Hospital

Gaylord Hospital

Gaylord Hospital in Wallingford, CT publishes cash prices for 258 common procedures listed here, from its own machine-readable price file updated Apr 21, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Connecticut median for 157 of 251 procedures and above it for 91. By typical cash price it ranks #4 of 16 Connecticut hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

50 Gaylord Farm Road, Wallingford, CT 06492 Collected Sep 23, 2026 Source price file Check a bill from this hospital

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Abdominal CT scan without and with contrast CPT 74170 CT Abdomen W/O Dye Then W/Dye	$910.40	$1,300.57	$179.20–$1,183.52	60% below	30%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT Abdomen W/O Dye Then W/Dye	$780.35	$1,300.57	$1,040.46	—	40%
Abdominal X-ray, 2 views CPT 74019 Rad Exam,Abdomen, 2 View	$280.73	$401.03	$106.81–$364.94	28% below	30%
Abdominal X-ray, 2 views inpatient CPT 74019 Rad Exam,Abdomen, 2 View	$240.62	$401.03	$320.82	—	40%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 Or More Views Left	$189.86	$271.22	$88.91–$246.81	41% below	30%
Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle 3 Or More Views Right	$189.86	$271.22	$88.91–$246.81	41% below	30%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle 3 Or More Views Left	$162.74	$271.22	$216.98	—	40%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle 3 Or More Views Right	$162.74	$271.22	$216.98	—	40%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extrem Left W/O Contr	$458.95	$655.64	$106.81–$596.63	67% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extrem W/O Contr Left	$472.72	$675.31	$106.81–$614.53	66% below	30%
Arm CT scan without contrast (shoulder to hand, any part) one side CPT 73200 CT Upper Extrem W/O Contrst Rt	$472.72	$675.31	$106.81–$614.53	66% below	30%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrem Left W/O Contr	$393.39	$655.64	$524.51	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrem W/O Contr Left	$405.19	$675.31	$540.25	—	40%
Arm CT scan without contrast (shoulder to hand, any part) inpatient one side CPT 73200 CT Upper Extrem W/O Contrst Rt	$405.19	$675.31	$540.25	—	40%
Breast ultrasound, complete, one breast one side CPT 76641 U/S Breast Complete Right	$265.96	$379.94	$106.81–$345.75	18% below	30%
Breast ultrasound, complete, one breast one side CPT 76641 U/S Breast Complete Left	$265.96	$379.94	$106.81–$345.75	18% below	30%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S Breast Complete Left	$227.97	$379.94	$303.95	—	40%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 U/S Breast Complete Right	$227.97	$379.94	$303.95	—	40%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT Angio Abdomen&Pelvis W/Dye	$1,005.79	$1,436.83	$356.43–$1,307.52	67% below	30%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CT Angio Abdomen&Pelvis W/Dye	$862.10	$1,436.83	$1,149.46	—	40%
CT angiography (CTA) of the head CPT 70496 CT Angio Head W/Dye	$795.20	$1,136.00	$179.20–$1,033.76	62% below	30%
CT angiography (CTA) of the head inpatient CPT 70496 CT Angio Head W/Dye	$681.60	$1,136.00	$908.80	—	40%
CT angiography (CTA) of the neck CPT 70498 CT Angio Neck W/Dye	$862.82	$1,232.60	$179.20–$1,121.67	64% below	30%
CT angiography (CTA) of the neck inpatient CPT 70498 CT Angio Neck W/Dye	$739.56	$1,232.60	$986.08	—	40%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT Angio Chest W/Dye	$752.68	$1,075.25	$179.20–$978.48	56% below	30%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CT Angio Chest W/Dye	$645.15	$1,075.25	$860.20	—	40%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT Abdomen/Pelvis W/O Contrast	$816.99	$1,167.12	$243.77–$1,062.08	36% below	30%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT Abdomen/Pelvis W/O Contrast	$700.28	$1,167.12	$933.70	—	40%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen/Pelvis W/Contrast	$1,005.79	$1,436.83	$356.43–$1,307.52	53% below	30%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen/Pelvis W/Contrast	$862.10	$1,436.83	$1,149.46	—	40%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Abdmn/Plvs W/O Dye - W/Dye	$1,005.79	$1,436.83	$356.43–$1,307.52	65% below	30%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Abdmn/Plvs W/O Dye - W/Dye	$862.10	$1,436.83	$1,149.46	—	40%
CT scan of the abdomen with contrast CPT 74160 CT Abdomen W/Dye	$641.99	$917.12	$179.20–$834.58	53% below	30%
CT scan of the abdomen with contrast inpatient CPT 74160 CT Abdomen W/Dye	$550.28	$917.12	$733.70	—	40%
CT scan of the abdomen without contrast CPT 74150 CT Abdomen W/O Dye	$316.54	$452.20	$106.81–$411.50	69% below	30%
CT scan of the abdomen without contrast inpatient CPT 74150 CT Abdomen W/O Dye	$271.32	$452.20	$361.76	—	40%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT Maxillofacial W/O Dye	$326.09	$465.83	$106.81–$423.91	69% below	30%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT Maxillofacial W/O Dye	$279.50	$465.83	$372.66	—	40%
CT scan of the head or brain, no contrast dye CPT 70450 CT Head Or Brain W/O Dye	$440.21	$628.87	$106.81–$572.27	47% below	30%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Or Brain W/O Dye	$377.33	$628.87	$503.10	—	40%
CT scan of the head with contrast CPT 70460 CT Head Or Brain W/Dye	$684.75	$978.21	$179.20–$890.17	43% below	30%
CT scan of the head with contrast inpatient CPT 70460 CT Head Or Brain W/Dye	$586.93	$978.21	$782.57	—	40%
CT scan of the head without and with contrast CPT 70470 CT Head W/O Dye Then W/Dye	$722.92	$1,032.73	$179.20–$939.78	47% below	30%
CT scan of the head without and with contrast inpatient CPT 70470 CT Head W/O Dye Then W/Dye	$619.64	$1,032.73	$826.18	—	40%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT Lumbar Spine W/O Dye	$326.09	$465.83	$106.81–$423.91	69% below	30%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT Lumbar Spine W/O Dye	$279.50	$465.83	$372.66	—	40%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT Cervical Spine W/O Dye	$326.09	$465.83	$106.81–$423.91	69% below	30%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT Cervical Spine W/O Dye	$279.50	$465.83	$372.66	—	40%
CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W/Dye	$641.99	$917.12	$179.20–$834.58	63% below	30%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W/Dye	$550.28	$917.12	$733.70	—	40%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Duplex,Extracranial,Art,Bilat	$582.03	$831.46	$243.77–$756.63	—	30%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 Duplex,Extracranial,Art,Bilat	$498.88	$831.46	$665.17	—	40%
Chest X-ray, 2 views CPT 71046 Chest 2Vws	$101.04	$144.34	$88.91–$131.35	71% below	30%
Chest X-ray, 2 views inpatient CPT 71046 Chest 2Vws	$86.61	$144.34	$115.47	—	40%
Chest X-ray, single view CPT 71045 Chest Single View	$75.57	$107.95	$69.09–$98.23	73% below	30%
Chest X-ray, single view inpatient CPT 71045 Chest Single View	$64.77	$107.95	$86.36	—	40%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle Left	$147.86	$211.22	$88.91–$192.21	48% below	30%
Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle Right	$147.86	$211.22	$88.91–$192.21	48% below	30%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle Right	$126.74	$211.22	$168.98	—	40%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle Left	$126.74	$211.22	$168.98	—	40%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Retroperitoneal	$427.82	$611.16	$106.81–$556.16	14% above	30%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Retroperitoneal	$366.70	$611.16	$488.93	—	40%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT Thorax W/O Dye	$326.09	$465.83	$106.81–$423.91	77% below	30%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT Thorax W/O Dye	$279.50	$465.83	$372.66	—	40%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT Thorax W/Dye	$740.90	$1,058.42	$179.20–$963.16	48% below	30%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT Thorax W/Dye	$635.06	$1,058.42	$846.74	—	40%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 Duplx Lower Extrm Artery Bilat	$378.18	$540.25	$243.77–$491.63	—	30%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 Duplx Lower Extrm Artery Bilat	$324.15	$540.25	$432.20	—	40%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex, Extremity Veins, Bilat	$757.33	$1,081.90	$243.77–$984.53	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 U/S Dopplr Lower Extr Vein Bil	$378.18	$540.25	$243.77–$491.63	—	30%
Duplex ultrasound of the leg veins, both legs CPT 93970 U/S Dopplr Upper Extr Vein Bil	$378.18	$540.25	$243.77–$491.63	—	30%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex, Extremity Veins, Bilat	$649.14	$1,081.90	$865.52	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U/S Dopplr Lower Extr Vein Bil	$324.15	$540.25	$432.20	—	40%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 U/S Dopplr Upper Extr Vein Bil	$324.15	$540.25	$432.20	—	40%
Elbow X-ray, 2 views one side CPT 73070 Elbow Two Views Right	$193.79	$276.83	$88.91–$251.92	32% below	30%
Elbow X-ray, 2 views one side CPT 73070 Elbow Two Views Left	$193.79	$276.83	$88.91–$251.92	32% below	30%
Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow Two Views Right	$166.10	$276.83	$221.46	—	40%
Elbow X-ray, 2 views inpatient one side CPT 73070 Elbow Two Views Left	$166.10	$276.83	$221.46	—	40%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 Or More Views Right	$147.86	$211.22	$88.91–$192.21	54% below	30%
Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow 3 Or More Views Left	$147.86	$211.22	$88.91–$192.21	54% below	30%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow 3 Or More Views Left	$126.74	$211.22	$168.98	—	40%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow 3 Or More Views Right	$126.74	$211.22	$168.98	—	40%
