MaineHealth
MaineHealth in Westbrook, ME publishes cash prices for 193 common procedures listed here, from its own machine-readable price file updated Oct 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Maine median for 101 of 193 procedures and below it for 83. By typical cash price it ranks #16 of 28 Maine hospitals and #4 of 6 hospitals in the Portland, ME area, cheapest first. Select a procedure to compare it with other hospitals nearby.
123 Andover Rd, Westbrook, ME 04092 Collected Nov 1, 2026 Source price file Check a bill from this hospital
The price file shows no self-pay discount
For 464 of the 464 prices listed here, the cash price in MaineHealth's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 13% below | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 HC XRAY EXAM OF ANKLE MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 1% below | — |
| Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XRAY EXAM OF ANKLE MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | at median | — |
| Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $211.60 | $211.60 | $86.05–$198.90 | 5% above | — |
| Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 HC XRAY EXAM OF COLLAR BONE | $211.60 | $211.60 | $86.05–$198.90 | 4% below | — |
| Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XRAY EXAM OF COLLAR BONE | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Elbow X-ray, 2 views CPT 73070 HC XRAY EXAM OF ELBOW MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 3% below | — |
| Elbow X-ray, 2 views inpatient CPT 73070 HC XRAY EXAM OF ELBOW MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 HC XRAY EXAM OF ELBOW MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% below | — |
| Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XRAY EXAM OF ELBOW MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 HC XRAY EXAM OF FACIAL BONES MIN 3 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 7% below | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XRAY EXAM OF FACIAL BONES MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XRAY EXAM OF FOREARM 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | at median | — |
| Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XRAY EXAM OF FOREARM 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Hand X-ray, 2 views CPT 73120 HC XRAY HAND 2 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | at median | — |
| Hand X-ray, 2 views inpatient CPT 73120 HC XRAY HAND 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XRAY EXAM OF HEEL MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 1% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XRAY EXAM OF HEEL MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 HC XRAY EXAM KNEE 4 OR MORE | $211.60 | $211.60 | $103.38–$198.90 | 16% below | — |
| Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XRAY EXAM KNEE 4 OR MORE | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XRAY EXAM OF LOWER LEG 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 1% below | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XRAY EXAM OF LOWER LEG 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XRAY EXAM NECK SPINE, CERV 4-5 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 28% below | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XRAY EXAM NECK SPINE, CERV 4-5 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 HC XRAY EXAM RIBS UNI 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 8% below | — |
| Rib X-ray, one side, 2 views inpatient CPT 71100 HC XRAY EXAM RIBS UNI 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 HC XRAY EXAM OF SHOULDER MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 8% below | — |
| Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XRAY EXAM OF SHOULDER MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC XRAY EXAM OF SINUSES MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 7% below | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XRAY EXAM OF SINUSES MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 HC XRAY EXAM OF SKULL < 4 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 2% below | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XRAY EXAM OF SKULL < 4 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $211.60 | $211.60 | $86.05–$198.90 | at median | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC X-RAY EXAM OF FEMUR 2/> | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Toe X-ray, 2 or more views CPT 73660 HC XRAY EXAM OF TOE(S) MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 18% above | — |
| Toe X-ray, 2 or more views inpatient CPT 73660 HC XRAY EXAM OF TOE(S) MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 HC XRAY EXAM OF HUMERUS MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 2% above | — |
| Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XRAY EXAM OF HUMERUS MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Wrist X-ray, 2 views CPT 73100 HC XRAY EXAM OF WRIST 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 7% below | — |
| Wrist X-ray, 2 views inpatient CPT 73100 HC XRAY EXAM OF WRIST 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 HC XRAY EXAM OF WRIST MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% below | — |
| Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XRAY EXAM OF WRIST MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HC X-RAY EXAM HIP UNI 2-3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $211.60 | $211.60 | $86.05–$198.90 | at median | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the ankle, 2 views CPT 73600 HC XRAY EXAM OF ANKLE 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 2% above | — |
| X-ray of the ankle, 2 views inpatient CPT 73600 HC XRAY EXAM OF ANKLE 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 HC XRAY EXAM OF FINGER(S) MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 7% above | — |
| X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XRAY EXAM OF FINGER(S) MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the foot, 2 views CPT 73620 HC XRAY EXAM OF FOOT 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% above | — |
| X-ray of the foot, 2 views inpatient CPT 73620 HC XRAY EXAM OF FOOT 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 HC XRAY EXAM OF FOOT MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 1% below | — |
| X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XRAY EXAM OF FOOT MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 HC XRAY HAND MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% below | — |
| X-ray of the hand, 3 or more views inpatient CPT 73130 HC XRAY HAND MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 HC XRAY EXAM OF KNEE 1 OR 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 4% below | — |
