Hospital Oshkosh-Neenah, WI

Childrens Hospital of Wisconsin Fox Valley

Listed in its price file as “Children's Hospital of Wisconsin”.

Childrens Hospital of Wisconsin Fox Valley in Neenah, WI publishes cash prices for 195 common procedures listed here, from its own machine-readable price file updated Mar 24, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Wisconsin median for 128 of 194 procedures and above it for 64. By typical cash price it ranks #35 of 103 Wisconsin hospitals and #4 of 5 hospitals in the Oshkosh, WI area, cheapest first. Select a procedure to compare it with other hospitals nearby.

130 Second St, Neenah WI 54956 Collected Sep 22, 2026 Source price file Check a bill from this hospital (920) 969-7900

Children's hospital Nonprofit hospital Emergency department CCN 523302 · CMS hospital register NPI 1881780302

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Abdominal X-ray, 2 views CPT 74019 HBC FV RADIOLOGIC EXAM ABDOMEN 2 VIEW	$141.76	$257.75	$180.43–$244.86	41% below	45%
Abdominal X-ray, 2 views CPT 74019 HBC FV RADIOLOGIC EXAM ABDOMEN 2 VIEW	$141.76	$257.75	$180.43–$244.86	41% below	45%
Abdominal X-ray, 2 views inpatient CPT 74019 HBC FV RADIOLOGIC EXAM ABDOMEN 2 VIEW	$141.76	$257.75	$180.43–$244.86	—	45%
Abdominal X-ray, 2 views inpatient CPT 74019 HBC FV RADIOLOGIC EXAM ABDOMEN 2 VIEW	$141.76	$257.75	$180.43–$244.86	—	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HBC FV ESOPHAGRAM X-RAY	$410.16	$745.75	$522.03–$708.46	23% below	45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HBC FV ESOPHAGRAM X-RAY	$410.16	$745.75	$522.03–$708.46	23% below	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HBC FV ESOPHAGRAM X-RAY	$410.16	$745.75	$522.03–$708.46	—	45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HBC FV ESOPHAGRAM X-RAY	$410.16	$745.75	$522.03–$708.46	—	45%
CT angiography (CTA) of the neck CPT 70498 HBC FV CT ANGIOGRAPHY NECK W & WO CONTRAST	$1,826.83	$3,321.50	$2,325.05–$3,155.43	10% below	45%
CT angiography (CTA) of the neck CPT 70498 HBC FV CT ANGIOGRAPHY NECK W & WO CONTRAST	$1,826.83	$3,321.50	$2,325.05–$3,155.43	10% below	45%
CT angiography (CTA) of the neck inpatient CPT 70498 HBC FV CT ANGIOGRAPHY NECK W & WO CONTRAST	$1,826.83	$3,321.50	$2,325.05–$3,155.43	—	45%
CT angiography (CTA) of the neck inpatient CPT 70498 HBC FV CT ANGIOGRAPHY NECK W & WO CONTRAST	$1,826.83	$3,321.50	$2,325.05–$3,155.43	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HBC FV CT ANGIOGRAPHY CHEST	$1,965.70	$3,574.00	$2,501.80–$3,395.30	3% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HBC FV CT ANGIOGRAPHY CHEST	$1,965.70	$3,574.00	$2,501.80–$3,395.30	3% below	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HBC FV CT ANGIOGRAPHY CHEST	$1,965.70	$3,574.00	$2,501.80–$3,395.30	—	45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HBC FV CT ANGIOGRAPHY CHEST	$1,965.70	$3,574.00	$2,501.80–$3,395.30	—	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HBC FV CT ABDOMEN & PELVIS WO CONTRAST	$788.01	$1,432.75	$1,002.93–$1,361.11	69% below	45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HBC FV CT ABDOMEN & PELVIS WO CONTRAST	$788.01	$1,432.75	$1,002.93–$1,361.11	69% below	45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HBC FV CT ABDOMEN & PELVIS WO CONTRAST	$788.01	$1,432.75	$1,002.93–$1,361.11	—	45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HBC FV CT ABDOMEN & PELVIS WO CONTRAST	$788.01	$1,432.75	$1,002.93–$1,361.11	—	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HBC FV CT ABDOMEN & PELVIS W CONTRAST	$2,006.81	$3,648.75	$2,554.13–$3,466.31	37% below	45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HBC FV CT ABDOMEN & PELVIS W CONTRAST	$2,006.81	$3,648.75	$2,554.13–$3,466.31	37% below	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HBC FV CT ABDOMEN & PELVIS W CONTRAST	$2,006.81	$3,648.75	$2,554.13–$3,466.31	—	45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HBC FV CT ABDOMEN & PELVIS W CONTRAST	$2,006.81	$3,648.75	$2,554.13–$3,466.31	—	45%
CT scan of the abdomen with contrast CPT 74160 HBC FV CT SCAN OF ABDOMEN W CONTRAST	$1,492.56	$2,713.75	$1,899.63–$2,578.06	9% below	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 HBC FV CT SCAN OF FACE JAW WO CONTRAST	$1,157.48	$2,104.50	$1,473.15–$1,999.28	17% below	45%
CT scan of the face and sinuses, no contrast dye CPT 70486 HBC FV CT SCAN OF FACE JAW WO CONTRAST	$1,157.48	$2,104.50	$1,473.15–$1,999.28	17% below	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HBC FV CT SCAN OF FACE JAW WO CONTRAST	$1,157.48	$2,104.50	$1,473.15–$1,999.28	—	45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HBC FV CT SCAN OF FACE JAW WO CONTRAST	$1,157.48	$2,104.50	$1,473.15–$1,999.28	—	45%
CT scan of the head or brain, no contrast dye CPT 70450 HBC FV CT HEAD WO CONTRAST	$619.85	$1,127.00	$788.90–$1,070.65	52% below	45%
CT scan of the head or brain, no contrast dye CPT 70450 HBC FV CT HEAD WO CONTRAST	$619.85	$1,127.00	$788.90–$1,070.65	52% below	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HBC FV CT HEAD WO CONTRAST	$619.85	$1,127.00	$788.90–$1,070.65	—	45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HBC FV CT HEAD WO CONTRAST	$619.85	$1,127.00	$788.90–$1,070.65	—	45%
CT scan of the head with contrast CPT 70460 HBC FV CT HEAD W CONTRAST	$1,186.35	$2,157.00	$1,509.90–$2,049.15	23% below	45%
CT scan of the head with contrast CPT 70460 HBC FV CT HEAD W CONTRAST	$1,186.35	$2,157.00	$1,509.90–$2,049.15	23% below	45%
CT scan of the head with contrast inpatient CPT 70460 HBC FV CT HEAD W CONTRAST	$1,186.35	$2,157.00	$1,509.90–$2,049.15	—	45%
CT scan of the head with contrast inpatient CPT 70460 HBC FV CT HEAD W CONTRAST	$1,186.35	$2,157.00	$1,509.90–$2,049.15	—	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HBC FV CT CERVICAL SP WO CONTRAST	$767.11	$1,394.75	$976.33–$1,325.01	50% below	45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HBC FV CT CERVICAL SP WO CONTRAST	$767.11	$1,394.75	$976.33–$1,325.01	50% below	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HBC FV CT CERVICAL SP WO CONTRAST	$767.11	$1,394.75	$976.33–$1,325.01	—	45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HBC FV CT CERVICAL SP WO CONTRAST	$767.11	$1,394.75	$976.33–$1,325.01	—	45%
CT scan of the pelvis, with contrast dye CPT 72193 HBC FV CT SCAN OF PELVIS CONTRAST	$1,171.91	$2,130.75	$1,491.53–$2,024.21	29% below	45%
CT scan of the pelvis, with contrast dye CPT 72193 HBC FV CT SCAN OF PELVIS CONTRAST	$1,171.91	$2,130.75	$1,491.53–$2,024.21	29% below	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HBC FV CT SCAN OF PELVIS CONTRAST	$1,171.91	$2,130.75	$1,491.53–$2,024.21	—	45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HBC FV CT SCAN OF PELVIS CONTRAST	$1,171.91	$2,130.75	$1,491.53–$2,024.21	—	45%
Chest X-ray, 2 views CPT 71046 HBC FV RADIOLOGIC EXAM CHEST 2 VIEWS	$136.54	$248.25	$173.78–$235.84	36% below	45%
Chest X-ray, 2 views CPT 71046 HBC FV RADIOLOGIC EXAM CHEST 2 VIEWS	$136.54	$248.25	$173.78–$235.84	36% below	45%
Chest X-ray, 2 views inpatient CPT 71046 HBC FV RADIOLOGIC EXAM CHEST 2 VIEWS	$136.54	$248.25	$173.78–$235.84	—	45%
Chest X-ray, 2 views inpatient CPT 71046 HBC FV RADIOLOGIC EXAM CHEST 2 VIEWS	$136.54	$248.25	$173.78–$235.84	—	45%
Chest X-ray, single view CPT 71045 HBC FV RADIOLOGIC EXAM CHEST SINGLE VIEW	$94.05	$171.00	$119.70–$162.45	42% below	45%
Chest X-ray, single view CPT 71045 HBC FV RADIOLOGIC EXAM CHEST SINGLE VIEW	$94.05	$171.00	$119.70–$162.45	42% below	45%
Chest X-ray, single view inpatient CPT 71045 HBC FV RADIOLOGIC EXAM CHEST SINGLE VIEW	$94.05	$171.00	$119.70–$162.45	—	45%
Chest X-ray, single view inpatient CPT 71045 HBC FV RADIOLOGIC EXAM CHEST SINGLE VIEW	$94.05	$171.00	$119.70–$162.45	—	45%
Collarbone (clavicle) X-ray, complete CPT 73000 HBC FV XRAY CLAVICLE	$289.03	$525.50	$367.85–$499.23	40% above	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HBC FV US RETOPERITONEAL ABD	$357.23	$649.50	$454.65–$617.03	35% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HBC FV US RETOPERITONEAL ABD	$357.23	$649.50	$454.65–$617.03	35% below	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HBC FV US RETOPERITONEAL ABD	$357.23	$649.50	$454.65–$617.03	—	45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HBC FV US RETOPERITONEAL ABD	$357.23	$649.50	$454.65–$617.03	—	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HBC FV CT CHEST WO CONTRAST	$1,279.58	$2,326.50	$1,628.55–$2,210.18	11% below	45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HBC FV CT CHEST WO CONTRAST	$1,279.58	$2,326.50	$1,628.55–$2,210.18	11% below	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HBC FV CT CHEST WO CONTRAST	$1,279.58	$2,326.50	$1,628.55–$2,210.18	—	45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HBC FV CT CHEST WO CONTRAST	$1,279.58	$2,326.50	$1,628.55–$2,210.18	—	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HBC FV CAT SCAN OF CHEST CONTRAST	$1,509.34	$2,744.25	$1,920.98–$2,607.04	8% below	45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HBC FV CAT SCAN OF CHEST CONTRAST	$1,509.34	$2,744.25	$1,920.98–$2,607.04	8% below	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HBC FV CAT SCAN OF CHEST CONTRAST	$1,509.34	$2,744.25	$1,920.98–$2,607.04	—	45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HBC FV CAT SCAN OF CHEST CONTRAST	$1,509.34	$2,744.25	$1,920.98–$2,607.04	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HBC FV DUPLEX EXTREM VENOUS BILAT	$658.49	$1,197.25	$838.08–$1,137.39	—	45%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HBC FV DUPLEX EXTREM VENOUS BILAT	$658.49	$1,197.25	$838.08–$1,137.39	—	45%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HBC FV DUPLEX EXTREM VENOUS BILAT	$658.49	$1,197.25	$838.08–$1,137.39	—	45%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HBC FV DUPLEX EXTREM VENOUS BILAT	$658.49	$1,197.25	$838.08–$1,137.39	—	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HBC FV TTE W DOPPLER COMPLETE	$1,160.91	$2,110.75	$1,477.53–$2,005.21	34% below	45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HBC FV TTE W DOPPLER COMPLETE	$1,160.91	$2,110.75	$1,477.53–$2,005.21	34% below	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HBC FV TTE W DOPPLER COMPLETE	$1,160.91	$2,110.75	$1,477.53–$2,005.21	—	45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HBC FV TTE W DOPPLER COMPLETE	$1,160.91	$2,110.75	$1,477.53–$2,005.21	—	45%
Elbow X-ray, 2 views CPT 73070 HBC FV XRAY ELBOW 2 VW	$159.23	$289.50	$202.65–$275.03	17% below	45%
Elbow X-ray, complete, 3 or more views CPT 73080 HBC FV ELBOW XRAY MIN 3 VIEWS	$201.44	$366.25	$256.38–$347.94	14% below	45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HBC FV XRAY FOREARM	$181.91	$330.75	$231.53–$314.21	8% below	45%
Knee X-ray, complete, 4 or more views CPT 73564 HBC FV KNEE XRAY 4+ VIEWS COMPLETE	$223.71	$406.75	$284.73–$386.41	19% below	45%
