Views Left	$293.89	$587.78	$17.71–$295.66	5% below	50%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 Views Bilateral	$309.36	$618.72	—	—	50%
Knee X-ray, 3 views inpatient both sides CPT 73562 XR Knee 3 views w Patella Bilateral	$309.36	$618.72	—	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 views w Patella Right	$293.89	$587.78	—	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 views w Patella Left	$293.89	$587.78	—	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Left	$293.89	$587.78	—	—	50%
Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee 3 Views Right	$293.89	$587.78	—	—	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 or more views Left	$336.44	$672.87	$21.71–$357.70	13% below	50%
Knee X-ray, complete, 4 or more views one side CPT 73564 XR Knee 4 or more views Right	$336.44	$672.87	$21.71–$357.70	13% below	50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 or more views Left	$336.44	$672.87	—	—	50%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 XR Knee 4 or more views Right	$336.44	$672.87	—	—	50%
Leg CT scan without contrast (hip to foot, any part) both sides CPT 73700 CT Lower Extremity wo Contrast Bilat	$374.34	$748.68	$192.38–$583.00	—	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity wo Contrast Left	$1,237.62	$2,475.24	$192.38–$1,237.62	19% above	50%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extremity wo Contrast Right	$1,237.62	$2,475.24	$192.38–$1,237.62	19% above	50%
Leg CT scan without contrast (hip to foot, any part) inpatient both sides CPT 73700 CT Lower Extremity wo Contrast Bilat	$374.34	$748.68	—	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity wo Contrast Right	$1,237.62	$2,475.24	—	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extremity wo Contrast Left	$1,237.62	$2,475.24	—	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdomen Limited	$707.14	$1,414.28	$146.00–$707.14	124% above	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdomen Limited	$707.14	$1,414.28	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Upper Extremity Joint Limited Bilat	$187.17	$374.34	$146.00–$357.70	—	50%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Upper Extremity Soft Tissue LTD Bilat	$187.17	$374.34	$146.00–$357.70	—	50%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Lower Extremity Joint Limited Bilat	$187.17	$374.34	$146.00–$357.70	—	50%
Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 US Lower Extremity Soft Tissue LTD Bilat	$187.17	$374.34	$146.00–$357.70	—	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Joint Limited Left	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Soft Tissue LTD Left	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Joint Limited Left	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Joint Limited Right	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Soft Tissue LTD Right	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Lower Extremity Joint Limited Right	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Soft Tissue LTD Right	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 US Upper Extremity Soft Tissue LTD Left	$334.33	$668.66	$146.00–$357.70	87% above	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Upper Extremity Soft Tissue LTD Bilat	$187.17	$374.34	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Upper Extremity Joint Limited Bilat	$187.17	$374.34	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Lower Extremity Soft Tissue LTD Bilat	$187.17	$374.34	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient both sides CPT 76882 US Lower Extremity Joint Limited Bilat	$187.17	$374.34	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Soft Tissue LTD Right	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Soft Tissue LTD Left	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Soft Tissue LTD Right	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Joint Limited Right	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Joint Limited Left	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Joint Limited Right	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Lower Extremity Soft Tissue LTD Left	$334.33	$668.66	—	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 US Upper Extremity Joint Limited Left	$334.33	$668.66	—	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT Chest Low Dose Lung Screening	$955.56	$1,911.11	$192.38–$955.56	41% above	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT Chest Low Dose Lung Screening	$955.56	$1,911.11	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 XR Tibia/Fibula 2 Views Bilateral	$309.36	$618.72	$14.97–$309.36	—	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2 Views Right	$303.14	$606.28	$14.97–$303.14	2% above	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR Tibia/Fibula 2 Views Left	$303.14	$606.28	$14.97–$303.14	2% above	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS LEFT	$303.14	$606.28	$14.97–$303.14	2% above	50%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS RIGHT	$303.14	$606.28	$14.97–$303.14	2% above	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient both sides CPT 73590 XR Tibia/Fibula 2 Views Bilateral	$309.36	$618.72	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula 2 Views Right	$303.14	$606.28	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS LEFT	$303.14	$606.28	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR Tibia/Fibula 2 Views Left	$303.14	$606.28	—	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 XR TIBIA/FIBULA 2 VIEWS RIGHT	$303.14	$606.28	—	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA Head wo Contrast	$1,635.55	$3,271.10	$420.34–$1,791.00	12% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRV Head wo Contrast	$1,635.55	$3,271.10	$420.34–$1,791.00	12% below	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Head wo Contrast	$1,635.55	$3,271.10	—	—	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA Head wo Contrast	$1,635.55	$3,271.10	—	—	50%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 MRI Breast w wo Contrast Bilat	$1,373.48	$2,746.95	$458.08–$1,791.00	—	50%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 MRI Breast w wo Contrast Bilat	$1,373.48	$2,746.95	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Ankle wo Contrast Bilateral	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Hip wo Contrast Bilateral	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Lower Ext Jnt wo Contrast Bilat	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of knee or other lower-limb joint, no contrast dye both sides CPT 73721 MRI Knee wo Contrast Bilateral	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee wo Contrast Right Visionaire	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hips wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee wo Contrast Left Visionaire	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Ext Jnt wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hips wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Lower Ext Jnt wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	35% above	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Ankle wo Contrast Bilateral	$834.24	$1,668.48	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Lower Ext Jnt wo Contrast Bilat	$834.24	$1,668.48	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Hip wo Contrast Bilateral	$834.24	$1,668.48	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient both sides CPT 73721 MRI Knee wo Contrast Bilateral	$834.24	$1,668.48	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Ext Jnt wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hips wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee wo Contrast Right Visionaire	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hips wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Lower Ext Jnt wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee wo Contrast Left Visionaire	$2,179.08	$4,358.15	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Lower Ext Jnt w wo Contrast Bilat	$1,309.29	$2,618.58	$663.17–$1,791.00	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Ankle w wo Contrast Bilateral	$1,309.29	$2,618.58	$663.17–$1,791.00	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Hip w wo Contrast Bilateral	$1,309.29	$2,618.58	$663.17–$1,791.00	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye both sides CPT 73723 MRI Knee w wo Contrast Bilateral	$1,309.29	$2,618.58	$663.17–$1,791.00	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w wo Contrast Left	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hips w wo Contrast Left	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w wo Contrast Right	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle w wo Contrast Left	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee w wo Contrast Right	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hips w wo Contrast Right	$1,780.57	$3,561.13	$663.17–$1,791.00	46% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Lower Ext Jnt w wo Contrast Bilat	$1,309.29	$2,618.58	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Knee w wo Contrast Bilateral	$1,309.29	$2,618.58	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Ankle w wo Contrast Bilateral	$1,309.29	$2,618.58	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient both sides CPT 73723 MRI Hip w wo Contrast Bilateral	$1,309.29	$2,618.58	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hips w wo Contrast Left	$1,780.57	$3,561.13	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hips w wo Contrast Right	$1,780.57	$3,561.13	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w wo Contrast Left	$1,780.57	$3,561.13	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w wo Contrast Right	$1,780.57	$3,561.13	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee w wo Contrast Right	$1,780.57	$3,561.13	—	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle w wo Contrast Left	$1,780.57	$3,561.13	—	—	50%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen Kidney wo Contrast	$1,463.20	$2,926.40	$420.34–$1,791.00	4% above	50%
MRI of the abdomen without contrast CPT 74181 MRI MRCP wo Contrast	$1,463.20	$2,926.40	$420.34–$1,791.00	4% above	50%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen wo Contrast	$1,471.86	$2,943.72	$420.34–$1,791.00	5% above	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen Kidney wo Contrast	$1,463.20	$2,926.40	—	—	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI MRCP wo Contrast	$1,463.20	$2,926.40	—	—	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen wo Contrast	$1,471.86	$2,943.72	—	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen Kidney w wo Contrast	$2,704.58	$5,409.16	$663.17–$2,704.58	4% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI Abdomen w wo Contrast	$2,704.58	$5,409.16	$663.17–$2,704.58	4% below	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI MRCP w wo Contrast	$2,704.58	$5,409.16	$663.17–$2,704.58	4% below	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen Kidney w wo Contrast	$2,704.58	$5,409.16	—	—	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI MRCP w wo Contrast	$2,704.58	$5,409.16	—	—	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI Abdomen w wo Contrast	$2,704.58	$5,409.16	—	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI Brain wo Contrast	$2,118.31	$4,236.62	$420.34–$2,118.31	43% above	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain wo Contrast	$2,118.31	$4,236.62	—	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI Brain w wo Contrast	$2,798.48	$5,596.95	$663.17–$2,798.48	12% above	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain w wo Contrast	$2,798.48	$5,596.95	—	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar wo Contrast	$2,180.42	$4,360.84	$420.34–$2,180.42	52% above	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar wo Contrast	$2,180.42	$4,360.84	—	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI Spine Lumbar w wo Contrast	$2,798.48	$5,596.95	$663.17–$2,798.48	11% above	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI Spine Lumbar w wo Contrast	$2,798.48	$5,596.95	—	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI Spine Thoracic wo Contrast	$2,180.42	$4,360.84	$420.34–$2,180.42	52% above	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI Spine Thoracic wo Contrast	$2,180.42	$4,360.84	—	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI Spine Cervical w wo Contrast	$2,798.48	$5,596.95	$663.17–$2,798.48	10% above	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI Spine Cervical w wo Contrast	$2,798.48	$5,596.95	—	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI Spine Cervical wo Contrast	$2,180.42	$4,360.84	$420.34–$2,180.42	52% above	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI Spine Cervical wo Contrast	$2,180.42	$4,360.84	—	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis Prostate w wo Contrast	$3,493.84	$6,987.68	$663.17–$3,493.84	24% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis Female w wo Contrast	$3,493.84	$6,987.68	$663.17–$3,493.84	24% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI Pelvis w wo Contrast	$3,493.84	$6,987.68	$663.17–$3,493.84	24% above	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis Prostate w wo Contrast	$3,493.84	$6,987.68	—	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis Female w wo Contrast	$3,493.84	$6,987.68	—	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI Pelvis w wo Contrast	$3,493.84	$6,987.68	—	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis Prostate wo Contrast	$1,602.84	$3,205.67	$420.34–$1,791.00	10% above	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis Female wo Contrast	$1,602.84	$3,205.67	$420.34–$1,791.00	10% above	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis wo Contrast	$1,602.84	$3,205.67	$420.34–$1,791.00	10% above	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis wo Contrast	$1,602.84	$3,205.67	—	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis Prostate wo Contrast	$1,602.84	$3,205.67	—	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis Female wo Contrast	$1,602.84	$3,205.67	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Wrist wo Contrast Bilateral	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Shoulder wo Contrast Bilat	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Upper Ext Jnt wo Contrast Bilat	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye both sides CPT 73221 MRI Elbow wo Contrast Bilateral	$834.24	$1,668.48	$420.34–$1,791.00	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Ext Jnt wo Contrast RT	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Upper Ext Jnt wo Contrast LT	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Shoulder wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Wrist wo Contrast Left	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 MRI Elbow wo Contrast Right	$2,179.08	$4,358.15	$420.34–$2,179.08	34% above	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Shoulder wo Contrast Bilat	$834.24	$1,668.48	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Upper Ext Jnt wo Contrast Bilat	$834.24	$1,668.48	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Wrist wo Contrast Bilateral	$834.24	$1,668.48	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient both sides CPT 73221 MRI Elbow wo Contrast Bilateral	$834.24	$1,668.48	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Wrist wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Shoulder wo Contrast Right	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Elbow wo Contrast Left	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Ext Jnt wo Contrast LT	$2,179.08	$4,358.15	—	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 MRI Upper Ext Jnt wo Contrast RT	$2,179.08	$4,358.15	—	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 XR Spine Cervical 4 or 5 Views	$379.42	$758.84	$25.62–$379.42	8% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 XR Spine Cervical 4 or 5 Views	$379.42	$758.84	—	—	50%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck w Contrast	$2,066.84	$4,133.67	$324.61–$2,066.84	36% above	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck w Contrast	$2,066.84	$4,133.67	—	—	50%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck wo Contrast	$1,708.09	$3,416.17	$192.38–$1,708.09	50% above	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck wo Contrast	$1,708.09	$3,416.17	—	—	50%
Neck soft tissue X-ray CPT 70360 XR Neck Soft Tissue	$237.17	$474.34	$16.97–$295.66	13% below	50%
Neck soft tissue X-ray inpatient CPT 70360 XR Neck Soft Tissue	$237.17	$474.34	—	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Thallium Viability Study Scan	$2,316.30	$4,632.60	$1,596.39–$3,190.00	34% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perf Multi Rest/Exercis Sc	$2,559.90	$5,119.79	$1,764.28–$3,306.36	27% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM Myocardial Perf Mult Rest/Pharm Scan	$2,559.90	$5,119.79	$1,764.28–$3,306.36	27% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 CAC Nuclear Stress Test	$3,508.83	$7,017.66	$2,389.09–$4,532.00	at median	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Thallium Viability Study Scan	$2,316.30	$4,632.60	—	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perf Mult Rest/Pharm Scan	$2,559.90	$5,119.79	—	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM Myocardial Perf Multi Rest/Exercis Sc	$2,559.90	$5,119.79	—	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 CAC Nuclear Stress Test	$3,508.83	$7,017.66	—	—	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT Skull to Thigh	$6,427.27	$12,854.54	$2,680.83–$8,301.46	11% below	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 PET/CT Tumor Skull-Base to Mid-Thigh	$6,427.27	$12,854.54	$2,680.83–$8,301.46	11% below	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT Skull to Thigh	$6,427.27	$12,854.54	—	—	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 PET/CT Tumor Skull-Base to Mid-Thigh	$6,427.27	$12,854.54	—	—	50%
Pelvic CT scan without contrast CPT 72192 CT Pelvis wo IV Contrast	$1,126.33	$2,252.66	$192.38–$1,126.33	9% above	50%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis wo IV Contrast	$1,126.33	$2,252.66	—	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvis Non OB Limited	$904.69	$1,809.38	$146.00–$904.69	275% above	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvis Non OB Limited	$904.69	$1,809.38	—	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US Pelvis Non OB Complete	$872.69	$1,745.37	$146.00–$872.69	151% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US Pelvis Non OB Complete	$872.69	$1,745.37	—	—	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Ultrasound Fetal First Trimester Charge	$503.18	$1,006.36	$146.00–$503.18	20% above	50%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB Complete 2nd/3rd Trimester	$553.65	$1,107.29	$146.00–$553.65	32% above	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Ultrasound Fetal First Trimester Charge	$503.18	$1,006.36	—	—	50%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB Complete 2nd/3rd Trimester	$553.65	$1,107.29	—	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 US OB 1st Trimester Transabdominal	$448.99	$897.97	$146.00–$448.99	34% above	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ultrasound First Trimester first Gestation Charge	$491.41	$982.81	$146.00–$491.41	46% above	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 US OB 1st Trimester Transabdominal	$448.99	$897.97	—	—	50%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Ultrasound First Trimester first Gestation Charge	$491.41	$982.81	—	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Limited ultrasound of pregnant uterus 76815	$186.53	$373.05	$142.69–$4,923.00	22% below	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited 1 Or More Fetus	$425.15	$850.29	$146.00–$425.15	78% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Fetal Limited Charge	$425.15	$850.29	$146.00–$425.15	78% above	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Limited ultrasound of pregnant uterus 76815	$186.53	$373.05	—	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Fetal Limited Charge	$425.15	$850.29	—	—	50%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited 1 Or More Fetus	$425.15	$850.29	—	—	50%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Left	$326.55	$653.10	$20.98–$326.55	at median	50%
Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs 2 Views Right	$326.55	$653.10	$20.98–$326.55	at median	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Left	$326.55	$653.10	—	—	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs 2 Views Right	$326.55	$653.10	—	—	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views Min w/ PA Chest Right	$355.08	$710.16	$24.91–$357.70	10% below	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 XR Ribs 3 Views Min w/ PA Chest Left	$355.08	$710.16	$24.91–$357.70	10% below	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views Min w/ PA Chest Right	$355.08	$710.16	—	—	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 XR Ribs 3 Views Min w/ PA Chest Left	$355.08	$710.16	—	—	50%
Screening mammogram, both breasts both sides CPT 77067 MA Mammogram Self Referred Bilat Screen	$502.20	$1,004.40	$70.47–$502.20	—	50%
Screening mammogram, both breasts CPT 77067 MA Mammogram Digital Screen	$502.20	$1,004.40	$70.47–$502.20	62% above	50%
Screening mammogram, both breasts inpatient both sides CPT 77067 MA Mammogram Self Referred Bilat Screen	$502.20	$1,004.40	—	—	50%
Screening mammogram, both breasts inpatient CPT 77067 MA Mammogram Digital Screen	$502.20	$1,004.40	—	—	50%
Shoulder X-ray, complete, 2 or more views both sides CPT 73030 XR Shoulder Complete Bilateral	$309.36	$618.72	$17.71–$309.36	—	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Right	$307.47	$614.94	$17.71–$307.47	4% above	50%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 XR Shoulder Complete Left	$307.47	$614.94	$17.71–$307.47	4% above	50%