Eye socket (orbit) CT scan without contrast CPT 70480 CT Orbit,Ear/Fossa W/O Dye	$474.02	$677.16	$106.81–$616.22	62% below	30%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT Orbit,Ear/Fossa W/O Dye	$406.30	$677.16	$541.73	—	40%
Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones	$234.37	$334.81	$106.81–$304.68	43% below	30%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones	$200.89	$334.81	$267.85	—	40%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Two Views Left	$170.05	$242.92	$88.91–$221.06	43% below	30%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Two Views Right	$175.17	$250.24	$88.91–$227.72	41% below	30%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Two Views Left	$145.76	$242.92	$194.34	—	40%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Two Views Right	$150.15	$250.24	$200.19	—	40%
Hand X-ray, 2 views one side CPT 73120 Hand Two Views Left	$143.55	$205.06	$106.81–$186.60	56% below	30%
Hand X-ray, 2 views one side CPT 73120 Hand Two Views Right	$143.55	$205.06	$106.81–$186.60	56% below	30%
Hand X-ray, 2 views inpatient one side CPT 73120 Hand Two Views Right	$123.04	$205.06	$164.05	—	40%
Hand X-ray, 2 views inpatient one side CPT 73120 Hand Two Views Left	$123.04	$205.06	$164.05	—	40%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Oscalcis Calcaneous Heel Right	$118.19	$168.83	$88.91–$153.64	61% below	30%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Oscalcis Calcaneous Heel Left	$118.19	$168.83	$88.91–$153.64	61% below	30%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Oscalcis Calcaneous Heel Left	$101.30	$168.83	$135.06	—	40%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Oscalcis Calcaneous Heel Right	$101.30	$168.83	$135.06	—	40%
Knee X-ray, 3 views one side CPT 73562 Knee Three Views Right	$175.32	$250.45	$88.91–$227.91	44% below	30%
Knee X-ray, 3 views one side CPT 73562 Knee Three Views Left	$175.32	$250.45	$88.91–$227.91	44% below	30%
Knee X-ray, 3 views inpatient one side CPT 73562 Knee Three Views Left	$150.27	$250.45	$200.36	—	40%
Knee X-ray, 3 views inpatient one side CPT 73562 Knee Three Views Right	$150.27	$250.45	$200.36	—	40%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Four Views Left	$245.27	$350.38	$106.81–$318.85	37% below	30%
Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Four Views Right	$245.27	$350.38	$106.81–$318.85	37% below	30%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Four Views Left	$210.23	$350.38	$280.30	—	40%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Four Views Right	$210.23	$350.38	$280.30	—	40%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem Rt W/O Contras	$458.95	$655.64	$106.81–$596.63	56% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem Left W/O Contr	$458.95	$655.64	$106.81–$596.63	56% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem W/O Contrst Rt	$472.72	$675.31	$106.81–$614.53	54% below	30%
Leg CT scan without contrast (hip to foot, any part) one side CPT 73700 CT Lower Extrem W/O Contr Left	$472.72	$675.31	$106.81–$614.53	54% below	30%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem Rt W/O Contras	$393.39	$655.64	$524.51	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem Left W/O Contr	$393.39	$655.64	$524.51	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem W/O Contr Left	$405.19	$675.31	$540.25	—	40%
Leg CT scan without contrast (hip to foot, any part) inpatient one side CPT 73700 CT Lower Extrem W/O Contrst Rt	$405.19	$675.31	$540.25	—	40%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Abdominal Limited	$346.97	$495.67	$106.81–$451.06	10% above	30%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Abdominal Limited	$297.41	$495.67	$396.54	—	40%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Xtr Non-Vasc Lmtd - Fac	$256.32	$366.17	$106.81–$333.21	44% above	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 U/S Groin/Extrmt Nonvas Lmt Rt	$265.96	$379.94	$106.81–$345.75	49% above	30%
Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 U/S Groin/Extrmt Nonvas Lmt Lt	$265.96	$379.94	$106.81–$345.75	49% above	30%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Xtr Non-Vasc Lmtd - Fac	$219.71	$366.17	$292.94	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 U/S Groin/Extrmt Nonvas Lmt Lt	$227.97	$379.94	$303.95	—	40%
Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 U/S Groin/Extrmt Nonvas Lmt Rt	$227.97	$379.94	$303.95	—	40%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia And Fibula Right	$179.75	$256.78	$88.91–$233.67	39% below	30%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Tibia And Fibula Left	$179.75	$256.78	$88.91–$233.67	39% below	30%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia And Fibula Right	$154.07	$256.78	$205.42	—	40%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Tibia And Fibula Left	$154.07	$256.78	$205.42	—	40%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine 4 Or 5 Views	$274.45	$392.06	$106.81–$356.77	33% below	30%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine 4 Or 5 Views	$235.24	$392.06	$313.65	—	40%
Neck soft tissue CT scan with contrast CPT 70491 CT Soft Tissue Neck W/Dye	$641.99	$917.12	$179.20–$834.58	58% below	30%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT Soft Tissue Neck W/Dye	$550.28	$917.12	$733.70	—	40%
Neck soft tissue CT scan without contrast CPT 70490 CT Soft Tissue Neck W/O Dye	$326.09	$465.83	$106.81–$423.91	71% below	30%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT Soft Tissue Neck W/O Dye	$279.50	$465.83	$372.66	—	40%
Neck soft tissue X-ray CPT 70360 Neck Soft Tis Exam	$50.49	$72.12	$46.16–$88.91	82% below	30%
Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tis Exam	$43.28	$72.12	$57.70	—	40%
Pelvic CT scan without contrast CPT 72192 CT Pelvis W/O Dye	$474.02	$677.16	$106.81–$616.22	54% below	30%
Pelvic CT scan without contrast inpatient CPT 72192 CT Pelvis W/O Dye	$406.30	$677.16	$541.73	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Pelvis (Nonob) Ltd	$232.16	$331.65	$106.81–$301.80	4% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Bladder	$232.16	$331.65	$106.81–$301.80	4% below	30%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Pelvis (Nonob) Ltd	$198.99	$331.65	$265.32	—	40%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Bladder	$198.99	$331.65	$265.32	—	40%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Pelvic (Nonob) Comp	$346.97	$495.67	$106.81–$451.06	at median	30%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Pelvic (Nonob) Comp	$297.41	$495.67	$396.54	—	40%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Right Uni Incl Pa Chest	$293.50	$419.28	$106.81–$381.54	25% below	30%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs Left Uni Incl Pa Chest	$293.50	$419.28	$106.81–$381.54	25% below	30%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Right Uni Incl Pa Chest	$251.57	$419.28	$335.42	—	40%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs Left Uni Incl Pa Chest	$251.57	$419.28	$335.42	—	40%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views Right	$185.19	$264.55	$88.91–$240.74	38% below	30%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Min 2 Views Left	$185.19	$264.55	$88.91–$240.74	38% below	30%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2 Views Right	$158.73	$264.55	$211.64	—	40%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Min 2 Views Left	$158.73	$264.55	$211.64	—	40%
Sinus X-ray, complete, 3 or more views CPT 70220 Sinus Complete Study Min 3 Vws	$126.60	$180.85	$88.91–$164.57	68% below	30%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinus Complete Study Min 3 Vws	$108.51	$180.85	$144.68	—	40%
Skull X-ray, fewer than 4 views CPT 70250 Skull less than 4 views	$66.84	$95.48	$61.11–$106.81	81% below	30%
Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull less than 4 views	$57.29	$95.48	$76.38	—	40%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified Barium Swallow	$209.59	$299.41	$179.20–$272.46	65% below	30%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified Barium Swallow	$179.65	$299.41	$239.53	—	40%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Two Views Right	$193.79	$276.83	$88.91–$251.92	38% below	30%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Two Views Left	$193.79	$276.83	$88.91–$251.92	38% below	30%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Two Views Right	$166.10	$276.83	$221.46	—	40%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Two Views Left	$166.10	$276.83	$221.46	—	40%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT Thoracic Spine W/O Dye	$326.09	$465.83	$106.81–$423.91	69% below	30%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT Thoracic Spine W/O Dye	$279.50	$465.83	$372.66	—	40%
Toe X-ray, 2 or more views one side CPT 73660 Toe(S) Minimum 2 Views Left	$143.55	$205.06	$88.91–$186.60	47% below	30%
Toe X-ray, 2 or more views one side CPT 73660 Toe(S) Minimum 2 Views Right	$143.55	$205.06	$88.91–$186.60	47% below	30%
Toe X-ray, 2 or more views inpatient one side CPT 73660 Toe(S) Minimum 2 Views Left	$123.04	$205.06	$164.05	—	40%
Toe X-ray, 2 or more views inpatient one side CPT 73660 Toe(S) Minimum 2 Views Right	$123.04	$205.06	$164.05	—	40%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Abdominal Complete	$432.64	$618.05	$106.81–$562.43	11% above	30%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Abdominal Complete	$370.83	$618.05	$494.44	—	40%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Scrotum & Contents	$430.88	$615.54	$106.81–$560.14	19% above	30%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Scrotum & Contents	$369.33	$615.54	$492.43	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasnd Soft Tissue Head/Neck	$233.91	$334.15	$106.81–$304.08	42% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Thyroid	$346.97	$495.67	$106.81–$451.06	15% below	30%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasnd Soft Tissue Head/Neck	$200.49	$334.15	$267.32	—	40%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound Thyroid	$297.41	$495.67	$396.54	—	40%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Right	$149.65	$213.78	$88.91–$194.54	53% below	30%
Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus Left	$149.65	$213.78	$88.91–$194.54	53% below	30%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Right	$128.27	$213.78	$171.02	—	40%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus Left	$128.27	$213.78	$171.02	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S Dopplr Upper Extr Vein Rt	$236.36	$337.65	$106.81–$307.26	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S Dopplr Upper Extr Vein Lt	$236.36	$337.65	$106.81–$307.26	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S Dopplr Lower Extr Vein Rt	$236.36	$337.65	$106.81–$307.26	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 U/S Dopplr Lower Extr Vein Lt	$236.36	$337.65	$106.81–$307.26	68% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplx,Extrmty Veins,Unilat/Lim	$414.82	$592.59	$106.81–$539.26	44% below	30%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S Dopplr Lower Extr Vein Lt	$202.59	$337.65	$270.12	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S Dopplr Upper Extr Vein Rt	$202.59	$337.65	$270.12	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S Dopplr Upper Extr Vein Lt	$202.59	$337.65	$270.12	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 U/S Dopplr Lower Extr Vein Rt	$202.59	$337.65	$270.12	—	40%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplx,Extrmty Veins,Unilat/Lim	$355.56	$592.59	$474.07	—	40%
Wrist X-ray, 2 views one side CPT 73100 Wrist Ant Post & Lat 2 Vws Rt	$193.79	$276.83	$88.91–$251.92	32% below	30%
Wrist X-ray, 2 views one side CPT 73100 Wrist Ant Post & Lat 2 Vws Lt	$193.79	$276.83	$88.91–$251.92	32% below	30%
Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist Ant Post & Lat 2 Vws Rt	$166.10	$276.83	$221.46	—	40%
Wrist X-ray, 2 views inpatient one side CPT 73100 Wrist Ant Post & Lat 2 Vws Lt	$166.10	$276.83	$221.46	—	40%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Three Views Right	$178.46	$254.94	$88.91–$232.00	44% below	30%
Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist Three Views Left	$178.46	$254.94	$88.91–$232.00	44% below	30%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Three Views Right	$152.97	$254.94	$203.95	—	40%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist Three Views Left	$152.97	$254.94	$203.95	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip, Right, Unilat, 2-3 Views	$162.24	$231.76	$88.91–$210.90	56% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Hip, Left, Unilat. 2-3 Views	$162.24	$231.76	$88.91–$210.90	56% below	30%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip, Right, Unilat, 2-3 Views	$139.06	$231.76	$185.41	—	40%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Hip, Left, Unilat. 2-3 Views	$139.06	$231.76	$185.41	—	40%
X-ray of the abdomen, 1 view CPT 74018 Rad Exam Abdomen. 1View	$146.86	$209.80	$88.91–$190.92	49% below	30%
X-ray of the abdomen, 1 view inpatient CPT 74018 Rad Exam Abdomen. 1View	$125.88	$209.80	$167.84	—	40%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Two Views Right	$193.79	$276.83	$88.91–$251.92	28% below	30%
X-ray of the ankle, 2 views one side CPT 73600 Ankle Two Views Left	$193.79	$276.83	$88.91–$251.92	28% below	30%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Two Views Right	$166.10	$276.83	$221.46	—	40%
X-ray of the ankle, 2 views inpatient one side CPT 73600 Ankle Two Views Left	$166.10	$276.83	$221.46	—	40%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min 2 Views Left	$173.23	$247.47	$88.91–$225.20	37% below	30%
X-ray of the finger(s), 2 or more views one side CPT 73140 Finger(S) Min 2 Views Right	$173.23	$247.47	$88.91–$225.20	37% below	30%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min 2 Views Right	$148.49	$247.47	$197.98	—	40%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger(S) Min 2 Views Left	$148.49	$247.47	$197.98	—	40%
X-ray of the foot, 2 views one side CPT 73620 Foot Two Views Right	$193.79	$276.83	$88.91–$251.92	25% below	30%
X-ray of the foot, 2 views one side CPT 73620 Foot Two Views Left	$193.79	$276.83	$88.91–$251.92	25% below	30%
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Two Views Right	$166.10	$276.83	$221.46	—	40%
X-ray of the foot, 2 views inpatient one side CPT 73620 Foot Two Views Left	$166.10	$276.83	$221.46	—	40%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 Or More Views Right	$156.80	$224.00	$88.91–$203.84	48% below	30%
X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot 3 Or More Views Left	$156.80	$224.00	$88.91–$203.84	48% below	30%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot 3 Or More Views Left	$134.40	$224.00	$179.20	—	40%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot 3 Or More Views Right	$134.40	$224.00	$179.20	—	40%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Pa Oblique Lateral Rt	$178.46	$254.94	$88.91–$232.00	50% below	30%
X-ray of the hand, 3 or more views one side CPT 73130 Hand Pa Oblique Lateral Left	$178.46	$254.94	$88.91–$232.00	50% below	30%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Pa Oblique Lateral Left	$152.97	$254.94	$203.95	—	40%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Pa Oblique Lateral Rt	$152.97	$254.94	$203.95	—	40%
X-ray of the knee, 1 or 2 views both sides CPT 73560 Xray knee 1-2 v bilateral	$323.61	$462.30	$88.91–$420.69	—	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee One Or Two Views Left	$161.81	$231.15	$88.91–$210.35	46% below	30%
X-ray of the knee, 1 or 2 views one side CPT 73560 Knee One Or Two Views Right	$161.81	$231.15	$88.91–$210.35	46% below	30%
X-ray of the knee, 1 or 2 views inpatient both sides CPT 73560 Xray knee 1-2 v bilateral	$277.38	$462.30	$369.84	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee One Or Two Views Left	$138.69	$231.15	$184.92	—	40%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee One Or Two Views Right	$138.69	$231.15	$184.92	—	40%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Ls Spine 2 Or 3 Views	$260.87	$372.66	$106.81–$339.12	32% below	30%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Ls Spine 2 Or 3 Views	$223.60	$372.66	$298.13	—	40%
X-ray of the lower back, 4 or more views CPT 72110 Lumbosacral Min 4 Views	$253.42	$362.02	$106.81–$329.44	47% below	30%
X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbosacral Min 4 Views	$217.22	$362.02	$289.62	—	40%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 Thoracic Spine, 2 Views	$193.79	$276.83	$106.81–$251.92	44% below	30%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 Thoracic Spine, 2 Views	$166.10	$276.83	$221.46	—	40%
X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones	$61.50	$87.85	$56.22–$88.91	78% below	30%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones	$52.71	$87.85	$70.28	—	40%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Cervical Spine 2 Or 3 Views	$193.79	$276.83	$88.91–$251.92	41% below	30%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Cervical Spine 2 Or 3 Views	$166.10	$276.83	$221.46	—	40%
X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1 Or 2 Views	$193.79	$276.83	$106.81–$251.92	37% below	30%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1 Or 2 Views	$166.10	$276.83	$221.46	—	40%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum & Coccyx	$199.64	$285.20	$88.91–$259.53	38% below	30%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum & Coccyx	$171.12	$285.20	$228.16	—	40%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
ACTH blood test CPT 82024 Adrenocorticotropic Horm	$253.73	$362.46	$38.62–$329.84	21% above	30%
ACTH blood test inpatient CPT 82024 Adrenocorticotropic Horm	$217.48	$362.46	$289.97	—	40%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alt	$38.64	$55.19	$5.30–$50.22	36% above	30%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Alt	$33.12	$55.19	$44.15	—	40%
AST (aspartate aminotransferase) enzyme test CPT 84450 AST	$38.64	$55.19	$5.18–$50.22	39% above	30%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 AST	$33.12	$55.19	$44.15	—	40%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$264.74	$378.19	$47.63–$344.15	5% above	30%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$226.92	$378.19	$302.55	—	40%
Albumin blood test CPT 82040 Albumin,Serum Plasma Or Whole	$29.99	$42.84	$4.95–$38.98	2% above	30%
Albumin blood test inpatient CPT 82040 Albumin,Serum Plasma Or Whole	$25.71	$42.84	$34.27	—	40%
Aldosterone blood test CPT 82088 Aldosterone	$131.11	$187.30	$40.75–$170.44	30% below	30%
Aldosterone blood test inpatient CPT 82088 Aldosterone	$112.38	$187.30	$149.84	—	40%
Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos	$49.66	$70.93	$5.18–$64.55	85% above	30%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos	$42.56	$70.93	$56.74	—	40%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein, Serum	$54.39	$77.69	$16.77–$70.70	26% below	30%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein, Serum	$46.62	$77.69	$62.15	—	40%
Ammonia blood test CPT 82140 Ammonia	$89.04	$127.19	$14.57–$115.74	18% above	30%
Ammonia blood test inpatient CPT 82140 Ammonia	$76.32	$127.19	$101.75	—	40%
Amylase blood test CPT 82150 Amylase	$49.66	$70.93	$6.48–$64.55	6% above	30%