| X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XRAY EXAM OF KNEE 1 OR 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XRAY EXAM SPINE LUMBOSACRAL 2-3 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 14% below | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XRAY EXAM SPINE LUMBOSACRAL 2-3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 HC XRAY EXAM L-2 SPINE 4/> VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 34% below | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XRAY EXAM L-2 SPINE 4/> VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XRAY EXAM THORACIC SPINE 2 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | 7% below | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XRAY EXAM THORACIC SPINE 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 HC XRAY EXAM OF NASAL BONES MIN 3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 7% below | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XRAY EXAM OF NASAL BONES MIN 3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XRAY EXAM NECK SPINE, CERV 2-3 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | at median | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XRAY EXAM NECK SPINE, CERV 2-3 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC XRAY EXAM OF PELVIS 1-2 VIEWS | $211.60 | $211.60 | $103.38–$198.90 | at median | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XRAY EXAM OF PELVIS 1-2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XRAY EXAM SACRUM & COCCYX MIN 2 VIEWS | $211.60 | $211.60 | $86.05–$198.90 | 7% below | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XRAY EXAM SACRUM & COCCYX MIN 2 VIEWS | $211.60 | $211.60 | $179.86–$198.90 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 B* HC TRANSFERASE ALANINE AMINO ALT SGPT | $14.35 | $14.35 | $5.30–$13.49 | 57% below | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 B* HC TRANSFERASE ALANINE AMINO ALT SGPT | $14.35 | $14.35 | $12.20–$13.49 | — | — |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 B* HC ACUTE HEPATITIS PANEL | $227.05 | $227.05 | $47.63–$213.43 | 42% above | — |
| Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 B* HC ACUTE HEPATITIS PANEL | $227.05 | $227.05 | $192.99–$213.43 | — | — |
| Albumin blood test CPT 82040 B* HC ALBUMIN SERUM PLASMA/WHOLE BLOOD | $18.85 | $18.85 | $4.95–$17.72 | 18% below | — |
| Albumin blood test inpatient CPT 82040 B* HC ALBUMIN SERUM PLASMA/WHOLE BLOOD | $18.85 | $18.85 | $16.02–$17.72 | — | — |
| Aldosterone blood test CPT 82088 B* HC ASSAY OF ALDOSTERONE | $170.50 | $170.50 | $40.75–$160.27 | 9% above | — |
| Aldosterone blood test inpatient CPT 82088 B* HC ASSAY OF ALDOSTERONE | $170.50 | $170.50 | $144.93–$160.27 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 B* HC ASSAY OF PHOSPHATASE ALKALINE | $13.25 | $13.25 | $5.18–$12.46 | 52% below | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 B* HC ASSAY OF PHOSPHATASE ALKALINE | $13.25 | $13.25 | $11.26–$12.46 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 B* HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $382.60 | $382.60 | $5.22–$359.64 | 1568% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 B* HC ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | $382.60 | $382.60 | $325.21–$359.64 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 B* HC ALPHA-FETOPROTEIN SERUM | $144.40 | $144.40 | $16.77–$135.74 | 119% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 B* HC ALPHA-FETOPROTEIN SERUM | $144.40 | $144.40 | $122.74–$135.74 | — | — |
| Ammonia blood test CPT 82140 B* HC ASSAY OF AMMONIA | $124.55 | $124.55 | $14.57–$117.08 | 37% above | — |
| Ammonia blood test inpatient CPT 82140 B* HC ASSAY OF AMMONIA | $124.55 | $124.55 | $105.87–$117.08 | — | — |
| Amylase blood test CPT 82150 B* HC ASSAY OF AMYLASE | $37.05 | $37.05 | $6.48–$34.83 | 11% below | — |
| Amylase blood test inpatient CPT 82150 B* HC ASSAY OF AMYLASE | $37.05 | $37.05 | $31.49–$34.83 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 B* HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $29.65 | $29.65 | $12.95–$27.87 | 58% below | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 B* HC CYCLIC CITRULLINATED PEPTIDE ANTIBODY | $29.65 | $29.65 | $25.20–$27.87 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 B* HC ANTINUCLEAR ANTIBODIES ANA | $104.20 | $104.20 | $12.09–$97.95 | 89% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 B* HC ANTINUCLEAR ANTIBODIES ANA | $104.20 | $104.20 | $88.57–$97.95 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B* HC NATRIURETIC PEPTIDE | $216.25 | $216.25 | $39.26–$203.28 | 37% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B* HC NATRIURETIC PEPTIDE | $216.25 | $216.25 | $183.81–$203.28 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 B* HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $47.25 | $47.25 | $8.62–$44.42 | 13% below | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 B* HC CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | $47.25 | $47.25 | $40.16–$44.42 | — | — |
| Basic metabolic panel (blood test) CPT 80048 B* HC BASIC METABOLIC PANEL CALCIUM TOTAL | $48.30 | $48.30 | $8.46–$45.40 | 38% below | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 B* HC BASIC METABOLIC PANEL CALCIUM TOTAL | $48.30 | $48.30 | $41.06–$45.40 | — | — |
| Bilirubin blood test, total CPT 82247 B* HC BILIRUBIN TOTAL | $19.55 | $19.55 | $5.02–$18.38 | 37% below | — |
| Bilirubin blood test, total inpatient CPT 82247 B* HC BILIRUBIN TOTAL | $19.55 | $19.55 | $16.62–$18.38 | — | — |
| Blood culture for bacteria CPT 87040 B* HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $28.10 | $28.10 | $10.32–$26.41 | 67% below | — |
| Blood culture for bacteria inpatient CPT 87040 B* HC CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | $28.10 | $28.10 | $23.89–$26.41 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 B* HC COLLECTION BLOOD, VENIPUNCTURE | $14.20 | $14.20 | $9.34–$13.35 | 1% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 B* HC COLLECTION BLOOD, VENIPUNCTURE | $14.20 | $14.20 | $12.07–$13.35 | — | — |
| Blood glucose (sugar) test CPT 82947 B* HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $23.55 | $23.55 | $3.93–$22.14 | 2% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 B* HC GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | $23.55 | $23.55 | $20.02–$22.14 | — | — |
| Blood lead test CPT 83655 B* HC ASSAY OF LEAD | $83.25 | $83.25 | $12.11–$78.26 | 85% above | — |
| Blood lead test inpatient CPT 83655 B* HC ASSAY OF LEAD | $83.25 | $83.25 | $70.76–$78.26 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 B* HC GONADOTROPIN CHORIONIC QUALITATIVE | $61.75 | $61.75 | $7.52–$58.05 | 43% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 B* HC GONADOTROPIN CHORIONIC QUALITATIVE | $61.75 | $61.75 | $52.49–$58.05 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.04–$131.56 | 81% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 B* HC (ARC) BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.04–$131.56 | 81% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 B* HC BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.04–$131.56 | 81% below | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 B* HC (ARC) BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.08–$8.93 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.08–$8.93 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 B* HC BLOOD TYPING SEROLOGIC ABO | $9.50 | $9.50 | $8.08–$8.93 | — | — |