Shoulder X-ray, complete, 2 or more views inpatient both sides CPT 73030 XR Shoulder Complete Bilateral	$309.36	$618.72	—	—	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Right	$307.47	$614.94	—	—	50%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 XR Shoulder Complete Left	$307.47	$614.94	—	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 XR Sinuses Paranasal Complete Min 3 Vws	$556.88	$1,113.75	$20.26–$556.88	42% above	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 XR Sinuses Paranasal Complete Min 3 Vws	$556.88	$1,113.75	—	—	50%
Skull X-ray, fewer than 4 views CPT 70250 XR Skull < 4 Views	$326.55	$653.10	$16.97–$357.70	8% below	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 XR Skull < 4 Views	$326.55	$653.10	—	—	50%
Sleep study in a lab (polysomnography) CPT 95810 Polysomnography 6+ hours; age 6 years or older	$3,798.26	$7,596.51	$2,527.00–$5,575.00	28% below	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 Polysomnography 6+ hours; age 6 years or older	$3,798.26	$7,596.51	—	—	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echo Transthoracic Rest + Stress w/Supervision 93351	$857.01	$1,714.01	$590.65–$1,794.94	22% below	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress Echocardiogram w/Supervision 93351	$857.01	$1,714.01	$590.65–$1,794.94	22% below	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 BCE ONLY-CHRG - Echo /Stress Test-Stress Echocardiogram w/Supervision 93351	$857.01	$1,714.01	$590.65–$1,794.94	22% below	50%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 CAC Echocardiography transthoracic with stress test	$857.01	$1,714.01	$590.65–$1,794.94	22% below	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 CAC Echocardiography transthoracic with stress test	$857.01	$1,714.01	—	—	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echo Transthoracic Rest + Stress w/Supervision 93351	$857.01	$1,714.01	—	—	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 BCE ONLY-CHRG - Echo /Stress Test-Stress Echocardiogram w/Supervision 93351	$857.01	$1,714.01	—	—	50%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Stress Echocardiogram w/Supervision 93351	$857.01	$1,714.01	—	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 XR Modified Barium Swallow w/Speech	$505.92	$1,011.83	$48.85–$597.80	16% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 XR Modified Barium Swallow w/Speech	$505.92	$1,011.83	—	—	50%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur Minimum 2 Views Bilateral	$309.36	$618.72	$16.97–$309.36	—	50%
Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 XR Femur Bilateral	$340.75	$681.49	$16.97–$340.75	—	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Right	$310.53	$621.05	$16.97–$310.53	at median	50%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 XR Femur Minimum 2 Views Left	$310.53	$621.05	$16.97–$310.53	at median	50%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur Minimum 2 Views Bilateral	$309.36	$618.72	—	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient both sides CPT 73552 XR Femur Bilateral	$340.75	$681.49	—	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Left	$310.53	$621.05	—	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 XR Femur Minimum 2 Views Right	$310.53	$621.05	—	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Spine Thoracic wo Contrast	$2,612.88	$5,225.76	$192.38–$2,612.88	151% above	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Spine Thoracic wo Contrast	$2,612.88	$5,225.76	—	—	50%
Toe X-ray, 2 or more views both sides CPT 73660 XR Toe(s) Minimum 2 View Bilateral	$309.36	$618.72	$12.35–$309.36	—	50%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Minimum 2 Views Right	$240.70	$481.39	$12.35–$295.66	12% below	50%
Toe X-ray, 2 or more views one side CPT 73660 XR Toe(s) Minimum 2 Views Left	$240.70	$481.39	$12.35–$295.66	12% below	50%
Toe X-ray, 2 or more views inpatient both sides CPT 73660 XR Toe(s) Minimum 2 View Bilateral	$309.36	$618.72	—	—	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Minimum 2 Views Right	$240.70	$481.39	—	—	50%
Toe X-ray, 2 or more views inpatient one side CPT 73660 XR Toe(s) Minimum 2 Views Left	$240.70	$481.39	—	—	50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB	$1,001.23	$2,002.45	$146.00–$1,001.23	142% above	50%
Transvaginal pelvic ultrasound CPT 76830 US Transvaginal w Doppler	$1,001.23	$2,002.45	$146.00–$1,001.23	142% above	50%
Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB	$1,001.23	$2,002.45	$146.00–$1,001.23	142% above	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal w Doppler	$1,001.23	$2,002.45	—	—	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB	$1,001.23	$2,002.45	—	—	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB	$1,001.23	$2,002.45	—	—	50%
Transvaginal ultrasound during pregnancy CPT 76817 US TRANSVAGINAL OB	$519.66	$1,039.32	$146.00–$519.66	91% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal w/ Doppler	$519.66	$1,039.32	$146.00–$519.66	91% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 US Pregnancy Transvaginal	$519.66	$1,039.32	$146.00–$519.66	91% above	50%
Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal Ultrasound Charge	$1,153.74	$2,307.47	$146.00–$1,153.74	324% above	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US TRANSVAGINAL OB	$519.66	$1,039.32	—	—	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal	$519.66	$1,039.32	—	—	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 US Pregnancy Transvaginal w/ Doppler	$519.66	$1,039.32	—	—	50%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal Ultrasound Charge	$1,153.74	$2,307.47	—	—	50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete	$1,028.91	$2,057.81	$146.00–$1,028.91	165% above	50%
Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete w Doppler	$1,028.91	$2,057.81	$146.00–$1,028.91	165% above	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete w Doppler	$1,028.91	$2,057.81	—	—	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete	$1,028.91	$2,057.81	—	—	50%
Ultrasound of the scrotum and testicles CPT 76870 US Scrotum (Contents)	$690.20	$1,380.39	$146.00–$690.20	90% above	50%
Ultrasound of the scrotum and testicles CPT 76870 US Testicular w Doppler	$723.61	$1,447.22	$146.00–$723.61	99% above	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Scrotum (Contents)	$690.20	$1,380.39	—	—	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US Testicular w Doppler	$723.61	$1,447.22	—	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US Head Neck Soft Tissue	$620.79	$1,241.57	$146.00–$620.79	53% above	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US Head Neck Soft Tissue	$620.79	$1,241.57	—	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 XR Upper GI Single Contrast	$516.41	$1,032.82	$74.47–$597.80	28% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 XR Upper GI Single Contrast	$516.41	$1,032.82	—	—	50%
Upper arm X-ray (humerus), 2 views both sides CPT 73060 XR Humerus Minimum 2 Views Bilateral	$309.36	$618.72	$14.97–$309.36	—	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Minimum 2 Views Left	$328.13	$656.25	$14.97–$328.13	3% above	50%
Upper arm X-ray (humerus), 2 views one side CPT 73060 XR Humerus Minimum 2 Views Right	$328.13	$656.25	$14.97–$328.13	3% above	50%
Upper arm X-ray (humerus), 2 views inpatient both sides CPT 73060 XR Humerus Minimum 2 Views Bilateral	$309.36	$618.72	—	—	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Minimum 2 Views Right	$328.13	$656.25	—	—	50%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 XR Humerus Minimum 2 Views Left	$328.13	$656.25	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Doppler Vein Mapping Left	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Left	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Venous Duplex Right	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US UE Doppler Vein Mapping Right	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Right	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Doppler Vein Mapping Right	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Doppler Vein Mapping Left	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 US LE Venous Duplex Left	$851.43	$1,702.85	$586.80–$1,099.70	16% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Left	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Left	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Venous Duplex Right	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Doppler Vein Mapping Right	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Doppler Vein Mapping Right	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Venous Duplex Right	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US LE Doppler Vein Mapping Left	$851.43	$1,702.85	—	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 US UE Doppler Vein Mapping Left	$851.43	$1,702.85	—	—	50%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Right	$259.76	$519.51	$15.71–$295.66	9% below	50%
Wrist X-ray, 2 views one side CPT 73100 XR Wrist 2 Views Left	$259.76	$519.51	$15.71–$295.66	9% below	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Right	$259.76	$519.51	—	—	50%
Wrist X-ray, 2 views inpatient one side CPT 73100 XR Wrist 2 Views Left	$259.76	$519.51	—	—	50%
Wrist X-ray, complete, 3 or more views both sides CPT 73110 XR Wrist 3 or more Views Bilateral	$309.36	$618.72	$16.35–$309.36	—	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 or more Views Left	$326.55	$653.10	$16.35–$326.55	3% above	50%
Wrist X-ray, complete, 3 or more views one side CPT 73110 XR Wrist 3 or more Views Right	$326.55	$653.10	$16.35–$326.55	3% above	50%
Wrist X-ray, complete, 3 or more views inpatient both sides CPT 73110 XR Wrist 3 or more Views Bilateral	$309.36	$618.72	—	—	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 or more Views Left	$326.55	$653.10	—	—	50%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 XR Wrist 3 or more Views Right	$326.55	$653.10	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip w Pelvis 3 views Left	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 views Right	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip w Pelvis 3 views Right	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip 2 views Left	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip + Pelvis 2 or 3 Views Right	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 XR Hip + Pelvis 2 or 3 Views Left	$374.43	$748.85	$20.98–$374.43	2% above	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip w Pelvis 3 views Left	$374.43	$748.85	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip + Pelvis 2 or 3 Views Right	$374.43	$748.85	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip + Pelvis 2 or 3 Views Left	$374.43	$748.85	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip w Pelvis 3 views Right	$374.43	$748.85	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2 views Right	$374.43	$748.85	—	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 XR Hip 2 views Left	$374.43	$748.85	—	—	50%
X-ray of the abdomen, 1 view CPT 74018 XR Abdomen 1 View	$326.55	$653.10	$16.97–$326.55	14% above	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 XR Abdomen 1 View	$326.55	$653.10	—	—	50%
X-ray of the ankle, 2 views both sides CPT 73600 XR Ankle 2 Views Bilateral	$309.36	$618.72	$14.97–$309.36	—	50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Left	$259.76	$519.51	$14.97–$295.66	4% below	50%
X-ray of the ankle, 2 views one side CPT 73600 XR Ankle 2 Views Right	$259.76	$519.51	$14.97–$295.66	4% below	50%
X-ray of the ankle, 2 views inpatient both sides CPT 73600 XR Ankle 2 Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Left	$259.76	$519.51	—	—	50%
X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle 2 Views Right	$259.76	$519.51	—	—	50%
X-ray of the finger(s), 2 or more views both sides CPT 73140 XR Finger(s) Minimum 2 Views Bilateral	$309.36	$618.72	$13.07–$309.36	—	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) Minimum 2 Views Right	$238.74	$477.47	$13.07–$295.66	13% below	50%
X-ray of the finger(s), 2 or more views one side CPT 73140 XR Finger(s) Minimum 2 Views Left	$238.74	$477.47	$13.07–$295.66	13% below	50%
X-ray of the finger(s), 2 or more views inpatient both sides CPT 73140 XR Finger(s) Minimum 2 Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) Minimum 2 Views Right	$238.74	$477.47	—	—	50%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 XR Finger(s) Minimum 2 Views Left	$238.74	$477.47	—	—	50%
X-ray of the foot, 2 views both sides CPT 73620 XR Foot 2 Views Bilateral	$309.36	$618.72	$14.26–$309.36	—	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot Standing 2 Views Right	$259.76	$519.51	$14.26–$295.66	1% above	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot Standing 2 Views Left	$259.76	$519.51	$14.26–$295.66	1% above	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Left	$259.76	$519.51	$14.26–$295.66	1% above	50%
X-ray of the foot, 2 views one side CPT 73620 XR Foot 2 Views Right	$259.76	$519.51	$14.26–$295.66	1% above	50%
X-ray of the foot, 2 views inpatient both sides CPT 73620 XR Foot 2 Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot Standing 2 Views Right	$259.76	$519.51	—	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Right	$259.76	$519.51	—	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot 2 Views Left	$259.76	$519.51	—	—	50%
X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot Standing 2 Views Left	$259.76	$519.51	—	—	50%
X-ray of the foot, complete, 3 or more views both sides CPT 73630 XR Foot 3 or more Views Bilateral	$309.36	$618.72	$15.62–$309.36	—	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 or more Views Left	$326.55	$653.10	$15.62–$326.55	9% above	50%
X-ray of the foot, complete, 3 or more views one side CPT 73630 XR Foot 3 or more Views Right	$326.55	$653.10	$15.62–$326.55	9% above	50%
X-ray of the foot, complete, 3 or more views inpatient both sides CPT 73630 XR Foot 3 or more Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 or more Views Right	$326.55	$653.10	—	—	50%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 XR Foot 3 or more Views Left	$326.55	$653.10	—	—	50%
X-ray of the hand, 3 or more views both sides CPT 73130 XR Hand 3 or more Views Bilateral	$309.36	$618.72	$16.35–$309.36	—	50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 or more Views Left	$283.37	$566.74	$16.35–$295.66	20% below	50%
X-ray of the hand, 3 or more views one side CPT 73130 XR Hand 3 or more Views Right	$326.55	$653.10	$16.35–$326.55	8% below	50%
X-ray of the hand, 3 or more views inpatient both sides CPT 73130 XR Hand 3 or more Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 or more Views Left	$283.37	$566.74	—	—	50%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 XR Hand 3 or more Views Right	$326.55	$653.10	—	—	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee One View Bilat (Please Specify)	$309.36	$618.72	$15.71–$309.36	—	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee One or Two Views Bilateral	$309.36	$618.72	$15.71–$309.36	—	50%
X-ray of the knee, 1 or 2 views both sides CPT 73560 XR Knee Standing 2 Views Bilateral	$309.36	$618.72	$15.71–$309.36	—	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee Standing 2 Views Left	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee One or Two Views Left	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee One or Two Views Right	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views one side CPT 73560 XR Knee Standing 2 Views Right	$259.76	$519.51	$15.71–$295.66	13% below	50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee One or Two Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee Standing 2 Views Bilateral	$309.36	$618.72	—	—	50%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 XR Knee One View Bilat (Please Specify)	$309.36	$618.72	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee Standing 2 Views Right	$259.76	$519.51	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS LEFT	$259.76	$519.51	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee Standing 2 Views Left	$259.76	$519.51	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee One or Two Views Right	$259.76	$519.51	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR Knee One or Two Views Left	$259.76	$519.51	—	—	50%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 XR KNEE ONE OR TWO VIEWS RIGHT	$259.76	$519.51	—	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$333.89	$667.77	$20.98–$357.70	13% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 XR Spine Lumbosacral 2 or 3 Views	$333.89	$667.77	—	—	50%
X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 Views	$552.70	$1,105.40	$24.98–$552.70	15% above	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 Views	$552.70	$1,105.40	—	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR Spine Thoracic 2 Views	$296.91	$593.82	$18.98–$357.70	14% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR Spine Thoracic 2 Views	$296.91	$593.82	—	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 XR Nasal Bones Minimum 3 Views	$288.04	$576.07	$16.35–$295.66	1% above	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 XR Nasal Bones Minimum 3 Views	$288.04	$576.07	—	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical 2 or 3 Views	$326.55	$653.10	$20.98–$326.55	1% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 XR Spine Cervical w/ Flext and/or Ext	$337.32	$674.64	$20.98–$337.32	2% above	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical 2 or 3 Views	$326.55	$653.10	—	—	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 XR Spine Cervical w/ Flext and/or Ext	$337.32	$674.64	—	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 XR Pelvis 1 or 2 Views	$326.55	$653.10	$16.35–$357.70	6% above	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 XR Pelvis 1 or 2 Views	$326.55	$653.10	—	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 XR Sacrum/Coccyx Minimum 2 Views	$324.13	$648.25	$16.35–$324.13	at median	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 XR Sacrum/Coccyx Minimum 2 Views	$324.13	$648.25	—	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Hormone (SO)	$165.38	$330.75	$38.62–$165.38	21% below	50%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Hormone (SO)	$165.38	$330.75	—	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT (SO)	$13.23	$26.46	$5.30–$13.23	53% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine Aminotransferase	$22.63	$45.25	$5.30–$22.63	20% below	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT (SO)	$13.23	$26.46	—	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alanine Aminotransferase	$22.63	$45.25	—	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 Aspartate Aminotransferase	$23.01	$46.01	$5.18–$23.01	17% below	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Aspartate Aminotransferase	$23.01	$46.01	—	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$212.75	$425.50	$47.63–$212.75	15% below	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$212.75	$425.50	—	—	50%
Albumin blood test CPT 82040 CSF/Serum IgG Synthesis & Index (SO)	$29.09	$58.18	$4.95–$29.09	2% below	50%
Albumin blood test CPT 82040 Albumin Level	$29.09	$58.18	$4.95–$29.09	2% below	50%
Albumin blood test CPT 82040 Testosterone Free & Total 82040	$37.50	$75.00	$4.95–$37.50	27% above	50%
Albumin blood test CPT 82040 Lyme Ab Index CSF/Serum (SO)	$157.50	$315.00	$4.95–$157.50	433% above	50%
Albumin blood test inpatient CPT 82040 Albumin Level	$29.09	$58.18	—	—	50%
Albumin blood test inpatient CPT 82040 CSF/Serum IgG Synthesis & Index (SO)	$29.09	$58.18	—	—	50%
Albumin blood test inpatient CPT 82040 Testosterone Free & Total 82040	$37.50	$75.00	—	—	50%
Albumin blood test inpatient CPT 82040 Lyme Ab Index CSF/Serum (SO)	$157.50	$315.00	—	—	50%
Aldosterone blood test CPT 82088 Aldosterone/Renin Activity Ratio (SO)	$173.08	$346.16	$40.75–$173.08	7% below	50%
Aldosterone blood test CPT 82088 Aldosterone LC/MS/MS (SO)	$173.08	$346.16	$40.75–$173.08	7% below	50%
Aldosterone blood test inpatient CPT 82088 Aldosterone/Renin Activity Ratio (SO)	$173.08	$346.16	—	—	50%