Knee X-ray, complete, 4 or more views CPT 73564 HBC FV KNEE XRAY 4+ VIEWS COMPLETE	$223.71	$406.75	$284.73–$386.41	19% below	45%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HBC FV KNEE XRAY 4+ VIEWS COMPLETE	$223.71	$406.75	$284.73–$386.41	—	45%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HBC FV KNEE XRAY 4+ VIEWS COMPLETE	$223.71	$406.75	$284.73–$386.41	—	45%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HBC FV CT LOWER EXTREMITY WO CONTRAST	$495.00	$900.00	$630.00–$855.00	66% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HBC FV US ABDOMEN LIMITED	$432.71	$786.75	$550.73–$747.41	3% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HBC FV US ABDOMEN LIMITED	$432.71	$786.75	$550.73–$747.41	3% below	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HBC FV US ABDOMEN LIMITED	$432.71	$786.75	$550.73–$747.41	—	45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HBC FV US ABDOMEN LIMITED	$432.71	$786.75	$550.73–$747.41	—	45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HBC FV US LMTD JOINT OTH NONVASC XTR STRUX R-T W IMG	$330.83	$601.50	$421.05–$571.43	15% above	45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HBC FV US LMTD JOINT OTH NONVASC XTR STRUX R-T W IMG	$330.83	$601.50	$421.05–$571.43	15% above	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HBC FV US LMTD JOINT OTH NONVASC XTR STRUX R-T W IMG	$330.83	$601.50	$421.05–$571.43	—	45%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HBC FV US LMTD JOINT OTH NONVASC XTR STRUX R-T W IMG	$330.83	$601.50	$421.05–$571.43	—	45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HBC FV XRAY LOWER LEG	$269.50	$490.00	$343.00–$465.50	27% above	45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HBC FV XRAY LOWER LEG	$269.50	$490.00	$343.00–$465.50	27% above	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HBC FV XRAY LOWER LEG	$269.50	$490.00	$343.00–$465.50	—	45%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HBC FV XRAY LOWER LEG	$269.50	$490.00	$343.00–$465.50	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HBC FV MRI LOWER EXTREMITY JOINT W & WO	$2,866.60	$5,212.00	$3,648.40–$4,951.40	16% below	45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HBC FV MRI LOWER EXTREMITY JOINT W & WO	$2,866.60	$5,212.00	$3,648.40–$4,951.40	16% below	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HBC FV MRI LOWER EXTREMITY JOINT W & WO	$2,866.60	$5,212.00	$3,648.40–$4,951.40	—	45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HBC FV MRI LOWER EXTREMITY JOINT W & WO	$2,866.60	$5,212.00	$3,648.40–$4,951.40	—	45%
MRI of the brain, no contrast dye CPT 70551 HBC FV MRI BRAIN	$2,321.14	$4,220.25	$2,954.18–$4,009.24	5% above	45%
MRI of the brain, no contrast dye CPT 70551 HBC FV MRI BRAIN	$2,321.14	$4,220.25	$2,954.18–$4,009.24	5% above	45%
MRI of the brain, no contrast dye inpatient CPT 70551 HBC FV MRI BRAIN	$2,321.14	$4,220.25	$2,954.18–$4,009.24	—	45%
MRI of the brain, no contrast dye inpatient CPT 70551 HBC FV MRI BRAIN	$2,321.14	$4,220.25	$2,954.18–$4,009.24	—	45%
MRI of the brain, with and without contrast dye CPT 70553 HBC FV MRI BRAIN WO AND W CONTRAST	$1,949.20	$3,544.00	$2,480.80–$3,366.80	43% below	45%
MRI of the brain, with and without contrast dye CPT 70553 HBC FV MRI BRAIN WO AND W CONTRAST	$1,949.20	$3,544.00	$2,480.80–$3,366.80	43% below	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HBC FV MRI BRAIN WO AND W CONTRAST	$1,949.20	$3,544.00	$2,480.80–$3,366.80	—	45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HBC FV MRI BRAIN WO AND W CONTRAST	$1,949.20	$3,544.00	$2,480.80–$3,366.80	—	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HBC FV MRI CERVICAL SPINE WO CONTRAST	$1,992.38	$3,622.50	$2,535.75–$3,441.38	10% below	45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HBC FV MRI CERVICAL SPINE WO CONTRAST	$1,992.38	$3,622.50	$2,535.75–$3,441.38	10% below	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HBC FV MRI CERVICAL SPINE WO CONTRAST	$1,992.38	$3,622.50	$2,535.75–$3,441.38	—	45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HBC FV MRI CERVICAL SPINE WO CONTRAST	$1,992.38	$3,622.50	$2,535.75–$3,441.38	—	45%
Neck soft tissue CT scan with contrast CPT 70491 HBC FV CT NECK TISSUE CONTRAST	$962.09	$1,749.25	$1,224.48–$1,661.79	41% below	45%
Neck soft tissue CT scan with contrast CPT 70491 HBC FV CT NECK TISSUE CONTRAST	$962.09	$1,749.25	$1,224.48–$1,661.79	41% below	45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HBC FV CT NECK TISSUE CONTRAST	$962.09	$1,749.25	$1,224.48–$1,661.79	—	45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HBC FV CT NECK TISSUE CONTRAST	$962.09	$1,749.25	$1,224.48–$1,661.79	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HBC FV US PELVIC LIMITED	$229.21	$416.75	$291.73–$395.91	43% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HBC FV US PELVIC LIMITED	$229.21	$416.75	$291.73–$395.91	43% below	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HBC FV US PELVIC LIMITED	$229.21	$416.75	$291.73–$395.91	—	45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HBC FV US PELVIC LIMITED	$229.21	$416.75	$291.73–$395.91	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HBC FV US PELVIC	$366.71	$666.75	$466.73–$633.41	30% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HBC FV US PELVIC	$366.71	$666.75	$466.73–$633.41	30% below	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HBC FV US PELVIC	$366.71	$666.75	$466.73–$633.41	—	45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HBC FV US PELVIC	$366.71	$666.75	$466.73–$633.41	—	45%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HBC FV XRAY FEMUR MINIMUM 2 VIEWS	$379.91	$690.75	$483.53–$656.21	54% above	45%
Ultrasound of the abdomen, complete CPT 76700 HBC FV US ABDOMEN COMPLETE	$397.38	$722.50	$505.75–$686.38	42% below	45%
Ultrasound of the abdomen, complete CPT 76700 HBC FV US ABDOMEN COMPLETE	$397.38	$722.50	$505.75–$686.38	42% below	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 HBC FV US ABDOMEN COMPLETE	$397.38	$722.50	$505.75–$686.38	—	45%
Ultrasound of the abdomen, complete inpatient CPT 76700 HBC FV US ABDOMEN COMPLETE	$397.38	$722.50	$505.75–$686.38	—	45%
Ultrasound of the scrotum and testicles CPT 76870 HBC FV US SCROTUM TESTICULAR	$357.23	$649.50	$454.65–$617.03	28% below	45%
Ultrasound of the scrotum and testicles CPT 76870 HBC FV US SCROTUM TESTICULAR	$357.23	$649.50	$454.65–$617.03	28% below	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HBC FV US SCROTUM TESTICULAR	$357.23	$649.50	$454.65–$617.03	—	45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HBC FV US SCROTUM TESTICULAR	$357.23	$649.50	$454.65–$617.03	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HBC FV RADEX GI TRACT UPPER W & WO DELAYED IMAGES W & WO KUB	$532.81	$968.75	$678.13–$920.31	22% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HBC FV RADEX GI TRACT UPPER W & WO DELAYED IMAGES W & WO KUB	$532.81	$968.75	$678.13–$920.31	22% below	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HBC FV RADEX GI TRACT UPPER W & WO DELAYED IMAGES W & WO KUB	$532.81	$968.75	$678.13–$920.31	—	45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HBC FV RADEX GI TRACT UPPER W & WO DELAYED IMAGES W & WO KUB	$532.81	$968.75	$678.13–$920.31	—	45%
Upper arm X-ray (humerus), 2 views CPT 73060 HBC FV XRAY HUMERUS	$133.65	$243.00	$170.10–$230.85	36% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HBC FV DUPLEX EXTREM VENOUS UNILATERAL OR LIMITED	$544.23	$989.50	$692.65–$940.03	24% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HBC FV DUPLEX EXTREM VENOUS UNILATERAL OR LIMITED	$544.23	$989.50	$692.65–$940.03	24% below	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HBC FV DUPLEX EXTREM VENOUS UNILATERAL OR LIMITED	$544.23	$989.50	$692.65–$940.03	—	45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HBC FV DUPLEX EXTREM VENOUS UNILATERAL OR LIMITED	$544.23	$989.50	$692.65–$940.03	—	45%
Wrist X-ray, complete, 3 or more views CPT 73110 HBC FV XRAY WRIST 3 VW	$92.95	$169.00	$118.30–$160.55	63% below	45%
X-ray of the abdomen, 1 view CPT 74018 HBC FV RADIOLOGIC EXAM ABDOMEN 1 VIEW	$136.54	$248.25	$173.78–$235.84	35% below	45%
X-ray of the abdomen, 1 view CPT 74018 HBC FV RADIOLOGIC EXAM ABDOMEN 1 VIEW	$136.54	$248.25	$173.78–$235.84	35% below	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 HBC FV RADIOLOGIC EXAM ABDOMEN 1 VIEW	$136.54	$248.25	$173.78–$235.84	—	45%
X-ray of the abdomen, 1 view inpatient CPT 74018 HBC FV RADIOLOGIC EXAM ABDOMEN 1 VIEW	$136.54	$248.25	$173.78–$235.84	—	45%
X-ray of the ankle, 2 views CPT 73600 HBC FV ANKLE XRAY 2 VIEW	$150.98	$274.50	$192.15–$260.78	24% below	45%
X-ray of the foot, complete, 3 or more views CPT 73630 HBC FV XRAY FOOT 3+ VW	$262.35	$477.00	$333.90–$453.15	9% above	45%
X-ray of the hand, 3 or more views CPT 73130 HBC FV XRAY HAND 3+ VW	$239.53	$435.50	$304.85–$413.73	2% above	45%
X-ray of the hand, 3 or more views CPT 73130 HBC FV XRAY HAND 3+ VW	$239.53	$435.50	$304.85–$413.73	2% above	45%
X-ray of the hand, 3 or more views inpatient CPT 73130 HBC FV XRAY HAND 3+ VW	$239.53	$435.50	$304.85–$413.73	—	45%
X-ray of the hand, 3 or more views inpatient CPT 73130 HBC FV XRAY HAND 3+ VW	$239.53	$435.50	$304.85–$413.73	—	45%
X-ray of the knee, 1 or 2 views CPT 73560 HBC FV XRAY KNEE 1 OR 2 VW	$176.14	$320.25	$224.18–$304.24	17% below	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HBC FV XRAY DORSAL SPINE 2 VW	$281.33	$511.50	$358.05–$485.93	18% above	45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HBC FV XRAY DORSAL SPINE 2 VW	$281.33	$511.50	$358.05–$485.93	18% above	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HBC FV XRAY DORSAL SPINE 2 VW	$281.33	$511.50	$358.05–$485.93	—	45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HBC FV XRAY DORSAL SPINE 2 VW	$281.33	$511.50	$358.05–$485.93	—	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HBC FV XRAY CERVICAL SPINE 3 VIEWS OR LESS	$187.41	$340.75	$238.53–$323.71	22% below	45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HBC FV XRAY CERVICAL SPINE 3 VIEWS OR LESS	$187.41	$340.75	$238.53–$323.71	22% below	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HBC FV XRAY CERVICAL SPINE 3 VIEWS OR LESS	$187.41	$340.75	$238.53–$323.71	—	45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HBC FV XRAY CERVICAL SPINE 3 VIEWS OR LESS	$187.41	$340.75	$238.53–$323.71	—	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 HBC FV XRAY PELVIS 1 OR 2 VIEWS	$183.15	$333.00	$233.10–$316.35	17% below	45%
X-ray of the pelvis, 1 or 2 views CPT 72170 HBC FV XRAY PELVIS 1 OR 2 VIEWS	$183.15	$333.00	$233.10–$316.35	17% below	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HBC FV XRAY PELVIS 1 OR 2 VIEWS	$183.15	$333.00	$233.10–$316.35	—	45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HBC FV XRAY PELVIS 1 OR 2 VIEWS	$183.15	$333.00	$233.10–$316.35	—	45%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
ACTH blood test CPT 82024 HBC FV ADRENOCORTICOTROPIC HORMONE	$265.10	$482.00	$337.40–$457.90	20% above	45%
ACTH blood test CPT 82024 HBC FV ADRENOCORTICOTROPIC HORMONE	$265.10	$482.00	$337.40–$457.90	20% above	45%
ACTH blood test inpatient CPT 82024 HBC FV ADRENOCORTICOTROPIC HORMONE	$265.10	$482.00	$337.40–$457.90	—	45%