| C-peptide blood test CPT 84681 B* HC ASSAY OF C-PEPTIDE | $111.75 | $111.75 | $20.81–$105.05 | 59% above | — |
| C-peptide blood test inpatient CPT 84681 B* HC ASSAY OF C-PEPTIDE | $111.75 | $111.75 | $94.99–$105.05 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 B* HC C-REACTIVE PROTEIN | $35.75 | $35.75 | $5.18–$33.61 | 4% below | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 B* HC C-REACTIVE PROTEIN | $35.75 | $35.75 | $30.39–$33.61 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 B* HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $142.70 | $142.70 | $37.27–$134.14 | 39% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 B* HC INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | $142.70 | $142.70 | $121.30–$134.14 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 B* HC SARS-COV-2 AB-ID NOW (COVID 19) | $96.65 | $96.65 | $51.31–$90.85 | 10% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 B* HC DETECT AGENT NOS DNA AMP PRB (COVID 19) | $96.65 | $96.65 | $51.31–$90.85 | 10% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 B* HC SARS-COV-2 AB-ID NOW (COVID 19) | $96.65 | $96.65 | $82.15–$90.85 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 B* HC DETECT AGENT NOS DNA AMP PRB (COVID 19) | $96.65 | $96.65 | $82.15–$90.85 | — | — |
| Calcium blood test, total CPT 82310 B* HC CALCIUM TOTAL | $153.15 | $153.15 | $5.16–$143.96 | 443% above | — |
| Calcium blood test, total inpatient CPT 82310 B* HC CALCIUM TOTAL | $153.15 | $153.15 | $130.18–$143.96 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 B* HC CARCINOEMBRYONIC ANTIGEN CEA | $48.35 | $48.35 | $18.96–$45.45 | 45% below | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 B* HC CARCINOEMBRYONIC ANTIGEN CEA | $48.35 | $48.35 | $41.10–$45.45 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 B* HC ANTIBODY VARICELLA-ZOSTER | $62.10 | $62.10 | $12.88–$58.37 | 28% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 B* HC ANTIBODY VARICELLA-ZOSTER | $62.10 | $62.10 | $52.79–$58.37 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 B* HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $108.30 | $108.30 | $35.09–$101.80 | 50% above | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 B* HC IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | $108.30 | $108.30 | $92.06–$101.80 | — | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 B* HC LIPID PANEL | $72.60 | $72.60 | $13.39–$68.24 | 2% below | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 B* HC LIPID PANEL | $72.60 | $72.60 | $61.71–$68.24 | — | — |
| Complete blood count (CBC) with differential CPT 85025 B* HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $26.70 | $26.70 | $7.77–$25.10 | 43% below | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 B* HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | $26.70 | $26.70 | $22.70–$25.10 | — | — |
| Complete blood count (CBC), no differential CPT 85027 B* HC BLOOD COUNT COMPLETE AUTOMATED | $26.30 | $26.30 | $6.47–$24.72 | 15% below | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 B* HC BLOOD COUNT COMPLETE AUTOMATED | $26.30 | $26.30 | $22.36–$24.72 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 B* HC COMPREHENSIVE METABOLIC PANEL | $55.00 | $55.00 | $10.56–$51.70 | 48% below | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 B* HC COMPREHENSIVE METABOLIC PANEL | $55.00 | $55.00 | $46.75–$51.70 | — | — |
| Cortisol blood test, total CPT 82533 B* HC CORTISOL TOTAL | $104.20 | $104.20 | $16.30–$97.95 | 48% above | — |
| Cortisol blood test, total inpatient CPT 82533 B* HC CORTISOL TOTAL | $104.20 | $104.20 | $88.57–$97.95 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 B* HC CREATINE KINASE TOTAL | $38.50 | $38.50 | $6.51–$36.19 | 15% below | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 B* HC CREATINE KINASE TOTAL | $38.50 | $38.50 | $32.73–$36.19 | — | — |
| Creatinine blood test CPT 82565 B* HC CREATININE BLOOD | $41.15 | $41.15 | $5.12–$38.68 | 43% above | — |
| Creatinine blood test inpatient CPT 82565 B* HC CREATININE BLOOD | $41.15 | $41.15 | $34.98–$38.68 | — | — |
| D-dimer blood test (blood clot marker) CPT 85379 B* HC FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $118.90 | $118.90 | $10.18–$111.77 | 65% above | — |
| D-dimer blood test (blood clot marker) inpatient CPT 85379 B* HC FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | $118.90 | $118.90 | $101.07–$111.77 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 B* HC DEHYDROEPIANDROSTERONE-SULFATE | $197.85 | $197.85 | $22.23–$185.98 | 118% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 B* HC DEHYDROEPIANDROSTERONE-SULFATE | $197.85 | $197.85 | $168.17–$185.98 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 B* HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $163.30 | $163.30 | $62.14–$153.50 | 68% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 B* HC DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | $163.30 | $163.30 | $138.81–$153.50 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 B* HC ELECTROLYTE PANEL | $34.40 | $34.40 | $7.01–$32.34 | 31% below | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 B* HC ELECTROLYTE PANEL | $34.40 | $34.40 | $29.24–$32.34 | — | — |
| Estradiol blood test CPT 82670 B* HC ASSAY OF TOTAL ESTRADIOL | $117.40 | $117.40 | $27.94–$110.36 | 15% above | — |
| Estradiol blood test inpatient CPT 82670 B* HC ASSAY OF TOTAL ESTRADIOL | $117.40 | $117.40 | $99.79–$110.36 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 B* HC GONADOTROPIN FOLLICLE STIMULATING HORMONE | $105.30 | $105.30 | $18.58–$98.98 | 32% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 B* HC GONADOTROPIN FOLLICLE STIMULATING HORMONE | $105.30 | $105.30 | $89.51–$98.98 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 B* HC ASSAY OF CALPROTECTIN FECAL | $477.00 | $477.00 | $19.63–$448.38 | 210% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 B* HC ASSAY OF CALPROTECTIN FECAL | $477.00 | $477.00 | $405.45–$448.38 | — | — |
| Ferritin blood test (iron stores) CPT 82728 B* HC ASSAY OF FERRITIN | $122.60 | $122.60 | $13.63–$115.24 | 64% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 B* HC ASSAY OF FERRITIN | $122.60 | $122.60 | $104.21–$115.24 | — | — |
| Folate (folic acid) blood test CPT 82746 B* HC ASSAY OF FOLIC ACID SERUM | $87.00 | $87.00 | $14.70–$81.78 | 16% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 B* HC ASSAY OF FOLIC ACID SERUM | $87.00 | $87.00 | $73.95–$81.78 | — | — |
| Free T3 thyroid hormone test CPT 84481 B* HC ASSAY OF TRIIODOTHYRONINE T3 FREE | $145.35 | $145.35 | $16.94–$136.63 | 69% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 B* HC ASSAY OF TRIIODOTHYRONINE T3 FREE | $145.35 | $145.35 | $123.55–$136.63 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 B* HC ASSAY OF FREE THYROXINE | $67.90 | $67.90 | $9.02–$63.83 | 13% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 B* HC ASSAY OF FREE THYROXINE | $67.90 | $67.90 | $57.72–$63.83 | — | — |
| Free testosterone test CPT 84402 B* HC ASSAY OF TESTOSTERONE FREE | $102.40 | $102.40 | $25.47–$96.26 | at median | — |