Aldosterone blood test inpatient CPT 82088 Aldosterone LC/MS/MS (SO)	$173.08	$346.16	—	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Fractionated	$9.76	$19.51	$5.18–$12.43	64% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKP (SO)	$13.23	$26.46	$5.18–$13.23	51% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase	$43.38	$86.75	$5.18–$43.38	61% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Bone Specific (SO)	$43.38	$86.75	$5.18–$43.38	61% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline Phosphatase Fractionated (SO)	$43.38	$86.75	$5.18–$43.38	61% above	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase Fractionated	$9.76	$19.51	—	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKP (SO)	$13.23	$26.46	—	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase	$43.38	$86.75	—	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase Fractionated (SO)	$43.38	$86.75	—	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline Phosphatase Bone Specific (SO)	$43.38	$86.75	—	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Adult Food Allergy Profile (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sting Insect Allergy Panel add-on	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Sting Insect Allergy Panel (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region 1 12/1/19 (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region 1 (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Grasses Allergy Panel Region 1 (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Peanut IgE (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Grasses Allergy Panel Region 1 add-on	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Gluten IgE (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Latex IgE Ab (SO)	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Respiratory Allergy Profile Region 1 add-on	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific IgE 86003	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Adult Food Allergy Profile add-on	$22.45	$44.90	$5.22–$22.45	16% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific IgE 86003	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sting Insect Allergy Panel (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Sting Insect Allergy Panel add-on	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Gluten IgE (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Latex IgE Ab (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grasses Allergy Panel Region 1 (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Allergy Profile Region 1 12/1/19 (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grasses Allergy Panel Region 1 add-on	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Peanut IgE (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Allergy Profile Region 1 (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Respiratory Allergy Profile Region 1 add-on	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Adult Food Allergy Profile (SO)	$22.45	$44.90	—	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Adult Food Allergy Profile add-on	$22.45	$44.90	—	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Maternal Serum AFP (SO)	$89.15	$178.29	$16.77–$89.15	20% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein Tumor Marker (SO)	$89.15	$178.29	$16.77–$89.15	20% above	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Maternal Serum AFP (SO)	$89.15	$178.29	—	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein Tumor Marker (SO)	$89.15	$178.29	—	—	50%
Ammonia blood test CPT 82140 Ammonia Level	$61.95	$123.89	$14.57–$61.95	18% below	50%
Ammonia blood test inpatient CPT 82140 Ammonia Level	$61.95	$123.89	—	—	50%
Amylase blood test CPT 82150 Amylase Body Fluid	$31.00	$62.00	$6.48–$31.00	34% below	50%
Amylase blood test CPT 82150 Amylase	$31.00	$62.00	$6.48–$31.00	34% below	50%
Amylase blood test inpatient CPT 82150 Amylase Body Fluid	$31.00	$62.00	—	—	50%
Amylase blood test inpatient CPT 82150 Amylase	$31.00	$62.00	—	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP IgG (SO)	$62.78	$125.56	$12.95–$62.78	72% above	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP IgG (SO)	$62.78	$125.56	—	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear Antibody Screen	$73.01	$146.02	$12.09–$73.01	124% above	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Antinuclear Antibody Screen	$73.01	$146.02	—	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP NT-pro	$141.62	$283.23	$39.26–$141.62	5% below	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP (SO)	$580.50	$1,161.00	$39.26–$580.50	289% above	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP NT-pro	$141.62	$283.23	—	—	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP (SO)	$580.50	$1,161.00	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Body Fluid Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound (Aerobic-Anaerobic) Deep	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Tissue Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Wound (Aerobic) Superficial	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Genital Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Nasal Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Throat all pathogens	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Cerebrospinal Fluid Culture	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Environmental	$48.32	$96.63	$8.62–$48.32	6% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Tissue Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Nasal Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Genital Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Environmental	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Wound (Aerobic) Superficial	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Body Fluid Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Wound (Aerobic-Anaerobic) Deep	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Cerebrospinal Fluid Culture	$48.32	$96.63	—	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Throat all pathogens	$48.32	$96.63	—	—	50%
Basic metabolic panel (blood test) CPT 80048 BMP SO	$18.14	$36.27	$8.46–$20.31	89% below	50%
Basic metabolic panel (blood test) CPT 80048 BMP	$94.79	$189.58	$8.46–$94.79	45% below	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP SO	$18.14	$36.27	—	—	50%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$94.79	$189.58	—	—	50%
Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid	$26.21	$52.41	$5.02–$26.21	13% below	50%
Bilirubin blood test, total CPT 82247 Bilirubin Total 83001214	$26.21	$52.41	$5.02–$26.21	13% below	50%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$26.21	$52.41	$5.02–$26.21	13% below	50%
Bilirubin blood test, total CPT 82247 Bilirubin Body Fluid (SO)	$50.15	$100.30	$5.02–$50.15	67% above	50%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid	$26.21	$52.41	—	—	50%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total 83001214	$26.21	$52.41	—	—	50%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$26.21	$52.41	—	—	50%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Body Fluid (SO)	$50.15	$100.30	—	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Billing Surgical Pathology Level IV Complexity	$206.12	$412.23	$53.20–$206.12	6% below	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Billing Surgical Pathology Level IV Complexity	$206.12	$412.23	—	—	50%
Blood culture for bacteria CPT 87040 Blood Culture	$61.81	$123.62	$10.32–$61.81	9% below	50%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$61.81	$123.62	—	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 O/P VENIPUNCTURE ROUTINE	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LabOne Add'l Ven	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Fee	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Draw	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LabOne Ven Chrg	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 COLLECTION: Venous Draw	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Client Outpt Venous	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE OR FINGER/HEEL/EAR STICK	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Quest Venipuncture Fee	$23.73	$47.45	$8.83–$23.73	58% above	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Yes	$146.99	$293.97	$8.83–$146.99	880% above	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Fee	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LabOne Ven Chrg	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 COLLECTION: Venous Draw	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Client Outpt Venous	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Draw	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LabOne Add'l Ven	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Quest Venipuncture Fee	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE OR FINGER/HEEL/EAR STICK	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 O/P VENIPUNCTURE ROUTINE	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$23.73	$47.45	—	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Yes	$146.99	$293.97	—	—	50%
Blood glucose (sugar) test CPT 82947 I Stat Glucose 84400226	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Reagent Strip Test	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 .Glucose 0 Hour	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 Glucose POC	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 i-Stat Glucose	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Random	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 Glucose Fasting	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test CPT 82947 Glucose 2 Hour Post Prandial	$22.69	$45.37	$3.93–$22.69	3% below	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Random	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 .Glucose 0 Hour	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Reagent Strip Test	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose 2 Hour Post Prandial	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Fasting	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 i-Stat Glucose	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 Glucose POC	$22.69	$45.37	—	—	50%
Blood glucose (sugar) test inpatient CPT 82947 I Stat Glucose 84400226	$22.69	$45.37	—	—	50%
Blood lead test CPT 83655 Lead Blood (SO)	$18.17	$36.33	$12.11–$29.07	59% below	50%
Blood lead test CPT 83655 Lead Capillary (SO)	$18.17	$36.33	$12.11–$29.07	59% below	50%
Blood lead test inpatient CPT 83655 Lead Capillary (SO)	$18.17	$36.33	—	—	50%
Blood lead test inpatient CPT 83655 Lead Blood (SO)	$18.17	$36.33	—	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 .DrawStation hCG Qualitative Urine	$41.27	$82.54	$7.52–$41.27	25% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Human Chorionic Gonadotropin Qualitative	$41.27	$82.54	$7.52–$41.27	25% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 .DrawStation hCG Qualitative Urine	$41.27	$82.54	—	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Human Chorionic Gonadotropin Qualitative	$41.27	$82.54	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORh Interpretation	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO/Rh Interpretation	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Ref-ABORh	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORh Interpretation.	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORh Newborn	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABORh Recheck Pt. Specimen Interp.	$198.14	$396.27	$3.59–$309.41	726% above	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORh Newborn	$198.14	$396.27	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Ref-ABORh	$198.14	$396.27	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORh Interpretation.	$198.14	$396.27	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORh Interpretation	$198.14	$396.27	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO/Rh Interpretation	$198.14	$396.27	—	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABORh Recheck Pt. Specimen Interp.	$198.14	$396.27	—	—	50%
Blood urea nitrogen (BUN) test CPT 84520 Blood Urea Nitrogen	$21.63	$43.25	$3.95–$21.63	10% below	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Blood Urea Nitrogen	$21.63	$43.25	—	—	50%
C-peptide blood test CPT 84681 C-Peptide (SO)	$99.50	$199.00	$20.81–$99.50	2% above	50%
C-peptide blood test inpatient CPT 84681 C-Peptide (SO)	$99.50	$199.00	—	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein Inflammatory	$39.63	$79.26	$5.18–$39.63	8% below	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein Inflammatory	$39.63	$79.26	—	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 CDAB	$121.63	$243.26	$37.27–$121.63	17% below	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 CDAB	$121.63	$243.26	—	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9 (SO)	$89.13	$178.25	$20.81–$89.13	11% below	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9 (SO)	$89.13	$178.25	—	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125 (SO)	$93.38	$186.75	$20.81–$93.38	27% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125 (SO)	$93.38	$186.75	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV 2 RNA COVID-19 NAAT (SO)	$117.88	$235.75	$51.31–$123.16	4% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARS CoV 2 Aptima	$117.88	$235.75	$51.31–$123.16	4% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 RNA PCR Amplification	$117.88	$235.75	$51.31–$123.16	4% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVNasal	$117.88	$235.75	$51.31–$123.16	4% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) one side CPT 87635 zzSARS Coronavirus W/CoV-2 RNA QL RT-PCR (SO)	$103.50	$207.00	$51.31–$123.16	16% below	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 RNA PCR Amplification	$117.88	$235.75	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV 2 Aptima	$117.88	$235.75	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARS CoV 2 RNA COVID-19 NAAT (SO)	$117.88	$235.75	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVNasal	$117.88	$235.75	—	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient one side CPT 87635 zzSARS Coronavirus W/CoV-2 RNA QL RT-PCR (SO)	$103.50	$207.00	—	—	50%
Calcium blood test, total CPT 82310 Calcium Level Total	$24.86	$49.72	$5.16–$24.86	11% below	50%
Calcium blood test, total CPT 82310 Calcium Level Urine Random with Creat	$24.86	$49.72	$5.16–$24.86	11% below	50%
Calcium blood test, total inpatient CPT 82310 Calcium Level Urine Random with Creat	$24.86	$49.72	—	—	50%
Calcium blood test, total inpatient CPT 82310 Calcium Level Total	$24.86	$49.72	—	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (SO)	$95.19	$190.38	$18.96–$95.19	1% above	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (SO)	$95.19	$190.38	—	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Zoster IgG Titer (SO)	$55.63	$111.25	$12.88–$55.63	14% below	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Zoster IgG Titer (SO)	$55.63	$111.25	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia-GC RNA TMA Throat (SO)	$26.25	$52.50	$26.25–$84.23	76% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia-GC RNA TMA Rectal (SO)	$26.25	$52.50	$26.25–$84.23	76% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Pathology Billing Cyto for Chlamydia by PCR	$150.00	$299.99	$35.09–$150.00	39% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia trachomatis by DNA Amplification (SO)	$150.00	$299.99	$35.09–$150.00	39% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlamydia/GC RNA APTIMA (SO)	$234.05	$468.09	$35.09–$234.05	118% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia-GC RNA TMA Rectal (SO)	$26.25	$52.50	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia-GC RNA TMA Throat (SO)	$26.25	$52.50	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia trachomatis by DNA Amplification (SO)	$150.00	$299.99	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Pathology Billing Cyto for Chlamydia by PCR	$150.00	$299.99	—	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chlamydia/GC RNA APTIMA (SO)	$234.05	$468.09	—	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Cardio IQ-Advanced Lipid Panel w/ Inflammation (SO)	$78.39	$156.78	$13.39–$78.39	12% below	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel	$78.39	$156.78	$13.39–$78.39	12% below	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Cardio IQ-Advanced Lipid Panel w/ Inflammation (SO)	$78.39	$156.78	—	—	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel	$78.39	$156.78	—	—	50%
Complete blood count (CBC) with differential CPT 85025 M CBCA	$34.76	$69.52	$7.77–$34.76	16% below	50%
Complete blood count (CBC) with differential CPT 85025 CBC with Automated Differential	$34.76	$69.52	$7.77–$34.76	16% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 M CBCA	$34.76	$69.52	—	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC with Automated Differential	$34.76	$69.52	—	—	50%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Count & Platelet	$33.63	$67.26	$6.47–$33.63	7% below	50%
Complete blood count (CBC), no differential CPT 85027 Manual CBC	$33.63	$67.26	$6.47–$33.63	7% below	50%
Complete blood count (CBC), no differential CPT 85027 Lab CBC for Platelet Agglutinins	$33.63	$67.26	$6.47–$33.63	7% below	50%
Complete blood count (CBC), no differential inpatient CPT 85027 Lab CBC for Platelet Agglutinins	$33.63	$67.26	—	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 Manual CBC	$33.63	$67.26	—	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count & Platelet	$33.63	$67.26	—	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 CMP SO	$22.68	$45.36	$10.56–$25.35	93% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 Neonate Comprehensive Metabolic Panel	$179.67	$359.34	$10.56–$179.67	44% below	50%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$179.67	$359.34	$10.56–$179.67	44% below	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP SO	$22.68	$45.36	—	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Neonate Comprehensive Metabolic Panel	$179.67	$359.34	—	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$179.67	$359.34	—	—	50%
Cortisol blood test, total CPT 82533 .Cortisol 60 minutes response	$75.00	$150.00	$16.30–$75.00	4% below	50%
Cortisol blood test, total CPT 82533 Cortisol PM	$75.00	$150.00	$16.30–$75.00	4% below	50%
Cortisol blood test, total CPT 82533 Cortisol AM	$75.00	$150.00	$16.30–$75.00	4% below	50%
Cortisol blood test, total CPT 82533 .Cortisol serum baseline	$75.00	$150.00	$16.30–$75.00	4% below	50%
Cortisol blood test, total CPT 82533 .Cortisol 30 minutes response	$75.00	$150.00	$16.30–$75.00	4% below	50%
Cortisol blood test, total inpatient CPT 82533 Cortisol PM	$75.00	$150.00	—	—	50%
Cortisol blood test, total inpatient CPT 82533 Cortisol AM	$75.00	$150.00	—	—	50%
Cortisol blood test, total inpatient CPT 82533 .Cortisol serum baseline	$75.00	$150.00	—	—	50%
Cortisol blood test, total inpatient CPT 82533 .Cortisol 60 minutes response	$75.00	$150.00	—	—	50%
Cortisol blood test, total inpatient CPT 82533 .Cortisol 30 minutes response	$75.00	$150.00	—	—	50%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase	$34.83	$69.65	$6.51–$34.83	18% below	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase	$34.83	$69.65	—	—	50%
Creatinine blood test CPT 82565 Creatinine POC	$23.96	$47.91	$5.12–$23.96	23% below	50%
Creatinine blood test CPT 82565 Creatinine Level	$23.96	$47.91	$5.12–$23.96	23% below	50%
Creatinine blood test CPT 82565 Creatinine	$23.96	$47.91	$5.12–$23.96	23% below	50%
Creatinine blood test inpatient CPT 82565 Creatinine POC	$23.96	$47.91	—	—	50%
Creatinine blood test inpatient CPT 82565 Creatinine Level	$23.96	$47.91	—	—	50%
Creatinine blood test inpatient CPT 82565 Creatinine	$23.96	$47.91	—	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IgG Antibody (SO)	$63.75	$127.50	$14.39–$63.75	5% below	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IgG Antibody (SO)	$63.75	$127.50	—	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-Dimer High Sensitivity	$59.24	$118.48	$10.18–$59.24	8% above	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-Dimer High Sensitivity	$59.24	$118.48	—	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone Sulfate (SO)	$95.38	$190.75	$22.23–$95.38	16% above	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dehydroepiandrosterone Sulfate (SO)	$95.38	$190.75	—	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Oxycodone Screen Urine Qual	$40.10	$80.19	$40.10–$149.16	43% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Urine (SO)	$54.27	$108.54	$54.27–$149.16	23% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Toxicology Marijuana with Confirmation Oral Fluid	$54.27	$108.54	$54.27–$149.16	23% below	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met	$93.21	$186.42	$62.14–$149.16	32% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Monitor Panel 9 Screen Oral Fluid	$119.39	$238.77	$62.14–$149.16	70% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Clonazepam Ur as Metabolite (SO)	$190.50	$381.00	$62.14–$190.50	171% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Buprenorphine Screen Urine (SO)	$279.75	$559.50	$62.14–$279.75	297% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Benzodiazepine Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 4-BenzoCannaCocOpiate	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UFentScr	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Opiate Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Ethanol Level Urine (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Amphetamine Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000198	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000200	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BH Only Alcohol Metabolites Oral Fluid w Confirmation (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Barbiturate Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000203	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cocaine Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BHDTMO (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Serum LCMS (SO)	$376.37	$752.74	$62.14–$592.71	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 3-BenzoCannaCocaine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BH U Oxycodone Screen	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BH Buprenorphine QL Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000199	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Alcohol Metabolites with Confirmation (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000204	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BH Drug Screen Urine 8	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000202	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 5-Barb Benz Coc Canna Opiate	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoids Synthetic w Confirm Urine (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000201	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 GuideMed Clinic Visit (SO)	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Cannabinoid Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Phencyclidine Screen Urine	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 .UDS8conf:amp/barb/THC/opiate/PCP	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BH Drug Screen Urine 4 - Benz Canna Coc Opi	$376.37	$752.74	$62.14–$376.37	435% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 UDS8 (SO)	$913.50	$1,827.00	$62.14–$913.50	1198% above	