Amylase blood test inpatient CPT 82150 Amylase	$42.56	$70.93	$56.74	—	40%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Cyclic Citrullinated Peptide	$206.53	$295.03	$12.95–$268.48	466% above	30%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Cyclic Citrullinated Peptide	$177.02	$295.03	$236.02	—	40%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana	$91.41	$130.58	$12.09–$118.83	181% above	30%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana	$78.35	$130.58	$104.46	—	40%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B-Type Naturiurectic Peptide	$77.26	$110.36	$39.26–$100.43	48% below	30%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B-Type Naturiurectic Peptide	$66.22	$110.36	$88.29	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Throat Culture	$54.31	$77.58	$8.62–$70.60	6% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Mrsa Culture	$56.61	$80.87	$8.62–$73.59	10% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Wound Culture	$56.61	$80.87	$8.62–$73.59	10% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sputum Culture	$58.37	$83.38	$8.62–$75.88	14% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Other Culture	$58.37	$83.38	$8.62–$75.88	14% above	30%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Throat Culture	$46.55	$77.58	$62.06	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Wound Culture	$48.53	$80.87	$64.70	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Mrsa Culture	$48.53	$80.87	$64.70	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Other Culture	$50.03	$83.38	$66.70	—	40%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sputum Culture	$50.03	$83.38	$66.70	—	40%
Basic metabolic panel (blood test) CPT 80048 BMP(Basic Metablic Panel	$41.01	$58.58	$8.46–$53.31	76% below	30%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP(Basic Metablic Panel	$35.15	$58.58	$46.86	—	40%
Bilirubin blood test, total CPT 82247 Bilirubin Total	$29.99	$42.84	$5.02–$38.98	at median	30%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Total	$25.71	$42.84	$34.27	—	40%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lvl Iv Srg Pth	$177.46	$253.51	$53.24–$230.69	19% below	30%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Lvl Iv Mult	$177.46	$253.51	$53.24–$230.69	19% below	30%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lvl Iv Mult	$152.11	$253.51	$202.81	—	40%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Lvl Iv Srg Pth	$152.11	$253.51	$202.81	—	40%
Blood culture for bacteria CPT 87040 Blood Culture	$68.61	$98.01	$10.32–$89.19	1% above	30%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$58.81	$98.01	$78.41	—	40%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture	$9.03	$12.89	$8.25–$11.73	40% below	30%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture	$7.74	$12.89	$10.31	—	40%
Blood glucose (sugar) test CPT 82947 Glucose Random	$29.99	$42.84	$3.93–$38.98	28% above	30%
Blood glucose (sugar) test inpatient CPT 82947 Glucose Random	$25.71	$42.84	$34.27	—	40%
Blood lead test CPT 83655 Heavy Metals Panel, 24 H Urine	$184.23	$263.18	$12.11–$239.49	311% above	30%
Blood lead test inpatient CPT 83655 Heavy Metals Panel, 24 H Urine	$157.91	$263.18	$210.54	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Urine Pregnancy Test	$25.48	$36.39	$7.52–$33.11	54% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Hcg Screen;Qualitative	$49.66	$70.93	$7.52–$64.55	10% below	30%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Urine Pregnancy Test	$21.84	$36.39	$29.11	—	40%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Hcg Screen;Qualitative	$42.56	$70.93	$56.74	—	40%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Abo Transfusion	$19.13	$27.32	$17.48–$135.93	20% below	30%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO Test	$33.89	$48.41	$30.98–$135.93	41% above	30%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Abo Transfusion	$16.40	$27.32	$21.86	—	40%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO Test	$29.05	$48.41	$38.73	—	40%
Blood urea nitrogen (BUN) test CPT 84520 B.U.N.	$29.99	$42.84	$3.95–$38.98	25% above	30%
Blood urea nitrogen (BUN) test inpatient CPT 84520 B.U.N.	$25.71	$42.84	$34.27	—	40%
C-peptide blood test CPT 84681 C-Peptide	$67.02	$95.73	$20.81–$87.11	31% below	30%
C-peptide blood test inpatient CPT 84681 C-Peptide	$57.44	$95.73	$76.58	—	40%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reative Protein	$47.28	$67.53	$5.18–$61.45	10% above	30%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reative Protein	$40.52	$67.53	$54.02	—	40%
C. difficile toxin gene test (stool PCR) CPT 87493 Cdiff Toxin	$116.65	$166.64	$37.27–$151.64	20% below	30%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Cdiff Toxin	$99.99	$166.64	$133.31	—	40%
CA 19-9 blood test (tumor marker) CPT 86301 Ca 19-9 Tumor Immunoassay	$67.02	$95.73	$20.81–$87.11	33% below	30%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca 19-9 Tumor Immunoassay	$57.44	$95.73	$76.58	—	40%
CA-125 blood test (ovarian cancer marker) CPT 86304 Ca-125 Test (Cancer Marker)	$67.02	$95.73	$20.81–$87.11	48% below	30%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Ca-125 Test (Cancer Marker)	$57.44	$95.73	$76.58	—	40%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Covid-19 Testing	$236.36	$337.65	$51.31–$307.26	92% above	30%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Covid-19 Testing	$202.59	$337.65	$270.12	—	40%
Calcium blood test, total CPT 82310 Calcium	$49.66	$70.93	$5.16–$64.55	78% above	30%
Calcium blood test, total inpatient CPT 82310 Calcium	$42.56	$70.93	$56.74	—	40%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$111.14	$158.77	$18.96–$144.48	17% above	30%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$95.27	$158.77	$127.02	—	40%
Chickenpox (varicella) immunity blood test CPT 86787 Varicella Antibody	$78.79	$112.55	$12.88–$102.42	21% above	30%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Antibody	$67.53	$112.55	$90.04	—	40%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chymld Trach,DNA,Amp Pro	$100.13	$143.04	$35.09–$130.17	7% below	30%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Chymld Trach,DNA,Amp Pro	$85.83	$143.04	$114.43	—	40%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile	$89.04	$127.19	$13.39–$115.74	at median	30%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile	$76.32	$127.19	$101.75	—	40%
Complete blood count (CBC) with differential CPT 85025 CBC	$63.88	$91.25	$7.77–$83.04	55% above	30%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC	$54.75	$91.25	$73.00	—	40%
Complete blood count (CBC), no differential CPT 85027 CBC Without Diff	$27.62	$39.45	$6.47–$35.90	24% below	30%
Complete blood count (CBC), no differential inpatient CPT 85027 CBC Without Diff	$23.67	$39.45	$31.56	—	40%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic	$66.25	$94.64	$10.56–$86.12	79% below	30%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic	$56.79	$94.64	$75.71	—	40%
Cortisol blood test, total CPT 82533 Cortisol	$142.66	$203.80	$16.30–$185.46	82% above	30%
Cortisol blood test, total inpatient CPT 82533 Cortisol	$122.28	$203.80	$163.04	—	40%
Creatine kinase (CK) blood test, total CPT 82550 C P K	$49.66	$70.93	$6.51–$64.55	18% above	30%
Creatine kinase (CK) blood test, total inpatient CPT 82550 C P K	$42.56	$70.93	$56.74	—	40%
Creatinine blood test CPT 82565 Creatinine	$38.64	$55.19	$5.12–$50.22	25% above	30%
Creatinine blood test inpatient CPT 82565 Creatinine	$33.12	$55.19	$44.15	—	40%
DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea-S	$66.13	$94.47	$22.23–$85.97	20% below	30%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea-S	$56.69	$94.47	$75.58	—	40%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Methadone Screen	$84.14	$120.20	$62.14–$109.38	20% above	30%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Fentanyl Screen, Urine, Random	$170.46	$243.51	$62.14–$221.59	142% above	30%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Methadone Screen	$72.12	$120.20	$96.16	—	40%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Fentanyl Screen, Urine, Random	$146.11	$243.51	$194.81	—	40%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolytes	$500.33	$714.75	$7.01–$650.42	377% above	30%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolytes	$428.85	$714.75	$571.80	—	40%
Estradiol blood test CPT 82670 Estradiol	$188.17	$268.81	$27.94–$244.62	13% above	30%
Estradiol blood test inpatient CPT 82670 Estradiol	$161.29	$268.81	$215.05	—	40%
FSH (follicle-stimulating hormone) test CPT 83001 Fsh	$90.65	$129.49	$18.58–$117.84	4% below	30%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Fsh	$77.70	$129.49	$103.59	—	40%
Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin, Stool	$321.27	$458.95	$19.63–$417.64	96% above	30%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin, Stool	$275.37	$458.95	$367.16	—	40%
Ferritin blood test (iron stores) CPT 82728 Ferritin	$119.79	$171.12	$13.63–$155.72	53% above	30%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin	$102.68	$171.12	$136.90	—	40%
Fibrinogen blood test CPT 85384 Fibrinogen	$95.39	$136.26	$9.72–$124.00	70% above	30%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen	$81.76	$136.26	$109.01	—	40%
Folate (folic acid) blood test CPT 82746 Folic Acid (Serum)	$88.27	$126.10	$14.70–$114.75	18% above	30%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid (Serum)	$75.66	$126.10	$100.88	—	40%
Free T3 thyroid hormone test CPT 84481 Free T3	$54.54	$77.91	$16.94–$70.90	10% below	30%
Free T3 thyroid hormone test inpatient CPT 84481 Free T3	$46.75	$77.91	$62.33	—	40%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 Thyroxine	$95.39	$136.26	$9.02–$124.00	55% above	30%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 Thyroxine	$81.76	$136.26	$109.01	—	40%
Free testosterone test CPT 84402 Assay Of Testosterone	$118.56	$169.37	$25.47–$154.13	22% above	30%
Free testosterone test inpatient CPT 84402 Assay Of Testosterone	$101.63	$169.37	$135.50	—	40%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Ggtp	$44.98	$64.25	$7.20–$58.47	8% above	30%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Ggtp	$38.55	$64.25	$51.40	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.Gonorrhoeae,Amp Probe	$100.13	$143.04	$35.09–$130.17	7% below	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Neisseria Gonorrhoeae(Gc) DNA	$121.16	$173.08	$35.09–$157.50	13% above	30%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.Gonorrhoeae,Amp Probe	$85.83	$143.04	$114.43	—	40%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Neisseria Gonorrhoeae(Gc) DNA	$103.85	$173.08	$138.46	—	40%