| Free testosterone test inpatient CPT 84402 B* HC ASSAY OF TESTOSTERONE FREE | $102.40 | $102.40 | $87.04–$96.26 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 B* HC ASSAY OF GLUTAMYLTRASE GAMMA | $31.05 | $31.05 | $7.20–$29.19 | 30% below | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 B* HC ASSAY OF GLUTAMYLTRASE GAMMA | $31.05 | $31.05 | $26.39–$29.19 | — | — |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 B* HC GENERAL HEALTH PANEL | $411.50 | $411.50 | $172.83–$386.81 | 3% below | — |
| General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 B* HC GENERAL HEALTH PANEL | $411.50 | $411.50 | $349.78–$386.81 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 B* HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $108.00 | $108.00 | $35.09–$101.52 | 64% above | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 B* HC IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | $108.00 | $108.00 | $91.80–$101.52 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 B* HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $673.80 | $673.80 | $85.10–$633.37 | 194% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 B* HC IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | $673.80 | $673.80 | $572.73–$633.37 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 B* HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $47.25 | $47.25 | $24.08–$44.42 | at median | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 B* HC IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | $47.25 | $47.25 | $40.16–$44.42 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 B* HC HEMOGLOBIN GLYCOSYLATED A1C | $61.75 | $61.75 | $9.71–$58.05 | 18% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 B* HC HEMOGLOBIN GLYCOSYLATED A1C | $61.75 | $61.75 | $52.49–$58.05 | — | — |
| Hemoglobin blood test CPT 85018 B* HC BLOOD COUNT HEMOGLOBIN | $63.10 | $63.10 | $2.37–$59.31 | 315% above | — |
| Hemoglobin blood test inpatient CPT 85018 B* HC BLOOD COUNT HEMOGLOBIN | $63.10 | $63.10 | $53.64–$59.31 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 B* HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $46.25 | $46.25 | $12.05–$43.48 | 24% below | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 B* HC HEPATITIS B CORE ANTIBODY HBCAB TOTAL | $46.25 | $46.25 | $39.31–$43.48 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 B* HC HEPATITIS B SURF ANTIBODY HBSAB | $43.65 | $43.65 | $10.74–$41.03 | 13% below | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 B* HC HEPATITIS B SURF ANTIBODY HBSAB | $43.65 | $43.65 | $37.10–$41.03 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 B* HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $31.65 | $31.65 | $10.33–$29.75 | 35% below | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 B* HC IAAD IA HEPATITIS B SURFACE ANTIGEN | $31.65 | $31.65 | $26.90–$29.75 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 B* HC HEPATITIS C ANTIBODY | $80.70 | $80.70 | $14.27–$75.86 | 10% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 B* HC HEPATITIS C ANTIBODY | $80.70 | $80.70 | $68.60–$75.86 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 B* HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $905.70 | $905.70 | $42.84–$851.36 | 426% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 B* HC IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | $905.70 | $905.70 | $769.85–$851.36 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 B* HC ANTIBODY HERPES SMPLX TYPE 1 | $110.15 | $110.15 | $13.19–$103.54 | 109% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 B* HC ANTIBODY HERPES SMPLX TYPE 1 | $110.15 | $110.15 | $93.63–$103.54 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 B* HC ANTIBODY HERPES SMPLX TYPE 2 | $161.70 | $161.70 | $19.35–$152.00 | 127% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 B* HC ANTIBODY HERPES SMPLX TYPE 2 | $161.70 | $161.70 | $137.45–$152.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 B* HC C-REACTIVE PROTEIN HIGH SENSITIVITY | $29.65 | $29.65 | $12.95–$27.87 | 43% below | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 B* HC C-REACTIVE PROTEIN HIGH SENSITIVITY | $29.65 | $29.65 | $25.20–$27.87 | — | — |
| Homocysteine blood test CPT 83090 B* HC ASSAY OF HOMOCYSTEINE | $343.50 | $343.50 | $17.92–$322.89 | 372% above | — |
| Homocysteine blood test inpatient CPT 83090 B* HC ASSAY OF HOMOCYSTEINE | $343.50 | $343.50 | $291.98–$322.89 | — | — |
| Insulin blood test CPT 83525 B* HC ASSAY OF INSULIN TOTAL | $86.75 | $86.75 | $11.43–$81.55 | 34% above | — |
| Insulin blood test inpatient CPT 83525 B* HC ASSAY OF INSULIN TOTAL | $86.75 | $86.75 | $73.74–$81.55 | — | — |
| Iron blood test (serum iron) CPT 83540 B* HC ASSAY OF IRON | $39.10 | $39.10 | $6.47–$36.75 | 4% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 B* HC ASSAY OF IRON | $39.10 | $39.10 | $33.24–$36.75 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 B* HC IRON BINDING CAPACITY | $33.35 | $33.35 | $8.74–$31.35 | 17% below | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 B* HC IRON BINDING CAPACITY | $33.35 | $33.35 | $28.35–$31.35 | — | — |
| Kidney function blood test panel CPT 80069 B* HC RENAL FUNCTION PANEL | $52.60 | $52.60 | $8.68–$49.44 | 21% below | — |
| Kidney function blood test panel inpatient CPT 80069 B* HC RENAL FUNCTION PANEL | $52.60 | $52.60 | $44.71–$49.44 | — | — |
| LH (luteinizing hormone) test CPT 83002 B* HC GONADOTROPIN LUTEINIZING HORMONE | $112.05 | $112.05 | $18.52–$105.33 | 32% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 B* HC GONADOTROPIN LUTEINIZING HORMONE | $112.05 | $112.05 | $95.24–$105.33 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 B* HC LACTATE DEHYDROGENASE LDH | $25.30 | $25.30 | $6.04–$23.78 | 30% below | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 B* HC LACTATE DEHYDROGENASE LDH | $25.30 | $25.30 | $21.51–$23.78 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 B* HC ASSAY OF LIPASE | $24.55 | $24.55 | $6.89–$23.08 | 47% below | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 B* HC ASSAY OF LIPASE | $24.55 | $24.55 | $20.87–$23.08 | — | — |
| Liver function blood test panel CPT 80076 B* HC HEPATIC FUNCTION PANEL | $47.25 | $47.25 | $8.17–$44.42 | 43% below | — |
| Liver function blood test panel inpatient CPT 80076 B* HC HEPATIC FUNCTION PANEL | $47.25 | $47.25 | $40.16–$44.42 | — | — |
| Lyme disease antibody test CPT 86618 B* HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $108.00 | $108.00 | $17.03–$101.52 | 39% above | — |
| Lyme disease antibody test inpatient CPT 86618 B* HC ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | $108.00 | $108.00 | $91.80–$101.52 | — | — |
| Magnesium blood test CPT 83735 B* HC ASSAY OF MAGNESIUM | $31.05 | $31.05 | $6.70–$29.19 | 23% below | — |
| Magnesium blood test inpatient CPT 83735 B* HC ASSAY OF MAGNESIUM | $31.05 | $31.05 | $26.39–$29.19 | — | — |
| Measles (rubeola) antibody test CPT 86765 B* HC ANTIBODY RUBEOLA | $35.10 | $35.10 | $12.88–$32.99 | at median | — |