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Oxycodone Screen Urine Qual	$40.10	$80.19	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Urine (SO)	$54.27	$108.54	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Toxicology Marijuana with Confirmation Oral Fluid	$54.27	$108.54	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met	$93.21	$186.42	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Monitor Panel 9 Screen Oral Fluid	$119.39	$238.77	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Clonazepam Ur as Metabolite (SO)	$190.50	$381.00	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Buprenorphine Screen Urine (SO)	$279.75	$559.50	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000204	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000200	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Ethanol Level Urine (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000201	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BHDTMO (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BH Buprenorphine QL Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000199	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000203	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Benzodiazepine Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BH Drug Screen Urine 4 - Benz Canna Coc Opi	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cocaine Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 4-BenzoCannaCocOpiate	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Serum LCMS (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Opiate Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 GuideMed Clinic Visit (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Phencyclidine Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UFentScr	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Barbiturate Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Amphetamine Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BH Only Alcohol Metabolites Oral Fluid w Confirmation (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BH Drug Screen Urine 8	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BH U Oxycodone Screen	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 .UDS8conf:amp/barb/THC/opiate/PCP	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cannabinoid Screen Urine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 5-Barb Benz Coc Canna Opiate	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 3-BenzoCannaCocaine	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Alcohol Metabolites with Confirmation (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Cannabinoids Synthetic w Confirm Urine (SO)	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000202	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Screen Urine 8-Barb Benz Coc Canna Opiate Amp/Met Methadone PCP 83000198	$376.37	$752.74	—	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 UDS8 (SO)	$913.50	$1,827.00	—	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes Whole Blood	$93.94	$187.88	$7.01–$93.94	10% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$93.94	$187.88	$7.01–$93.94	10% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes Whole Blood	$93.94	$187.88	—	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$93.94	$187.88	—	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Virus Screen (SO)	$77.88	$155.75	$18.14–$77.88	18% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein Barr Screen 84105964	$77.88	$155.75	$18.14–$77.88	18% below	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Screen 84105964	$77.88	$155.75	—	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Epstein Barr Virus Screen (SO)	$77.88	$155.75	—	—	50%
Estradiol blood test CPT 82670 Estradiol Free	$151.14	$302.28	$27.94–$151.14	9% below	50%
Estradiol blood test CPT 82670 Estradiol Level	$151.14	$302.28	$27.94–$151.14	9% below	50%
Estradiol blood test CPT 82670 Estradiol Free (SO)	$151.14	$302.28	$27.94–$151.14	9% below	50%
Estradiol blood test inpatient CPT 82670 Estradiol Level	$151.14	$302.28	—	—	50%
Estradiol blood test inpatient CPT 82670 Estradiol Free (SO)	$151.14	$302.28	—	—	50%
Estradiol blood test inpatient CPT 82670 Estradiol Free	$151.14	$302.28	—	—	50%
FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone	$79.50	$159.00	$18.58–$79.50	15% below	50%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone	$79.50	$159.00	—	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin stool (SO)	$276.66	$553.31	$19.63–$276.66	69% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin stool (SO)	$276.66	$553.31	—	—	50%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$79.90	$159.80	$13.63–$79.90	2% above	50%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$79.90	$159.80	—	—	50%
Fibrinogen blood test CPT 85384 Fibrinogen Level	$38.50	$77.00	$9.72–$38.50	31% below	50%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen Level	$38.50	$77.00	—	—	50%
Folate (folic acid) blood test CPT 82746 Folate Level	$61.72	$123.43	$14.70–$61.72	18% below	50%
Folate (folic acid) blood test inpatient CPT 82746 Folate Level	$61.72	$123.43	—	—	50%
Free T3 thyroid hormone test CPT 84481 FT3 (SO)	$25.92	$51.84	$16.94–$40.66	57% below	50%
Free T3 thyroid hormone test CPT 84481 T3 Free	$99.65	$199.30	$16.94–$99.65	64% above	50%
Free T3 thyroid hormone test inpatient CPT 84481 FT3 (SO)	$25.92	$51.84	—	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 Free	$99.65	$199.30	—	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine Free	$45.73	$91.45	$9.02–$45.73	26% below	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine Free	$45.73	$91.45	—	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Glutamyl Transferase	$32.40	$64.80	$7.20–$32.40	22% below	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Glutamyl Transferase	$32.40	$64.80	—	—	50%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 LabChrg General Health Panel	$225.33	$450.66	$48.79–$291.04	56% below	50%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 LabChrg General Health Panel	$225.33	$450.66	—	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose Post-Dose	$20.51	$41.01	$4.75–$20.51	20% below	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose Post-Dose	$20.51	$41.01	—	—	50%
Glucose tolerance test, 3 samples CPT 82951 .Glucose 3 Hour	$19.31	$38.61	$12.87–$30.89	57% below	50%
Glucose tolerance test, 3 samples CPT 82951 .Glucose 0.5 Hour	$19.31	$38.61	$12.87–$30.89	57% below	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 .Glucose 0.5 Hour	$19.31	$38.61	—	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 .Glucose 3 Hour	$19.31	$38.61	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N. GONORRHOEAE DNA AMP PROB	$26.25	$52.50	$26.25–$84.23	76% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae	$150.00	$299.99	$35.09–$150.00	39% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Pathology Billing Cyto for Gonorrhea by PCR	$150.00	$299.99	$35.09–$150.00	39% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria gonorrhoeae by DNA Amplification (SO)	$150.00	$299.99	$35.09–$150.00	39% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N. GONORRHOEAE DNA AMP PROB	$26.25	$52.50	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria gonorrhoeae by DNA Amplification (SO)	$150.00	$299.99	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Pathology Billing Cyto for Gonorrhea by PCR	$150.00	$299.99	—	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae	$150.00	$299.99	—	—	50%
H. pylori stool antigen test CPT 87338 Helicobacter pylori Ag EIA stool (SO)	$65.25	$130.50	$14.38–$65.25	18% below	50%
H. pylori stool antigen test inpatient CPT 87338 Helicobacter pylori Ag EIA stool (SO)	$65.25	$130.50	—	—	50%
HIV viral load test (HIV-1 RNA, quantitative) one side CPT 87536 HIV-1 RNA QN PCR/RT (SO)	$372.00	$743.99	$85.10–$372.00	7% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient one side CPT 87536 HIV-1 RNA QN PCR/RT (SO)	$372.00	$743.99	—	—	50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV-12 Ab POC	$20.57	$41.13	$13.71–$32.91	52% below	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV-12 Ab POC	$20.57	$41.13	—	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 4th gen (SO)	$67.50	$135.00	$24.08–$67.50	30% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV 1/2 Ag/Ab 4th Generation	$87.65	$175.30	$24.08–$87.65	9% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 4th gen (SO)	$67.50	$135.00	—	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV 1/2 Ag/Ab 4th Generation	$87.65	$175.30	—	—	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .SurePath Pap w/ HPV mRNA E6/E7	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV mRNA E6/E7 SurePath (SO)	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .ThinPrep Pap w/ HPV mRNA E6/E7	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV mRNA E6/E7 (SO)	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .ThinPrep Pap & HPV rfx Genotype	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .SurePath Pap & HPV rfx Genotype	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Pathology Billing Gyn HPV Genotype High Risk	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Pathology Billing HPV High Risk	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result CPT 87624 .HPV mRNA E6/E7 Rectal (SO)	$150.00	$299.99	$35.09–$150.00	28% above	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Pathology Billing Gyn HPV Genotype High Risk	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Pathology Billing HPV High Risk	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV mRNA E6/E7 SurePath (SO)	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .SurePath Pap w/ HPV mRNA E6/E7	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .ThinPrep Pap w/ HPV mRNA E6/E7	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV mRNA E6/E7 Rectal (SO)	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .HPV mRNA E6/E7 (SO)	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .SurePath Pap & HPV rfx Genotype	$150.00	$299.99	—	—	50%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 .ThinPrep Pap & HPV rfx Genotype	$150.00	$299.99	—	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 .Hemoglobin A1c (SO)	$41.63	$83.26	$9.71–$41.63	22% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1c	$53.52	$107.03	$9.71–$53.52	at median	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 .Hemoglobin A1c (SO)	$41.63	$83.26	—	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1c	$53.52	$107.03	—	—	50%
Hemoglobin blood test CPT 85018 Hemoglobin & Hematocrit	$14.24	$28.48	$2.37–$14.24	16% below	50%
Hemoglobin blood test CPT 85018 Total Hemoglobin Concentration	$14.24	$28.48	$2.37–$14.24	16% below	50%
Hemoglobin blood test CPT 85018 Hgb POC	$14.24	$28.48	$2.37–$14.24	16% below	50%
Hemoglobin blood test CPT 85018 Hemoglobin Electrophoresis 85018	$60.00	$120.00	$2.37–$60.00	255% above	50%
Hemoglobin blood test inpatient CPT 85018 Hgb POC	$14.24	$28.48	—	—	50%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin & Hematocrit	$14.24	$28.48	—	—	50%
Hemoglobin blood test inpatient CPT 85018 Total Hemoglobin Concentration	$14.24	$28.48	—	—	50%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Electrophoresis 85018	$60.00	$120.00	—	—	50%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Ab Total w/ IgM rfx (SO)	$51.63	$103.25	$12.05–$51.63	9% below	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Ab Total w/ IgM rfx (SO)	$51.63	$103.25	—	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody	$49.00	$98.00	$10.74–$49.00	31% below	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody	$49.00	$98.00	—	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Antigen	$54.35	$108.70	$10.33–$54.35	8% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 .Hep Bs Ag with rfx Confirm (SO)	$67.50	$135.00	$10.33–$67.50	14% above	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Antigen	$54.35	$108.70	—	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 .Hep Bs Ag with rfx Confirm (SO)	$67.50	$135.00	—	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 AWH-Hepatitis C Ab w/ reflex HCV RNA	$116.44	$232.88	$14.27–$116.44	61% above	50%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody IgG	$116.44	$232.88	$14.27–$116.44	61% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 AWH-Hepatitis C Ab w/ reflex HCV RNA	$116.44	$232.88	—	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody IgG	$116.44	$232.88	—	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C RNA PCR Quantitative (SO)	$192.88	$385.75	$42.84–$192.88	5% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C RNA PCR Quantitative (SO)	$192.88	$385.75	—	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Virus I & II IgG Ab (SO)	$61.13	$122.25	$13.19–$61.13	18% above	50%
Herpes blood test, HSV-1 antibody CPT 86695 .HSV 1 IgM Titer (SO)	$67.49	$134.98	$13.19–$67.49	31% above	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Virus I & II IgG Ab (SO)	$61.13	$122.25	—	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 .HSV 1 IgM Titer (SO)	$67.49	$134.98	—	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 .HSV 2 IgM Titer (SO)	$87.25	$174.50	$19.35–$87.25	34% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex II IgG Ab (SO)	$87.25	$174.50	$19.35–$87.25	34% above	50%
Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Virus I & II IgG Ab 84106046	$87.25	$174.50	$19.35–$87.25	34% above	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex II IgG Ab (SO)	$87.25	$174.50	—	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Virus I & II IgG Ab 84106046	$87.25	$174.50	—	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 .HSV 2 IgM Titer (SO)	$87.25	$174.50	—	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 Cardio Lipid w Inflammation 86141	$47.60	$95.20	$12.95–$47.60	at median	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 CRP High Sensitivity Cardiac	$47.60	$95.20	$12.95–$47.60	at median	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 CRP High Sensitivity Cardiac	$47.60	$95.20	—	—	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Cardio Lipid w Inflammation 86141	$47.60	$95.20	—	—	50%
Homocysteine blood test CPT 83090 Homocysteine Cardiovascular (SO)	$80.75	$161.50	$17.92–$80.75	15% above	50%
Homocysteine blood test inpatient CPT 83090 Homocysteine Cardiovascular (SO)	$80.75	$161.50	—	—	50%
Insulin blood test CPT 83525 Insulin Level (SO)	$93.78	$187.55	$11.43–$93.78	34% above	50%
Insulin blood test inpatient CPT 83525 Insulin Level (SO)	$93.78	$187.55	—	—	50%
Iron blood test (serum iron) CPT 83540 83540 Iron	$17.46	$34.92	$6.47–$17.46	50% below	50%
Iron blood test (serum iron) CPT 83540 Iron Level - 83000687	$41.12	$82.23	$6.47–$41.12	17% above	50%
Iron blood test (serum iron) CPT 83540 Iron Level	$41.12	$82.23	$6.47–$41.12	17% above	50%
Iron blood test (serum iron) CPT 83540 Iron Liver Tissue (SO)	$224.90	$449.79	$6.47–$224.90	540% above	50%
Iron blood test (serum iron) inpatient CPT 83540 83540 Iron	$17.46	$34.92	—	—	50%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level	$41.12	$82.23	—	—	50%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level - 83000687	$41.12	$82.23	—	—	50%
Iron blood test (serum iron) inpatient CPT 83540 Iron Liver Tissue (SO)	$224.90	$449.79	—	—	50%
Iron-binding capacity (TIBC) test CPT 83550 TIBC (SO)	$17.46	$34.92	$8.74–$20.98	62% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Transferrin Saturation	$37.50	$75.00	$8.74–$37.50	18% below	50%
Iron-binding capacity (TIBC) test CPT 83550 Iron & Iron Binding Capacity	$37.50	$75.00	$8.74–$37.50	18% below	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC (SO)	$17.46	$34.92	—	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Transferrin Saturation	$37.50	$75.00	—	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron & Iron Binding Capacity	$37.50	$75.00	—	—	50%
Kidney function blood test panel CPT 80069 zzRenal Function Panel 08-29-06	$94.57	$189.13	$8.68–$94.57	47% below	50%
Kidney function blood test panel CPT 80069 Renal Function Panel	$113.59	$227.18	$8.68–$113.59	37% below	50%
Kidney function blood test panel inpatient CPT 80069 zzRenal Function Panel 08-29-06	$94.57	$189.13	—	—	50%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$113.59	$227.18	—	—	50%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$89.92	$179.83	$18.52–$89.92	9% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$89.92	$179.83	—	—	50%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$84.73	$169.45	$11.57–$84.73	19% above	50%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$84.73	$169.45	—	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase	$43.11	$86.22	$6.04–$43.11	1% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Body Fluid	$43.11	$86.22	$6.04–$43.11	1% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase Isoenzymes 84100207	$53.96	$107.91	$6.04–$53.96	24% above	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase	$43.11	$86.22	—	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Body Fluid	$43.11	$86.22	—	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase Isoenzymes 84100207	$53.96	$107.91	—	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Pleural Fluid (SO)	$18.92	$37.83	$6.89–$18.92	57% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Peritoneal Fluid (SO)	$18.92	$37.83	$6.89–$18.92	57% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Level	$37.38	$74.75	$6.89–$37.38	15% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase Body Fluid	$37.38	$74.75	$6.89–$37.38	15% below	50%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (SO)	$47.30	$94.59	$6.89–$47.30	8% above	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Peritoneal Fluid (SO)	$18.92	$37.83	—	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Pleural Fluid (SO)	$18.92	$37.83	—	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Level	$37.38	$74.75	—	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase Body Fluid	$37.38	$74.75	—	—	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (SO)	$47.30	$94.59	—	—	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel (SO)	$17.37	$34.74	$8.17–$19.61	89% below	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$90.63	$181.25	$8.17–$90.63	44% below	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel Neonate	$90.63	$181.25	$8.17–$90.63	44% below	50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel (SO)	$17.37	$34.74	—	—	50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel Neonate	$90.63	$181.25	—	—	50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$90.63	$181.25	—	—	50%
Lyme disease antibody test CPT 86618 Tick-Borne Disease Antibody Panel (SO)	$43.52	$87.03	$17.03–$43.52	37% below	50%
Lyme disease antibody test CPT 86618 Lyme Disease Screen	$87.16	$174.31	$17.03–$87.16	26% above	50%
Lyme disease antibody test CPT 86618 Lyme Screen (IgM) Add on	$87.16	$174.31	$17.03–$87.16	26% above	50%
Lyme disease antibody test CPT 86618 Lyme Ab Index CSF/Serum 86618 91	$157.50	$315.00	$17.03–$157.50	127% above	50%
Lyme disease antibody test CPT 86618 Lyme ab Index CSF/Serum 86618	$157.50	$315.00	$17.03–$157.50	127% above	50%
Lyme disease antibody test inpatient CPT 86618 Tick-Borne Disease Antibody Panel (SO)	$43.52	$87.03	—	—	50%
Lyme disease antibody test inpatient CPT 86618 Lyme Screen (IgM) Add on	$87.16	$174.31	—	—	50%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Screen	$87.16	$174.31	—	—	50%
Lyme disease antibody test inpatient CPT 86618 Lyme ab Index CSF/Serum 86618	$157.50	$315.00	—	—	50%
Lyme disease antibody test inpatient CPT 86618 Lyme Ab Index CSF/Serum 86618 91	$157.50	$315.00	—	—	50%
Magnesium blood test CPT 83735 Magnesium RBC (SO)	$54.65	$109.29	$6.70–$54.65	56% above	50%
Magnesium blood test CPT 83735 Magnesium Level	$54.65	$109.29	$6.70–$54.65	56% above	50%
Magnesium blood test inpatient CPT 83735 Magnesium RBC (SO)	$54.65	$109.29	—	—	50%
Magnesium blood test inpatient CPT 83735 Magnesium Level	$54.65	$109.29	—	—	50%
Measles (rubeola) antibody test CPT 86765 Rubeola IgG Confirm (SO)	$57.88	$115.75	$12.88–$57.88	33% above	50%
Measles (rubeola) antibody test CPT 86765 Rubeola IgG Screen	$88.97	$177.94	$12.88–$88.97	105% above	50%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Confirm (SO)	$57.88	$115.75	—	—	50%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola IgG Screen	$88.97	$177.94	—	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 Mononucleosis Screen	$30.31	$60.61	$5.18–$30.31	23% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mononucleosis Screen	$30.31	$60.61	—	—	50%
Mumps immunity blood test CPT 86735 Mumps IgG Screen	$60.25	$120.50	$13.05–$60.25	at median	50%
Mumps immunity blood test CPT 86735 .Mumps Ab (IgG) Titer (SO)	$60.25	$120.50	$13.05–$60.25	at median	50%
Mumps immunity blood test CPT 86735 Mumps Ab (IgM) Titer (SO)	$60.25	$120.50	$13.05–$60.25	at median	50%
Mumps immunity blood test inpatient CPT 86735 Mumps IgG Screen	$60.25	$120.50	—	—	50%
Mumps immunity blood test inpatient CPT 86735 Mumps Ab (IgM) Titer (SO)	$60.25	$120.50	—	—	50%
Mumps immunity blood test inpatient CPT 86735 .Mumps Ab (IgG) Titer (SO)	$60.25	$120.50	—	—	50%
Obstetric blood test panel CPT 80055 LabChg OB Panel	$260.15	$520.29	$47.81–$260.15	—	50%
Obstetric blood test panel inpatient CPT 80055 LabChg OB Panel	$260.15	$520.29	—	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 Prostate Specific Antigen Free & Total 84100405	$78.75	$157.50	$18.39–$78.75	9% above	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostate Specific Antigen Free & Total 84100405	$78.75	$157.50	—	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (SO)	$10.50	$21.00	$10.50–$44.14	87% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Post-Prostatectomy (SO)	$78.50	$157.00	$18.39–$78.50	6% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Free & Total (SO)	$78.50	$157.00	$18.39–$78.50	6% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antigen Screen	$78.50	$157.00	$18.39–$78.50	6% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PSAD (Prostatic Specific Antigen Diagnostic)	$78.50	$157.00	$18.39–$78.50	6% below	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (SO)	$10.50	$21.00	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Screen	$78.50	$157.00	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antigen Free & Total (SO)	$78.50	$157.00	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSAD (Prostatic Specific Antigen Diagnostic)	$78.50	$157.00	—	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Post-Prostatectomy (SO)	$78.50	$157.00	—	—	50%
Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Focal Point Diagnostic 88175	$118.00	$235.99	$26.61–$118.00	8% below	50%
Pap test (liquid-based, automated screening with review) CPT 88175 .Bill SurePath Screen	$118.00	$235.99	$26.61–$118.00	8% below	50%
Pap test (liquid-based, automated screening with review) CPT 88175 .Bill SurePath Diag	$118.00	$235.99	$26.61–$118.00	8% below	50%
Pap test (liquid-based, automated screening with review) CPT 88175 Pathology Billing Gyn Imaged Screen 88175	$118.00	$235.99	$26.61–$118.00	8% below	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pathology Billing Gyn Imaged Screen 88175	$118.00	$235.99	—	—	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .Bill SurePath Screen	$118.00	$235.99	—	—	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 .Bill SurePath Diag	$118.00	$235.99	—	—	50%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Pathology Billing Gyn Focal Point Diagnostic 88175	$118.00	$235.99	—	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .Bill ThinPrep Screen	$33.00	$66.00	$20.26–$48.63	67% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 .Bill ThinPrep Diag	$33.00	$66.00	$20.26–$48.63	67% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cytology Liquid BasePrep-LBD	$49.19	$98.38	$20.26–$49.19	51% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pathology Billing Gyn Cytology manual screening	$49.19	$98.38	$20.26–$49.19	51% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .Bill ThinPrep Screen	$33.00	$66.00	—	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 .Bill ThinPrep Diag	$33.00	$66.00	—	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pathology Billing Gyn Cytology manual screening	$49.19	$98.38	—	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pathology Billing Gyn Cytology Liquid BasePrep-LBD	$49.19	$98.38	—	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 .PTH (SO)	$183.79	$367.58	$41.28–$183.79	2% above	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 .PTH (SO)	$183.79	$367.58	—	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Lupus Anticoagulant Eval w/reflex 85730	$31.91	$63.81	$6.01–$31.91	23% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 Partial Thromboplastin Time	$34.97	$69.94	$6.01–$34.97	16% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT-Heparin Protocol	$34.97	$69.94	$6.01–$34.97	16% below	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Lupus Anticoagulant Eval w/reflex 85730	$31.91	$63.81	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT-Heparin Protocol	$34.97	$69.94	—	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Partial Thromboplastin Time	$34.97	$69.94	—	—	50%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus Level	$41.55	$83.10	$4.74–$41.55	62% above	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus Level	$41.55	$83.10	—	—	50%
Potassium blood test CPT 84132 Potassium Plasma	$20.38	$40.75	$4.76–$20.38	22% below	50%
Potassium blood test CPT 84132 Potassium Whole Blood	$20.38	$40.75	$4.76–$20.38	22% below	50%
Potassium blood test CPT 84132 Potassium Level	$22.19	$44.38	$4.76–$22.19	15% below	50%
Potassium blood test CPT 84132 i-Stat Potassium Blood	$22.19	$44.38	$4.76–$22.19	15% below	50%
Potassium blood test CPT 84132 I Stat Potassium Blood 84400223	$22.19	$44.38	$4.76–$22.19	15% below	50%
Potassium blood test inpatient CPT 84132 Potassium Whole Blood	$20.38	$40.75	—	—	50%
Potassium blood test inpatient CPT 84132 Potassium Plasma	$20.38	$40.75	—	—	50%
Potassium blood test inpatient CPT 84132 Potassium Level	$22.19	$44.38	—	—	50%
Potassium blood test inpatient CPT 84132 I Stat Potassium Blood 84400223	$22.19	$44.38	—	—	50%
Potassium blood test inpatient CPT 84132 i-Stat Potassium Blood	$22.19	$44.38	—	—	50%
Progesterone blood test CPT 84144 Progesterone Level (SO)	$31.29	$62.58	$20.86–$50.07	71% below	50%
Progesterone blood test inpatient CPT 84144 Progesterone Level (SO)	$31.29	$62.58	—	—	50%
Prolactin blood test CPT 84146 Prolactin Level	$96.88	$193.75	$19.38–$96.88	6% below	50%
Prolactin blood test inpatient CPT 84146 Prolactin Level	$96.88	$193.75	—	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$34.97	$69.94	$4.29–$34.97	32% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 INR POC	$35.54	$71.08	$4.29–$35.54	35% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 ACC INR POC	$35.54	$71.08	$4.29–$35.54	35% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$34.97	$69.94	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 INR POC	$35.54	$71.08	—	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 ACC INR POC	$35.54	$71.08	—	—	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza A Antigen ED ONLY	$112.19	$224.37	$16.55–$112.19	165% above	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza A & B Antigen 83600004	$112.19	$224.37	$16.55–$112.19	165% above	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza B Antigen ED ONLY	$112.19	$224.37	$16.55–$112.19	165% above	50%
Rapid flu test (influenza antigen) CPT 87804 Influenza A & B Antigen ED ONLY	$112.19	$224.37	$16.55–$112.19	165% above	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza B Antigen ED ONLY	$112.19	$224.37	—	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B Antigen ED ONLY	$112.19	$224.37	—	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A & B Antigen 83600004	$112.19	$224.37	—	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza A Antigen ED ONLY	$112.19	$224.37	—	—	50%
Renin blood test CPT 84244 Renin Activity Plasma LC/MS/MS (SO)	$93.51	$187.02	$21.99–$93.51	1% below	50%
Renin blood test CPT 84244 Aldosterone/Renin Activity	$93.51	$187.02	$21.99–$93.51	1% below	50%
Renin blood test inpatient CPT 84244 Renin Activity Plasma LC/MS/MS (SO)	$93.51	$187.02	—	—	50%
Renin blood test inpatient CPT 84244 Aldosterone/Renin Activity	$93.51	$187.02	—	—	50%
Rh blood typing CPT 86901 Anti-D	$37.28	$74.55	$3.59–$94.22	55% above	50%
Rh blood typing CPT 86901 Rh 83405050	$37.28	$74.55	$3.59–$94.22	55% above	50%
Rh blood typing inpatient CPT 86901 Rh 83405050	$37.28	$74.55	—	—	50%
Rh blood typing inpatient CPT 86901 Anti-D	$37.28	$74.55	—	—	50%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor	$48.60	$97.20	$5.67–$48.60	3% above	50%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor	$48.60	$97.20	—	—	50%
Rubella antibody test (immunity check) CPT 86762 Rubella IgG Quantitative	$64.00	$128.00	$14.39–$64.00	5% above	50%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella IgG Quantitative	$64.00	$128.00	—	—	50%
Sodium blood test CPT 84295 i-Stat Sodium Blood	$22.47	$44.93	$4.81–$22.47	23% below	50%
Sodium blood test CPT 84295 Sodium Level	$22.47	$44.93	$4.81–$22.47	23% below	50%
Sodium blood test CPT 84295 I Stat Sodium Blood 84400222	$22.47	$44.93	$4.81–$22.47	23% below	50%
Sodium blood test inpatient CPT 84295 Sodium Level	$22.47	$44.93	—	—	50%
Sodium blood test inpatient CPT 84295 I Stat Sodium Blood 84400222	$22.47	$44.93	—	—	50%
Sodium blood test inpatient CPT 84295 i-Stat Sodium Blood	$22.47	$44.93	—	—	50%
Stool ova and parasites exam CPT 87177 .Ova + Parasites Stool	$43.29	$86.58	$8.90–$43.29	at median	50%
Stool ova and parasites exam inpatient CPT 87177 .Ova + Parasites Stool	$43.29	$86.58	—	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen Stool	$36.09	$72.18	$4.38–$36.09	101% above	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood Screen Stool Point of Care	$36.09	$72.18	$4.38–$36.09	101% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen Stool	$36.09	$72.18	—	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood Screen Stool Point of Care	$36.09	$72.18	—	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Occult Blood Immunochemical Stool	$37.50	$75.00	$15.92–$43.33	23% below	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Occult Blood Immunochemical Stool	$37.50	$75.00	—	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 T. pallidum Ab PA (SO)	$56.97	$113.93	$13.24–$56.97	7% below	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T. pallidum Ab PA (SO)	$56.97	$113.93	—	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL CSF (SO)	$22.77	$45.53	$4.27–$22.77	15% below	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rapid Plasma Reagin Test	$38.13	$76.25	$4.27–$38.13	42% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL CSF (SO)	$22.77	$45.53	—	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rapid Plasma Reagin Test	$38.13	$76.25	—	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QuantiFERON-TB Gold Plus (SO)	$263.13	$526.25	$61.98–$263.13	30% above	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QuantiFERON-TB Gold Plus (SO)	$263.13	$526.25	—	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TF (SO)	$110.75	$221.50	$25.81–$110.75	9% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Males (SO)	$110.75	$221.50	$25.81–$110.75	9% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total Women/Pediatric (SO)	$110.75	$221.50	$25.81–$110.75	9% below	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total Males (SO)	$110.75	$221.50	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TF (SO)	$110.75	$221.50	—	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total Women/Pediatric (SO)	$110.75	$221.50	—	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Autoantibodies (SO)	$99.42	$198.84	$14.55–$99.42	5% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Kidney Microsome Ab IgG (SO)	$99.42	$198.84	$14.55–$99.42	5% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Peroxidase Antibody (SO)	$99.42	$198.84	$14.55–$99.42	5% above	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Autoantibodies (SO)	$99.42	$198.84	—	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Peroxidase Antibody (SO)	$99.42	$198.84	—	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Kidney Microsome Ab IgG (SO)	$99.42	$198.84	—	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH w/Reflex FT4	$71.19	$142.38	$16.80–$71.19	21% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone	$71.19	$142.38	$16.80–$71.19	21% below	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone	$71.19	$142.38	—	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH w/Reflex FT4	$71.19	$142.38	—	—	50%
Total IgE blood test CPT 82785 Assay of Gammaglobulin IgE 82785	$70.38	$140.75	$16.46–$70.38	at median	50%
Total IgE blood test CPT 82785 IgE (SO)	$70.38	$140.75	$16.46–$70.38	at median	50%
Total IgE blood test inpatient CPT 82785 Assay of Gammaglobulin IgE 82785	$70.38	$140.75	—	—	50%
Total IgE blood test inpatient CPT 82785 IgE (SO)	$70.38	$140.75	—	—	50%
Total cholesterol blood test CPT 82465 Lipoprotein Electrophoresis 84100416	$5.04	$10.08	$4.35–$10.44	81% below	50%
Total cholesterol blood test CPT 82465 Cholesterol Total	$24.67	$49.34	$4.35–$24.67	5% below	50%
Total cholesterol blood test CPT 82465 Cholesterol Body Fluid	$24.67	$49.34	$4.35–$24.67	5% below	50%
Total cholesterol blood test inpatient CPT 82465 Lipoprotein Electrophoresis 84100416	$5.04	$10.08	—	—	50%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Total	$24.67	$49.34	—	—	50%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Body Fluid	$24.67	$49.34	—	—	50%
Total thyroxine (T4) blood test CPT 84436 Thyroxine	$39.08	$78.15	$6.87–$39.08	15% above	50%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine	$39.08	$78.15	—	—	50%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total	$72.50	$145.00	$14.18–$72.50	5% below	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total	$72.50	$145.00	—	—	50%
Transferrin blood test CPT 84466 Transferrin (SO)	$57.25	$114.50	$12.76–$57.25	1% below	50%
Transferrin blood test inpatient CPT 84466 Transferrin (SO)	$57.25	$114.50	—	—	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA TMA Qual Female (SO)	$151.13	$302.25	$35.09–$151.13	148% above	50%
Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis RNA TMA Qual Male (SO)	$168.00	$336.00	$35.09–$168.00	175% above	50%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA TMA Qual Female (SO)	$151.13	$302.25	—	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas vaginalis RNA TMA Qual Male (SO)	$168.00	$336.00	—	—	50%
Triglycerides blood test CPT 84478 Triglycerides Pleural Fluid (SO)	$4.50	$9.00	$4.50–$13.78	85% below	50%
Triglycerides blood test CPT 84478 Triglycerides Peritoneal Fluid (SO)	$7.50	$15.00	$5.74–$13.78	75% below	50%
Triglycerides blood test CPT 84478 Lipoprotein Electrophoresis 84100417	$25.88	$51.75	$5.74–$25.88	15% below	50%
Triglycerides blood test CPT 84478 Triglyceride	$25.88	$51.75	$5.74–$25.88	15% below	50%
Triglycerides blood test CPT 84478 Triglyceride Body Fluid	$25.88	$51.75	$5.74–$25.88	15% below	50%
Triglycerides blood test inpatient CPT 84478 Triglycerides Pleural Fluid (SO)	$4.50	$9.00	—	—	50%
Triglycerides blood test inpatient CPT 84478 Triglycerides Peritoneal Fluid (SO)	$7.50	$15.00	—	—	50%
Triglycerides blood test inpatient CPT 84478 Triglyceride Body Fluid	$25.88	$51.75	—	—	50%
Triglycerides blood test inpatient CPT 84478 Triglyceride	$25.88	$51.75	—	—	50%
Triglycerides blood test inpatient CPT 84478 Lipoprotein Electrophoresis 84100417	$25.88	$51.75	—	—	50%
Troponin test, quantitative CPT 84484 Troponin-I	$52.09	$104.18	$12.47–$52.09	42% below	50%
Troponin test, quantitative inpatient CPT 84484 Troponin-I	$52.09	$104.18	—	—	50%
Uric acid blood test CPT 84550 Uric Acid Serum	$23.58	$47.15	$4.52–$23.58	14% below	50%
Uric acid blood test inpatient CPT 84550 Uric Acid Serum	$23.58	$47.15	—	—	50%
Urinalysis with microscope exam, automated CPT 81001 $Urinalysis Microscopic	$50.00	$100.00	$3.17–$50.00	268% above	50%
Urinalysis with microscope exam, automated CPT 81001 AWH-URMI	$50.00	$100.00	$3.17–$50.00	268% above	50%
Urinalysis with microscope exam, automated CPT 81001 Myoglobin Urine Screening	$50.00	$100.00	$3.17–$50.00	268% above	50%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis with Microscopic	$50.00	$100.00	$3.17–$50.00	268% above	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis with Microscopic	$50.00	$100.00	—	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 AWH-URMI	$50.00	$100.00	—	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 $Urinalysis Microscopic	$50.00	$100.00	—	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 Myoglobin Urine Screening	$50.00	$100.00	—	—	50%
Urinalysis without microscope exam, automated CPT 81003 pH Urine	$19.57	$39.13	$2.25–$19.57	6% above	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Reflex Microscopic	$22.68	$45.36	$2.25–$22.68	23% above	50%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis Foley	$22.68	$45.36	$2.25–$22.68	23% above	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 pH Urine	$19.57	$39.13	—	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Reflex Microscopic	$22.68	$45.36	—	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Foley	$22.68	$45.36	—	—	50%
Urine culture for bacteria, with colony count CPT 87086 Culture Urine with gram stain	$50.00	$100.00	$8.07–$50.00	6% above	50%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$50.00	$100.00	$8.07–$50.00	6% above	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$50.00	$100.00	—	—	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 Culture Urine with gram stain	$50.00	$100.00	—	—	50%
Urine microalbumin (albumin) test CPT 82043 zzMicroalbumin Random Urine w Creatinine	$25.55	$51.10	$5.78–$25.55	50% below	50%
Urine microalbumin (albumin) test CPT 82043 Microalbumin & Creat Quant Random Urine	$65.91	$131.82	$5.78–$65.91	29% above	50%
Urine microalbumin (albumin) test CPT 82043 Microalbumin 24 Hour Urine	$65.91	$131.82	$5.78–$65.91	29% above	50%
Urine microalbumin (albumin) test inpatient CPT 82043 zzMicroalbumin Random Urine w Creatinine	$25.55	$51.10	—	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin & Creat Quant Random Urine	$65.91	$131.82	—	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin 24 Hour Urine	$65.91	$131.82	—	—	50%
Urine pregnancy test, read by color change CPT 81025 hCG Qual Urine	$32.51	$65.01	$8.61–$32.51	23% below	50%
Urine pregnancy test, read by color change CPT 81025 U hcg Qual POC	$32.51	$65.01	$8.61–$32.51	23% below	50%
Urine pregnancy test, read by color change inpatient CPT 81025 U hcg Qual POC	$32.51	$65.01	—	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 hCG Qual Urine	$32.51	$65.01	—	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Unsat Binding Capacity (SO)	$67.29	$134.58	$15.08–$67.29	24% below	50%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 Level	$67.29	$134.58	$15.08–$67.29	24% below	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Unsat Binding Capacity (SO)	$67.29	$134.58	—	—	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 Level	$67.29	$134.58	—	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vit D (SO)	$67.50	$135.00	$29.60–$71.05	39% below	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25(OH) Level	$122.92	$245.84	$29.60–$122.92	11% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vit D (SO)	$67.50	$135.00	—	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25(OH) Level	$122.92	$245.84	—	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 125 Dihydroxy Level (SO)	$164.88	$329.75	$38.50–$164.88	14% above	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 125 Dihydroxy Level (SO)	$164.88	$329.75	—	—	50%
Zinc blood test CPT 84630 Zinc Plasma (SO)	$48.75	$97.50	$11.39–$48.75	9% below	50%
Zinc blood test inpatient CPT 84630 Zinc Plasma (SO)	$48.75	$97.50	—	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Human Chorionic Gonadotropin Quantitative	$77.07	$154.13	$15.05–$77.07	2% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Human Chorionic Gonadotropin Quantitative	$77.07	$154.13	—	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Breast Biopsy w/Stereo 1st Lesion LT	$2,866.06	$5,732.12	$2,866.06–$7,506.00	47% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion one side CPT 19081 MA Breast Biopsy w/Stereo 1st Lesion RT	$2,866.06	$5,732.12	$2,866.06–$7,506.00	47% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA Breast Biopsy w/Stereo 1st Lesion LT	$2,866.06	$5,732.12	—	—	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient one side CPT 19081 MA Breast Biopsy w/Stereo 1st Lesion RT	$2,866.06	$5,732.12	—	—	50%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 DIST FIBULAR FX;W/O MAN	$223.78	$447.56	$222.88–$3,180.75	14% below	50%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 DIST FIBULAR FX;W/O MAN	$223.78	$447.56	—	—	50%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 METATARSAL FX;W/O MANEA	$223.78	$447.56	$222.88–$3,180.75	45% below	50%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 METATARSAL FX;W/O MANEA	$223.78	$447.56	—	—	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 Left Heart Cath with Coronary Angiography and LV gram	$10,343.09	$20,686.17	$4,340.00–$14,480.32	8% below	50%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Left Heart Cath with Coronary Angiography and LV gram	$10,343.09	$20,686.17	—	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External shock to heart to reg heartbeat 92960	$1,026.41	$2,052.81	$785.20–$4,923.00	27% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PACU CARDIOVERSION TEE WATR	$1,161.22	$2,322.44	$800.31–$2,117.54	17% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Cath Lab	$1,161.22	$2,322.44	$800.31–$13,762.00	17% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 PACU CARDIOVERSION	$1,161.22	$2,322.44	$800.31–$2,117.54	17% below	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSIONELECEXT	$1,161.22	$2,322.44	$800.31–$2,117.54	17% below	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External shock to heart to reg heartbeat 92960	$1,026.41	$2,052.81	—	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PACU CARDIOVERSION	$1,161.22	$2,322.44	—	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 PACU CARDIOVERSION TEE WATR	$1,161.22	$2,322.44	—	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSIONELECEXT	$1,161.22	$2,322.44	—	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Cath Lab	$1,161.22	$2,322.44	—	—	50%
Catheter ablation for atrial fibrillation CPT 93656 AFib ablation	$43,847.11	$87,694.21	$4,340.00–$61,385.95	11% below	50%
Catheter ablation for atrial fibrillation inpatient CPT 93656 AFib ablation	$43,847.11	$87,694.21	—	—	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Circumcision Clamp Type	$88.75	$177.49	$88.75–$7,506.00	90% below	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin (circumcision) using clamp/device 54150	$3,237.06	$6,474.12	$2,755.00–$4,531.88	250% above	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Circumcision Clamp Type	$88.75	$177.49	—	—	50%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin (circumcision) using clamp/device 54150	$3,237.06	$6,474.12	—	—	50%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 DIST RAD FX/EPI SEP;W/O N	$223.78	$447.56	$222.88–$3,180.75	72% below	50%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 DIST RAD FX/EPI SEP;W/O N	$223.78	$447.56	—	—	50%
Colonoscopy with polyp removal CPT 45385 Colonoscopy flexible; with removal of tumor polyp or lesion by snare technique	$2,923.89	$5,847.77	$1,654.00–$5,630.00	31% below	50%
Colonoscopy with polyp removal inpatient CPT 45385 Colonoscopy flexible; with removal of tumor polyp or lesion by snare technique	$2,923.89	$5,847.77	—	—	50%