ACTH blood test inpatient CPT 82024 HBC FV ADRENOCORTICOTROPIC HORMONE	$265.10	$482.00	$337.40–$457.90	—	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HBC FV ALANINE AMINO ALT SGPT	$19.39	$35.25	$24.68–$33.49	45% below	45%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HBC FV ALANINE AMINO ALT SGPT	$19.39	$35.25	$24.68–$33.49	45% below	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HBC FV ALANINE AMINO ALT SGPT	$19.39	$35.25	$24.68–$33.49	—	45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HBC FV ALANINE AMINO ALT SGPT	$19.39	$35.25	$24.68–$33.49	—	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 HBC FV TRANSFERASE AST SGOT	$19.39	$35.25	$24.68–$33.49	59% below	45%
AST (aspartate aminotransferase) enzyme test CPT 84450 HBC FV TRANSFERASE AST SGOT	$19.39	$35.25	$24.68–$33.49	59% below	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HBC FV TRANSFERASE AST SGOT	$19.39	$35.25	$24.68–$33.49	—	45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HBC FV TRANSFERASE AST SGOT	$19.39	$35.25	$24.68–$33.49	—	45%
Albumin blood test CPT 82040 HBC FV ALBUMIN	$19.66	$35.75	$25.03–$33.96	48% below	45%
Albumin blood test CPT 82040 HBC FV ALBUMIN	$19.66	$35.75	$25.03–$33.96	48% below	45%
Albumin blood test inpatient CPT 82040 HBC FV ALBUMIN	$19.66	$35.75	$25.03–$33.96	—	45%
Albumin blood test inpatient CPT 82040 HBC FV ALBUMIN	$19.66	$35.75	$25.03–$33.96	—	45%
Aldosterone blood test CPT 82088 HBC FV ALDOSTERONE ASSAY	$230.45	$419.00	$293.30–$398.05	18% above	45%
Aldosterone blood test CPT 82088 HBC FV ALDOSTERONE ASSAY	$230.45	$419.00	$293.30–$398.05	18% above	45%
Aldosterone blood test inpatient CPT 82088 HBC FV ALDOSTERONE ASSAY	$230.45	$419.00	$293.30–$398.05	—	45%
Aldosterone blood test inpatient CPT 82088 HBC FV ALDOSTERONE ASSAY	$230.45	$419.00	$293.30–$398.05	—	45%
Alkaline phosphatase (ALP) blood test CPT 84075 HBC FV ALKALINE PHOSPHATASE	$19.66	$35.75	$25.03–$33.96	60% below	45%
Alkaline phosphatase (ALP) blood test CPT 84075 HBC FV ALKALINE PHOSPHATASE	$19.66	$35.75	$25.03–$33.96	60% below	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HBC FV ALKALINE PHOSPHATASE	$19.66	$35.75	$25.03–$33.96	—	45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HBC FV ALKALINE PHOSPHATASE	$19.66	$35.75	$25.03–$33.96	—	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HBC FV IGE ANTIBODY SINGLE ALLERGEN	$44.00	$80.00	$56.00–$76.00	76% above	45%
Allergy blood test, specific IgE, per allergen CPT 86003 HBC FV IGE ANTIBODY SINGLE ALLERGEN	$44.00	$80.00	$56.00–$76.00	76% above	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HBC FV IGE ANTIBODY SINGLE ALLERGEN	$44.00	$80.00	$56.00–$76.00	—	45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HBC FV IGE ANTIBODY SINGLE ALLERGEN	$44.00	$80.00	$56.00–$76.00	—	45%
Ammonia blood test CPT 82140 HBC FV AMMONIA	$84.29	$153.25	$107.28–$145.59	6% below	45%
Ammonia blood test CPT 82140 HBC FV AMMONIA	$84.29	$153.25	$107.28–$145.59	6% below	45%
Ammonia blood test inpatient CPT 82140 HBC FV AMMONIA	$84.29	$153.25	$107.28–$145.59	—	45%
Ammonia blood test inpatient CPT 82140 HBC FV AMMONIA	$84.29	$153.25	$107.28–$145.59	—	45%
Amylase blood test CPT 82150 HBC FV AMYLASE	$61.19	$111.25	$77.88–$105.69	1% below	45%
Amylase blood test CPT 82150 HBC FV AMYLASE	$61.19	$111.25	$77.88–$105.69	1% below	45%
Amylase blood test inpatient CPT 82150 HBC FV AMYLASE	$61.19	$111.25	$77.88–$105.69	—	45%
Amylase blood test inpatient CPT 82150 HBC FV AMYLASE	$61.19	$111.25	$77.88–$105.69	—	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HBC FV ANTINUCLEAR ANTIBODIES ANA	$110.96	$201.75	$141.23–$191.66	62% above	45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HBC FV ANTINUCLEAR ANTIBODIES ANA	$110.96	$201.75	$141.23–$191.66	62% above	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HBC FV ANTINUCLEAR ANTIBODIES ANA	$110.96	$201.75	$141.23–$191.66	—	45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HBC FV ANTINUCLEAR ANTIBODIES ANA	$110.96	$201.75	$141.23–$191.66	—	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HBC FV BRAIN NATRIURETIC PEPTIDE	$142.59	$259.25	$181.48–$246.29	at median	45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HBC FV BRAIN NATRIURETIC PEPTIDE	$142.59	$259.25	$181.48–$246.29	at median	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HBC FV BRAIN NATRIURETIC PEPTIDE	$142.59	$259.25	$181.48–$246.29	—	45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HBC FV BRAIN NATRIURETIC PEPTIDE	$142.59	$259.25	$181.48–$246.29	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBC FV CULTURE BACTERIA AEROBIC	$52.94	$96.25	$67.38–$91.44	1% above	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HBC FV CULTURE BACTERIA AEROBIC	$52.94	$96.25	$67.38–$91.44	1% above	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HBC FV CULTURE BACTERIA AEROBIC	$52.94	$96.25	$67.38–$91.44	—	45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HBC FV CULTURE BACTERIA AEROBIC	$52.94	$96.25	$67.38–$91.44	—	45%
Basic metabolic panel (blood test) CPT 80048 HBC FV BASIC METABOLIC PANEL	$156.48	$284.50	$199.15–$270.28	77% above	45%
Basic metabolic panel (blood test) CPT 80048 HBC FV BASIC METABOLIC PANEL	$156.48	$284.50	$199.15–$270.28	77% above	45%
Basic metabolic panel (blood test) inpatient CPT 80048 HBC FV BASIC METABOLIC PANEL	$156.48	$284.50	$199.15–$270.28	—	45%
Basic metabolic panel (blood test) inpatient CPT 80048 HBC FV BASIC METABOLIC PANEL	$156.48	$284.50	$199.15–$270.28	—	45%
Bilirubin blood test, total CPT 82247 HBC FV BILIRUBIN TOTAL	$19.66	$35.75	$25.03–$33.96	58% below	45%
Bilirubin blood test, total CPT 82247 HBC FV BILIRUBIN TOTAL	$19.66	$35.75	$25.03–$33.96	58% below	45%
Bilirubin blood test, total inpatient CPT 82247 HBC FV BILIRUBIN TOTAL	$19.66	$35.75	$25.03–$33.96	—	45%
Bilirubin blood test, total inpatient CPT 82247 HBC FV BILIRUBIN TOTAL	$19.66	$35.75	$25.03–$33.96	—	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBC FV SURG PATH LEVEL IV TECH	$126.36	$229.75	$160.83–$218.26	41% below	45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HBC FV SURG PATH LEVEL IV TECH	$126.36	$229.75	$160.83–$218.26	41% below	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HBC FV SURG PATH LEVEL IV TECH	$126.36	$229.75	$160.83–$218.26	—	45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HBC FV SURG PATH LEVEL IV TECH	$126.36	$229.75	$160.83–$218.26	—	45%
Blood culture for bacteria CPT 87040 HBC FV CULTURE BLOOD	$185.08	$336.50	$235.55–$319.68	116% above	45%
Blood culture for bacteria CPT 87040 HBC FV CULTURE BLOOD	$185.08	$336.50	$235.55–$319.68	116% above	45%
Blood culture for bacteria inpatient CPT 87040 HBC FV CULTURE BLOOD	$185.08	$336.50	$235.55–$319.68	—	45%
Blood culture for bacteria inpatient CPT 87040 HBC FV CULTURE BLOOD	$185.08	$336.50	$235.55–$319.68	—	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HBC FV VENIPUNCTURE	$20.63	$37.50	$26.25–$35.63	41% above	45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HBC FV VENIPUNCTURE	$20.63	$37.50	$26.25–$35.63	41% above	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HBC FV VENIPUNCTURE	$20.63	$37.50	$26.25–$35.63	—	45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HBC FV VENIPUNCTURE	$20.63	$37.50	$26.25–$35.63	—	45%
Blood glucose (sugar) test CPT 82947 HBC FV GLUCOSE WHOLE BLOOD POINT OF CARE	$12.10	$22.00	$15.40–$20.90	50% below	45%
Blood glucose (sugar) test CPT 82947 HBC FV GLUCOSE WHOLE BLOOD POINT OF CARE	$12.10	$22.00	$15.40–$20.90	50% below	45%
Blood glucose (sugar) test CPT 82947 HBC FV GLUCOSE BLOOD	$19.39	$35.25	$24.68–$33.49	21% below	45%
Blood glucose (sugar) test CPT 82947 HBC FV GLUCOSE BLOOD	$19.39	$35.25	$24.68–$33.49	21% below	45%
Blood glucose (sugar) test inpatient CPT 82947 HBC FV GLUCOSE WHOLE BLOOD POINT OF CARE	$12.10	$22.00	$15.40–$20.90	—	45%
Blood glucose (sugar) test inpatient CPT 82947 HBC FV GLUCOSE WHOLE BLOOD POINT OF CARE	$12.10	$22.00	$15.40–$20.90	—	45%
Blood glucose (sugar) test inpatient CPT 82947 HBC FV GLUCOSE BLOOD	$19.39	$35.25	$24.68–$33.49	—	45%
Blood glucose (sugar) test inpatient CPT 82947 HBC FV GLUCOSE BLOOD	$19.39	$35.25	$24.68–$33.49	—	45%
Blood lead test CPT 83655 HBC FV LEAD BLOOD	$85.66	$155.75	$109.03–$147.96	56% above	45%
Blood lead test CPT 83655 HBC FV LEAD BLOOD	$94.19	$171.25	$119.88–$162.69	71% above	45%
Blood lead test inpatient CPT 83655 HBC FV LEAD BLOOD	$94.19	$171.25	$119.88–$162.69	—	45%
Blood lead test inpatient CPT 83655 HBC FV LEAD BLOOD	$94.19	$171.25	$119.88–$162.69	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HBC FV PREGNANCY TEST SERUM QUAL	$112.75	$205.00	$143.50–$194.75	82% above	45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HBC FV PREGNANCY TEST SERUM QUAL	$112.75	$205.00	$143.50–$194.75	82% above	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HBC FV PREGNANCY TEST SERUM QUAL	$112.75	$205.00	$143.50–$194.75	—	45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HBC FV PREGNANCY TEST SERUM QUAL	$112.75	$205.00	$143.50–$194.75	—	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBC FV BLOOD TYPING ABO	$15.40	$28.00	$19.60–$26.60	64% below	45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HBC FV BLOOD TYPING ABO	$15.40	$28.00	$19.60–$26.60	64% below	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HBC FV BLOOD TYPING ABO	$15.40	$28.00	$19.60–$26.60	—	45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HBC FV BLOOD TYPING ABO	$15.40	$28.00	$19.60–$26.60	—	45%
Blood urea nitrogen (BUN) test CPT 84520 HBC FV UREA NITROGEN BLOOD	$19.66	$35.75	$25.03–$33.96	24% below	45%
Blood urea nitrogen (BUN) test CPT 84520 HBC FV UREA NITROGEN BLOOD	$19.66	$35.75	$25.03–$33.96	24% below	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HBC FV UREA NITROGEN BLOOD	$19.66	$35.75	$25.03–$33.96	—	45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HBC FV UREA NITROGEN BLOOD	$19.66	$35.75	$25.03–$33.96	—	45%
C-peptide blood test CPT 84681 HBC FV C PEPTIDE ASSAY	$52.94	$96.25	$67.38–$91.44	39% below	45%
C-peptide blood test CPT 84681 HBC FV C PEPTIDE ASSAY	$52.94	$96.25	$67.38–$91.44	39% below	45%
C-peptide blood test inpatient CPT 84681 HBC FV C PEPTIDE ASSAY	$52.94	$96.25	$67.38–$91.44	—	45%
C-peptide blood test inpatient CPT 84681 HBC FV C PEPTIDE ASSAY	$52.94	$96.25	$67.38–$91.44	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HBC FV C REACTIVE PROTEIN	$82.09	$149.25	$104.48–$141.79	50% above	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HBC FV C REACTIVE PROTEIN	$82.09	$149.25	$104.48–$141.79	50% above	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HBC FV C REACTIVE PROTEIN	$82.09	$149.25	$104.48–$141.79	—	45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HBC FV C REACTIVE PROTEIN	$82.09	$149.25	$104.48–$141.79	—	45%
C. difficile toxin gene test (stool PCR) CPT 87493 HBC FV CLOSTRIDIUM DIFFICILE TOXINS PCR STOOL	$282.84	$514.25	$359.98–$488.54	88% above	45%