| Measles (rubeola) antibody test inpatient CPT 86765 B* HC ANTIBODY RUBEOLA | $35.10 | $35.10 | $29.84–$32.99 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 B* HC HETEROPHILE ANTIBODIES SCREEN | $51.30 | $51.30 | $5.18–$48.22 | 42% above | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 B* HC HETEROPHILE ANTIBODIES SCREEN | $51.30 | $51.30 | $43.61–$48.22 | — | — |
| Mumps immunity blood test CPT 86735 B* HC ANTIBODY MUMPS | $28.65 | $28.65 | $13.05–$26.93 | 23% below | — |
| Mumps immunity blood test inpatient CPT 86735 B* HC ANTIBODY MUMPS | $28.65 | $28.65 | $24.35–$26.93 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 B* HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $51.90 | $51.90 | $18.39–$48.79 | 44% below | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 B* HC ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | $51.90 | $51.90 | $44.12–$48.79 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 B* HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $79.60 | $79.60 | $18.39–$74.82 | 11% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 B* HC ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | $79.60 | $79.60 | $67.66–$74.82 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 B* HC ASSAY OF PARATHORMONE | $218.00 | $218.00 | $41.28–$204.92 | 122% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 B* HC ASSAY OF PARATHORMONE | $218.00 | $218.00 | $185.30–$204.92 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 B* HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $59.75 | $59.75 | $6.01–$56.17 | 37% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 B* HC THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | $59.75 | $59.75 | $50.79–$56.17 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 B* HC ASSAY OF PHOSPHORUS INORGANIC | $28.35 | $28.35 | $4.74–$26.65 | 2% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 B* HC ASSAY OF PHOSPHORUS INORGANIC | $28.35 | $28.35 | $24.10–$26.65 | — | — |
| Potassium blood test CPT 84132 B* HC POTASSIUM SERUM PLASMA/WHOLE BLOOD | $23.55 | $23.55 | $4.76–$22.14 | 3% below | — |
| Potassium blood test inpatient CPT 84132 B* HC POTASSIUM SERUM PLASMA/WHOLE BLOOD | $23.55 | $23.55 | $20.02–$22.14 | — | — |
| Prolactin blood test CPT 84146 B* HC ASSAY OF PROLACTIN | $423.10 | $423.10 | $19.38–$397.71 | 464% above | — |
| Prolactin blood test inpatient CPT 84146 B* HC ASSAY OF PROLACTIN | $423.10 | $423.10 | $359.64–$397.71 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 B* HC PROTHROMBIN TIME | $57.05 | $57.05 | $4.29–$53.63 | 94% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $57.05 | $57.05 | $4.29–$53.63 | 94% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 B* HC PROTHROMBIN TIME | $57.05 | $57.05 | $48.49–$53.63 | — | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $57.05 | $57.05 | $48.49–$53.63 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 B* HC IAADIADOO STREPTOCOCCUS GROUP A | $34.40 | $34.40 | $16.53–$32.34 | 12% below | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 B* HC IAADIADOO STREPTOCOCCUS GROUP A | $34.40 | $34.40 | $29.24–$32.34 | — | — |
| Renin blood test CPT 84244 B* HC ASSAY OF RENIN | $59.90 | $59.90 | $21.99–$56.31 | 19% below | — |
| Renin blood test inpatient CPT 84244 B* HC ASSAY OF RENIN | $59.90 | $59.90 | $50.92–$56.31 | — | — |
| Rh blood typing CPT 86901 B* HC (ARC) BLOOD TYPING SEROLOGIC RH (D) | $39.85 | $39.85 | $33.71–$37.46 | 9% above | — |
| Rh blood typing CPT 86901 B* HC BLOOD TYPING SEROLOGIC RH (D) | $39.85 | $39.85 | $33.71–$37.46 | 9% above | — |
| Rh blood typing CPT 86901 HC BLOOD TYPE RH | $39.85 | $39.85 | $33.71–$37.46 | 9% above | — |
| Rh blood typing inpatient CPT 86901 B* HC (ARC) BLOOD TYPING SEROLOGIC RH (D) | $39.85 | $39.85 | $33.87–$37.46 | — | — |
| Rh blood typing inpatient CPT 86901 HC BLOOD TYPE RH | $39.85 | $39.85 | $33.87–$37.46 | — | — |
| Rh blood typing inpatient CPT 86901 B* HC BLOOD TYPING SEROLOGIC RH (D) | $39.85 | $39.85 | $33.87–$37.46 | — | — |
| Rheumatoid factor (RF) test CPT 86431 B* HC RHEUMATOID FACTOR QUANTITATIVE | $22.30 | $22.30 | $5.67–$20.96 | 34% below | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 B* HC RHEUMATOID FACTOR QUANTITATIVE | $22.30 | $22.30 | $18.96–$20.96 | — | — |
| Rubella antibody test (immunity check) CPT 86762 B* HC ANTIBODY RUBELLA | $58.95 | $58.95 | $14.39–$55.41 | 18% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 B* HC ANTIBODY RUBELLA | $58.95 | $58.95 | $50.11–$55.41 | — | — |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 B* HC SEDIMENTATION RATE RBC AUTOMATED | $25.30 | $25.30 | $2.70–$23.78 | 15% below | — |
| Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 B* HC SEDIMENTATION RATE RBC AUTOMATED | $25.30 | $25.30 | $21.51–$23.78 | — | — |
| Sodium blood test CPT 84295 B* HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $12.30 | $12.30 | $4.81–$11.56 | 48% below | — |
| Sodium blood test inpatient CPT 84295 B* HC SODIUM SERUM PLASMA OR WHOLE BLOOD | $12.30 | $12.30 | $10.46–$11.56 | — | — |
| Stool ova and parasites exam CPT 87177 B* HC OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $20.40 | $20.40 | $8.90–$19.18 | 45% below | — |
| Stool ova and parasites exam inpatient CPT 87177 B* HC OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | $20.40 | $20.40 | $17.34–$19.18 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 B* HC SCREEN BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $40.50 | $40.50 | $15.92–$38.07 | 1% below | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 B* HC DX BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $40.50 | $40.50 | $15.92–$38.07 | 1% below | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 B* HC DX BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $40.50 | $40.50 | $34.43–$38.07 | — | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 B* HC SCREEN BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | $40.50 | $40.50 | $34.43–$38.07 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 B* HC ANTIBODY TREPONEMA PALLIDUM | $64.60 | $64.60 | $13.24–$60.72 | 21% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 B* HC ANTIBODY TREPONEMA PALLIDUM | $64.60 | $64.60 | $54.91–$60.72 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 B* HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $11.55 | $11.55 | $4.27–$10.86 | 63% below | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 B* HC SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | $11.55 | $11.55 | $9.82–$10.86 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 B* HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $167.15 | $167.15 | $61.98–$157.12 | 42% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 B* HC TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | $167.15 | $167.15 | $142.08–$157.12 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 B* HC ASSAY OF TESTOSTERONE TOTAL | $165.00 | $165.00 | $25.81–$155.10 | 81% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 B* HC ASSAY OF TESTOSTERONE TOTAL | $165.00 | $165.00 | $140.25–$155.10 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 B* HC MICROSOMAL ANTIBODIES EACH | $112.65 | $112.65 | $14.55–$105.89 | 31% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 B* HC MICROSOMAL ANTIBODIES EACH | $112.65 | $112.65 | $95.75–$105.89 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 B* HC ASSAY OF THYROID STIMULATING HORMONE TSH | $196.40 | $196.40 | $16.80–$184.62 | 152% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 B* HC ASSAY OF THYROID STIMULATING HORMONE TSH | $196.40 | $196.40 | $166.94–$184.62 | — | — |