Colonoscopy with tissue sample CPT 45380 Colonoscopy flexible; with biopsy single or multiple	$2,808.77	$5,617.53	$1,654.00–$5,630.00	33% below	50%
Colonoscopy with tissue sample inpatient CPT 45380 Colonoscopy flexible; with biopsy single or multiple	$2,808.77	$5,617.53	—	—	50%
Colonoscopy, diagnostic CPT 45378 Colonoscopy flexible; DX including collection of specimen when performed	$3,099.74	$6,199.47	$1,654.00–$5,630.00	4% below	50%
Colonoscopy, diagnostic inpatient CPT 45378 Colonoscopy flexible; DX including collection of specimen when performed	$3,099.74	$6,199.47	—	—	50%
Coronary stent placement, one artery CPT 92928 PTCA with BMS	$11,577.71	$23,155.41	$4,340.00–$35,165.46	21% below	50%
Coronary stent placement, one artery inpatient CPT 92928 PTCA with BMS	$11,577.71	$23,155.41	—	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 CYSTOSCOPY	$1,200.15	$2,400.29	$1,195.34–$3,180.75	14% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 CYSTOSCOPY	$1,200.15	$2,400.29	—	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN/PREMLG LESION	$339.76	$679.52	$338.40–$3,180.75	48% above	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN/PREMLG LESION	$339.76	$679.52	—	—	50%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 Remove Impacted Ear Wax Unilateral	$109.37	$218.73	$108.93–$3,180.75	6% below	50%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 Remove Impacted Ear Wax Unilateral	$109.37	$218.73	—	—	50%
Earwax removal with instruments, one ear both sides CPT 69210 REM CERUMENUNI/BI	$107.26	$214.51	$106.83–$3,180.75	—	50%
Earwax removal with instruments, one ear inpatient both sides CPT 69210 REM CERUMENUNI/BI	$107.26	$214.51	—	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Endometrial BX w/wo Endocervical BX w/o Dilation	$411.60	$823.19	$409.95–$3,180.75	4% above	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Endometrial BX w/wo Endocervical BX w/o Dilation	$411.60	$823.19	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Epidural Steroid Injection Dorsal	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Injection Therapeutic	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR Epidural Steroid Inj Lumbar/Sacral	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 IR Epidural Injection Cervical/Thoracic	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 XR Epidural Steroid Inj Cerv/Thor	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 CT Epidural Steroid Inj Cerv/Thor	$3,416.39	$6,832.77	$2,755.00–$7,506.00	at median	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 XR Epidural Steroid Inj Cerv/Thor	$3,416.39	$6,832.77	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 XR Epidural Steroid Inj Lumbar/Sacral	$3,416.39	$6,832.77	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 CT Epidural Steroid Inj Cerv/Thor	$3,416.39	$6,832.77	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Epidural Steroid Injection Dorsal	$3,416.39	$6,832.77	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Injection Therapeutic	$3,416.39	$6,832.77	—	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 IR Epidural Injection Cervical/Thoracic	$3,416.39	$6,832.77	—	—	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 IR Inj Paravertebral Joint L-S	$2,695.77	$5,391.54	$2,695.77–$7,506.00	3% above	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT Inj Paravertebral Joint L-S	$2,695.77	$5,391.54	$2,695.77–$7,506.00	3% above	50%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 IR Inj Paravertebral Joint L-S	$2,695.77	$5,391.54	—	—	50%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT Inj Paravertebral Joint L-S	$2,695.77	$5,391.54	—	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Sigmoidoscopy flexible; diagnostic including collection of specimen when performed	$3,147.11	$6,294.22	$1,654.00–$5,630.00	2% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Sigmoidoscopy flexible; diagnostic including collection of specimen when performed	$3,147.11	$6,294.22	—	—	50%
Hemorrhoidectomy (internal and external), one area CPT 46255 HEMORRHOIDECTOMY.	$3,207.83	$6,415.66	$1,654.00–$5,370.40	—	50%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HEMORRHOIDECTOMY.	$3,207.83	$6,415.66	—	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 US INJ UTERUS/TUBE	$169.56	$339.12	$169.56–$7,506.00	60% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 IR INJ UTERUS/TUBE	$169.56	$339.12	$169.56–$7,506.00	60% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 XR INJ UTERUS/TUBE	$169.56	$339.12	$169.56–$7,506.00	60% below	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 IR INJ UTERUS/TUBE	$169.56	$339.12	—	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 XR INJ UTERUS/TUBE	$169.56	$339.12	—	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 US INJ UTERUS/TUBE	$169.56	$339.12	—	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 US Incis/Drain Abscess Simple	$338.66	$677.31	$338.66–$7,506.00	19% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 CT Incis/Drain Abscess Simple	$340.10	$680.20	$340.10–$7,506.00	18% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 Abscess Drainage (I&D) Simple/Single	$340.10	$680.20	$340.10–$7,506.00	18% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABC;SIMP/SING	$340.10	$680.20	$338.74–$3,180.75	18% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D abscess - single	$340.10	$680.20	$340.10–$7,506.00	18% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 IR Incis/Drain Abscess Simple	$340.10	$680.20	$340.10–$7,506.00	18% below	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 US Incis/Drain Abscess Simple	$338.66	$677.31	—	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Abscess Drainage (I&D) Simple/Single	$340.10	$680.20	—	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABC;SIMP/SING	$340.10	$680.20	—	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 IR Incis/Drain Abscess Simple	$340.10	$680.20	—	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 CT Incis/Drain Abscess Simple	$340.10	$680.20	—	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D abscess - single	$340.10	$680.20	—	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 zzInjection (s) tendon sheath/ligament	$182.52	$365.03	$182.52–$7,506.00	78% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 INJECTION THENDON SHEATH LIGAMENT TRIGGER P	$474.21	$948.41	$472.31–$3,180.75	42% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 CT Inj Single Tendon Sheath/Ligament	$490.25	$980.49	$490.25–$7,506.00	40% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 zzInjection (s) tendon sheath/ligament	$182.52	$365.03	—	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 INJECTION THENDON SHEATH LIGAMENT TRIGGER P	$474.21	$948.41	—	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 CT Inj Single Tendon Sheath/Ligament	$490.25	$980.49	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHROCENTESISMAJOR JOINTSHOULDER KNEE HIP w/o US Guidance	$1,546.54	$3,093.08	$1,540.35–$3,180.75	137% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Aspirate Inject Major Joint Right	$1,546.54	$3,093.08	$1,546.54–$7,506.00	137% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 IR Aspirate Inject Major Joint Left	$1,546.54	$3,093.08	$1,546.54–$7,506.00	137% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT Aspirate Inject Major Joint Left	$1,546.54	$3,093.08	$466.00–$3,180.75	137% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound one side CPT 20610 CT Aspirate Inject Major Joint Right	$1,546.54	$3,093.08	$466.00–$3,180.75	137% above	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHROCENTESISMAJOR JOINTSHOULDER KNEE HIP w/o US Guidance	$1,546.54	$3,093.08	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Aspirate Inject Major Joint Right	$1,546.54	$3,093.08	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT Aspirate Inject Major Joint Right	$1,546.54	$3,093.08	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 CT Aspirate Inject Major Joint Left	$1,546.54	$3,093.08	—	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient one side CPT 20610 IR Aspirate Inject Major Joint Left	$1,546.54	$3,093.08	—	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INTERMED JOINT ASP/INJ w/o US Guidance	$476.99	$953.98	$475.08–$3,180.75	24% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain Inj Intermediate Joint	$476.99	$953.98	$476.99–$7,506.00	24% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 IR Aspirate Inject Interm Joint Right	$375.57	$751.14	$375.57–$7,506.00	40% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) one side CPT 20605 IR Aspirate Inject Interm Joint Left	$375.57	$751.14	$375.57–$7,506.00	40% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain Inj Intermediate Joint	$476.99	$953.98	—	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INTERMED JOINT ASP/INJ w/o US Guidance	$476.99	$953.98	—	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 IR Aspirate Inject Interm Joint Right	$375.57	$751.14	—	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient one side CPT 20605 IR Aspirate Inject Interm Joint Left	$375.57	$751.14	—	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or inject of fluid from joint 20600	$474.50	$948.99	$472.60–$3,180.75	45% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 DRAIN/INJECT Joint/Bursa; w/o US Guidance	$539.49	$1,078.97	$537.33–$3,180.75	37% below	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Drain Inj Small Joint	$539.49	$1,078.97	$539.49–$7,506.00	37% below	50%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 IR Aspirate Inject Small Joint Left	$539.49	$1,078.97	$539.49–$7,506.00	37% below	50%
Joint injection or drainage, small joint (fingers, toes) one side CPT 20600 IR Aspirate Inject Small Joint Right	$539.49	$1,078.97	$539.49–$7,506.00	37% below	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration and/or inject of fluid from joint 20600	$474.50	$948.99	—	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Drain Inj Small Joint	$539.49	$1,078.97	—	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 DRAIN/INJECT Joint/Bursa; w/o US Guidance	$539.49	$1,078.97	—	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 IR Aspirate Inject Small Joint Left	$539.49	$1,078.97	—	—	50%
Joint injection or drainage, small joint (fingers, toes) inpatient one side CPT 20600 IR Aspirate Inject Small Joint Right	$539.49	$1,078.97	—	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 LAYER CLSAT&/E;0-2.5CM	$599.64	$1,199.28	$597.24–$3,180.75	18% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate wound repair of scalp/trunk/ax <2.5 cm 12031	$651.06	$1,302.12	$648.46–$4,923.00	11% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 LAYER CLSAT&/E;0-2.5CM	$599.64	$1,199.28	—	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Intermediate wound repair of scalp/trunk/ax <2.5 cm 12031	$651.06	$1,302.12	—	—	50%
Lower-back epidural injection, with imaging guidance CPT 62323 CT Epidural Steroid Inj Lumbar/Sacral	$3,416.39	$6,832.77	$2,755.00–$7,506.00	18% above	50%
Lower-back epidural injection, with imaging guidance CPT 62323 IR Epidural Steroid Inj Lumbar/Sacral	$3,416.83	$6,833.66	$2,755.00–$7,506.00	18% above	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 CT Epidural Steroid Inj Lumbar/Sacral	$3,416.39	$6,832.77	—	—	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 IR Epidural Steroid Inj Lumbar/Sacral	$3,416.83	$6,833.66	—	—	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 IR Nerve Root Block Lumbar/Sacral	$3,590.82	$7,181.63	$2,755.00–$7,506.00	46% above	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 CT Nerve Root Block Lumbar/Sacral	$3,590.82	$7,181.63	$2,755.00–$7,506.00	46% above	50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 IR Nerve Root Block Lumbar/Sacral	$3,590.82	$7,181.63	—	—	50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 CT Nerve Root Block Lumbar/Sacral	$3,590.82	$7,181.63	—	—	50%
Nail removal (partial or complete), one nail CPT 11730 AV NAIL PLATPART/COMP;SG	$340.10	$680.20	$338.74–$3,180.75	16% below	50%
Nail removal (partial or complete), one nail CPT 11730 Single	$340.10	$680.20	$340.10–$7,506.00	16% below	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 AV NAIL PLATPART/COMP;SG	$340.10	$680.20	—	—	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 Single	$340.10	$680.20	—	—	50%
Occipital nerve block (injection for headaches) CPT 64405 INJANES;GR OCCIP NER	$342.37	$684.73	$341.00–$3,180.75	57% below	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 INJANES;GR OCCIP NER	$342.37	$684.73	—	—	50%
Pacemaker implant (dual chamber) CPT 33208 Implant PPM with Atr and Vent Leads	$19,934.47	$39,868.94	$5,989.00–$27,908.26	3% below	50%
Pacemaker implant (dual chamber) inpatient CPT 33208 Implant PPM with Atr and Vent Leads	$19,934.47	$39,868.94	—	—	50%
Paracentesis with imaging guidance CPT 49083 US Paracentesis	$2,906.88	$5,813.76	$2,755.00–$7,506.00	24% above	50%
Paracentesis with imaging guidance CPT 49083 CT Paracentesis	$2,906.88	$5,813.76	$2,755.00–$7,506.00	24% above	50%
Paracentesis with imaging guidance CPT 49083 Abdominal Paracentesis w/Imaging Guidance	$2,906.88	$5,813.76	$1,654.00–$4,069.63	24% above	50%
Paracentesis with imaging guidance CPT 49083 IR Paracentesis	$2,906.88	$5,813.76	$2,755.00–$7,506.00	24% above	50%
Paracentesis with imaging guidance CPT 49083 XR Paracentesis	$2,906.88	$5,813.76	$2,755.00–$7,506.00	24% above	50%
Paracentesis with imaging guidance inpatient CPT 49083 Abdominal Paracentesis w/Imaging Guidance	$2,906.88	$5,813.76	—	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 XR Paracentesis	$2,906.88	$5,813.76	—	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 US Paracentesis	$2,906.88	$5,813.76	—	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 IR Paracentesis	$2,906.88	$5,813.76	—	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 CT Paracentesis	$2,906.88	$5,813.76	—	—	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Excision Of Nail	$605.36	$1,210.72	$605.36–$7,506.00	27% below	50%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 EXC NAIL/MATPART/COMP	$605.36	$1,210.72	$602.94–$3,180.75	27% below	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 EXC NAIL/MATPART/COMP	$605.36	$1,210.72	—	—	50%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Excision Of Nail	$605.36	$1,210.72	—	—	50%
Prostate biopsy CPT 55700 IR Biopsy Core Prostate	$2,726.28	$5,452.56	$2,085.60–$7,506.00	50% below	50%
Prostate biopsy CPT 55700 US Biopsy Core Prostate	$2,726.28	$5,452.56	$2,085.60–$7,506.00	50% below	50%
Prostate biopsy CPT 55700 CT Biospsy Core Prostate	$2,726.28	$5,452.56	$2,085.60–$7,506.00	50% below	50%
Prostate biopsy inpatient CPT 55700 IR Biopsy Core Prostate	$2,726.28	$5,452.56	—	—	50%
Prostate biopsy inpatient CPT 55700 CT Biospsy Core Prostate	$2,726.28	$5,452.56	—	—	50%
Prostate biopsy inpatient CPT 55700 US Biopsy Core Prostate	$2,726.28	$5,452.56	—	—	50%
Removal of a foreign object under the skin, simple CPT 10120 REMOVE FBSQ;SIMP	$605.20	$1,210.39	$602.77–$3,180.75	6% below	50%
Removal of a foreign object under the skin, simple CPT 10120 Removal Foreign Body - simple	$605.36	$1,210.72	$605.36–$7,506.00	6% below	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 REMOVE FBSQ;SIMP	$605.20	$1,210.39	—	—	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Foreign Body - simple	$605.36	$1,210.72	—	—	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 ESWL	$5,863.47	$11,726.93	$5,787.00–$11,281.33	58% below	50%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 ESWL	$5,863.47	$11,726.93	—	—	50%
Short arm cast (elbow to hand) CPT 29075 APP;SHORT ARM CAST	$457.80	$915.59	$350.21–$1,654.00	13% below	50%
Short arm cast (elbow to hand) inpatient CPT 29075 APP;SHORT ARM CAST	$457.80	$915.59	—	—	50%
Short arm splint (forearm and hand) CPT 29125 APP SHORT ARM SPLINT;STAC	$202.66	$405.32	$155.03–$1,654.00	27% below	50%
Short arm splint (forearm and hand) inpatient CPT 29125 APP SHORT ARM SPLINT;STAC	$202.66	$405.32	—	—	50%
Short leg cast (below the knee) CPT 29405 APP SHORT LEG CAST	$457.80	$915.59	$350.21–$1,654.00	31% below	50%
Short leg cast (below the knee) inpatient CPT 29405 APP SHORT LEG CAST	$457.80	$915.59	—	—	50%
Short leg splint (calf to foot) CPT 29515 APP SHORT LEG SPLINT	$259.47	$518.93	$198.49–$1,654.00	40% below	50%
Short leg splint (calf to foot) CPT 29515 Application of Short Leg Cast	$259.47	$518.93	$198.49–$7,506.00	40% below	50%
Short leg splint (calf to foot) inpatient CPT 29515 APP SHORT LEG SPLINT	$259.47	$518.93	—	—	50%
Short leg splint (calf to foot) inpatient CPT 29515 Application of Short Leg Cast	$259.47	$518.93	—	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple surf wound repair of scalp/neck/trunk/ax <2.5cm 12001	$315.14	$630.27	$313.87–$4,923.00	21% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 REPSIMPSNAGT&/E;0-2.5CM	$340.10	$680.20	$338.74–$3,180.75	14% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Superficial Wound =< 2.5 cm	$340.10	$680.20	$340.10–$7,506.00	14% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple surf wound repair of scalp/neck/trunk/ax <2.5cm 12001	$315.14	$630.27	—	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Superficial Wound =< 2.5 cm	$340.10	$680.20	—	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 REPSIMPSNAGT&/E;0-2.5CM	$340.10	$680.20	—	—	50%
Skin biopsy, punch, one lesion CPT 11104 First lesion	$421.96	$843.92	$421.96–$7,506.00	at median	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 First lesion	$421.96	$843.92	—	—	50%
Skin tag removal, up to 15 tags CPT 11200 Remove Skin Tags any area 15 or less	$114.30	$228.59	$113.84–$3,180.75	60% below	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 Remove Skin Tags any area 15 or less	$114.30	$228.59	—	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNC;DX	$649.49	$1,298.98	$646.89–$3,180.75	43% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture (Diagnostic)	$1,048.37	$2,096.74	$1,048.37–$7,506.00	9% below	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNC;DX	$649.49	$1,298.98	—	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture (Diagnostic)	$1,048.37	$2,096.74	—	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Repair Superficial Wound 2.6 cm to 7.5 cm	$342.86	$685.71	$262.28–$7,506.00	at median	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 REPSIMPSNAGT&/E;2.6-7CM	$342.86	$685.71	$262.28–$1,654.00	at median	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Repair Superficial Wound 2.6 cm to 7.5 cm	$342.86	$685.71	—	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 REPSIMPSNAGT&/E;2.6-7CM	$342.86	$685.71	—	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 REPSMPFNL&/MM;0-2.5CM	$346.05	$692.10	$264.73–$1,654.00	17% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 REPSMPFNL&/MM;0-2.5CM	$346.05	$692.10	—	—	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 First lesion	$340.10	$680.20	$340.10–$7,506.00	16% below	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 First lesion	$340.10	$680.20	—	—	50%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/IMAGING	$1,095.83	$2,191.66	$1,091.45–$3,180.75	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis Left	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 IR Thoracentesis Left	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 CT Thoracentesis Right	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Right	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 IR Thoracentesis Right	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 XR Thoracentesis Right	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 XR Thoracentesis Left	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance one side CPT 32555 US Thoracentesis Left	$1,095.83	$2,191.66	$1,095.83–$7,506.00	13% below	50%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/IMAGING	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Left	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 US Thoracentesis Right	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 XR Thoracentesis Right	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 IR Thoracentesis Left	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 IR Thoracentesis Right	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis Left	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 CT Thoracentesis Right	$1,095.83	$2,191.66	—	—	50%
Thoracentesis with imaging guidance inpatient one side CPT 32555 XR Thoracentesis Left	$1,095.83	$2,191.66	—	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 INJECTION;SINGLE OR MULTIPLE TRIGGER POINTS O	$375.57	$751.14	$374.07–$3,180.75	41% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 CT Injection Trigger Points 1-2 Muscles	$393.43	$786.86	$393.43–$7,506.00	39% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 IR Injection Trigger Points 1-2 Muscles	$393.43	$786.86	$393.43–$7,506.00	39% below	50%
Trigger point injections, 1 or 2 muscles CPT 20552 XR Injection Trigger Points 1-2 Muscles	$393.43	$786.86	$393.43–$7,506.00	39% below	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 INJECTION;SINGLE OR MULTIPLE TRIGGER POINTS O	$375.57	$751.14	—	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 CT Injection Trigger Points 1-2 Muscles	$393.43	$786.86	—	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 IR Injection Trigger Points 1-2 Muscles	$393.43	$786.86	—	—	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 XR Injection Trigger Points 1-2 Muscles	$393.43	$786.86	—	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion both sides CPT 19083 US Breast Biopsy 1st Lesion Bilat	$2,757.02	$5,514.03	$2,757.02–$7,506.00	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 US Breast Mammotone	$3,301.92	$6,603.84	$3,301.92–$7,506.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy 1st Lesion Left	$3,301.92	$6,603.84	$3,301.92–$7,506.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion one side CPT 19083 US Breast Biopsy 1st Lesion Right	$3,301.92	$6,603.84	$3,301.92–$7,506.00	40% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient both sides CPT 19083 US Breast Biopsy 1st Lesion Bilat	$2,757.02	$5,514.03	—	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 US Breast Mammotone	$3,301.92	$6,603.84	—	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy 1st Lesion Right	$3,301.92	$6,603.84	—	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient one side CPT 19083 US Breast Biopsy 1st Lesion Left	$3,301.92	$6,603.84	—	—	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH ENDOSCOPY DILATION	$3,028.30	$6,056.60	$1,654.00–$5,630.00	54% below	50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH ENDOSCOPY DILATION	$3,028.30	$6,056.60	—	—	50%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of esoph/stomach/small bowel w/endoscope 43239	$1,440.65	$2,881.29	$1,440.65–$5,630.00	56% below	50%
Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPYBIOPSY	$2,585.95	$5,171.89	$1,654.00–$5,630.00	21% below	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Biopsy of esoph/stomach/small bowel w/endoscope 43239	$1,440.65	$2,881.29	—	—	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 UPPER GI ENDOSCOPYBIOPSY	$2,585.95	$5,171.89	—	—	50%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic exam of esoph/stomach/sm bowel w/endoscope 43235	$1,440.65	$2,881.29	$1,440.65–$5,630.00	56% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GI ENDOSCOPY DIAGNOSIS	$2,917.57	$5,835.14	$1,654.00–$5,630.00	11% below	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic exam of esoph/stomach/sm bowel w/endoscope 43235	$1,440.65	$2,881.29	—	—	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GI ENDOSCOPY DIAGNOSIS	$2,917.57	$5,835.14	—	—	50%
Vaginal delivery, including prenatal and postpartum care CPT 59400 1	$1,367.19	$2,734.37	$942.26–$1,765.86	—	50%
Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 1	$1,367.19	$2,734.37	—	—	50%
Vein ablation, radiofrequency, first vein one side CPT 36475 IR Ablation EXTR Vein Rf 1st Left	$5,369.27	$10,738.54	$4,851.00–$11,215.00	41% below	50%
Vein ablation, radiofrequency, first vein one side CPT 36475 IR Ablation EXTR Vein Rf 1st Right	$5,369.27	$10,738.54	$4,851.00–$11,215.00	41% below	50%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 IR Ablation EXTR Vein Rf 1st Left	$5,369.27	$10,738.54	—	—	50%
Vein ablation, radiofrequency, first vein inpatient one side CPT 36475 IR Ablation EXTR Vein Rf 1st Right	$5,369.27	$10,738.54	—	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDE SKIN/TISSUE	$2,568.00	$5,136.00	$1,654.00–$3,595.20	196% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 First 20 sq cm	$2,568.00	$5,136.00	$2,568.00–$7,506.00	196% above	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDE SKIN/TISSUE	$2,568.00	$5,136.00	—	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 First 20 sq cm	$2,568.00	$5,136.00	—	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSIONBLOOD/COMPON	$3,509.00	$7,018.00	$2,418.40–$4,532.22	192% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration	$3,509.00	$7,018.00	$2,418.40–$4,532.22	192% above	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration	$3,509.00	$7,018.00	—	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSIONBLOOD/COMPON	$3,509.00	$7,018.00	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Initial	$359.59	$719.18	$247.83–$503.43	67% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Demo/Eval	$359.59	$719.18	$247.83–$503.43	67% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Subsequent	$359.59	$719.18	$247.83–$503.43	67% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 PFT Bronchodilator	$359.59	$719.18	$247.83–$503.43	67% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI:Subsequent	$479.90	$959.79	$367.12–$1,654.00	123% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN:Subsequent	$479.90	$959.79	$367.12–$1,654.00	123% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN:Initial	$479.90	$959.79	$367.12–$1,654.00	123% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI:Initial	$479.90	$959.79	$367.12–$1,654.00	123% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 PFT Bronchodilator	$359.59	$719.18	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Demo/Eval	$359.59	$719.18	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN:Subsequent	$479.90	$959.79	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI:Initial	$479.90	$959.79	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Subsequent	$479.90	$959.79	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI:Subsequent	$479.90	$959.79	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN:Initial	$479.90	$959.79	—	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Initial	$479.90	$959.79	—	—	50%
Chemotherapy IV infusion, first hour CPT 96413 First Hour	$1,163.58	$2,327.16	$300.00–$1,502.88	5% above	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 First Hour	$1,163.58	$2,327.16	—	—	50%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care 1st Hour	$2,474.53	$4,949.06	$1,654.00–$6,640.00	6% above	50%
Critical care, first 30 to 74 minutes CPT 99291 99291 - Critical Care	$2,474.53	$4,949.06	$1,654.00–$6,640.00	6% above	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care	$2,474.53	$4,949.06	$1,893.02	—	50%
Critical care, first 30 to 74 minutes inpatient CPT 99291 99291 - Critical Care 1st Hour	$2,474.53	$4,949.06	$1,893.02	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 BCE ONLY-CHRG - EEG AWAKE/DROWSY	$598.75	$1,197.50	$412.66–$838.25	52% below	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 CHRG - EEG AWAKE/DROWSY	$1,017.51	$2,035.01	$701.26–$1,424.51	19% below	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 BCE ONLY-CHRG - EEG AWAKE/DROWSY	$598.75	$1,197.50	—	—	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 CHRG - EEG AWAKE/DROWSY	$1,017.51	$2,035.01	—	—	50%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 BCE ONLY-CHRG - Cardiology EKG/Holter Charges-STAT/Routine EKG 12 lead or 15 lead	$145.80	$291.59	$100.48–$300.00	31% below	50%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 BCE ONLY-CHRG - Cardiology EKG/Holter Charges-STAT/Routine EKG 12 lead or 15 lead	$145.80	$291.59	—	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKGROUT 12LEAD;TRACE	$149.17	$298.33	$65.43–$300.00	26% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 or 15 Lead Tracing Only 93005	$149.17	$298.33	$65.43–$300.00	26% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 or 15 Lead Tracing Only 93005	$149.17	$298.33	—	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKGROUT 12LEAD;TRACE	$149.17	$298.33	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level 1	$282.35	$564.69	$282.35–$3,226.00	49% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 99281 - Level I	$282.35	$564.69	$282.35–$3,226.00	49% below	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level 1	$282.35	$564.69	—	—	50%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 99281 - Level I	$282.35	$564.69	—	—	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level II	$378.88	$757.75	$378.88–$3,226.00	55% below	50%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 99282 - Level 2	$378.88	$757.75	$378.88–$3,226.00	55% below	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level 2	$378.88	$757.75	—	—	50%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 99282 - Level II	$378.88	$757.75	—	—	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level III	$800.97	$1,601.93	$800.97–$3,226.00	46% below	50%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 99283 - Level 3	$800.97	$1,601.93	$800.97–$3,226.00	46% below	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level III	$800.97	$1,601.93	—	—	50%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 99283 - Level 3	$800.97	$1,601.93	—	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level 4	$1,214.03	$2,428.05	$1,214.03–$3,226.00	49% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 99284 - Level IV	$1,214.03	$2,428.05	$1,214.03–$3,226.00	49% below	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level IV	$1,214.03	$2,428.05	—	—	50%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 99284 - Level 4	$1,214.03	$2,428.05	—	—	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level V	$1,610.98	$3,221.95	$1,602.00–$3,226.00	58% below	50%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 99285 - Level 5	$1,610.98	$3,221.95	$1,602.00–$3,226.00	58% below	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level V	$1,610.98	$3,221.95	—	—	50%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 99285 - Level 5	$1,610.98	$3,221.95	—	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 CAC Exercise Stress Test-Tracing Only	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 PET/CT STRESS TEST TRACING ONLY	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test Non Nuclear 93017	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Ex Stress - Tracing only	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 Cardiovascular Stress Test 93017	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 BCE ONLY-CHRG - Echo /Stress Test-Cardiovascular Stress Test 93017	$847.43	$1,694.85	$245.71–$1,186.40	23% below	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 PET/CT STRESS TEST TRACING ONLY	$847.43	$1,694.85	—	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test 93017	$847.43	$1,694.85	—	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 BCE ONLY-CHRG - Echo /Stress Test-Cardiovascular Stress Test 93017	$847.43	$1,694.85	—	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Cardiovascular Stress Test Non Nuclear 93017	$847.43	$1,694.85	—	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Ex Stress - Tracing only	$847.43	$1,694.85	—	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CAC Exercise Stress Test-Tracing Only	$847.43	$1,694.85	—	—	50%
Family therapy with the patient, 50 minutes CPT 90847 PHP/IOP Family Couples Psych w/Patient 90847	$186.13	$372.25	$106.00–$260.58	43% below	50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 PHP/IOP Family Couples Psych w/Patient 90847	$186.13	$372.25	—	—	50%
Family therapy without the patient, 50 minutes CPT 90846 PHP/IOP Family Therapy w/o Patient 90846	$121.98	$243.96	$84.07–$250.00	53% below	50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 PHP/IOP Family Therapy w/o Patient 90846	$121.98	$243.96	—	—	50%
Group psychotherapy session CPT 90853 Group Therapy 90853	$109.88	$219.75	$51.00–$153.83	29% below	50%
Group psychotherapy session CPT 90853 PHP/IOP Group Therapy 90853 - GT	$109.88	$219.75	$51.00–$153.83	29% below	50%
Group psychotherapy session CPT 90853 PHP/IOP Group Therapy 90853	$109.88	$219.75	$51.00–$153.83	29% below	50%
Group psychotherapy session CPT 90853 PHP/IOP Group Therapy 90853 û 95	$109.88	$219.75	$51.00–$153.83	29% below	50%
Group psychotherapy session CPT 90853 Partial PHP/IOP Medicaid 90853- 52	$109.88	$219.75	$51.00–$153.83	29% below	50%
Group psychotherapy session inpatient CPT 90853 PHP/IOP Group Therapy 90853 û 95	$109.88	$219.75	—	—	50%
Group psychotherapy session inpatient CPT 90853 PHP/IOP Group Therapy 90853	$109.88	$219.75	—	—	50%
Group psychotherapy session inpatient CPT 90853 Group Therapy 90853	$109.88	$219.75	—	—	50%
Group psychotherapy session inpatient CPT 90853 PHP/IOP Group Therapy 90853 - GT	$109.88	$219.75	—	—	50%
Group psychotherapy session inpatient CPT 90853 Partial PHP/IOP Medicaid 90853- 52	$109.88	$219.75	—	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Initial 31 Minutes to an Hour	$491.54	$983.07	$300.00–$634.87	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 - Hydration first hour	$491.54	$983.07	$336.96–$1,654.00	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV InfusionHydration Initial 1st Hour 96360	$491.54	$983.07	$336.96–$1,654.00	1% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV InfusionHydration Initial 1st Hour 96360	$491.54	$983.07	—	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 - Hydration first hour	$491.54	$983.07	—	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Initial 31 Minutes to an Hour	$491.54	$983.07	—	—	50%
IV infusion of a medicine, first hour CPT 96365 First Hour	$706.68	$1,413.36	$487.04–$989.35	5% above	50%
IV infusion of a medicine, first hour CPT 96365 IV Infusion TX/DX/prophylaxis initial up to 1 Hour	$706.68	$1,413.36	$540.61–$1,654.00	5% above	50%
IV infusion of a medicine, first hour CPT 96365 96365 - IV tx first hour	$706.68	$1,413.36	$540.61–$1,654.00	5% above	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infusion TX/DX/prophylaxis initial up to 1 Hour	$706.68	$1,413.36	—	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 First Hour	$706.68	$1,413.36	—	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 - IV tx first hour	$706.68	$1,413.36	—	—	50%
IV push of a medicine, first drug CPT 96374 zz*Diagnostic Inj IV Specify	$357.28	$714.55	$355.85–$500.19	39% below	50%
IV push of a medicine, first drug CPT 96374 TX/DX INJ;IV	$385.97	$771.94	$295.27–$1,654.00	34% below	50%
IV push of a medicine, first drug CPT 96374 Injection IV Push Single or Initial	$385.97	$771.94	$266.01–$13,762.00	34% below	50%
IV push of a medicine, first drug CPT 96374 96374 - IV Injection single/initial	$385.97	$771.94	$295.27–$1,654.00	34% below	50%
IV push of a medicine, first drug CPT 96374 BCE ONLY-CHRG - Echo /Stress Test-INJ IV Push Initial 96374	$385.97	$771.94	$266.01–$540.36	34% below	50%
IV push of a medicine, first drug CPT 96374 CAC Injection:Ther/Proph/Diag-Single or Initial	$385.97	$771.94	$266.01–$540.36	34% below	50%
IV push of a medicine, first drug CPT 96374 Injection IV Push Initial 96374	$385.97	$771.94	$266.01–$540.36	34% below	50%
IV push of a medicine, first drug CPT 96374 INJ IV Push Initial 96374	$385.97	$771.94	$266.01–$540.36	34% below	50%
IV push of a medicine, first drug CPT 96374 Initial Administration	$385.97	$771.94	$266.01–$540.36	34% below	50%
IV push of a medicine, first drug inpatient CPT 96374 zz*Diagnostic Inj IV Specify	$357.28	$714.55	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 Initial Administration	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 Injection IV Push Initial 96374	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 CAC Injection:Ther/Proph/Diag-Single or Initial	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 TX/DX INJ;IV	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 Injection IV Push Single or Initial	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 BCE ONLY-CHRG - Echo /Stress Test-INJ IV Push Initial 96374	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 INJ IV Push Initial 96374	$385.97	$771.94	—	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV Injection single/initial	$385.97	$771.94	—	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 TX/DX INJ;SUBCUT/IM 96372	$156.89	$313.78	$120.02–$1,654.00	23% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 - Subq/IM injection	$156.89	$313.78	$120.02–$1,654.00	23% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 CHRG - INJ IM OR SUBQ	$156.89	$313.78	$108.13–$219.65	23% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM INJ ANTIBIOTIC 96372	$156.89	$313.78	$120.02–$1,654.00	23% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Administration Charge	$156.89	$313.78	$108.13–$305.00	23% below	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Administration Charge	$156.89	$313.78	—	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 - Subq/IM injection	$156.89	$313.78	—	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 CHRG - INJ IM OR SUBQ	$156.89	$313.78	—	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM INJ ANTIBIOTIC 96372	$156.89	$313.78	—	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 TX/DX INJ;SUBCUT/IM 96372	$156.89	$313.78	—	—	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 PHP/IOP Psych Diagnostic Eval W/O Med Mgmt 90791	$166.92	$333.84	$115.04–$374.00	50% below	50%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Crisis Psych Diagnostic Eval W/O Med Mgmt 90791	$222.39	$444.78	$153.27–$374.00	34% below	50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PHP/IOP Psych Diagnostic Eval W/O Med Mgmt 90791	$166.92	$333.84	—	—	50%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Crisis Psych Diagnostic Eval W/O Med Mgmt 90791	$222.39	$444.78	—	—	50%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Assist Unit	$61.14	$122.27	$42.13–$251.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Assist Unit	$61.14	$122.27	$42.13–$251.00	54% below	50%
Neuromuscular re-education, 15 minutes CPT 97112 OT Neuromuscular Reeducation Units	$161.44	$322.87	$111.26–$251.00	21% above	50%
Neuromuscular re-education, 15 minutes CPT 97112 PT Neuromuscular Reeducation Units	$161.44	$322.87	$111.26–$251.00	21% above	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Assist Unit	$61.14	$122.27	—	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Assist Unit	$61.14	$122.27	—	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 OT Neuromuscular Reeducation Units	$161.44	$322.87	—	—	50%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 PT Neuromuscular Reeducation Units	$161.44	$322.87	—	—	50%
New patient office visit, about 30 minutes CPT 99203 ACC E&M New Pt. Level 3	$116.85	$233.69	$89.39–$4,923.00	43% below	50%
New patient office visit, about 30 minutes CPT 99203 ACC E&M New Patient Level 3	$116.85	$233.69	$89.39–$4,923.00	43% below	50%
New patient office visit, about 30 minutes CPT 99203 Visit Level III	$116.85	$233.69	$89.39–$4,923.00	43% below	50%
New patient office visit, about 30 minutes CPT 99203 BCE ONLY-CHRG - CHF New Patient-Level 3	$249.68	$499.35	$152.00–$349.55	22% above	50%
New patient office visit, about 30 minutes CPT 99203 Level 3	$249.68	$499.35	$152.00–$349.55	22% above	50%
New patient office visit, about 30 minutes inpatient CPT 99203 ACC E&M New Patient Level 3	$116.85	$233.69	—	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 ACC E&M New Pt. Level 3	$116.85	$233.69	—	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 Visit Level III	$116.85	$233.69	—	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 Level 3	$185.94	$371.88	—	—	50%
New patient office visit, about 30 minutes inpatient CPT 99203 BCE ONLY-CHRG - CHF New Patient-Level 3	$249.68	$499.35	—	—	50%
New patient office visit, about 45 minutes CPT 99204 ACC E&M New Patient Level 4	$133.54	$267.07	$102.15–$4,923.00	60% below	50%
New patient office visit, about 45 minutes CPT 99204 ACC E&M New Pt. Level 4	$133.54	$267.07	$102.15–$4,923.00	60% below	50%
New patient office visit, about 45 minutes CPT 99204 Visit Level IV	$133.54	$267.07	$102.15–$4,923.00	60% below	50%
New patient office visit, about 45 minutes CPT 99204 BCE ONLY-CHRG - CHF New Patient-Level 4	$357.82	$715.64	$214.00–$500.95	7% above	50%
New patient office visit, about 45 minutes CPT 99204 Level 4	$357.82	$715.64	$214.00–$500.95	7% above	50%
New patient office visit, about 45 minutes inpatient CPT 99204 ACC E&M New Pt. Level 4	$133.54	$267.07	—	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 Visit Level IV	$133.54	$267.07	—	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 ACC E&M New Patient Level 4	$133.54	$267.07	—	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 Level 4	$357.82	$715.64	—	—	50%
New patient office visit, about 45 minutes inpatient CPT 99204 BCE ONLY-CHRG - CHF New Patient-Level 4	$357.82	$715.64	—	—	50%
New patient office visit, about 60 minutes CPT 99205 Visit Level V	$161.36	$322.71	$123.44–$4,923.00	65% below	50%
New patient office visit, about 60 minutes CPT 99205 ACC E&M New Pt. Level 5	$161.36	$322.71	$123.44–$4,923.00	65% below	50%
New patient office visit, about 60 minutes CPT 99205 ACC E&M New Patient Level 5	$161.36	$322.71	$123.44–$4,923.00	65% below	50%
New patient office visit, about 60 minutes CPT 99205 Level 5	$185.94	$371.88	$128.15–$271.00	59% below	50%
New patient office visit, about 60 minutes CPT 99205 BCE ONLY-CHRG - CHF New Patient-Level 5	$452.81	$905.62	$271.00–$633.93	at median	50%
New patient office visit, about 60 minutes inpatient CPT 99205 Visit Level V	$161.36	$322.71	—	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 ACC E&M New Patient Level 5	$161.36	$322.71	—	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 ACC E&M New Pt. Level 5	$161.36	$322.71	—	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 Level 5	$452.81	$905.62	—	—	50%
New patient office visit, about 60 minutes inpatient CPT 99205 BCE ONLY-CHRG - CHF New Patient-Level 5	$452.81	$905.62	—	—	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Visit Level I	$72.23	$144.45	$55.25–$4,923.00	40% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACC E&M New Pt. Level 1	$72.33	$144.66	$55.33–$4,923.00	40% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACC E&M New Patient Level 1	$72.33	$144.66	$55.33–$4,923.00	40% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACC E&M New Patient Level 2	$100.15	$200.30	$76.61–$4,923.00	17% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Visit Level II	$100.15	$200.30	$76.61–$4,923.00	17% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 ACC E&M New Pt. Level 2	$100.15	$200.30	$76.61–$4,923.00	17% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BCE ONLY-CHRG - CHF New Patient-Level 1	$118.29	$236.57	$81.52–$165.60	1% below	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2	$185.94	$371.88	$102.00–$260.32	55% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 1	$185.94	$371.88	$102.00–$260.32	55% above	50%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 BCE ONLY-CHRG - CHF New Patient-Level 2	$186.95	$373.90	$102.00–$261.73	56% above	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Visit Level I	$72.23	$144.45	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ACC E&M New Pt. Level 1	$72.33	$144.66	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ACC E&M New Patient Level 1	$72.33	$144.66	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ACC E&M New Patient Level 2	$100.15	$200.30	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 ACC E&M New Pt. Level 2	$100.15	$200.30	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Visit Level II	$100.15	$200.30	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BCE ONLY-CHRG - CHF New Patient-Level 1	$118.29	$236.57	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 1	$185.94	$371.88	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2	$185.94	$371.88	—	—	50%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 BCE ONLY-CHRG - CHF New Patient-Level 2	$186.95	$373.90	—	—	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 CHRG - MED NUTR TX INITINDIV EA 15MIN	$64.91	$129.81	$44.73–$90.87	12% below	50%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 CHRG - MED NUTR TX INITINDIV EA 15MIN	$64.91	$129.81	—	—	50%