H. pylori antibody blood test CPT 86677 Hel Pylori Igg Blood Smp	$58.90	$84.14	$16.85–$76.57	31% above	30%
H. pylori antibody blood test inpatient CPT 86677 Hel Pylori Igg Blood Smp	$50.49	$84.14	$67.31	—	40%
H. pylori stool antigen test CPT 87338 H. Pylori Stool Culture	$52.01	$74.30	$14.38–$67.61	34% below	30%
H. pylori stool antigen test inpatient CPT 87338 H. Pylori Stool Culture	$44.58	$74.30	$59.44	—	40%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV 1 Rna, Quant Pcr	$275.91	$394.15	$85.10–$358.68	21% below	30%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV 1 Rna, Quant Pcr	$236.49	$394.15	$315.32	—	40%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/2 Ab Screen	$26.85	$38.35	$13.71–$34.90	37% below	30%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/2 Ab Screen	$23.01	$38.35	$30.68	—	40%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin- A/C	$128.43	$183.47	$9.71–$166.96	139% above	30%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin- A/C	$110.09	$183.47	$146.78	—	40%
Hemoglobin blood test CPT 85018 Hemaglobin	$15.77	$22.52	$2.37–$20.49	7% below	30%
Hemoglobin blood test inpatient CPT 85018 Hemaglobin	$13.52	$22.52	$18.02	—	40%
Hepatitis B core antibody test (total) CPT 86704 Hep B Core Antibody	$56.00	$79.99	$12.05–$72.79	2% below	30%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hep B Core Antibody	$48.00	$79.99	$63.99	—	40%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Antibody Hep B Surface A	$56.00	$79.99	$10.74–$72.79	21% below	30%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Antibody Hep B Surface A	$48.00	$79.99	$63.99	—	40%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis B Surface Anti	$56.00	$79.99	$10.33–$72.79	5% below	30%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hepatitis B Surface Anti	$48.00	$79.99	$63.99	—	40%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Anitbody	$56.00	$79.99	$14.27–$72.79	22% below	30%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Anitbody	$48.00	$79.99	$63.99	—	40%
Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis C,Quantification	$56.76	$81.08	$42.84–$73.78	69% below	30%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hepatitis C,Quantification	$48.65	$81.08	$64.86	—	40%
High-sensitivity CRP (hs-CRP) test CPT 86141 C1 Esterase Inhibitor	$74.28	$106.11	$12.95–$96.56	56% above	30%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 C1 Esterase Inhibitor	$63.67	$106.11	$84.89	—	40%
Insulin blood test CPT 83525 Insulin	$36.87	$52.67	$11.43–$47.93	47% below	30%
Insulin blood test inpatient CPT 83525 Insulin	$31.61	$52.67	$42.14	—	40%
Iron blood test (serum iron) CPT 83540 Iron	$44.98	$64.25	$6.47–$58.47	28% above	30%
Iron blood test (serum iron) inpatient CPT 83540 Iron	$38.55	$64.25	$51.40	—	40%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capac	$58.37	$83.38	$8.74–$75.88	27% above	30%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capac	$50.03	$83.38	$66.70	—	40%
LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone	$104.79	$149.70	$18.52–$136.23	6% above	30%
LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone	$89.82	$149.70	$119.76	—	40%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid	$73.28	$104.68	$11.57–$95.26	3% above	30%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid	$62.81	$104.68	$83.74	—	40%
Lactate dehydrogenase (LDH) blood test CPT 83615 L D H	$49.66	$70.93	$6.04–$64.55	14% above	30%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 L D H	$42.56	$70.93	$56.74	—	40%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase	$43.37	$61.95	$6.89–$56.37	1% below	30%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase	$37.17	$61.95	$49.56	—	40%
Liver function blood test panel CPT 80076 Hepatic Funct Panel	$33.89	$48.41	$8.17–$44.05	79% below	30%
Liver function blood test panel inpatient CPT 80076 Hepatic Funct Panel	$29.05	$48.41	$38.73	—	40%
Lyme disease antibody test CPT 86618 Lyme Disease Test	$78.79	$112.55	$17.03–$102.42	14% above	30%
Lyme disease antibody test inpatient CPT 86618 Lyme Disease Test	$67.53	$112.55	$90.04	—	40%
Magnesium blood test CPT 83735 Magnesium	$38.64	$55.19	$6.70–$50.22	10% above	30%
Magnesium blood test inpatient CPT 83735 Magnesium	$33.12	$55.19	$44.15	—	40%
Measles (rubeola) antibody test CPT 86765 Rubeola	$33.89	$48.41	$12.88–$44.05	22% below	30%
Measles (rubeola) antibody test inpatient CPT 86765 Rubeola	$29.05	$48.41	$38.73	—	40%
Mono test (heterophile antibody, Monospot) CPT 86308 Mono	$47.28	$67.53	$5.18–$61.45	20% above	30%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Mono	$40.52	$67.53	$54.02	—	40%
Mumps immunity blood test CPT 86735 Mumps Antibody	$42.00	$60.00	$13.05–$54.60	30% below	30%
Mumps immunity blood test inpatient CPT 86735 Mumps Antibody	$36.00	$60.00	$48.00	—	40%
PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Antige	$96.15	$137.35	$18.39–$124.99	15% above	30%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Antige	$82.41	$137.35	$109.88	—	40%
Parathyroid hormone (PTH) blood test CPT 83970 Parathyroid Hormone	$192.30	$274.71	$41.28–$249.99	6% above	30%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathyroid Hormone	$164.83	$274.71	$219.77	—	40%
Partial thromboplastin time (PTT) clotting test CPT 85730 Drvvt Interpretation	$27.54	$39.34	$6.01–$35.80	33% below	30%
Partial thromboplastin time (PTT) clotting test CPT 85730 P T T	$29.99	$42.84	$6.01–$38.98	28% below	30%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Drvvt Interpretation	$23.61	$39.34	$31.47	—	40%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P T T	$25.71	$42.84	$34.27	—	40%
Phosphorus (phosphate) blood test CPT 84100 Phosphorus	$29.99	$42.84	$4.74–$38.98	17% above	30%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus	$25.71	$42.84	$34.27	—	40%
Potassium blood test CPT 84132 Potassium	$29.99	$42.84	$4.76–$38.98	15% above	30%
Potassium blood test inpatient CPT 84132 Potassium	$25.71	$42.84	$34.27	—	40%
Prolactin blood test CPT 84146 Prolactin	$108.78	$155.39	$19.38–$141.40	6% above	30%
Prolactin blood test inpatient CPT 84146 Prolactin	$93.24	$155.39	$124.31	—	40%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$29.99	$42.84	$4.29–$38.98	14% above	30%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$25.71	$42.84	$34.27	—	40%
Rapid flu test (influenza antigen) CPT 87804 Influenza Test	$37.48	$53.53	$16.55–$48.71	11% below	30%
Rapid flu test (influenza antigen) CPT 87804 Influenza Antigen	$38.64	$55.19	$16.55–$50.22	9% below	30%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Test	$32.12	$53.53	$42.82	—	40%
Rapid flu test (influenza antigen) inpatient CPT 87804 Influenza Antigen	$33.12	$55.19	$44.15	—	40%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep A Screen	$29.99	$42.84	$16.53–$38.98	36% below	30%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep A Screen	$25.71	$42.84	$34.27	—	40%
Renin blood test CPT 84244 Renin	$70.76	$101.08	$21.99–$91.98	25% below	30%
Renin blood test inpatient CPT 84244 Renin	$60.65	$101.08	$80.86	—	40%
Rh blood typing CPT 86901 Rho D Transfusion	$19.13	$27.32	$17.48–$38.16	20% below	30%
Rh blood typing CPT 86901 Rho Test	$33.89	$48.41	$30.98–$44.05	41% above	30%
Rh blood typing inpatient CPT 86901 Rho D Transfusion	$16.40	$27.32	$21.86	—	40%
Rh blood typing inpatient CPT 86901 Rho Test	$29.05	$48.41	$38.73	—	40%
Rheumatoid factor (RF) test CPT 86431 Ra Titer/Rheumatoid Fctr	$58.37	$83.38	$5.67–$75.88	24% above	30%
Rheumatoid factor (RF) test inpatient CPT 86431 Ra Titer/Rheumatoid Fctr	$50.03	$83.38	$66.70	—	40%
Rubella antibody test (immunity check) CPT 86762 Rubella	$33.89	$48.41	$14.39–$44.05	44% below	30%
Rubella antibody test (immunity check) inpatient CPT 86762 Rubella	$29.05	$48.41	$38.73	—	40%
Sodium blood test CPT 84295 Sodium	$29.99	$42.84	$4.81–$38.98	3% above	30%
Sodium blood test inpatient CPT 84295 Sodium	$25.71	$42.84	$34.27	—	40%
Stool ova and parasites exam CPT 87177 Stool O&P	$28.69	$40.98	$8.90–$37.29	34% below	30%
Stool ova and parasites exam inpatient CPT 87177 Stool O&P	$24.59	$40.98	$32.78	—	40%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Eia	$20.50	$29.28	$4.27–$26.64	24% below	30%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Eia	$17.57	$29.28	$23.42	—	40%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb Quantiferon Test	$199.57	$285.09	$61.98–$259.43	2% below	30%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tb Quantiferon Test	$171.06	$285.09	$228.07	—	40%
Testosterone blood test, total (not free testosterone) CPT 84403 Assay Total Testosterone	$122.15	$174.50	$25.81–$158.80	1% above	30%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Assay Total Testosterone	$104.70	$174.50	$139.60	—	40%
Thyroid peroxidase (TPO) antibody test CPT 86376 Thyroid Microsomal Ab	$113.52	$162.16	$14.55–$147.57	20% above	30%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Thyroid Microsomal Ab	$97.30	$162.16	$129.73	—	40%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$114.29	$163.26	$16.80–$148.57	27% above	30%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$97.96	$163.26	$130.61	—	40%
Total IgE blood test CPT 82785 Ige	$85.14	$121.62	$16.46–$110.67	21% above	30%
Total IgE blood test inpatient CPT 82785 Ige	$72.98	$121.62	$97.30	—	40%
Total cholesterol blood test CPT 82465 Cholesterol	$29.99	$42.84	$4.35–$38.98	15% above	30%
Total cholesterol blood test inpatient CPT 82465 Cholesterol	$25.71	$42.84	$34.27	—	40%
Total thyroxine (T4) blood test CPT 84436 Thyroxine; Total (T4)	$33.89	$48.41	$6.87–$44.05	at median	30%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine; Total (T4)	$29.05	$48.41	$38.73	—	40%