| Total IgE blood test CPT 82785 B* HC ASSAY OF GAMMAGLOBULIN IGE | $86.75 | $86.75 | $16.46–$81.55 | 36% above | — |
| Total IgE blood test inpatient CPT 82785 B* HC ASSAY OF GAMMAGLOBULIN IGE | $86.75 | $86.75 | $73.74–$81.55 | — | — |
| Total cholesterol blood test CPT 82465 B* HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL | $14.20 | $14.20 | $4.35–$13.35 | 42% below | — |
| Total cholesterol blood test inpatient CPT 82465 B* HC CHOLESTEROL SERUM/WHOLE BLOOD TOTAL | $14.20 | $14.20 | $12.07–$13.35 | — | — |
| Total thyroxine (T4) blood test CPT 84436 B* HC ASSAY OF THYROXINE TOTAL | $162.60 | $162.60 | $6.87–$152.84 | 234% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 B* HC ASSAY OF THYROXINE TOTAL | $162.60 | $162.60 | $138.21–$152.84 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 B* HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $123.85 | $123.85 | $14.18–$116.42 | 47% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 B* HC ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | $123.85 | $123.85 | $105.27–$116.42 | — | — |
| Transferrin blood test CPT 84466 B* HC ASSAY OF L7383TRANSFERRIN | $48.95 | $48.95 | $12.76–$46.01 | 16% below | — |
| Transferrin blood test inpatient CPT 84466 B* HC ASSAY OF L7383TRANSFERRIN | $48.95 | $48.95 | $41.61–$46.01 | — | — |
| Trichomonas test (NAAT) CPT 87661 B* HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $69.85 | $69.85 | $35.09–$65.66 | 22% below | — |
| Trichomonas test (NAAT) inpatient CPT 87661 B* HC IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | $69.85 | $69.85 | $59.37–$65.66 | — | — |
| Triglycerides blood test CPT 84478 B* HC ASSAY OF TRIGLYCERIDES | $13.70 | $13.70 | $5.74–$12.88 | 69% below | — |
| Triglycerides blood test inpatient CPT 84478 B* HC ASSAY OF TRIGLYCERIDES | $13.70 | $13.70 | $11.65–$12.88 | — | — |
| Troponin test, quantitative CPT 84484 B* HC ASSAY OF TROPONIN QUANTITATIVE | $43.65 | $43.65 | $12.47–$41.03 | 45% below | — |
| Troponin test, quantitative inpatient CPT 84484 B* HC ASSAY OF TROPONIN QUANTITATIVE | $43.65 | $43.65 | $37.10–$41.03 | — | — |
| Uric acid blood test CPT 84550 B* HC ASSAY OF BLOOD/URIC ACID | $153.15 | $153.15 | $4.52–$143.96 | 394% above | — |
| Uric acid blood test inpatient CPT 84550 B* HC ASSAY OF BLOOD/URIC ACID | $153.15 | $153.15 | $130.18–$143.96 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 B* HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $21.60 | $21.60 | $3.17–$20.30 | 37% below | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 B* HC URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | $21.60 | $21.60 | $18.36–$20.30 | — | — |
| Urinalysis with microscope exam, manual CPT 81000 B* HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $48.30 | $48.30 | $4.02–$45.40 | 94% above | — |
| Urinalysis with microscope exam, manual inpatient CPT 81000 B* HC URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | $48.30 | $48.30 | $41.06–$45.40 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 B* HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $21.60 | $21.60 | $2.25–$20.30 | at median | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 B* HC URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | $21.60 | $21.60 | $18.36–$20.30 | — | — |
| Urinalysis without microscope exam, manual CPT 81002 B* HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $10.85 | $10.85 | $3.48–$10.20 | 31% below | — |
| Urinalysis without microscope exam, manual inpatient CPT 81002 B* HC URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | $10.85 | $10.85 | $9.22–$10.20 | — | — |
| Urine culture for bacteria, with colony count CPT 87086 B* HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $64.15 | $64.15 | $8.07–$60.30 | at median | — |
| Urine culture for bacteria, with colony count inpatient CPT 87086 B* HC CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | $64.15 | $64.15 | $54.53–$60.30 | — | — |
| Urine microalbumin (albumin) test CPT 82043 B* HC URINE ALBUMIN QUANTITATIVE | $51.60 | $51.60 | $5.78–$48.50 | 1% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 B* HC URINE ALBUMIN QUANTITATIVE | $51.60 | $51.60 | $43.86–$48.50 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 B* HC CYANOCOBALAMIN VITAMIN B-12 | $87.40 | $87.40 | $15.08–$82.16 | 2% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B* HC CYANOCOBALAMIN VITAMIN B-12 | $87.40 | $87.40 | $74.29–$82.16 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 B* HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $226.55 | $226.55 | $29.60–$212.96 | 99% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 B* HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | $226.55 | $226.55 | $192.57–$212.96 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 B* HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $62.60 | $62.60 | $38.50–$58.84 | 52% below | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 B* HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | $62.60 | $62.60 | $53.21–$58.84 | — | — |
| Zinc blood test CPT 84630 B* HC ASSAY OF ZINC | $40.95 | $40.95 | $11.39–$38.49 | 3% below | — |
| Zinc blood test inpatient CPT 84630 B* HC ASSAY OF ZINC | $40.95 | $40.95 | $34.81–$38.49 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 B* HC GONADOTROPIN CHORIONIC QUANTITATIVE | $226.45 | $226.45 | $15.05–$212.86 | 178% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 B* HC GONADOTROPIN CHORIONIC QUANTITATIVE | $226.45 | $226.45 | $192.48–$212.86 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT W/DEVICE | $118.95 | $118.95 | $100.63–$216.53 | 35% below | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT W/DEVICE | $118.95 | $118.95 | $101.11–$111.81 | — | — |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $197.75 | $197.75 | $15.04–$185.89 | 45% above | — |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 PR ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | $197.75 | $197.75 | $168.09–$185.89 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC ECG TRACING | $78.30 | $78.30 | $58.33–$73.60 | 30% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC ECG TRACING | $78.30 | $78.30 | $66.56–$73.60 | — | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC DT CD-DAY TRTMNT FAM W PT 50 MIN | $191.65 | $191.65 | $162.14–$180.15 | 8% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC IOP DAY TREATMENT FAM THERAPY W PT 50 MIN | $191.65 | $191.65 | $162.14–$180.15 | 8% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYTX W/PT PRESENT | $191.65 | $191.65 | $162.14–$180.15 | 8% above | — |