Occupational therapy evaluation, low complexity CPT 97165 OT Evaluation Units Low Complexity	$312.06	$624.11	$201.00–$403.05	20% below	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Evaluation Units Low Complexity	$312.06	$624.11	—	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Evaluation Units High Complexity	$344.60	$689.19	$201.00–$445.08	16% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Evaluation Units High Complexity	$344.60	$689.19	—	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Evaluation Units Low Complexity	$310.02	$620.03	$201.00–$400.42	22% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Evaluation Units Low Complexity	$310.02	$620.03	—	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Evaluation Units Moderate Complexity	$312.55	$625.10	$201.00–$403.69	22% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Evaluation Units Moderate Complexity	$312.55	$625.10	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Assistant Units	$48.15	$96.30	$33.18–$251.00	61% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 OT Manual Therapy Units	$114.95	$229.90	$79.22–$251.00	6% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 ED Manual Therapy	$114.95	$229.90	$67.80–$1,654.00	6% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Units	$119.50	$239.00	$82.36–$251.00	2% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 PT Manual Therapy Assistant Units	$119.50	$239.00	$82.36–$251.00	2% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Assistant Units	$48.15	$96.30	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 ED Manual Therapy	$114.95	$229.90	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 OT Manual Therapy Units	$114.95	$229.90	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Units	$119.50	$239.00	—	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 PT Manual Therapy Assistant Units	$119.50	$239.00	—	—	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Units	$72.98	$145.96	$50.30–$251.00	41% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Units	$95.79	$191.57	$66.02–$251.00	22% below	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units	$145.17	$290.33	$100.05–$251.00	18% above	50%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units	$145.17	$290.33	$100.05–$251.00	18% above	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Units	$72.98	$145.96	—	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Units	$95.79	$191.57	—	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units	$145.17	$290.33	—	—	50%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units	$145.17	$290.33	—	—	50%
Psychiatric evaluation with medical services CPT 90792 PHP/IOP Psych Diagnostic Eval with Med Mgmt 90792	$183.61	$367.22	$126.54–$374.00	49% below	50%
Psychiatric evaluation with medical services CPT 90792 Crisis Psych Diagnostic Eval with Med Mgmt 90792	$283.11	$566.22	$195.12–$374.00	21% below	50%
Psychiatric evaluation with medical services inpatient CPT 90792 PHP/IOP Psych Diagnostic Eval with Med Mgmt 90792	$183.61	$367.22	—	—	50%
Psychiatric evaluation with medical services inpatient CPT 90792 Crisis Psych Diagnostic Eval with Med Mgmt 90792	$283.11	$566.22	—	—	50%
Psychotherapy for crisis, first 60 minutes CPT 90839 Crisis Psychotherapy 90839	$245.84	$491.68	$169.43–$814.00	20% below	50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Crisis Psychotherapy 90839	$245.84	$491.68	—	—	50%
Psychotherapy session, 30 minutes CPT 90832 PHP/IOP Psychotherapy 30 Mins 90832	$112.09	$224.18	$77.25–$305.00	41% below	50%
Psychotherapy session, 30 minutes inpatient CPT 90832 PHP/IOP Psychotherapy 30 Mins 90832	$112.09	$224.18	—	—	50%
Psychotherapy session, 45 minutes CPT 90834 PHP/IOP Psychotherapy 45 Mins 90834	$160.50	$321.00	$105.00–$275.00	39% below	50%
Psychotherapy session, 45 minutes inpatient CPT 90834 PHP/IOP Psychotherapy 45 Mins 90834	$160.50	$321.00	—	—	50%
Psychotherapy session, 60 minutes CPT 90837 PHP/IOP Psychotherapy 60 Mins 90837	$214.00	$428.00	$147.49–$299.60	45% below	50%
Psychotherapy session, 60 minutes inpatient CPT 90837 PHP/IOP Psychotherapy 60 Mins 90837	$214.00	$428.00	—	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes 99406	$51.04	$102.08	$35.18–$71.46	at median	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 Minutes	$64.35	$128.69	$44.35–$90.08	26% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking/Tobacco use cessation counseling visit; intermediate 4-10 minutes	$64.35	$128.69	$49.22–$1,654.00	26% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking Cessation 3-10 minutes	$64.35	$128.69	$44.35–$90.08	26% above	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 3-10 Minutes	$64.35	$128.69	$44.35–$90.08	26% above	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Tobacco Use Cessation Intermediate 3-10 Minutes 99406	$51.04	$102.08	—	—	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking/Tobacco use cessation counseling visit; intermediate 4-10 minutes	$64.35	$128.69	—	—	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 3-10 Minutes	$64.35	$128.69	—	—	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 Minutes	$64.35	$128.69	—	—	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking Cessation 3-10 minutes	$64.35	$128.69	—	—	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ACC E&M Estab. pt. Level 5	$161.36	$322.71	$123.44–$4,923.00	55% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Visit Level V	$161.36	$322.71	$123.44–$4,923.00	55% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PHP/IOP Office Visit Level 5 Est 99215	$161.36	$322.71	$111.21–$305.00	55% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 ACC E&M Estab. Patient Level 5	$161.36	$322.71	$123.44–$4,923.00	55% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5	$185.94	$371.88	$128.15–$260.32	48% below	50%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 BCE ONLY-CHRG - CHF Established Patient-Level 5	$352.19	$704.38	$187.00–$493.07	1% below	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 PHP/IOP Office Visit Level 5 Est 99215	$161.36	$322.71	—	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ACC E&M Estab. pt. Level 5	$161.36	$322.71	—	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 ACC E&M Estab. Patient Level 5	$161.36	$322.71	—	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Visit Level V	$161.36	$322.71	—	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5	$185.94	$371.88	—	—	50%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 BCE ONLY-CHRG - CHF Established Patient-Level 5	$352.19	$704.38	—	—	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 US Consult 3 components 40 minutes	$116.85	$233.69	$80.53–$163.58	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ACC E&M Estab. Pt. Level 3	$116.85	$233.69	$81.00–$4,923.00	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 ACC E&M Estab. Patient Level 3	$116.85	$233.69	$81.00–$4,923.00	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PHP/IOP Office Visit Level 3 Est 99213	$116.85	$233.69	$80.53–$305.00	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Visit Level III	$116.85	$233.69	$81.00–$4,923.00	31% below	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3	$185.94	$371.88	$81.00–$260.32	9% above	50%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 BCE ONLY-CHRG - CHF Established Patient-Level 3	$204.66	$409.31	$81.00–$286.52	20% above	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Visit Level III	$116.85	$233.69	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ACC E&M Estab. Patient Level 3	$116.85	$233.69	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 PHP/IOP Office Visit Level 3 Est 99213	$116.85	$233.69	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 US Consult 3 components 40 minutes	$116.85	$233.69	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 ACC E&M Estab. Pt. Level 3	$116.85	$233.69	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3	$204.66	$409.31	—	—	50%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 BCE ONLY-CHRG - CHF Established Patient-Level 3	$204.66	$409.31	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ACC E&M Estab. Patient Level 4	$133.54	$267.07	$102.15–$4,923.00	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 US Consult 3 components 60 minutes	$133.54	$267.07	$92.03–$186.95	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Visit Level IV	$133.54	$267.07	$102.15–$4,923.00	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PHP/IOP Office Visit Level 4 Est 99214	$133.54	$267.07	$92.03–$305.00	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 ACC E&M Estab. Pt. Level 4	$133.54	$267.07	$102.15–$4,923.00	51% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4	$185.94	$371.88	$126.00–$260.32	31% below	50%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 BCE ONLY-CHRG - CHF Established Patient-Level 4	$268.18	$536.36	$126.00–$375.45	1% below	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Visit Level IV	$133.54	$267.07	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ACC E&M Estab. Patient Level 4	$133.54	$267.07	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 ACC E&M Estab. Pt. Level 4	$133.54	$267.07	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 PHP/IOP Office Visit Level 4 Est 99214	$133.54	$267.07	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 US Consult 3 components 60 minutes	$133.54	$267.07	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4	$185.94	$371.88	—	—	50%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 BCE ONLY-CHRG - CHF Established Patient-Level 4	$268.18	$536.36	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PHP/IOP Office Visit Level 2 Est 99212	$100.15	$200.30	$55.00–$305.00	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ACC E&M Estab. Patient Level 2	$100.15	$200.30	$55.00–$4,923.00	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 US Consult 3 components 30 minutes	$100.15	$200.30	$55.00–$140.21	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 IR Consult Established Outpatient Straig	$100.15	$200.30	$55.00–$140.21	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 ACC E&M Estab. Pt. Level 2	$100.15	$200.30	$55.00–$4,923.00	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Visit Level II	$100.15	$200.30	$55.00–$4,923.00	5% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2	$143.47	$286.94	$55.00–$200.86	51% above	50%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 BCE ONLY-CHRG - CHF Established Patient-Level 2	$143.47	$286.94	$55.00–$200.86	51% above	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 US Consult 3 components 30 minutes	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Visit Level II	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 IR Consult Established Outpatient Straig	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 PHP/IOP Office Visit Level 2 Est 99212	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ACC E&M Estab. Patient Level 2	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 ACC E&M Estab. Pt. Level 2	$100.15	$200.30	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 BCE ONLY-CHRG - CHF Established Patient-Level 2	$143.47	$286.94	—	—	50%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2	$185.94	$371.88	—	—	50%
Speech and language evaluation CPT 92523 SLP Eval Lang ComprehensionExpress Unit	$387.80	$775.60	$201.00–$500.88	43% below	50%
Speech and language evaluation inpatient CPT 92523 SLP Eval Lang ComprehensionExpress Unit	$387.80	$775.60	—	—	50%
Speech therapy session, individual CPT 92507 SLP Auditory Processing Tx Units	$220.87	$441.74	$152.22–$285.28	1% below	50%
Speech therapy session, individual inpatient CPT 92507 SLP Auditory Processing Tx Units	$220.87	$441.74	—	—	50%
Spirometry (breathing test) CPT 94010 Timed Volume Capacity	$712.86	$1,425.72	$491.30–$998.00	124% above	50%
Spirometry (breathing test) CPT 94010 Spirometry Before And After Bronchodilator	$712.86	$1,425.72	$491.30–$998.00	124% above	50%
Spirometry (breathing test) CPT 94010 Spirometry/Bedside Spirometry	$712.86	$1,425.72	$491.30–$998.00	124% above	50%
Spirometry (breathing test) inpatient CPT 94010 Spirometry/Bedside Spirometry	$712.86	$1,425.72	—	—	50%
Spirometry (breathing test) inpatient CPT 94010 Spirometry Before And After Bronchodilator	$712.86	$1,425.72	—	—	50%
Spirometry (breathing test) inpatient CPT 94010 Timed Volume Capacity	$712.86	$1,425.72	—	—	50%
Spirometry before and after a bronchodilator CPT 94060 Pre/Post Bronchodialator	$762.70	$1,525.40	$525.65–$1,067.78	30% above	50%
Spirometry before and after a bronchodilator CPT 94060 Spirometry Before & After/Diagnostic Bronchodilator	$762.70	$1,525.40	$525.65–$1,067.78	30% above	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 Spirometry Before & After/Diagnostic Bronchodilator	$762.70	$1,525.40	—	—	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pre/Post Bronchodialator	$762.70	$1,525.40	—	—	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Assist Units	$71.75	$143.49	$49.45–$251.00	41% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Assistant Units	$71.75	$143.49	$49.45–$251.00	41% below	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 PT Therapeutic Activity Units	$166.31	$332.62	$114.62–$251.00	37% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Sensory Integrative Tech Assist Units	$166.31	$332.62	$114.62–$251.00	37% above	50%
Therapeutic activities (functional training), 15 minutes CPT 97530 OT Therapeutic Activities Units	$166.31	$332.62	$114.62–$251.00	37% above	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Assistant Units	$71.75	$143.49	—	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Assist Units	$71.75	$143.49	—	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Sensory Integrative Tech Assist Units	$166.31	$332.62	—	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 OT Therapeutic Activities Units	$166.31	$332.62	—	—	50%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 PT Therapeutic Activity Units	$166.31	$332.62	—	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Successful	$259.99	$519.97	$179.18–$363.98	at median	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Successful	$259.99	$519.97	—	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 diphtheria/hepB/pertussisacel/polio/tetanus - Sus	$528.93	$1,057.85	$187.79–$528.93	—	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 diphtheria/hepatitis B/pertussisacelluar/polio/tetanus IM Susp 0.5 mL	$528.93	$1,057.85	$187.79–$528.93	—	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 diphtheria/hepatitis B/pertussisacelluar/polio/tetanus IM Susp 0.5 mL	$528.93	$1,057.85	—	—	50%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 diphtheria/hepB/pertussisacel/polio/tetanus - Sus	$528.93	$1,057.85	—	—	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 diphtheria/haem/hepB/pertacel/polio/tetan - Sus	$445.59	$891.17	$303.42–$594.40	40% above	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaxelis vaccine	$445.59	$891.17	$303.42–$594.40	40% above	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 Vaxelis vaccine	$445.59	$891.17	—	—	50%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) inpatient CPT 90697 diphtheria/haem/hepB/pertacel/polio/tetan - Sus	$445.59	$891.17	—	—	50%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 influenza vaccine (2025-2026) Fluarix PF Trivalent	$65.65	$131.30	$21.42–$65.65	7% above	50%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 influenza vaccine (2025-2026) Fluarix PF Trivalent	$65.65	$131.30	—	—	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 haemophilus b conjugate (PRP-T) vaccine IM Inj 0.5 mL	$56.09	$112.18	$23.88–$56.09	44% above	50%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 haemophilus b conjugate (PRP-T) vaccine IM Inj 0.5 mL	$56.09	$112.18	—	—	50%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 influenza vaccine (2025-2026) Fluzone High Dose	$253.67	$507.33	$121.11–$253.67	7% above	50%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 influenza vaccine (2025-2026) Fluzone High Dose	$253.67	$507.33	—	—	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine	$272.55	$545.09	$172.60–$272.55	45% above	50%
MMR vaccine (measles, mumps and rubella), live CPT 90707 measles/mumps/rubella virus vaccine Subcut Inj	$272.55	$545.09	$172.60–$272.55	45% above	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine Subcut Inj	$272.55	$545.09	—	—	50%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 measles/mumps/rubella virus vaccine	$272.55	$545.09	—	—	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal conjugate vaccine	$431.39	$862.78	$299.95–$431.39	159% above	50%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 meningococcal polysaccharide conjugate vaccine IM Soln 0.5 mL	$431.39	$862.78	$299.95–$431.39	159% above	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal conjugate vaccine	$431.39	$862.78	—	—	50%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 meningococcal polysaccharide conjugate vaccine IM Soln 0.5 mL	$431.39	$862.78	—	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B recombinant vaccine	$592.94	$1,185.88	$411.10–$592.94	31% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 meningococcal group B recombinant vaccine IM Susp 0.5 mL	$611.97	$1,223.93	$411.10–$611.97	35% above	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B recombinant vaccine	$592.94	$1,185.88	—	—	50%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 meningococcal group B recombinant vaccine IM Susp 0.5 mL	$611.97	$1,223.93	—	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent vaccine 0.5 mL inj	$296.22	$592.44	$204.15–$302.47	4% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 pneumococcal 23-valent vaccine Inj Soln 0.5 mL	$375.13	$750.26	$220.23–$375.13	21% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent vaccine 0.5 mL inj	$296.22	$592.44	—	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 pneumococcal 23-valent vaccine Inj Soln 0.5 mL	$375.13	$750.26	—	—	50%
Rabies vaccine, one dose CPT 90675 rabies vaccine purified chick embryo cell 2.5 intl units IM Inj	$1,156.62	$2,313.23	$558.51–$1,156.62	162% above	50%
Rabies vaccine, one dose inpatient CPT 90675 rabies vaccine purified chick embryo cell 2.5 intl units IM Inj	$1,156.62	$2,313.23	—	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Boostrix Tdap) IM Syringe 0.5 mL	$134.52	$269.03	$63.18–$134.52	at median	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 tetanus/diphth/pertuss (Tdap) (Boostrix) Syringe	$134.52	$269.03	$63.18–$134.52	at median	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Tdap) (Boostrix) Syringe	$134.52	$269.03	—	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 tetanus/diphth/pertuss (Boostrix Tdap) IM Syringe 0.5 mL	$134.52	$269.03	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 BCE ONLY-CHRG - Initial Vaccine Administration	$81.64	$163.27	$56.26–$114.29	2% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Initial Vaccine	$81.64	$163.27	$56.26–$114.29	2% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 Initial Vacc Admin	$81.64	$163.27	$56.26–$114.29	2% below	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMINISTRATION OTHER THAN INTRANASAL OR ORAL FIRST VACCINE	$117.58	$235.16	$89.95–$1,654.00	41% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 Initial Vacc Admin	$81.64	$163.27	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Initial Vaccine	$81.64	$163.27	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 BCE ONLY-CHRG - Initial Vaccine Administration	$81.64	$163.27	—	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMINISTRATION OTHER THAN INTRANASAL OR ORAL FIRST VACCINE	$117.58	$235.16	—	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMINISTRATION;TWO OR MORE SINGLE	$22.58	$45.16	$17.27–$1,654.00	at median	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 Ea Addl Vacc Admin	$45.07	$90.14	$31.06–$63.10	100% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Additional Vaccine Admin	$45.07	$90.14	$31.06–$63.10	100% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMINISTRATION;TWO OR MORE SINGLE	$22.58	$45.16	—	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 Ea Addl Vacc Admin	$45.07	$90.14	—	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Additional Vaccine Admin	$54.92	$109.84	—	—	50%

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

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

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

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

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

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

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

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

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

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/7914/812181470_uconn-health,-waterbury-hospital_standardcharges.csv