C. difficile toxin gene test (stool PCR) CPT 87493 HBC FV CLOSTRIDIUM DIFFICILE TOXINS PCR STOOL	$282.84	$514.25	$359.98–$488.54	88% above	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HBC FV CLOSTRIDIUM DIFFICILE TOXINS PCR STOOL	$282.84	$514.25	$359.98–$488.54	—	45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HBC FV CLOSTRIDIUM DIFFICILE TOXINS PCR STOOL	$282.84	$514.25	$359.98–$488.54	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HBC FV INFECTIOUS AGENT DETEC BY NUCLEIC ACID (SARS-COV-2)	$121.55	$221.00	$154.70–$209.95	10% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HBC FV INFECTIOUS AGENT DETEC BY NUCLEIC ACID (SARS-COV-2)	$121.55	$221.00	$154.70–$209.95	10% below	45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HBC FV INFECTIOUS AGENT DETEC BY NUCLEIC ACID SARS-COV-2 AMPLIFIED PROBE	$276.24	$502.25	$351.58–$477.14	105% above	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HBC FV INFECTIOUS AGENT DETEC BY NUCLEIC ACID (SARS-COV-2)	$121.55	$221.00	$154.70–$209.95	—	45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HBC FV INFECTIOUS AGENT DETEC BY NUCLEIC ACID (SARS-COV-2)	$121.55	$221.00	$154.70–$209.95	—	45%
Calcium blood test, total CPT 82310 HBC FV CALCIUM TOTAL	$19.66	$35.75	$25.03–$33.96	63% below	45%
Calcium blood test, total CPT 82310 HBC FV CALCIUM TOTAL	$19.66	$35.75	$25.03–$33.96	63% below	45%
Calcium blood test, total inpatient CPT 82310 HBC FV CALCIUM TOTAL	$19.66	$35.75	$25.03–$33.96	—	45%
Calcium blood test, total inpatient CPT 82310 HBC FV CALCIUM TOTAL	$19.66	$35.75	$25.03–$33.96	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBC FV C TRACHOMATIS AMP RNA	$111.51	$202.75	$141.93–$192.61	22% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBC FV C TRACHOMATIS AMP RNA	$111.51	$202.75	$141.93–$192.61	22% below	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBC FV C TRACHOMATIS DNA OR RNA	$172.29	$313.25	$219.28–$297.59	20% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HBC FV C TRACHOMATIS DNA OR RNA	$172.29	$313.25	$219.28–$297.59	20% above	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HBC FV C TRACHOMATIS AMP RNA	$111.51	$202.75	$141.93–$192.61	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HBC FV C TRACHOMATIS AMP RNA	$111.51	$202.75	$141.93–$192.61	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HBC FV C TRACHOMATIS DNA OR RNA	$172.29	$313.25	$219.28–$297.59	—	45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HBC FV C TRACHOMATIS DNA OR RNA	$172.29	$313.25	$219.28–$297.59	—	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HBC FV LIPID PANEL	$110.96	$201.75	$141.23–$191.66	25% above	45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HBC FV LIPID PANEL	$110.96	$201.75	$141.23–$191.66	25% above	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HBC FV LIPID PANEL	$110.96	$201.75	$141.23–$191.66	—	45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HBC FV LIPID PANEL	$110.96	$201.75	$141.23–$191.66	—	45%
Complete blood count (CBC) with differential CPT 85025 HBC FV COMPLETE BLOOD CT W DIFF	$56.93	$103.50	$72.45–$98.33	21% below	45%
Complete blood count (CBC) with differential CPT 85025 HBC FV COMPLETE BLOOD CT W DIFF	$56.93	$103.50	$72.45–$98.33	21% below	45%
Complete blood count (CBC) with differential inpatient CPT 85025 HBC FV COMPLETE BLOOD CT W DIFF	$56.93	$103.50	$72.45–$98.33	—	45%
Complete blood count (CBC) with differential inpatient CPT 85025 HBC FV COMPLETE BLOOD CT W DIFF	$56.93	$103.50	$72.45–$98.33	—	45%
Complete blood count (CBC), no differential CPT 85027 HBC FV COMPLETE BLOOD CT NO DIFF	$47.99	$87.25	$61.08–$82.89	9% below	45%
Complete blood count (CBC), no differential CPT 85027 HBC FV COMPLETE BLOOD CT NO DIFF	$47.99	$87.25	$61.08–$82.89	9% below	45%
Complete blood count (CBC), no differential inpatient CPT 85027 HBC FV COMPLETE BLOOD CT NO DIFF	$47.99	$87.25	$61.08–$82.89	—	45%
Complete blood count (CBC), no differential inpatient CPT 85027 HBC FV COMPLETE BLOOD CT NO DIFF	$47.99	$87.25	$61.08–$82.89	—	45%
Comprehensive metabolic panel (blood test) CPT 80053 HBC FV COMPREHENSIVE METABOLIC PANEL	$52.39	$95.25	$66.68–$90.49	54% below	45%
Comprehensive metabolic panel (blood test) CPT 80053 HBC FV COMPREHENSIVE METABOLIC PANEL	$52.39	$95.25	$66.68–$90.49	54% below	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HBC FV COMPREHENSIVE METABOLIC PANEL	$52.39	$95.25	$66.68–$90.49	—	45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HBC FV COMPREHENSIVE METABOLIC PANEL	$52.39	$95.25	$66.68–$90.49	—	45%
Cortisol blood test, total CPT 82533 HBC FV CORTISOL TOTAL	$154.96	$281.75	$197.23–$267.66	29% above	45%
Cortisol blood test, total CPT 82533 HBC FV CORTISOL TOTAL	$162.53	$295.50	$206.85–$280.73	35% above	45%
Cortisol blood test, total inpatient CPT 82533 HBC FV CORTISOL TOTAL	$162.53	$295.50	$206.85–$280.73	—	45%
Cortisol blood test, total inpatient CPT 82533 HBC FV CORTISOL TOTAL	$162.53	$295.50	$206.85–$280.73	—	45%
Creatine kinase (CK) blood test, total CPT 82550 HBC FV CREATINE KINASE ASSAY	$19.66	$35.75	$25.03–$33.96	69% below	45%
Creatine kinase (CK) blood test, total CPT 82550 HBC FV CREATINE KINASE ASSAY	$19.66	$35.75	$25.03–$33.96	69% below	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HBC FV CREATINE KINASE ASSAY	$19.66	$35.75	$25.03–$33.96	—	45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HBC FV CREATINE KINASE ASSAY	$19.66	$35.75	$25.03–$33.96	—	45%
Creatinine blood test CPT 82565 HBC FV CREATININE SERUM	$19.66	$35.75	$25.03–$33.96	38% below	45%
Creatinine blood test CPT 82565 HBC FV CREATININE SERUM	$19.66	$35.75	$25.03–$33.96	38% below	45%
Creatinine blood test inpatient CPT 82565 HBC FV CREATININE SERUM	$19.66	$35.75	$25.03–$33.96	—	45%
Creatinine blood test inpatient CPT 82565 HBC FV CREATININE SERUM	$19.66	$35.75	$25.03–$33.96	—	45%
Cytomegalovirus (CMV) antibody test CPT 86644 HBC FV CYTOMEGALOVIRUS CMV	$54.86	$99.75	$69.83–$94.76	22% below	45%
Cytomegalovirus (CMV) antibody test CPT 86644 HBC FV CYTOMEGALOVIRUS CMV	$54.86	$99.75	$69.83–$94.76	22% below	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HBC FV CYTOMEGALOVIRUS CMV	$54.86	$99.75	$69.83–$94.76	—	45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HBC FV CYTOMEGALOVIRUS CMV	$54.86	$99.75	$69.83–$94.76	—	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 HBC FV DHEA-S	$108.08	$196.50	$137.55–$186.68	24% below	45%
DHEA sulfate (DHEA-S) blood test CPT 82627 HBC FV DHEA-S	$108.08	$196.50	$137.55–$186.68	24% below	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HBC FV DHEA-S	$108.08	$196.50	$137.55–$186.68	—	45%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HBC FV DHEA-S	$108.08	$196.50	$137.55–$186.68	—	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBC FV DRUG TEST PRESUMPTIVE BY CHEM INSTRUMENT	$169.13	$307.50	$215.25–$292.13	46% above	45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HBC FV DRUG TEST PRESUMPTIVE BY CHEM INSTRUMENT	$169.13	$307.50	$215.25–$292.13	46% above	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HBC FV DRUG TEST PRESUMPTIVE BY CHEM INSTRUMENT	$169.13	$307.50	$215.25–$292.13	—	45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HBC FV DRUG TEST PRESUMPTIVE BY CHEM INSTRUMENT	$169.13	$307.50	$215.25–$292.13	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HBC FV ELECTROLYTES	$78.10	$142.00	$99.40–$134.90	60% above	45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HBC FV ELECTROLYTES	$78.10	$142.00	$99.40–$134.90	60% above	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HBC FV ELECTROLYTES	$78.10	$142.00	$99.40–$134.90	—	45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HBC FV ELECTROLYTES	$78.10	$142.00	$99.40–$134.90	—	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 HBC FV ANTIBODY EPSTEIN BARR VIRUS VIRAL CAPSID	$144.10	$262.00	$183.40–$248.90	75% above	45%
Epstein-Barr virus (EBV) antibody test CPT 86665 HBC FV ANTIBODY EPSTEIN BARR VIRUS VIRAL CAPSID	$144.10	$262.00	$183.40–$248.90	75% above	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HBC FV ANTIBODY EPSTEIN BARR VIRUS VIRAL CAPSID	$144.10	$262.00	$183.40–$248.90	—	45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HBC FV ANTIBODY EPSTEIN BARR VIRUS VIRAL CAPSID	$144.10	$262.00	$183.40–$248.90	—	45%
Estradiol blood test CPT 82670 HBC FV ESTRADIOL	$132.41	$240.75	$168.53–$228.71	3% above	45%
Estradiol blood test CPT 82670 HBC FV ESTRADIOL	$132.41	$240.75	$168.53–$228.71	3% above	45%
Estradiol blood test inpatient CPT 82670 HBC FV ESTRADIOL	$132.41	$240.75	$168.53–$228.71	—	45%
Estradiol blood test inpatient CPT 82670 HBC FV ESTRADIOL	$132.41	$240.75	$168.53–$228.71	—	45%
FSH (follicle-stimulating hormone) test CPT 83001 HBC FV FOLLICLE STIMULATING HORMONE	$105.05	$191.00	$133.70–$181.45	9% below	45%
FSH (follicle-stimulating hormone) test CPT 83001 HBC FV FOLLICLE STIMULATING HORMONE	$105.05	$191.00	$133.70–$181.45	9% below	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HBC FV FOLLICLE STIMULATING HORMONE	$105.05	$191.00	$133.70–$181.45	—	45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HBC FV FOLLICLE STIMULATING HORMONE	$105.05	$191.00	$133.70–$181.45	—	45%
Ferritin blood test (iron stores) CPT 82728 HBC FV FERRITIN	$72.33	$131.50	$92.05–$124.93	20% below	45%
Ferritin blood test (iron stores) CPT 82728 HBC FV FERRITIN	$72.33	$131.50	$92.05–$124.93	20% below	45%
Ferritin blood test (iron stores) inpatient CPT 82728 HBC FV FERRITIN	$72.33	$131.50	$92.05–$124.93	—	45%
Ferritin blood test (iron stores) inpatient CPT 82728 HBC FV FERRITIN	$72.33	$131.50	$92.05–$124.93	—	45%
Fibrinogen blood test CPT 85384 HBC FV FIBRINOGEN	$63.94	$116.25	$81.38–$110.44	5% below	45%
Fibrinogen blood test CPT 85384 HBC FV FIBRINOGEN	$63.94	$116.25	$81.38–$110.44	5% below	45%
Fibrinogen blood test inpatient CPT 85384 HBC FV FIBRINOGEN	$63.94	$116.25	$81.38–$110.44	—	45%
Fibrinogen blood test inpatient CPT 85384 HBC FV FIBRINOGEN	$63.94	$116.25	$81.38–$110.44	—	45%
Folate (folic acid) blood test CPT 82746 HBC FV FOLIC ACID FOLATE SERUM	$91.71	$166.75	$116.73–$158.41	7% below	45%
Folate (folic acid) blood test CPT 82746 HBC FV FOLIC ACID FOLATE SERUM	$91.71	$166.75	$116.73–$158.41	7% below	45%
Folate (folic acid) blood test inpatient CPT 82746 HBC FV FOLIC ACID FOLATE SERUM	$91.71	$166.75	$116.73–$158.41	—	45%
Folate (folic acid) blood test inpatient CPT 82746 HBC FV FOLIC ACID FOLATE SERUM	$91.71	$166.75	$116.73–$158.41	—	45%
Free T3 thyroid hormone test CPT 84481 HBC FV T3 FREE	$71.91	$130.75	$91.53–$124.21	26% below	45%
Free T3 thyroid hormone test CPT 84481 HBC FV T3 FREE	$71.91	$130.75	$91.53–$124.21	26% below	45%
Free T3 thyroid hormone test inpatient CPT 84481 HBC FV T3 FREE	$71.91	$130.75	$91.53–$124.21	—	45%
Free T3 thyroid hormone test inpatient CPT 84481 HBC FV T3 FREE	$71.91	$130.75	$91.53–$124.21	—	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HBC FV T4 FREE	$73.70	$134.00	$93.80–$127.30	9% below	45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HBC FV T4 FREE	$73.70	$134.00	$93.80–$127.30	9% below	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HBC FV T4 FREE	$73.70	$134.00	$93.80–$127.30	—	45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HBC FV T4 FREE	$73.70	$134.00	$93.80–$127.30	—	45%