| Family therapy with the patient, 50 minutes CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $307.70 | $307.70 | $175.51–$289.24 | 73% above | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC IOP DAY TREATMENT FAM THERAPY W PT 50 MIN | $191.65 | $191.65 | $162.90–$180.15 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC DT CD-DAY TRTMNT FAM W PT 50 MIN | $191.65 | $191.65 | $162.90–$180.15 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYTX W/PT PRESENT | $191.65 | $191.65 | $162.90–$180.15 | — | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | $307.70 | $307.70 | $261.55–$289.24 | — | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN | $258.75 | $258.75 | $175.51–$243.23 | 90% above | — |
| Family therapy without the patient, 50 minutes CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $274.00 | $274.00 | $175.51–$257.56 | 101% above | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT 50 MIN | $258.75 | $258.75 | $219.94–$243.23 | — | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | $274.00 | $274.00 | $232.90–$257.56 | — | — |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY | $47.55 | $47.55 | $40.23–$100.45 | 22% below | — |
| Group psychotherapy session CPT 90853 HC DT CD EDUCATION GROUP | $103.05 | $103.05 | $87.18–$100.45 | 70% above | — |
| Group psychotherapy session CPT 90853 HC DT CD GRP THERAPY 45-50 MIN | $103.05 | $103.05 | $87.18–$100.45 | 70% above | — |
| Group psychotherapy session CPT 90853 HC IOP-DAY TREATMENT GRP 45-50 MIN | $103.05 | $103.05 | $87.18–$100.45 | 70% above | — |
| Group psychotherapy session CPT 90853 HC DT CD ACTIVITY TX GRP | $125.25 | $125.25 | $100.45–$117.74 | 106% above | — |
| Group psychotherapy session CPT 90853 PR GROUP PSYCHOTHERAPY | $142.15 | $142.15 | $100.45–$133.62 | 134% above | — |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY | $47.55 | $47.55 | $40.42–$44.70 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC IOP-DAY TREATMENT GRP 45-50 MIN | $103.05 | $103.05 | $87.59–$96.87 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC DT CD GRP THERAPY 45-50 MIN | $103.05 | $103.05 | $87.59–$96.87 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC DT CD EDUCATION GROUP | $103.05 | $103.05 | $87.59–$96.87 | — | — |
| Group psychotherapy session inpatient CPT 90853 HC DT CD ACTIVITY TX GRP | $125.25 | $125.25 | $106.46–$117.74 | — | — |
| Group psychotherapy session inpatient CPT 90853 PR GROUP PSYCHOTHERAPY | $142.15 | $142.15 | $120.83–$133.62 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM | $67.15 | $67.15 | $56.81–$71.19 | 3% below | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM | $67.15 | $67.15 | $57.08–$63.12 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC IOP PSYCH INTAKE EVALUATION | $225.10 | $225.10 | $175.51–$893.00 | 5% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC CO-OCCURRING DISORDER-INTAKE | $225.10 | $225.10 | $175.51–$893.00 | 5% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $225.10 | $225.10 | $175.51–$893.00 | 5% above | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $578.70 | $578.70 | $175.51–$893.00 | 169% above | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC PSYCH DIAGNOSTIC EVALUATION | $225.10 | $225.10 | $191.34–$211.59 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC IOP PSYCH INTAKE EVALUATION | $225.10 | $225.10 | $191.34–$211.59 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HC CO-OCCURRING DISORDER-INTAKE | $225.10 | $225.10 | $191.34–$211.59 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION | $578.70 | $578.70 | $491.90–$543.98 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR RE-EDUC 1/> AREAS EA 15 MIN-ACADEMY | $112.05 | $112.05 | $32.47–$105.33 | 13% above | — |
| Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION 1/> AREAS EA 15 MIN | $112.05 | $112.05 | $32.47–$105.33 | 13% above | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION 1/> AREAS EA 15 MIN | $112.05 | $112.05 | $95.24–$105.33 | — | — |
| Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR RE-EDUC 1/> AREAS EA 15 MIN-ACADEMY | $112.05 | $112.05 | $95.24–$105.33 | — | — |
| New patient office visit, about 30 minutes CPT 99203 HC OFFICE/OUTPT NEW LEV 3 | $261.55 | $261.55 | $115.07–$245.86 | 82% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE/OUTPT NEW LEV 3 | $261.55 | $261.55 | $222.32–$245.86 | — | — |
| New patient office visit, about 45 minutes CPT 99204 HC OFFICE/OUTPT NEW LEV 4 | $406.95 | $406.95 | $173.66–$382.53 | 95% above | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE/OUTPT NEW LEV 4 | $406.95 | $406.95 | $345.91–$382.53 | — | — |
| New patient office visit, about 60 minutes CPT 99205 HC OFFICE/OUTPT NEW LEV 5 | $511.15 | $511.15 | $231.40–$480.48 | 54% above | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE/OUTPT NEW LEV 5 | $511.15 | $511.15 | $434.48–$480.48 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE/OUTPT NEW LEV 2 | $186.30 | $186.30 | $73.91–$175.12 | 111% above | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE/OUTPT NEW LEV 2 | $186.30 | $186.30 | $158.36–$175.12 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX - ACADEMY | $337.80 | $337.80 | $99.97–$317.53 | 51% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEX | $337.80 | $337.80 | $99.97–$317.53 | 51% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 HC IOP OT EVAL LOW COMPLEX | $337.80 | $337.80 | $99.97–$317.53 | 51% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEX - ACADEMY | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 HC IOP OT EVAL LOW COMPLEX | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX | $337.80 | $337.80 | $97.33–$317.53 | 22% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX - ACADEMY | $337.80 | $337.80 | $97.33–$317.53 | 22% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX - ACADEMY | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX | $337.80 | $337.80 | $97.33–$317.53 | 51% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX - ACADEMY | $337.80 | $337.80 | $97.33–$317.53 | 51% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX - ACADEMY | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX | $337.80 | $337.80 | $97.33–$317.53 | 25% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX - ACADEMY | $337.80 | $337.80 | $97.33–$317.53 | 25% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX - ACADEMY | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX | $337.80 | $337.80 | $287.13–$317.53 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN | $49.30 | $49.30 | $27.48–$46.34 | 50% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN - ACADEMY | $49.30 | $49.30 | $27.48–$46.34 | 50% below | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN - ACADEMY | $49.30 | $49.30 | $41.91–$46.34 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THERAPY 1/> REGIONS EA 15 MIN | $49.30 | $49.30 | $41.91–$46.34 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES 1/> AREAS EA 15 MIN - ACADEMY | $67.90 | $67.90 | $28.81–$63.83 | at median | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES 1/> AREAS EA 15 MIN | $67.90 | $67.90 | $28.81–$63.83 | at median | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES 1/> AREAS EA 15 MIN | $67.90 | $67.90 | $57.72–$63.83 | — | — |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES 1/> AREAS EA 15 MIN - ACADEMY | $67.90 | $67.90 | $57.72–$63.83 | — | — |