Total triiodothyronine (T3) blood test CPT 84480 T3 Total (Triiodothyronine)	$41.96	$59.93	$14.18–$54.54	45% below	30%
Total triiodothyronine (T3) blood test inpatient CPT 84480 T3 Total (Triiodothyronine)	$35.96	$59.93	$47.94	—	40%
Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis	$113.82	$162.60	$35.09–$147.97	87% above	30%
Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis	$97.56	$162.60	$130.08	—	40%
Triglycerides blood test CPT 84478 Triglycerides	$38.64	$55.19	$5.74–$50.22	27% above	30%
Triglycerides blood test inpatient CPT 84478 Triglycerides	$33.12	$55.19	$44.15	—	40%
Troponin test, quantitative CPT 84484 Troponin, Quantitative	$91.41	$130.58	$12.47–$118.83	2% above	30%
Troponin test, quantitative inpatient CPT 84484 Troponin, Quantitative	$78.35	$130.58	$104.46	—	40%
Uric acid blood test CPT 84550 Uric Acid	$38.64	$55.19	$4.52–$50.22	41% above	30%
Uric acid blood test inpatient CPT 84550 Uric Acid	$33.12	$55.19	$44.15	—	40%
Urinalysis with microscope exam, automated CPT 81001 Urine Macro/Micro	$24.48	$34.97	$3.17–$31.82	80% above	30%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urine Macro/Micro	$20.99	$34.97	$27.98	—	40%
Urinalysis with microscope exam, manual CPT 81000 Urinalysis-Routine	$19.89	$28.41	$4.02–$25.85	62% above	30%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis-Routine	$17.05	$28.41	$22.73	—	40%
Urinalysis without microscope exam, automated CPT 81003 Urinalysis - Macroscopic	$18.13	$25.89	$2.25–$23.56	2% below	30%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis - Macroscopic	$15.54	$25.89	$20.71	—	40%
Urinalysis without microscope exam, manual CPT 81002 Specific Gravity	$10.71	$15.30	$3.48–$13.92	50% below	30%
Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity	$9.18	$15.30	$12.24	—	40%
Urine culture for bacteria, with colony count CPT 87086 Urine Culture	$58.37	$83.38	$8.07–$75.88	24% above	30%
Urine culture for bacteria, with colony count inpatient CPT 87086 Urine Culture	$50.03	$83.38	$66.70	—	40%
Urine microalbumin (albumin) test CPT 82043 Microalbumin, Quant, W/Creatin	$73.28	$104.68	$5.78–$95.26	43% above	30%
Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin, Quant, W/Creatin	$62.81	$104.68	$83.74	—	40%
Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B-12	$109.55	$156.49	$15.08–$142.41	24% above	30%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B-12	$93.90	$156.49	$125.19	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy	$97.76	$139.65	$29.60–$127.08	11% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D3 1,25 Dihydroxy	$102.20	$145.99	$29.60–$132.85	7% below	30%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy	$83.79	$139.65	$111.72	—	40%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D3 1,25 Dihydroxy	$87.60	$145.99	$116.79	—	40%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D 1,25 Dihydroxy	$132.87	$189.81	$38.50–$172.73	8% below	30%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D 1,25 Dihydroxy	$113.89	$189.81	$151.85	—	40%
Zinc blood test CPT 84630 Zinc, Plasma	$70.14	$100.20	$11.39–$91.18	31% above	30%
Zinc blood test inpatient CPT 84630 Zinc, Plasma	$60.12	$100.20	$80.16	—	40%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG Quantitative	$74.53	$106.47	$15.05–$96.89	2% below	30%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG Quantitative	$63.89	$106.47	$85.18	—	40%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Botox injections for chronic migraine CPT 64615 Chemodenerv musc migraine FAC	$722.89	$1,032.70	$313.60–$939.76	2% below	30%
Botox injections for chronic migraine inpatient CPT 64615 Chemodenerv musc migraine FAC	$619.62	$1,032.70	$826.16	—	40%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Remove Impact Cerum Irrigation	$143.50	$205.00	$60.27–$186.55	24% above	30%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Remove Impact Cerum Irrigation	$123.00	$205.00	$164.00	—	40%
Earwax removal with instruments, one ear CPT 69210 Remove Impact Cerumen Instrume	$143.50	$205.00	$60.27–$186.55	16% below	30%
Earwax removal with instruments, one ear inpatient CPT 69210 Remove Impact Cerumen Instrume	$123.00	$205.00	$164.00	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Inj Cerv/Thoracic W/Guidance	$1,295.15	$1,850.21	$721.17–$1,683.69	62% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Njx interlaminar crv/thrc FAC	$1,695.92	$2,422.73	$721.17–$2,204.68	50% below	30%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Inj Cerv/Thoracic W/Guidance	$1,110.13	$1,850.21	$1,480.17	—	40%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Njx interlaminar crv/thrc FAC	$1,453.64	$2,422.73	$1,938.18	—	40%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Pfji Single Lumbar Or Sacral	$1,680.51	$2,400.72	$903.63–$2,184.66	36% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj paravert f jnt l/s 1 FAC	$2,180.24	$3,114.62	$903.63–$2,834.30	17% below	30%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Inj para f jnt 1/s bil fac	$4,360.47	$6,229.24	$903.63–$5,668.61	66% above	30%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Pfji Single Lumbar Or Sacral	$1,440.44	$2,400.72	$1,920.58	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj paravert f jnt l/s 1 FAC	$1,868.78	$3,114.62	$2,491.70	—	40%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Inj para f jnt 1/s bil fac	$3,737.55	$6,229.24	$4,983.39	—	40%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D Abscess,Simple/Single	$411.29	$587.55	$204.98–$534.67	1% below	30%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Abscess,Simple/Single	$352.53	$587.55	$470.04	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj Tendon Sheath & Lig Fac	$652.09	$931.55	$313.60–$847.71	20% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Inj tendon sheath/ligament Fac	$722.89	$1,032.70	$313.60–$939.76	11% below	30%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj Tendon Sheath & Lig Fac	$558.93	$931.55	$745.24	—	40%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Inj tendon sheath/ligament Fac	$619.62	$1,032.70	$826.16	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound both sides CPT 20610 Major Jnt Inj Bilat W/Fluoro	$1,043.19	$1,490.26	$313.60–$1,356.14	—	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrcentesis Mjr Jt wo US-Fac	$652.05	$931.49	$313.60–$847.66	at median	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj jnt/bursa w/o us FAC	$722.89	$1,032.70	$313.60–$939.76	11% above	30%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient both sides CPT 20610 Major Jnt Inj Bilat W/Fluoro	$894.16	$1,490.26	$1,192.21	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrcentesis Mjr Jt wo US-Fac	$558.90	$931.49	$745.19	—	40%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Drain/inj jnt/bursa w/o us FAC	$619.62	$1,032.70	$826.16	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthcentesis Int Jnt wo US-Fac	$652.05	$931.49	$313.60–$847.66	4% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj jnt/bursa w/o us FAC	$722.89	$1,032.70	$313.60–$939.76	15% above	30%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthcentesis Int Jnt wo US-Fac	$558.90	$931.49	$745.19	—	40%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Drain/inj jnt/bursa w/o us FAC	$619.62	$1,032.70	$826.16	—	40%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocntisis sm jnt wo US FAC	$652.05	$931.49	$313.60–$847.66	24% below	30%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthcentisis sm jnt wo US-Fac	$652.05	$931.49	$313.60–$847.66	24% below	30%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthcentisis sm jnt wo US-Fac	$558.90	$931.49	$745.19	—	40%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocntisis sm jnt wo US FAC	$558.90	$931.49	$745.19	—	40%
Lower-back epidural injection, with imaging guidance CPT 62323 Inj Lumbar/Sacral W/Guidance	$1,295.15	$1,850.21	$721.17–$1,683.69	55% below	30%
Lower-back epidural injection, with imaging guidance CPT 62323 Njx interlaminar lmbr/sac FAC	$1,695.92	$2,422.73	$721.17–$2,204.68	41% below	30%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Inj Lumbar/Sacral W/Guidance	$1,110.13	$1,850.21	$1,480.17	—	40%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Njx interlaminar lmbr/sac FAC	$1,453.64	$2,422.73	$1,938.18	—	40%
Lower-back epidural injection, without imaging guidance CPT 62322 Inj Lumbar/Sacral W/O Guidance	$1,295.15	$1,850.21	$903.63–$1,683.69	30% below	30%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Inj Lumbar/Sacral W/O Guidance	$1,110.13	$1,850.21	$1,480.17	—	40%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 TFESI Lumbar Or Sacral	$1,680.51	$2,400.72	$903.63–$2,184.66	32% below	30%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx aa&/std tfrm epi l/s 1 FAC	$2,180.24	$3,114.62	$903.63–$2,834.30	11% below	30%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 TFESI Lumbar Or Sacral	$1,440.44	$2,400.72	$1,920.58	—	40%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx aa&/std tfrm epi l/s 1 FAC	$1,868.78	$3,114.62	$2,491.70	—	40%
Occipital nerve block (injection for headaches) CPT 64405 Njx aa&/strd gr ocpl nrv FAC	$722.89	$1,032.70	$313.60–$939.76	10% below	30%