Free testosterone test CPT 84402 HBC FV TESTOSTERONE FREE	$71.64	$130.25	$91.18–$123.74	39% below	45%
Free testosterone test CPT 84402 HBC FV TESTOSTERONE FREE	$71.64	$130.25	$91.18–$123.74	39% below	45%
Free testosterone test inpatient CPT 84402 HBC FV TESTOSTERONE FREE	$71.64	$130.25	$91.18–$123.74	—	45%
Free testosterone test inpatient CPT 84402 HBC FV TESTOSTERONE FREE	$71.64	$130.25	$91.18–$123.74	—	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HBC FV GAMMA GT GGT	$48.68	$88.50	$61.95–$84.08	9% below	45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HBC FV GAMMA GT GGT	$48.68	$88.50	$61.95–$84.08	9% below	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HBC FV GAMMA GT GGT	$48.68	$88.50	$61.95–$84.08	—	45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HBC FV GAMMA GT GGT	$48.68	$88.50	$61.95–$84.08	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HBC FV NEISSERIA GONORRHOEAE AMPLIFIED PROBE TECH	$180.95	$329.00	$230.30–$312.55	27% above	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HBC FV NEISSERIA GONORRHOEAE AMPLIFIED PROBE TECH	$180.95	$329.00	$230.30–$312.55	27% above	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HBC FV NEISSERIA GONORRHOEAE AMPLIFIED PROBE TECH	$180.95	$329.00	$230.30–$312.55	—	45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HBC FV NEISSERIA GONORRHOEAE AMPLIFIED PROBE TECH	$180.95	$329.00	$230.30–$312.55	—	45%
H. pylori stool antigen test CPT 87338 HBC FV H PYLORI ANTIGEN FECES	$175.31	$318.75	$223.13–$302.81	36% above	45%
H. pylori stool antigen test CPT 87338 HBC FV H PYLORI ANTIGEN FECES	$175.31	$318.75	$223.13–$302.81	36% above	45%
H. pylori stool antigen test inpatient CPT 87338 HBC FV H PYLORI ANTIGEN FECES	$175.31	$318.75	$223.13–$302.81	—	45%
H. pylori stool antigen test inpatient CPT 87338 HBC FV H PYLORI ANTIGEN FECES	$175.31	$318.75	$223.13–$302.81	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HBC FV HIV1 AG W HIV1 & HIV2 AB	$113.99	$207.25	$145.08–$196.89	11% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HBC FV HIV1 AG W HIV1 & HIV2 AB	$113.99	$207.25	$145.08–$196.89	11% above	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HBC FV HIV1 AG W HIV1 & HIV2 AB	$113.99	$207.25	$145.08–$196.89	—	45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HBC FV HIV1 AG W HIV1 & HIV2 AB	$113.99	$207.25	$145.08–$196.89	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBC FV HBA1C EST AV GLU BLOOD	$59.95	$109.00	$76.30–$103.55	13% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBC FV HBA1C EST AV GLU BLOOD	$59.95	$109.00	$76.30–$103.55	13% below	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HBC FV HBA1C EST AV GLU BLOOD	$59.95	$109.00	$76.30–$103.55	—	45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HBC FV HBA1C EST AV GLU BLOOD	$59.95	$109.00	$76.30–$103.55	—	45%
Hemoglobin blood test CPT 85018 HBC FV HEMOGLOBIN	$17.33	$31.50	$22.05–$29.93	1% below	45%
Hemoglobin blood test CPT 85018 HBC FV HEMOGLOBIN	$17.33	$31.50	$22.05–$29.93	1% below	45%
Hemoglobin blood test inpatient CPT 85018 HBC FV HEMOGLOBIN	$17.33	$31.50	$22.05–$29.93	—	45%
Hemoglobin blood test inpatient CPT 85018 HBC FV HEMOGLOBIN	$17.33	$31.50	$22.05–$29.93	—	45%
Hepatitis B core antibody test (total) CPT 86704 HBC FV HEPATITIS B CORE AB	$116.88	$212.50	$148.75–$201.88	46% above	45%
Hepatitis B core antibody test (total) CPT 86704 HBC FV HEPATITIS B CORE AB	$116.88	$212.50	$148.75–$201.88	46% above	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBC FV HEPATITIS B CORE AB	$116.88	$212.50	$148.75–$201.88	—	45%
Hepatitis B core antibody test (total) inpatient CPT 86704 HBC FV HEPATITIS B CORE AB	$116.88	$212.50	$148.75–$201.88	—	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBC FV HEPATITIS B SURFACE ANTIGEN	$25.16	$45.75	$32.03–$43.46	61% below	45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HBC FV HEPATITIS B SURFACE ANTIGEN	$33.96	$61.75	$43.23–$58.66	48% below	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBC FV HEPATITIS B SURFACE ANTIGEN	$33.96	$61.75	$43.23–$58.66	—	45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HBC FV HEPATITIS B SURFACE ANTIGEN	$33.96	$61.75	$43.23–$58.66	—	45%
Hepatitis C antibody blood test (screening) CPT 86803 HBC FV HEPATITIS C ANTIBODY	$157.85	$287.00	$200.90–$272.65	97% above	45%
Hepatitis C antibody blood test (screening) CPT 86803 HBC FV HEPATITIS C ANTIBODY	$157.85	$287.00	$200.90–$272.65	97% above	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HBC FV HEPATITIS C ANTIBODY	$157.85	$287.00	$200.90–$272.65	—	45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HBC FV HEPATITIS C ANTIBODY	$157.85	$287.00	$200.90–$272.65	—	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HBC FV HIGH SENSITIVITY CRP BLOOD	$62.43	$113.50	$79.45–$107.83	22% below	45%
High-sensitivity CRP (hs-CRP) test CPT 86141 HBC FV HIGH SENSITIVITY CRP BLOOD	$62.43	$113.50	$79.45–$107.83	22% below	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HBC FV HIGH SENSITIVITY CRP BLOOD	$62.43	$113.50	$79.45–$107.83	—	45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HBC FV HIGH SENSITIVITY CRP BLOOD	$62.43	$113.50	$79.45–$107.83	—	45%
Homocysteine blood test CPT 83090 HBC FV HOMOCYSTEINE	$206.25	$375.00	$262.50–$356.25	74% above	45%
Homocysteine blood test CPT 83090 HBC FV HOMOCYSTEINE	$206.25	$375.00	$262.50–$356.25	74% above	45%
Homocysteine blood test inpatient CPT 83090 HBC FV HOMOCYSTEINE	$206.25	$375.00	$262.50–$356.25	—	45%
Homocysteine blood test inpatient CPT 83090 HBC FV HOMOCYSTEINE	$206.25	$375.00	$262.50–$356.25	—	45%
Insulin blood test CPT 83525 HBC FV INSULIN SERUM	$115.91	$210.75	$147.53–$200.21	72% above	45%
Insulin blood test CPT 83525 HBC FV INSULIN SERUM	$115.91	$210.75	$147.53–$200.21	72% above	45%
Insulin blood test inpatient CPT 83525 HBC FV INSULIN SERUM	$115.91	$210.75	$147.53–$200.21	—	45%
Insulin blood test inpatient CPT 83525 HBC FV INSULIN SERUM	$115.91	$210.75	$147.53–$200.21	—	45%
Iron blood test (serum iron) CPT 83540 HBC FV IRON	$68.06	$123.75	$86.63–$117.56	28% above	45%
Iron blood test (serum iron) CPT 83540 HBC FV IRON	$68.06	$123.75	$86.63–$117.56	28% above	45%
Iron blood test (serum iron) inpatient CPT 83540 HBC FV IRON	$68.06	$123.75	$86.63–$117.56	—	45%
Iron blood test (serum iron) inpatient CPT 83540 HBC FV IRON	$68.06	$123.75	$86.63–$117.56	—	45%
Iron-binding capacity (TIBC) test CPT 83550 HBC FV IRON BINDING CAPACTY	$76.04	$138.25	$96.78–$131.34	23% above	45%
Iron-binding capacity (TIBC) test CPT 83550 HBC FV IRON BINDING CAPACTY	$76.04	$138.25	$96.78–$131.34	23% above	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HBC FV IRON BINDING CAPACTY	$76.04	$138.25	$96.78–$131.34	—	45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HBC FV IRON BINDING CAPACTY	$76.04	$138.25	$96.78–$131.34	—	45%
LH (luteinizing hormone) test CPT 83002 HBC FV GONADOTROPIN LUTEINING HORMONE	$47.71	$86.75	$60.73–$82.41	51% below	45%
LH (luteinizing hormone) test CPT 83002 HBC FV GONADOTROPIN LUTEINING HORMONE	$47.71	$86.75	$60.73–$82.41	51% below	45%
LH (luteinizing hormone) test CPT 83002 HBC FV LUTEINIZING HORMONE LH	$105.05	$191.00	$133.70–$181.45	8% above	45%
LH (luteinizing hormone) test CPT 83002 HBC FV LUTEINIZING HORMONE LH	$105.05	$191.00	$133.70–$181.45	8% above	45%
LH (luteinizing hormone) test inpatient CPT 83002 HBC FV GONADOTROPIN LUTEINING HORMONE	$47.71	$86.75	$60.73–$82.41	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 HBC FV GONADOTROPIN LUTEINING HORMONE	$47.71	$86.75	$60.73–$82.41	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 HBC FV LUTEINIZING HORMONE LH	$105.05	$191.00	$133.70–$181.45	—	45%
LH (luteinizing hormone) test inpatient CPT 83002 HBC FV LUTEINIZING HORMONE LH	$105.05	$191.00	$133.70–$181.45	—	45%
Lactate (lactic acid) blood test CPT 83605 HBC FV LACTIC ACID ASSAY	$49.36	$89.75	$62.83–$85.26	29% below	45%
Lactate (lactic acid) blood test CPT 83605 HBC FV LACTIC ACID ASSAY	$49.36	$89.75	$62.83–$85.26	29% below	45%
Lactate (lactic acid) blood test inpatient CPT 83605 HBC FV LACTIC ACID ASSAY	$49.36	$89.75	$62.83–$85.26	—	45%
Lactate (lactic acid) blood test inpatient CPT 83605 HBC FV LACTIC ACID ASSAY	$49.36	$89.75	$62.83–$85.26	—	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 HBC FV LACTATE LD LDH ENZYME	$19.66	$35.75	$25.03–$33.96	61% below	45%
Lactate dehydrogenase (LDH) blood test CPT 83615 HBC FV LACTATE LD LDH ENZYME	$19.66	$35.75	$25.03–$33.96	61% below	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HBC FV LACTATE LD LDH ENZYME	$19.66	$35.75	$25.03–$33.96	—	45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HBC FV LACTATE LD LDH ENZYME	$19.66	$35.75	$25.03–$33.96	—	45%
Lipase blood test (pancreas enzyme) CPT 83690 HBC FV LIPASE	$81.68	$148.50	$103.95–$141.08	20% above	45%
Lipase blood test (pancreas enzyme) CPT 83690 HBC FV LIPASE	$81.68	$148.50	$103.95–$141.08	20% above	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HBC FV LIPASE	$81.68	$148.50	$103.95–$141.08	—	45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HBC FV LIPASE	$81.68	$148.50	$103.95–$141.08	—	45%
Liver function blood test panel CPT 80076 HBC FV HEPATIC PANEL	$116.88	$212.50	$148.75–$201.88	15% above	45%
Liver function blood test panel CPT 80076 HBC FV HEPATIC PANEL	$116.88	$212.50	$148.75–$201.88	15% above	45%
Liver function blood test panel inpatient CPT 80076 HBC FV HEPATIC PANEL	$116.88	$212.50	$148.75–$201.88	—	45%
Liver function blood test panel inpatient CPT 80076 HBC FV HEPATIC PANEL	$116.88	$212.50	$148.75–$201.88	—	45%
Lyme disease antibody test CPT 86618 HBC FV BORRELIA BURGDORFERI ANTIBODY LYME DISEASE	$82.78	$150.50	$105.35–$142.98	1% below	45%
Lyme disease antibody test CPT 86618 HBC FV BORRELIA BURGDORFERI IGG ANTIBODY	$83.60	$152.00	$106.40–$144.40	at median	45%
Lyme disease antibody test CPT 86618 HBC FV BORRELIA BURGDORFERI IGM ANTIBODY	$83.60	$152.00	$106.40–$144.40	at median	45%
Magnesium blood test CPT 83735 HBC FV MAGNESIUM	$61.46	$111.75	$78.23–$106.16	17% above	45%
Magnesium blood test CPT 83735 HBC FV MAGNESIUM	$61.46	$111.75	$78.23–$106.16	17% above	45%
Magnesium blood test inpatient CPT 83735 HBC FV MAGNESIUM	$61.46	$111.75	$78.23–$106.16	—	45%
Magnesium blood test inpatient CPT 83735 HBC FV MAGNESIUM	$61.46	$111.75	$78.23–$106.16	—	45%
Mono test (heterophile antibody, Monospot) CPT 86308 HBC FV MONOSPOT	$42.21	$76.75	$53.73–$72.91	24% below	45%
Mono test (heterophile antibody, Monospot) CPT 86308 HBC FV MONOSPOT	$42.21	$76.75	$53.73–$72.91	24% below	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HBC FV MONOSPOT	$42.21	$76.75	$53.73–$72.91	—	45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HBC FV MONOSPOT	$42.21	$76.75	$53.73–$72.91	—	45%
Parathyroid hormone (PTH) blood test CPT 83970 HBC FV PARATHYROID HORMONE PTH INTACT	$215.88	$392.50	$274.75–$372.88	1% above	45%