| Psychiatric evaluation with medical services CPT 90792 HC PSYCH DX EVAL W/MED SRVCS | $225.10 | $225.10 | $175.51–$893.00 | at median | — |
| Psychiatric evaluation with medical services CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $398.10 | $398.10 | $175.51–$893.00 | 76% above | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCH DX EVAL W/MED SRVCS | $225.10 | $225.10 | $191.34–$211.59 | — | — |
| Psychiatric evaluation with medical services inpatient CPT 90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | $398.10 | $398.10 | $338.39–$374.21 | — | — |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC PSYCH TESTING EVAL PHYS/QHP 1ST HR | $345.50 | $345.50 | $213.51–$324.77 | 134% above | — |
| Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HC PSYCH TESTING EVAL PHYS/QHP 1ST HR | $345.50 | $345.50 | $293.68–$324.77 | — | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC CRISIS PSYCHOTHRPY 30-74 MIN | $293.80 | $293.80 | $175.51–$276.17 | 5% above | — |
| Psychotherapy for crisis, first 60 minutes CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $468.85 | $468.85 | $175.51–$440.72 | 68% above | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HC CRISIS PSYCHOTHRPY 30-74 MIN | $293.80 | $293.80 | $249.73–$276.17 | — | — |
| Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | $468.85 | $468.85 | $398.52–$440.72 | — | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY 16-37 MIN | $149.85 | $149.85 | $126.77–$175.51 | 11% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC IOP PSYCHOTHERAPY 16-37 MIN | $149.85 | $149.85 | $126.77–$175.51 | 11% above | — |
| Psychotherapy session, 30 minutes CPT 90832 HC DT CD 16-37 MIN W PT & OR FAM | $149.85 | $149.85 | $126.77–$175.51 | 11% above | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC IOP PSYCHOTHERAPY 16-37 MIN | $149.85 | $149.85 | $127.37–$140.86 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC DT CD 16-37 MIN W PT & OR FAM | $149.85 | $149.85 | $127.37–$140.86 | — | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY 16-37 MIN | $149.85 | $149.85 | $127.37–$140.86 | — | — |
| Psychotherapy session, 45 minutes CPT 90834 HC DT CD 38-52 MIN W PT & OR FAM | $234.10 | $234.10 | $175.51–$220.05 | 34% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC IOP PSYCHOTHERAPY 38-52 MIN | $234.10 | $234.10 | $175.51–$220.05 | 34% above | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY 38-52 MIN | $234.10 | $234.10 | $175.51–$220.05 | 34% above | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC DT CD 38-52 MIN W PT & OR FAM | $234.10 | $234.10 | $198.99–$220.05 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCHOTHERAPY 38-52 MIN | $234.10 | $234.10 | $198.99–$220.05 | — | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC IOP PSYCHOTHERAPY 38-52 MIN | $234.10 | $234.10 | $198.99–$220.05 | — | — |
| Psychotherapy session, 60 minutes CPT 90837 HC IOP PSYCHOTHERAPY 53+ MIN | $349.55 | $349.55 | $175.51–$328.58 | 106% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC DT CD 53+ MIN W PT & OR FAMILY | $349.55 | $349.55 | $175.51–$328.58 | 106% above | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY 53+ MIN | $349.55 | $349.55 | $175.51–$328.58 | 106% above | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC IOP PSYCHOTHERAPY 53+ MIN | $349.55 | $349.55 | $297.12–$328.58 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC DT CD 53+ MIN W PT & OR FAMILY | $349.55 | $349.55 | $297.12–$328.58 | — | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYCHOTHERAPY 53+ MIN | $349.55 | $349.55 | $297.12–$328.58 | — | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $27.10 | $27.10 | $22.93–$37.05 | 9% above | — |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $31.05 | $31.05 | $26.27–$37.05 | 25% above | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC BEHAV CHNG SMOKING 3-10 MIN | $27.10 | $27.10 | $23.04–$25.47 | — | — |
| Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | $31.05 | $31.05 | $26.39–$29.19 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE/OUTPT EST LEV 5 | $360.40 | $360.40 | $188.97–$338.78 | 148% above | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE/OUTPT EST LEV 5 | $360.40 | $360.40 | $306.34–$338.78 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE/OUTPT EST LEV 3 | $180.85 | $180.85 | $93.64–$170.00 | 147% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE/OUTPT EST LEV 3 | $180.85 | $180.85 | $153.72–$170.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE/OUTPT EST LEV 4 | $267.25 | $267.25 | $133.28–$251.22 | 153% above | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE/OUTPT EST LEV 4 | $267.25 | $267.25 | $227.16–$251.22 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE/OUTPT EST LEV 2 | $109.35 | $109.35 | $58.41–$102.79 | 94% above | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE/OUTPT EST LEV 2 | $109.35 | $109.35 | $92.95–$102.79 | — | — |
| Speech and language evaluation CPT 92523 HC EVAL SPEECH PROD W/EVAL LANG COMP & EXPRSSN - ACADEMY | $349.25 | $349.25 | $225.45–$328.30 | 8% above | — |
| Speech and language evaluation CPT 92523 HC EVAL OF SPEECH PROD W/EVAL LANG COMP & EXPRESSION | $349.25 | $349.25 | $225.45–$328.30 | 8% above | — |
| Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH PROD W/EVAL LANG COMP & EXPRSSN - ACADEMY | $349.25 | $349.25 | $296.86–$328.30 | — | — |
| Speech and language evaluation inpatient CPT 92523 HC EVAL OF SPEECH PROD W/EVAL LANG COMP & EXPRESSION | $349.25 | $349.25 | $296.86–$328.30 | — | — |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIVIDUAL | $145.85 | $145.85 | $75.74–$137.10 | 11% below | — |
| Speech therapy session, individual CPT 92507 HC SPEECH/HEARING THERAPY INDIVID - ACADEMY | $145.85 | $145.85 | $75.74–$137.10 | 11% below | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY INDIVIDUAL | $145.85 | $145.85 | $123.97–$137.10 | — | — |
| Speech therapy session, individual inpatient CPT 92507 HC SPEECH/HEARING THERAPY INDIVID - ACADEMY | $145.85 | $145.85 | $123.97–$137.10 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES 1/1 CONTACT EA 15 MINS | $115.45 | $115.45 | $34.77–$108.52 | 1% above | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITY 1/1 CONTACT EA 15 MIN - ACADEMY | $115.45 | $115.45 | $34.77–$108.52 | 1% above | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES 1/1 CONTACT EA 15 MINS | $115.45 | $115.45 | $98.13–$108.52 | — | — |
| Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITY 1/1 CONTACT EA 15 MIN - ACADEMY | $115.45 | $115.45 | $98.13–$108.52 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Maine | Off list |
|---|---|---|---|---|---|
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM (COMBINED) | $377.46 | $377.46 | $158.53–$354.81 | 745% above | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM (COMBINED) | $377.46 | $377.46 | $320.84–$354.81 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IM ADM HCQ ID SUBQ/IM NJXS 1 VACCINE | $62.50 | $62.50 | $52.88–$71.19 | 254% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IM ADM HCQ ID SUBQ/IM NJXS 1 VACCINE | $62.50 | $62.50 | $53.13–$58.75 | — | — |
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.