Occipital nerve block (injection for headaches) CPT 64405 Inj Greater Occipital Nerve	$912.62	$1,303.73	$313.60–$1,186.39	13% above	30%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Njx aa&/strd gr ocpl nrv FAC	$619.62	$1,032.70	$826.16	—	40%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Inj Greater Occipital Nerve	$782.24	$1,303.73	$1,042.98	—	40%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destroy lumb/sac facet jnt FAC	$4,782.15	$6,831.63	$1,995.02–$6,216.78	20% below	30%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Destroy lumb/sac facet jnt FAC	$4,098.98	$6,831.63	$5,465.30	—	40%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Trigger Pt 1-2 Msc	$607.65	$868.06	$313.60–$789.93	5% below	30%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Trigger Pt 1-2 Msc	$520.84	$868.06	$694.45	—	40%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 High Freq Oscill Tx Subseq	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Induced Sputum	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Flutter Valve Treatment	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Tx Subsequent	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Nebulizer Tx/Mdi-Subsq	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 MDI Tx Subsequent	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Sputum Collection	$48.35	$69.06	$44.20–$223.72	78% below	30%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Flutter Valve Treatment	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Tx Subsequent	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Nebulizer Tx/Mdi-Subsq	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 MDI Tx Subsequent	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Sputum Collection	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 High Freq Oscill Tx Subseq	$41.44	$69.06	$55.25	—	40%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Induced Sputum	$41.44	$69.06	$55.25	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Emergency Code	$53.62	$76.60	$49.02–$69.71	74% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG Charge	$53.62	$76.60	$49.02–$69.71	74% below	30%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Charge	$45.96	$76.60	$61.28	—	40%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG Emergency Code	$45.96	$76.60	$61.28	—	40%
Family therapy with the patient, 50 minutes CPT 90847 Family Therapy W/Pt 50 Min Fac	$331.44	$473.48	$181.34–$430.87	2% above	30%
Family therapy with the patient, 50 minutes CPT 90847 LCSW OP Family Ther W/Pt 50Min	$528.32	$754.74	$181.34–$686.81	63% above	30%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Therapy W/Pt 50 Min Fac	$284.09	$473.48	$378.78	—	40%
Family therapy with the patient, 50 minutes inpatient CPT 90847 LCSW OP Family Ther W/Pt 50Min	$452.85	$754.74	$603.79	—	40%
Family therapy without the patient, 50 minutes CPT 90846 Family Therpy W/O Pt 50Min Fac	$331.44	$473.48	$181.34–$430.87	28% above	30%
Family therapy without the patient, 50 minutes CPT 90846 LCSW OP Family Ther W/O Pt 50M	$521.06	$744.37	$181.34–$677.38	102% above	30%
Family therapy without the patient, 50 minutes CPT 90846 Family Thrpy W/O Pt 50 Min Fac	$584.32	$834.73	$181.34–$759.60	126% above	30%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Therpy W/O Pt 50Min Fac	$284.09	$473.48	$378.78	—	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 LCSW OP Family Ther W/O Pt 50M	$446.63	$744.37	$595.50	—	40%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Thrpy W/O Pt 50 Min Fac	$500.84	$834.73	$667.78	—	40%
Group psychotherapy session CPT 90853 Group Therapy Fac	$231.93	$331.32	$103.79–$301.50	49% above	30%
Group psychotherapy session CPT 90853 LCSW OP Group Therapy	$231.93	$331.32	$103.79–$301.50	49% above	30%
Group psychotherapy session CPT 90853 Group Therapy	$247.60	$353.71	$103.79–$321.88	59% above	30%
Group psychotherapy session inpatient CPT 90853 LCSW OP Group Therapy	$198.80	$331.32	$265.06	—	40%
Group psychotherapy session inpatient CPT 90853 Group Therapy Fac	$198.80	$331.32	$265.06	—	40%
Group psychotherapy session inpatient CPT 90853 Group Therapy	$212.23	$353.71	$282.97	—	40%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 Telemtry 1/2 Hour	$238.19	$340.27	$75.31–$309.65	—	30%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 Telemtry 1/2 Hour	$204.17	$340.27	$272.22	—	40%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV Hydration Initial > One Hr	$186.80	$266.85	$170.78–$242.83	62% below	30%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV Hydration Initial > One Hr	$160.11	$266.85	$213.48	—	40%
IV infusion of a medicine, first hour CPT 96365 IV Infus Therapy Proordx Up1Hr	$227.71	$325.30	$208.19–$296.02	66% below	30%
IV infusion of a medicine, first hour inpatient CPT 96365 IV Infus Therapy Proordx Up1Hr	$195.18	$325.30	$260.24	—	40%
IV push of a medicine, first drug CPT 96374 IV Push Single Or Initial Drug	$170.20	$243.14	$155.61–$221.26	71% below	30%
IV push of a medicine, first drug inpatient CPT 96374 IV Push Single Or Initial Drug	$145.89	$243.14	$194.51	—	40%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diag Eval - Fac	$331.44	$473.48	$181.34–$430.87	2% below	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 LCSW OP Psych Diagnostic Eval	$567.41	$810.58	$181.34–$737.63	68% above	30%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Diagnostic Eval	$646.05	$922.92	$181.34–$839.86	92% above	30%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diag Eval - Fac	$284.09	$473.48	$378.78	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 LCSW OP Psych Diagnostic Eval	$486.35	$810.58	$648.46	—	40%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psychiatric Diagnostic Eval	$553.76	$922.92	$738.34	—	40%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduct 7-8 Studies	$611.01	$872.86	$381.24–$794.30	50% below	30%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduct 7-8 Studies	$523.72	$872.86	$698.29	—	40%
Neuromuscular re-education, 15 minutes CPT 97112 TH-PT Neuromuscular Re Ed	$85.45	$122.06	$34.35–$268.00	36% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 EKSO Neuromuscular Re-Ed	$85.45	$122.06	$34.35–$268.00	36% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular Re-Educ Ea 15Min	$85.45	$122.06	$34.35–$268.00	36% below	30%
Neuromuscular re-education, 15 minutes CPT 97112 TH-OT Neuromuscular Re Ed	$85.45	$122.06	$34.35–$229.00	36% below	30%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH-OT Neuromuscular Re Ed	$73.24	$122.06	$97.65	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 EKSO Neuromuscular Re-Ed	$73.24	$122.06	$97.65	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 TH-PT Neuromuscular Re Ed	$73.24	$122.06	$97.65	—	40%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Neuromuscular Re-Educ Ea 15Min	$73.24	$122.06	$97.65	—	40%
New patient office visit, about 30 minutes CPT 99203 Initial Exam, Hi Complex, Tech	$272.26	$388.93	$124.29–$353.93	33% above	30%
New patient office visit, about 30 minutes inpatient CPT 99203 Initial Exam, Hi Complex, Tech	$233.36	$388.93	$311.14	—	40%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 65+	$473.64	$676.62	$249.98–$615.72	4% above	30%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 40-64	$473.64	$676.62	$249.98–$615.72	4% above	30%
New patient office visit, about 60 minutes CPT 99205 MCR New Pat Annual Exam 18-39	$473.64	$676.62	$249.98–$615.72	4% above	30%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 18-39	$405.98	$676.62	$541.30	—	40%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 40-64	$405.98	$676.62	$541.30	—	40%
New patient office visit, about 60 minutes inpatient CPT 99205 MCR New Pat Annual Exam 65+	$405.98	$676.62	$541.30	—	40%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 Consult-Focus,Strghtfrwrd Fac	$315.59	$450.84	$79.48–$410.26	163% above	30%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Consult-Focus,Strghtfrwrd Fac	$270.51	$450.84	$360.67	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Nutrition, Med Eval Ea 15 Min	$114.74	$163.91	$38.61–$149.16	56% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Diabetes Mnt Eval Ea 15 Min	$114.74	$163.91	$38.61–$149.16	56% above	30%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Diabetes Mnt Eval Ea 15 Min	$98.35	$163.91	$131.13	—	40%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Nutrition, Med Eval Ea 15 Min	$98.35	$163.91	$131.13	—	40%
Occupational therapy evaluation, low complexity CPT 97165 OT Eval, Low Complexity	$200.95	$287.06	$105.39–$319.12	49% below	30%
Occupational therapy evaluation, low complexity CPT 97165 TH-OT Eval Low Complex 30 Min	$200.95	$287.06	$105.39–$319.12	49% below	30%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT Eval, Low Complexity	$172.24	$287.06	$229.65	—	40%
Occupational therapy evaluation, low complexity inpatient CPT 97165 TH-OT Eval Low Complex 30 Min	$172.24	$287.06	$229.65	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT Eval, High Complexity	$207.60	$296.57	$102.51–$329.68	50% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 EKSO PT Eval, High Complexity	$207.60	$296.57	$102.51–$329.68	50% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 TH-PT Eval High Complex 45 Min	$207.60	$296.57	$102.51–$329.68	50% below	30%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 EKSO PT Eval, High Complexity	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT Eval, High Complexity	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 TH-PT Eval High Complex 45 Min	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT Eval, Low Complexity	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 TH-PT Eval Low Complex 20 Min	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 EKSO PT Eval, Low Complexity	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT Eval, Low Complexity	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 TH-PT Eval Low Complex 20 Min	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 EKSO PT Eval, Low Complexity	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 EKSO PT Eval, Moderate Complex	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 TH-PT Eval Mod Complex 30 Min	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT Eval, Moderate Complexity	$207.60	$296.57	$102.51–$329.68	48% below	30%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 EKSO PT Eval, Moderate Complex	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT Eval, Moderate Complexity	$177.95	$296.57	$237.26	—	40%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 TH-PT Eval Mod Complex 30 Min	$177.95	$296.57	$237.26	—	40%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Techniqu Ea 15M	$86.67	$123.81	$29.08–$268.00	29% below	30%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Techniqu Ea 15M	$74.29	$123.81	$99.05	—	40%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therpeutic Exercise-15 M	$81.69	$116.70	$30.48–$106.20	34% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH-PT Therapeutic Ex	$81.69	$116.70	$30.48–$268.00	34% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 TH-OT Therapeutic Ex	$81.69	$116.70	$30.48–$229.00	34% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise-Ea 15 Min	$85.14	$121.62	$30.48–$229.00	31% below	30%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeut Exercise-15 M	$85.14	$121.62	$30.48–$268.00	31% below	30%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therpeutic Exercise-15 M	$70.02	$116.70	$93.36	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH-PT Therapeutic Ex	$70.02	$116.70	$93.36	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 TH-OT Therapeutic Ex	$70.02	$116.70	$93.36	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise-Ea 15 Min	$72.98	$121.62	$97.30	—	40%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeut Exercise-15 M	$72.98	$121.62	$97.30	—	40%