Parathyroid hormone (PTH) blood test CPT 83970 HBC FV PARATHYROID HORMONE PTH INTACT	$215.88	$392.50	$274.75–$372.88	1% above	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HBC FV PARATHYROID HORMONE PTH INTACT	$215.88	$392.50	$274.75–$372.88	—	45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HBC FV PARATHYROID HORMONE PTH INTACT	$215.88	$392.50	$274.75–$372.88	—	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 HBC FV PARTIAL THROMBOPLASTIN TIME	$47.99	$87.25	$61.08–$82.89	9% below	45%
Partial thromboplastin time (PTT) clotting test CPT 85730 HBC FV PARTIAL THROMBOPLASTIN TIME	$47.99	$87.25	$61.08–$82.89	9% below	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HBC FV PARTIAL THROMBOPLASTIN TIME	$47.99	$87.25	$61.08–$82.89	—	45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HBC FV PARTIAL THROMBOPLASTIN TIME	$47.99	$87.25	$61.08–$82.89	—	45%
Phosphorus (phosphate) blood test CPT 84100 HBC FV PHOSPHORUS	$19.66	$35.75	$25.03–$33.96	53% below	45%
Phosphorus (phosphate) blood test CPT 84100 HBC FV PHOSPHORUS	$19.66	$35.75	$25.03–$33.96	53% below	45%
Phosphorus (phosphate) blood test inpatient CPT 84100 HBC FV PHOSPHORUS	$19.66	$35.75	$25.03–$33.96	—	45%
Phosphorus (phosphate) blood test inpatient CPT 84100 HBC FV PHOSPHORUS	$19.66	$35.75	$25.03–$33.96	—	45%
Potassium blood test CPT 84132 HBC FV POTASSIUM SERUM	$19.66	$35.75	$25.03–$33.96	28% below	45%
Potassium blood test CPT 84132 HBC FV POTASSIUM SERUM	$19.66	$35.75	$25.03–$33.96	28% below	45%
Potassium blood test inpatient CPT 84132 HBC FV POTASSIUM SERUM	$19.66	$35.75	$25.03–$33.96	—	45%
Potassium blood test inpatient CPT 84132 HBC FV POTASSIUM SERUM	$19.66	$35.75	$25.03–$33.96	—	45%
Progesterone blood test CPT 84144 HBC FV PROGESTERONE	$90.48	$164.50	$115.15–$156.28	25% below	45%
Progesterone blood test CPT 84144 HBC FV PROGESTERONE	$90.48	$164.50	$115.15–$156.28	25% below	45%
Progesterone blood test inpatient CPT 84144 HBC FV PROGESTERONE	$90.48	$164.50	$115.15–$156.28	—	45%
Progesterone blood test inpatient CPT 84144 HBC FV PROGESTERONE	$90.48	$164.50	$115.15–$156.28	—	45%
Prolactin blood test CPT 84146 HBC FV PROLACTIN ASSAY	$153.45	$279.00	$195.30–$265.05	27% above	45%
Prolactin blood test CPT 84146 HBC FV PROLACTIN ASSAY	$153.45	$279.00	$195.30–$265.05	27% above	45%
Prolactin blood test inpatient CPT 84146 HBC FV PROLACTIN ASSAY	$153.45	$279.00	$195.30–$265.05	—	45%
Prolactin blood test inpatient CPT 84146 HBC FV PROLACTIN ASSAY	$153.45	$279.00	$195.30–$265.05	—	45%
Prothrombin time (PT/INR) clotting test CPT 85610 HBC FV PROTHROMBIN TIME	$27.64	$50.25	$35.18–$47.74	18% below	45%
Prothrombin time (PT/INR) clotting test CPT 85610 HBC FV PROTHROMBIN TIME	$27.64	$50.25	$35.18–$47.74	18% below	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HBC FV PROTHROMBIN TIME	$27.64	$50.25	$35.18–$47.74	—	45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HBC FV PROTHROMBIN TIME	$27.64	$50.25	$35.18–$47.74	—	45%
Rapid flu test (influenza antigen) CPT 87804 HBC FV INFLUENZA A OR B DIFFERENTIATED	$113.44	$206.25	$144.38–$195.94	115% above	45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HBC FV RAPID GROUP A STREP THROAT SCREEN	$50.33	$91.50	$64.05–$86.93	10% above	45%
Rh blood typing CPT 86901 HBC FV BLOOD TYPING RH(D)	$21.59	$39.25	$27.48–$37.29	46% below	45%
Rh blood typing CPT 86901 HBC FV BLOOD TYPING RH(D)	$21.59	$39.25	$27.48–$37.29	46% below	45%
Rh blood typing inpatient CPT 86901 HBC FV BLOOD TYPING RH(D)	$21.59	$39.25	$27.48–$37.29	—	45%
Rh blood typing inpatient CPT 86901 HBC FV BLOOD TYPING RH(D)	$21.59	$39.25	$27.48–$37.29	—	45%
Rheumatoid factor (RF) test CPT 86431 HBC FV RHEUMATOID FACTOR BLOOD	$58.99	$107.25	$75.08–$101.89	1% above	45%
Rheumatoid factor (RF) test CPT 86431 HBC FV RHEUMATOID FACTOR BLOOD	$58.99	$107.25	$75.08–$101.89	1% above	45%
Rheumatoid factor (RF) test inpatient CPT 86431 HBC FV RHEUMATOID FACTOR BLOOD	$58.99	$107.25	$75.08–$101.89	—	45%
Rheumatoid factor (RF) test inpatient CPT 86431 HBC FV RHEUMATOID FACTOR BLOOD	$58.99	$107.25	$75.08–$101.89	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HBC FV ESR AUTO SED RATE	$29.56	$53.75	$37.63–$51.06	29% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HBC FV ESR AUTO SED RATE	$29.56	$53.75	$37.63–$51.06	29% below	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HBC FV ESR AUTO SED RATE	$29.56	$53.75	$37.63–$51.06	—	45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HBC FV ESR AUTO SED RATE	$29.56	$53.75	$37.63–$51.06	—	45%
Sodium blood test CPT 84295 HBC FV SODIUM SERUM	$22.41	$40.75	$28.53–$38.71	10% below	45%
Sodium blood test CPT 84295 HBC FV SODIUM SERUM	$22.41	$40.75	$28.53–$38.71	10% below	45%
Sodium blood test inpatient CPT 84295 HBC FV SODIUM SERUM	$22.41	$40.75	$28.53–$38.71	—	45%
Sodium blood test inpatient CPT 84295 HBC FV SODIUM SERUM	$22.41	$40.75	$28.53–$38.71	—	45%
Stool ova and parasites exam CPT 87177 HBC FV OVA AND PARASITES	$83.05	$151.00	$105.70–$143.45	28% above	45%
Stool ova and parasites exam CPT 87177 HBC FV OVA AND PARASITES	$83.05	$151.00	$105.70–$143.45	28% above	45%
Stool ova and parasites exam inpatient CPT 87177 HBC FV OVA AND PARASITES	$83.05	$151.00	$105.70–$143.45	—	45%
Stool ova and parasites exam inpatient CPT 87177 HBC FV OVA AND PARASITES	$83.05	$151.00	$105.70–$143.45	—	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HBC FV FECAL OCCULT BLOOD	$99.55	$181.00	$126.70–$171.95	65% above	45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HBC FV FECAL OCCULT BLOOD	$99.55	$181.00	$126.70–$171.95	65% above	45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HBC FV FECAL OCCULT BLOOD	$99.55	$181.00	$126.70–$171.95	—	45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HBC FV FECAL OCCULT BLOOD	$99.55	$181.00	$126.70–$171.95	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HBC FV QUANTIFERON TB GOLD BLOOD	$115.50	$210.00	$147.00–$199.50	54% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HBC FV QUANTIFERON TB GOLD BLOOD	$115.50	$210.00	$147.00–$199.50	54% below	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HBC FV QUANTIFERON TB GOLD BLOOD	$115.50	$210.00	$147.00–$199.50	—	45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HBC FV QUANTIFERON TB GOLD BLOOD	$115.50	$210.00	$147.00–$199.50	—	45%
Testosterone blood test, total (not free testosterone) CPT 84403 HBC FV TESTOSTERONE TOTAL	$91.85	$167.00	$116.90–$158.65	20% below	45%
Testosterone blood test, total (not free testosterone) CPT 84403 HBC FV TESTOSTERONE TOTAL	$91.85	$167.00	$116.90–$158.65	20% below	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HBC FV TESTOSTERONE TOTAL	$91.85	$167.00	$116.90–$158.65	—	45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HBC FV TESTOSTERONE TOTAL	$91.85	$167.00	$116.90–$158.65	—	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBC FV MICROSOMAL AB	$66.96	$121.75	$85.23–$115.66	4% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBC FV MICROSOMAL AB	$66.96	$121.75	$85.23–$115.66	4% below	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBC FV THYROPEROXIDASE AB SERUM	$116.46	$211.75	$148.23–$201.16	66% above	45%
Thyroid peroxidase (TPO) antibody test CPT 86376 HBC FV THYROPEROXIDASE AB SERUM	$116.46	$211.75	$148.23–$201.16	66% above	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HBC FV MICROSOMAL AB	$66.96	$121.75	$85.23–$115.66	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HBC FV MICROSOMAL AB	$66.96	$121.75	$85.23–$115.66	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HBC FV THYROPEROXIDASE AB SERUM	$116.46	$211.75	$148.23–$201.16	—	45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HBC FV THYROPEROXIDASE AB SERUM	$116.46	$211.75	$148.23–$201.16	—	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HBC FV THYROID STIMULATING HORMONE (TSH)	$104.91	$190.75	$133.53–$181.21	17% above	45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HBC FV THYROID STIMULATING HORMONE (TSH)	$104.91	$190.75	$133.53–$181.21	17% above	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HBC FV THYROID STIMULATING HORMONE (TSH)	$104.91	$190.75	$133.53–$181.21	—	45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HBC FV THYROID STIMULATING HORMONE (TSH)	$104.91	$190.75	$133.53–$181.21	—	45%
Total IgE blood test CPT 82785 HBC FV IGE IMMUNOGLOBULIN SERUM	$95.29	$173.25	$121.28–$164.59	7% below	45%
Total IgE blood test CPT 82785 HBC FV IGE IMMUNOGLOBULIN SERUM	$95.29	$173.25	$121.28–$164.59	7% below	45%
Total IgE blood test inpatient CPT 82785 HBC FV IGE IMMUNOGLOBULIN SERUM	$95.29	$173.25	$121.28–$164.59	—	45%
Total IgE blood test inpatient CPT 82785 HBC FV IGE IMMUNOGLOBULIN SERUM	$95.29	$173.25	$121.28–$164.59	—	45%
Total cholesterol blood test CPT 82465 HBC FV CHOLESTEROL SERUM	$18.98	$34.50	$24.15–$32.78	59% below	45%
Total cholesterol blood test CPT 82465 HBC FV CHOLESTEROL SERUM	$18.98	$34.50	$24.15–$32.78	59% below	45%
Total cholesterol blood test inpatient CPT 82465 HBC FV CHOLESTEROL SERUM	$18.98	$34.50	$24.15–$32.78	—	45%
Total cholesterol blood test inpatient CPT 82465 HBC FV CHOLESTEROL SERUM	$18.98	$34.50	$24.15–$32.78	—	45%
Total thyroxine (T4) blood test CPT 84436 HBC FV T4	$47.99	$87.25	$61.08–$82.89	8% below	45%
Total thyroxine (T4) blood test CPT 84436 HBC FV T4	$47.99	$87.25	$61.08–$82.89	8% below	45%
Total thyroxine (T4) blood test inpatient CPT 84436 HBC FV T4	$47.99	$87.25	$61.08–$82.89	—	45%
Total thyroxine (T4) blood test inpatient CPT 84436 HBC FV T4	$47.99	$87.25	$61.08–$82.89	—	45%
Transferrin blood test CPT 84466 HBC FV TRANSFERRIN	$68.75	$125.00	$87.50–$118.75	28% below	45%
Transferrin blood test CPT 84466 HBC FV TRANSFERRIN	$68.75	$125.00	$87.50–$118.75	28% below	45%
Transferrin blood test inpatient CPT 84466 HBC FV TRANSFERRIN	$68.75	$125.00	$87.50–$118.75	—	45%
Transferrin blood test inpatient CPT 84466 HBC FV TRANSFERRIN	$68.75	$125.00	$87.50–$118.75	—	45%
Triglycerides blood test CPT 84478 HBC FV TRIGLYCERIDES	$19.66	$35.75	$25.03–$33.96	64% below	45%
Triglycerides blood test CPT 84478 HBC FV TRIGLYCERIDES	$19.66	$35.75	$25.03–$33.96	64% below	45%
Triglycerides blood test inpatient CPT 84478 HBC FV TRIGLYCERIDES	$19.66	$35.75	$25.03–$33.96	—	45%
Triglycerides blood test inpatient CPT 84478 HBC FV TRIGLYCERIDES	$19.66	$35.75	$25.03–$33.96	—	45%
Troponin test, quantitative CPT 84484 HBC FV TROPONIN	$145.89	$265.25	$185.68–$251.99	73% above	45%
Troponin test, quantitative CPT 84484 HBC FV TROPONIN	$145.89	$265.25	$185.68–$251.99	73% above	45%
Troponin test, quantitative inpatient CPT 84484 HBC FV TROPONIN	$145.89	$265.25	$185.68–$251.99	—	45%
Troponin test, quantitative inpatient CPT 84484 HBC FV TROPONIN	$145.89	$265.25	$185.68–$251.99	—	45%
Uric acid blood test CPT 84550 HBC FV URIC ACID	$19.66	$35.75	$25.03–$33.96	61% below	45%
Uric acid blood test CPT 84550 HBC FV URIC ACID	$19.66	$35.75	$25.03–$33.96	61% below	45%
Uric acid blood test inpatient CPT 84550 HBC FV URIC ACID	$19.66	$35.75	$25.03–$33.96	—	45%
Uric acid blood test inpatient CPT 84550 HBC FV URIC ACID	$19.66	$35.75	$25.03–$33.96	—	45%
Urinalysis with microscope exam, automated CPT 81001 HBC FV URINALYSIS AUTO W MICRO	$33.96	$61.75	$43.23–$58.66	6% below	45%
Urinalysis with microscope exam, automated CPT 81001 HBC FV URINALYSIS AUTO W MICRO	$33.96	$61.75	$43.23–$58.66	6% below	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 HBC FV URINALYSIS AUTO W MICRO	$33.96	$61.75	$43.23–$58.66	—	45%
Urinalysis with microscope exam, automated inpatient CPT 81001 HBC FV URINALYSIS AUTO W MICRO	$33.96	$61.75	$43.23–$58.66	—	45%
Urinalysis with microscope exam, manual CPT 81000 HBC FV URINALYSIS NONAUTO W MICRO	$14.03	$25.50	$17.85–$24.23	12% above	45%
Urinalysis without microscope exam, automated CPT 81003 HBC FV URINALYSIS DIP ONLY AUTO	$9.90	$18.00	$12.60–$17.10	60% below	45%
Urinalysis without microscope exam, automated CPT 81003 HBC FV URINALYSIS DIP ONLY AUTO	$9.90	$18.00	$12.60–$17.10	60% below	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 HBC FV URINALYSIS DIP ONLY AUTO	$9.90	$18.00	$12.60–$17.10	—	45%
Urinalysis without microscope exam, automated inpatient CPT 81003 HBC FV URINALYSIS DIP ONLY AUTO	$9.90	$18.00	$12.60–$17.10	—	45%
Urinalysis without microscope exam, manual CPT 81002 HBC FV URINALYSIS DIP ONLY NONAUTO	$10.04	$18.25	$12.78–$17.34	27% below	45%
Urinalysis without microscope exam, manual CPT 81002 HBC FV URINALYSIS DIP ONLY NONAUTO	$10.04	$18.25	$12.78–$17.34	27% below	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 HBC FV URINALYSIS DIP ONLY NONAUTO	$10.04	$18.25	$12.78–$17.34	—	45%
Urinalysis without microscope exam, manual inpatient CPT 81002 HBC FV URINALYSIS DIP ONLY NONAUTO	$10.04	$18.25	$12.78–$17.34	—	45%
Urine culture for bacteria, with colony count CPT 87086 HBC FV CULTURE URINE COLONY COUNT	$52.25	$95.00	$66.50–$90.25	31% below	45%
Urine culture for bacteria, with colony count CPT 87086 HBC FV CULTURE URINE COLONY COUNT	$52.25	$95.00	$66.50–$90.25	31% below	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 HBC FV CULTURE URINE COLONY COUNT	$52.25	$95.00	$66.50–$90.25	—	45%
Urine culture for bacteria, with colony count inpatient CPT 87086 HBC FV CULTURE URINE COLONY COUNT	$52.25	$95.00	$66.50–$90.25	—	45%
Urine pregnancy test, read by color change CPT 81025 HBC FV PREGNANCY TEST URINE QUAL	$31.08	$56.50	$39.55–$53.68	37% below	45%
Urine pregnancy test, read by color change CPT 81025 HBC FV PREGNANCY TEST URINE QUAL	$31.08	$56.50	$39.55–$53.68	37% below	45%
Urine pregnancy test, read by color change inpatient CPT 81025 HBC FV PREGNANCY TEST URINE QUAL	$31.08	$56.50	$39.55–$53.68	—	45%
Urine pregnancy test, read by color change inpatient CPT 81025 HBC FV PREGNANCY TEST URINE QUAL	$31.08	$56.50	$39.55–$53.68	—	45%
Vitamin B12 (cobalamin) blood test CPT 82607 HBC FV VITAMIN B12	$70.81	$128.75	$90.13–$122.31	31% below	45%
Vitamin B12 (cobalamin) blood test CPT 82607 HBC FV VITAMIN B12	$70.81	$128.75	$90.13–$122.31	31% below	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HBC FV VITAMIN B12	$70.81	$128.75	$90.13–$122.31	—	45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HBC FV VITAMIN B12	$70.81	$128.75	$90.13–$122.31	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HBC FV VITAMIN D 25 HYDROXY D2 D3	$110.69	$201.25	$140.88–$191.19	29% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HBC FV VITAMIN D 25 HYDROXY D2 D3	$110.69	$201.25	$140.88–$191.19	29% below	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HBC FV VITAMIN D 25 HYDROXY	$194.56	$353.75	$247.63–$336.06	26% above	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HBC FV VITAMIN D 25 HYDROXY	$194.56	$353.75	$247.63–$336.06	26% above	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HBC FV VITAMIN D 25 HYDROXY D2 D3	$110.69	$201.25	$140.88–$191.19	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HBC FV VITAMIN D 25 HYDROXY D2 D3	$110.69	$201.25	$140.88–$191.19	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HBC FV VITAMIN D 25 HYDROXY	$194.56	$353.75	$247.63–$336.06	—	45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HBC FV VITAMIN D 25 HYDROXY	$194.56	$353.75	$247.63–$336.06	—	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HBC FV VITAMIN D 1 25 HYDROXY SERUM	$314.88	$572.50	$400.75–$543.88	97% above	45%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HBC FV VITAMIN D 1 25 HYDROXY SERUM	$314.88	$572.50	$400.75–$543.88	97% above	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HBC FV VITAMIN D 1 25 HYDROXY SERUM	$314.88	$572.50	$400.75–$543.88	—	45%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HBC FV VITAMIN D 1 25 HYDROXY SERUM	$314.88	$572.50	$400.75–$543.88	—	45%
Zinc blood test CPT 84630 HBC FV ZINC ASSAY	$96.25	$175.00	$122.50–$166.25	20% above	45%
Zinc blood test CPT 84630 HBC FV ZINC ASSAY	$96.25	$175.00	$122.50–$166.25	20% above	45%
Zinc blood test inpatient CPT 84630 HBC FV ZINC ASSAY	$96.25	$175.00	$122.50–$166.25	—	45%
Zinc blood test inpatient CPT 84630 HBC FV ZINC ASSAY	$96.25	$175.00	$122.50–$166.25	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBC FV GONADOTROPIN CHORIONIC HCG TOTAL	$135.30	$246.00	$172.20–$233.70	15% above	45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HBC FV GONADOTROPIN CHORIONIC HCG TOTAL	$135.30	$246.00	$172.20–$233.70	15% above	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HBC FV GONADOTROPIN CHORIONIC HCG TOTAL	$135.30	$246.00	$172.20–$233.70	—	45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HBC FV GONADOTROPIN CHORIONIC HCG TOTAL	$135.30	$246.00	$172.20–$233.70	—	45%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HBC FV CIRCUMCISION CLAMP NEWBORN	$111.24	$202.25	$141.58–$192.14	45% below	45%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HBC FV CREATE EARDRUM OPENING GEN ANESTH	$3,414.40	$6,208.00	$4,345.60–$5,897.60	459% above	45%
Incision and drainage of a simple or single skin abscess CPT 10060 HBC FV DRAIN SKIN ABSCESS SIMPLE	$282.29	$513.25	$359.28–$487.59	3% below	45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HBC FV ARTHROCENTESIS ASPIR & INJECTION MAJOR JT BURSA WO US	$199.65	$363.00	$254.10–$344.85	54% below	45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HBC FV LAPAROSCOPY APPENDECTOMY	$4,516.33	$8,211.50	$5,748.05–$7,800.93	at median	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HBC FV SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,024.93	$1,863.50	$1,304.45–$1,770.33	69% above	45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HBC FV SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,024.93	$1,863.50	$1,304.45–$1,770.33	69% above	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HBC FV SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,024.93	$1,863.50	$1,304.45–$1,770.33	—	45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HBC FV SPINAL PUNCTURE LUMBAR DIAGNOSTIC	$1,024.93	$1,863.50	$1,304.45–$1,770.33	—	45%
Tonsil and adenoid removal, child under 12 CPT 42820 HBC FV REMOVE TONSILS ADENOIDS <12 YR	$3,496.35	$6,357.00	$4,449.90–$6,039.15	84% above	45%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HBC FV REMOVAL OF TONSILS < 12 YR	$4,390.93	$7,983.50	$5,588.45–$7,584.33	149% above	45%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HBC FV REMOVAL OF TONSILS < 12 YR	$4,390.93	$7,983.50	$5,588.45–$7,584.33	149% above	45%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HBC FV REMOVAL OF TONSILS < 12 YR	$4,390.93	$7,983.50	$5,588.45–$7,584.33	—	45%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HBC FV REMOVAL OF TONSILS < 12 YR	$4,390.93	$7,983.50	$5,588.45–$7,584.33	—	45%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HBC FV BLOOD TRANSFUSION	$510.81	$928.75	$650.13–$882.31	12% below	45%
Blood transfusion (giving blood or blood components) CPT 36430 HBC FV BLOOD TRANSFUSION	$510.81	$928.75	$650.13–$882.31	12% below	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HBC FV BLOOD TRANSFUSION	$510.81	$928.75	$650.13–$882.31	—	45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HBC FV BLOOD TRANSFUSION	$510.81	$928.75	$650.13–$882.31	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HBC AIRWAY INHALATION TRMT RPT W MOD	$46.20	$84.00	$58.80–$79.80	47% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HBC AIRWAY INHALATION TRMT RPT W MOD	$46.20	$84.00	$58.80–$79.80	47% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HBC FV AIRWAY INHALATION TREATMENT	$62.15	$113.00	$79.10–$107.35	28% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HBC FV AIRWAY INHALATION TREATMENT	$62.15	$113.00	$79.10–$107.35	28% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HBC FV AIRWAY INHALATION TREATMENT RT	$66.96	$121.75	$85.23–$115.66	23% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction one side CPT 94640 HBC FV AIRWAY INHALATION TREATMENT RT	$66.96	$121.75	$85.23–$115.66	23% below	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HBC AIRWAY INHALATION TRMT RPT W MOD	$46.20	$84.00	$58.80–$79.80	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HBC AIRWAY INHALATION TRMT RPT W MOD	$46.20	$84.00	$58.80–$79.80	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HBC FV AIRWAY INHALATION TREATMENT	$62.15	$113.00	$79.10–$107.35	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HBC FV AIRWAY INHALATION TREATMENT	$62.15	$113.00	$79.10–$107.35	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HBC FV AIRWAY INHALATION TREATMENT RT	$66.96	$121.75	$85.23–$115.66	—	45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient one side CPT 94640 HBC FV AIRWAY INHALATION TREATMENT RT	$66.96	$121.75	$85.23–$115.66	—	45%
Chemotherapy IV infusion, first hour CPT 96413 HBC INITIAL CHEMOTHERAPY INFUSION 0-60 MINUTES	$381.29	$693.25	$485.28–$658.59	32% below	45%
Chemotherapy IV infusion, first hour CPT 96413 HBC INITIAL CHEMOTHERAPY INFUSION 0-60 MINUTES	$381.29	$693.25	$485.28–$658.59	32% below	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HBC INITIAL CHEMOTHERAPY INFUSION 0-60 MINUTES	$381.29	$693.25	$485.28–$658.59	—	45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HBC INITIAL CHEMOTHERAPY INFUSION 0-60 MINUTES	$381.29	$693.25	$485.28–$658.59	—	45%
Critical care, first 30 to 74 minutes CPT 99291 HBC FV CRITICAL CARE 1ST HOUR	$1,023.41	$1,860.75	$5,685.00–$5,870.00	43% below	45%