Preventive checkup, new patient aged 18–39 CPT 99385 New Pat Annual Exam Age 18-39	$500.33	$714.75	$141.85–$650.42	76% above	30%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 New Pat Annual Exam Age 18-39	$428.85	$714.75	$571.80	—	40%
Preventive checkup, new patient aged 40–64 CPT 99386 New Pat Annual Exam Age 40-64	$500.33	$714.75	$163.86–$650.42	—	30%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 New Pat Annual Exam Age 40-64	$428.85	$714.75	$571.80	—	40%
Preventive checkup, new patient aged 65 or older CPT 99387 New Pat Annual Exam Age 65+	$500.33	$714.75	$177.61–$650.42	43% above	30%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 New Pat Annual Exam Age 65+	$428.85	$714.75	$571.80	—	40%
Preventive checkup, returning patient aged 18–39 CPT 99395 Est Pat Annual Exam Age 18-39	$369.91	$528.44	$128.10–$480.88	57% above	30%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Est Pat Annual Exam Age 18-39	$317.07	$528.44	$422.75	—	40%
Preventive checkup, returning patient aged 40–64 CPT 99396 Est Pat Annual Exam Age 40-64	$369.91	$528.44	$135.77–$480.88	—	30%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Est Pat Annual Exam Age 40-64	$317.07	$528.44	$422.75	—	40%
Preventive checkup, returning patient aged 65 or older CPT 99397 Est Pat Annual Exam Age 65+	$369.91	$528.44	$146.37–$480.88	28% above	30%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Est Pat Annual Exam Age 65+	$317.07	$528.44	$422.75	—	40%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychther Crsis 1St 60 Min Fac	$331.44	$473.48	$181.34–$430.87	8% above	30%
Psychotherapy for crisis, first 60 minutes CPT 90839 Psychother Crisis 1St 60 Min	$658.28	$940.40	$181.34–$855.76	115% above	30%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychther Crsis 1St 60 Min Fac	$284.09	$473.48	$378.78	—	40%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Psychother Crisis 1St 60 Min	$564.24	$940.40	$752.32	—	40%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy 30 Min - Fac	$184.81	$264.01	$168.97–$240.25	3% below	30%
Psychotherapy session, 30 minutes CPT 90832 LCSW OP Psychotherapy 30 Min	$302.07	$431.52	$181.34–$392.68	59% above	30%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy 30 Min - Fac	$158.41	$264.01	$211.21	—	40%
Psychotherapy session, 30 minutes inpatient CPT 90832 LCSW OP Psychotherapy 30 Min	$258.92	$431.52	$345.22	—	40%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy 45 Min - Fac	$331.44	$473.48	$181.34–$430.87	26% above	30%
Psychotherapy session, 45 minutes CPT 90834 LCSW OP Psychotherapy 45 Min	$487.79	$696.83	$181.34–$634.12	86% above	30%
Psychotherapy session, 45 minutes CPT 90834 LCSW OP Psychthr Crisis 1St Hr	$576.59	$823.69	$181.34–$749.56	119% above	30%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy 45 Min - Fac	$284.09	$473.48	$378.78	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW OP Psychotherapy 45 Min	$418.10	$696.83	$557.46	—	40%
Psychotherapy session, 45 minutes inpatient CPT 90834 LCSW OP Psychthr Crisis 1St Hr	$494.22	$823.69	$658.95	—	40%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy 60 Min - Fac	$331.44	$473.48	$181.34–$430.87	15% below	30%
Psychotherapy session, 60 minutes CPT 90837 LCSW OP Psythr Crisis Ea Add30	$401.43	$573.46	$181.34–$521.85	3% above	30%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy 60 Min - Fac	$284.09	$473.48	$378.78	—	40%
Psychotherapy session, 60 minutes inpatient CPT 90837 LCSW OP Psythr Crisis Ea Add30	$344.08	$573.46	$458.77	—	40%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoke/Tobacco Counsel 3-10 Min	$31.52	$45.02	$28.81–$40.97	38% below	30%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoke/Tobacco Counsel 3-10 Min	$27.02	$45.02	$36.02	—	40%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCR Est Pat Annual Exam 18-39	$349.96	$499.93	$202.81–$454.94	2% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCR Est Pat Annual Exam 65+	$349.96	$499.93	$202.81–$454.94	2% below	30%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 MCR Est Pat Annual Exam 40-64	$349.96	$499.93	$202.81–$454.94	2% below	30%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCR Est Pat Annual Exam 40-64	$299.96	$499.93	$399.94	—	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCR Est Pat Annual Exam 18-39	$299.96	$499.93	$399.94	—	40%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 MCR Est Pat Annual Exam 65+	$299.96	$499.93	$399.94	—	40%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Estab Patient, Mod Cmplx, Fac	$315.59	$450.84	$100.45–$410.26	86% above	30%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Estab Patient, Mod Cmplx, Fac	$270.51	$450.84	$360.67	—	40%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Estab Patient, Hi Complex,Fac	$315.59	$450.84	$143.02–$410.26	17% above	30%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Estab Patient, Hi Complex,Fac	$270.51	$450.84	$360.67	—	40%
Speech and language evaluation CPT 92523 Eval Speech Sound Prod W/Lang	$485.72	$693.88	$160.00–$723.59	29% below	30%
Speech and language evaluation CPT 92523 TH-ST Ev Sp Snd Prod W Ev Lang	$485.72	$693.88	$160.00–$723.59	29% below	30%
Speech and language evaluation inpatient CPT 92523 TH-ST Ev Sp Snd Prod W Ev Lang	$416.33	$693.88	$555.10	—	40%
Speech and language evaluation inpatient CPT 92523 Eval Speech Sound Prod W/Lang	$416.33	$693.88	$555.10	—	40%
Speech therapy session, individual CPT 92507 TH-ST Tx Of Sp,Lng,Processing	$203.24	$290.34	$79.59–$339.22	8% below	30%
Speech therapy session, individual CPT 92507 Speech/Language Therapy, Indvl	$203.24	$290.34	$79.59–$339.22	8% below	30%
Speech therapy session, individual inpatient CPT 92507 TH-ST Tx Of Sp,Lng,Processing	$174.21	$290.34	$232.27	—	40%
Speech therapy session, individual inpatient CPT 92507 Speech/Language Therapy, Indvl	$174.21	$290.34	$232.27	—	40%
Spirometry (breathing test) CPT 94010 Spirometry Incl Graphic Record	$228.79	$326.83	$220.60–$880.00	28% below	30%
Spirometry (breathing test) inpatient CPT 94010 Spirometry Incl Graphic Record	$196.10	$326.83	$261.46	—	40%
Spirometry before and after a bronchodilator CPT 94060 Pre/Post Sipirometry	$275.76	$393.93	$315.14–$880.00	53% below	30%
Spirometry before and after a bronchodilator inpatient CPT 94060 Pre/Post Sipirometry	$236.36	$393.93	$315.14	—	40%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH-OT Therapeutic Act 15 Min	$89.35	$127.63	$36.98–$229.00	27% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeut Activ-15 Min	$89.35	$127.63	$36.98–$268.00	27% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 TH-PT Therapeutic Act 15 Min	$89.35	$127.63	$36.98–$268.00	27% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activity,Ea 15 Min	$89.35	$127.63	$36.98–$229.00	27% below	30%
Therapeutic activities (functional training), 15 minutes CPT 97530 Indvl Prescriptive Tx-15	$89.35	$127.63	$36.98–$116.14	27% below	30%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH-PT Therapeutic Act 15 Min	$76.58	$127.63	$102.10	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Indvl Prescriptive Tx-15	$76.58	$127.63	$102.10	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activity,Ea 15 Min	$76.58	$127.63	$102.10	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 TH-OT Therapeutic Act 15 Min	$76.58	$127.63	$102.10	—	40%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeut Activ-15 Min	$76.58	$127.63	$102.10	—	40%
Visual field test, extended CPT 92083 Comp Visual Field Exam Fac	$285.46	$407.79	$135.93–$371.09	—	30%
Visual field test, extended inpatient CPT 92083 Comp Visual Field Exam Fac	$244.68	$407.79	$326.23	—	40%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Connecticut	Off list
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal-23 25mcg/0.5ml V	$327.85	$468.35	$133.47–$426.20	6% above	30%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal-23 25mcg/0.5ml V	$281.01	$468.35	$374.68	—	40%

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

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

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

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

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

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

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

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

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

Source file: https://sthpiprd.blob.core.windows.net/machine-readable-files/8046/060646649-1730137753_gaylord-hospital-inc_standardcharges.csv