Critical care, first 30 to 74 minutes CPT 99291 HBC FV CRITICAL CARE 1ST HOUR	$1,023.41	$1,860.75	$1,302.53–$1,767.71	43% below	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HBC FV CRITICAL CARE 1ST HOUR	$1,023.41	$1,860.75	$1,302.53–$1,767.71	—	45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HBC FV CRITICAL CARE 1ST HOUR	$1,023.41	$1,860.75	$1,302.53–$1,767.71	—	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HBC FV EEG AWAKE DROWSY W STIMULATN	$344.58	$626.50	$438.55–$595.18	49% below	45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HBC FV EEG AWAKE DROWSY W STIMULATN	$344.58	$626.50	$438.55–$595.18	49% below	45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HBC FV EEG AWAKE DROWSY W STIMULATN	$344.58	$626.50	$438.55–$595.18	—	45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HBC FV EEG AWAKE DROWSY W STIMULATN	$344.58	$626.50	$438.55–$595.18	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HBC FV ELECTROCARDIOGRAM TRACING	$106.70	$194.00	$135.80–$184.30	28% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HBC FV ELECTROCARDIOGRAM TRACING	$106.70	$194.00	$135.80–$184.30	28% below	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HBC FV ELECTROCARDIOGRAM CAR	$147.26	$267.75	$187.43–$254.36	at median	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HBC FV ELECTROCARDIOGRAM CAR	$147.26	$267.75	$187.43–$254.36	at median	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HBC FV ELECTROCARDIOGRAM TRACING	$106.70	$194.00	$135.80–$184.30	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HBC FV ELECTROCARDIOGRAM TRACING	$106.70	$194.00	$135.80–$184.30	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HBC FV ELECTROCARDIOGRAM CAR	$147.26	$267.75	$187.43–$254.36	—	45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HBC FV ELECTROCARDIOGRAM CAR	$147.26	$267.75	$187.43–$254.36	—	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HBC FV EMERGENCY DEPT VISIT LEVEL II	$99.28	$180.50	$843.00–$868.00	69% below	45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HBC FV EMERGENCY DEPT VISIT LEVEL II	$99.28	$180.50	$126.35–$171.48	69% below	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HBC FV EMERGENCY DEPT VISIT LEVEL II	$99.28	$180.50	$126.35–$171.48	—	45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HBC FV EMERGENCY DEPT VISIT LEVEL II	$99.28	$180.50	$126.35–$171.48	—	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HBC FV EMERGENCY DEPT VISIT LEVEL III	$182.74	$332.25	$232.58–$315.64	69% below	45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HBC FV EMERGENCY DEPT VISIT LEVEL III	$182.74	$332.25	$1,845.00–$1,905.00	69% below	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HBC FV EMERGENCY DEPT VISIT LEVEL III	$182.74	$332.25	$232.58–$315.64	—	45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HBC FV EMERGENCY DEPT VISIT LEVEL III	$182.74	$332.25	$232.58–$315.64	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HBC FV EMERGENCY DEPT VISIT LEVEL IV	$310.89	$565.25	$3,881.00–$4,005.00	66% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HBC FV EMERGENCY DEPT VISIT LEVEL IV	$310.89	$565.25	$395.68–$536.99	66% below	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HBC FV EMERGENCY DEPT VISIT LEVEL IV	$310.89	$565.25	$395.68–$536.99	—	45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HBC FV EMERGENCY DEPT VISIT LEVEL IV	$310.89	$565.25	$395.68–$536.99	—	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HBC FV EMERGENCY DEPT VISIT LEVEL V	$887.70	$1,614.00	$1,129.80–$1,533.30	39% below	45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HBC FV EMERGENCY DEPT VISIT LEVEL V	$887.70	$1,614.00	$3,881.00–$4,005.00	39% below	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HBC FV EMERGENCY DEPT VISIT LEVEL V	$887.70	$1,614.00	$1,129.80–$1,533.30	—	45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HBC FV EMERGENCY DEPT VISIT LEVEL V	$887.70	$1,614.00	$1,129.80–$1,533.30	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HBC IV HYDRATION INITIAL 31-60 MINUTES	$138.05	$251.00	$175.70–$238.45	52% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HBC IV HYDRATION INITIAL 31-60 MINUTES	$138.05	$251.00	$175.70–$238.45	52% below	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HBC IV HYDRATION INITIAL 31-60 MINUTES	$138.05	$251.00	$175.70–$238.45	—	45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HBC IV HYDRATION INITIAL 31-60 MINUTES	$138.05	$251.00	$175.70–$238.45	—	45%
IV infusion of a medicine, first hour CPT 96365 HBC FV IV THERAPY PROPHYLAXIS 1ST HR	$217.94	$396.25	$277.38–$376.44	31% below	45%
IV infusion of a medicine, first hour CPT 96365 HBC INITIAL NONCHEMOTHERAPY INFUSION 0-60 MINUTES	$217.94	$396.25	$277.38–$376.44	31% below	45%
IV infusion of a medicine, first hour CPT 96365 HBC FV IV THERAPY PROPHYLAXIS 1ST HR	$217.94	$396.25	$277.38–$376.44	31% below	45%
IV infusion of a medicine, first hour CPT 96365 HBC INITIAL NONCHEMOTHERAPY INFUSION 0-60 MINUTES	$224.40	$408.00	$285.60–$387.60	29% below	45%
IV infusion of a medicine, first hour inpatient CPT 96365 HBC FV IV THERAPY PROPHYLAXIS 1ST HR	$217.94	$396.25	$277.38–$376.44	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 HBC FV IV THERAPY PROPHYLAXIS 1ST HR	$217.94	$396.25	$277.38–$376.44	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 HBC INITIAL NONCHEMOTHERAPY INFUSION 0-60 MINUTES	$224.40	$408.00	$285.60–$387.60	—	45%
IV infusion of a medicine, first hour inpatient CPT 96365 HBC INITIAL NONCHEMOTHERAPY INFUSION 0-60 MINUTES	$224.40	$408.00	$285.60–$387.60	—	45%
IV push of a medicine, first drug CPT 96374 HBC INITIAL NONCHEMOTHERAPY IV PUSH	$71.50	$130.00	$91.00–$123.50	57% below	45%
IV push of a medicine, first drug CPT 96374 HBC FV IV PUSH	$71.50	$130.00	$91.00–$123.50	57% below	45%
IV push of a medicine, first drug CPT 96374 HBC FV IV PUSH	$71.50	$130.00	$91.00–$123.50	57% below	45%
IV push of a medicine, first drug CPT 96374 HBC INITIAL NONCHEMOTHERAPY IV PUSH	$148.09	$269.25	$188.48–$255.79	10% below	45%
IV push of a medicine, first drug inpatient CPT 96374 HBC FV IV PUSH	$71.50	$130.00	$91.00–$123.50	—	45%
IV push of a medicine, first drug inpatient CPT 96374 HBC FV IV PUSH	$71.50	$130.00	$91.00–$123.50	—	45%
IV push of a medicine, first drug inpatient CPT 96374 HBC INITIAL NONCHEMOTHERAPY IV PUSH	$148.09	$269.25	$188.48–$255.79	—	45%
IV push of a medicine, first drug inpatient CPT 96374 HBC INITIAL NONCHEMOTHERAPY IV PUSH	$148.09	$269.25	$188.48–$255.79	—	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HBC SUBCUTANEOUS/INTRAMUSCULAR INJECTION	$24.20	$44.00	$30.80–$41.80	70% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HBC SUBCUTANEOUS/INTRAMUSCULAR INJECTION	$24.20	$44.00	$30.80–$41.80	70% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HBC FV INJECTION SUB Q/IM	$48.26	$87.75	$61.43–$83.36	40% below	45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HBC FV INJECTION SUB Q/IM	$48.26	$87.75	$61.43–$83.36	40% below	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HBC SUBCUTANEOUS/INTRAMUSCULAR INJECTION	$24.20	$44.00	$30.80–$41.80	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HBC SUBCUTANEOUS/INTRAMUSCULAR INJECTION	$24.20	$44.00	$30.80–$41.80	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HBC FV INJECTION SUB Q/IM	$48.26	$87.75	$61.43–$83.36	—	45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HBC FV INJECTION SUB Q/IM	$48.26	$87.75	$61.43–$83.36	—	45%
New patient office visit, about 30 minutes CPT 99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30 MINUTES	$269.50	$490.00	$74.38–$465.50	36% above	45%
New patient office visit, about 45 minutes CPT 99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45 MINUTES	$403.70	$734.00	$110.94–$697.30	80% above	45%
New patient office visit, about 60 minutes CPT 99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60 MINUTES	$533.50	$970.00	$146.41–$921.50	75% above	45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 PR OFFICE/OUTPATIENT NEW SF MDM 15 MINUTES	$220.00	$400.00	$48.35–$380.00	68% above	45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40 MIN	$413.05	$751.00	$119.97–$713.45	40% above	45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20 MIN	$212.85	$387.00	$60.42–$367.65	30% above	45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30 MIN	$286.00	$520.00	$85.58–$494.00	54% above	45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10 MIN	$168.85	$307.00	$37.79–$291.65	75% above	45%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Wisconsin	Off list
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML MUSCLE SUSY	$37.46	$68.10	$47.67–$64.70	17% above	45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML MUSCLE SUSY	$38.17	$69.40	$48.58–$65.93	20% above	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML MUSCLE SUSY	$37.46	$68.10	$47.67–$64.70	—	45%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML MUSCLE SUSY	$37.46	$68.10	$47.67–$64.70	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECT SUSY	$37.83	$68.79	$48.15–$65.35	33% below	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECT SUSY	$37.83	$68.79	$48.15–$65.35	—	45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJECT SUSY	$37.83	$68.79	$48.15–$65.35	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML MUSCLE SUSY	$276.44	$502.62	$351.83–$477.49	5% below	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML MUSCLE SUSY	$276.44	$502.62	$351.83–$477.49	—	45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML MUSCLE SUSY	$276.44	$502.62	$351.83–$477.49	—	45%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML MUSCLE SOSY	$300.25	$545.90	$382.13–$518.61	71% below	45%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML MUSCLE SOSY	$300.25	$545.90	$382.13–$518.61	—	45%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML MUSCLE SOSY	$300.25	$545.90	$382.13–$518.61	—	45%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML MUSCLE SOSY	$493.42	$897.12	$627.98–$852.26	52% below	45%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML MUSCLE SOSY	$493.42	$897.12	$627.98–$852.26	—	45%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML MUSCLE SOSY	$493.42	$897.12	$627.98–$852.26	—	45%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC MUSCLE SUSR	$317.21	$576.75	$403.73–$547.91	45% below	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC MUSCLE SUSR	$317.21	$576.75	$403.73–$547.91	—	45%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC MUSCLE SUSR	$317.21	$576.75	$403.73–$547.91	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HBC FV IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	26% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HBC FV IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	26% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HBC IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	26% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HBC IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	26% below	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HBC FV IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HBC FV IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HBC IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	—	45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HBC IMMUNIZATION ADMINISTRATION	$28.60	$52.00	$36.40–$49.40	—	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HBC IMMUNIZATION ADMINISTRATION EACH ADDL	$18.84	$34.25	$23.98–$32.54	42% below	45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HBC IMMUNIZATION ADMINISTRATION EACH ADDL	$18.84	$34.25	$23.98–$32.54	42% below	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HBC IMMUNIZATION ADMINISTRATION EACH ADDL	$18.84	$34.25	$23.98–$32.54	—	45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HBC IMMUNIZATION ADMINISTRATION EACH ADDL	$18.84	$34.25	$23.98–$32.54	—	45%

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://7pgcgohua4yc5gik.public.blob.vercel-storage.com/390812532-1881780302_Childrens-Hospital-of-Wisconsin_standardcharges.csv