Hospital

Gibson General Hospital

Listed in its price file as “Deaconess Health System Gibson General Hospital”.

Gibson General Hospital in Princeton, IN publishes cash prices for 343 common procedures listed here, from its own machine-readable price file updated Feb 11, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Indiana median for 271 of 337 procedures and above it for 65. By typical cash price it ranks #11 of 84 Indiana hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

1808 Sherman Dr, Princeton, IN 47670-1043 Collected Sep 23, 2026 Source price file Check a bill from this hospital (812) 385-3401

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 151319 · CMS hospital register NPI 1558346007

Financial assistance

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

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

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

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

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$1,078.55	$2,035.00	$396.95–$1,831.50	20% below	47%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN W&W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
Abdominal X-ray, 2 views CPT 74019 HC XR ABDOMEN 2 VIEWS	$183.91	$347.00	$86.75–$633.18	32% below	47%
Abdominal X-ray, 2 views inpatient CPT 74019 HC XR ABDOMEN 2 VIEWS	$183.91	$347.00	$183.91–$312.30	—	47%
Ankle X-ray, complete, 3 or more views CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$164.83	$311.00	$77.75–$523.32	16% below	47%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC XR ANKLE COMPLETE 3+ VIEWS	$164.83	$311.00	$164.83–$279.90	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$325.90	$614.90	$153.73–$735.65	—	47%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 HC DOPPLER ARTERIAL EXTREMITY LIMITED BILAT	$325.90	$614.90	$325.90–$553.41	—	47%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	3% below	47%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTREMITY W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$127.20	$240.00	$60.00–$1,058.16	73% below	47%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC XR EXAM ESOPHAGUS 1CNTRST	$127.20	$240.00	$127.20–$216.00	—	47%
Bone scan, whole body (nuclear medicine) CPT 78306 HC NM BONE WHOLE BODY	$1,158.58	$2,186.00	$546.50–$2,375.33	27% below	47%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC NM BONE WHOLE BODY	$1,158.58	$2,186.00	$1,158.58–$1,967.40	—	47%
Breast ultrasound, complete, one breast both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$287.26	$542.00	$135.50–$633.18	—	47%
Breast ultrasound, complete, one breast one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$239.56	$452.00	$113.00–$633.18	45% below	47%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 HC US BREAST COMPLETE BILATERAL	$287.26	$542.00	$287.26–$487.80	—	47%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 HC US BREAST COMPLETE UNILATERAL	$239.56	$452.00	$239.56–$406.80	—	47%
Breast ultrasound, limited (one breast or one area) both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$203.52	$384.00	$96.00–$523.32	—	47%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$169.60	$320.00	$80.00–$523.32	48% below	47%
Breast ultrasound, limited (one breast or one area) inpatient both sides CPT 76642 HC US BREAST LIMITED BILATERAL	$203.52	$384.00	$203.52–$345.60	—	47%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HC US BREAST LIMITED UNILATERAL	$169.60	$320.00	$169.60–$288.00	—	47%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$785.99	$1,483.00	$370.75–$2,214.82	58% below	47%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABD/PELVIS W/WO CONTRAST POST	$785.99	$1,483.00	$785.99–$1,334.70	—	47%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD W&W/O CONTRAST	$1,189.85	$2,245.00	$396.95–$2,020.50	7% below	47%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD W&W/O CONTRAST	$1,189.85	$2,245.00	$1,189.85–$2,020.50	—	47%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK W&W/O CONTRAST	$1,189.85	$2,245.00	$396.95–$2,020.50	2% below	47%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK W&W/O CONTRAST	$1,189.85	$2,245.00	$1,189.85–$2,020.50	—	47%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,189.85	$2,245.00	$396.95–$2,020.50	7% below	47%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST (NONCORONARY) W AND/OR W/O CONTRAST	$1,189.85	$2,245.00	$1,189.85–$2,020.50	—	47%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 HC CALCIUM SCORING	$28.09	$53.00	$13.25–$523.32	85% below	47%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 HC CALCIUM SCORING	$28.09	$53.00	$28.09–$47.70	—	47%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$1,557.14	$2,938.00	$529.41–$2,644.20	30% above	47%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABDOMEN & PELVIS W/O CONTRAST	$1,557.14	$2,938.00	$1,557.14–$2,644.20	—	47%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$1,813.13	$3,421.00	$830.87–$3,078.90	5% above	47%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN AND PELVIS WITH CONTRAST	$1,813.13	$3,421.00	$1,813.13–$3,078.90	—	47%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,096.15	$3,955.00	$830.87–$3,559.50	22% above	47%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN & PELVIS W&W/O CONTRAST 1+ REGIONS	$2,096.15	$3,955.00	$2,096.15–$3,559.50	—	47%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$906.83	$1,711.00	$396.95–$1,539.90	15% below	47%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$906.83	$1,711.00	$906.83–$1,539.90	—	47%
CT scan of the abdomen without contrast CPT 74150 HC CT ABDOMEN W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	8% below	47%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABDOMEN W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$898.35	$1,695.00	$237.53–$1,525.50	8% above	47%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL W/O CONTRAST	$898.35	$1,695.00	$898.35–$1,525.50	—	47%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$838.99	$1,583.00	$237.53–$1,424.70	10% above	47%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN W/O CONTRAST	$838.99	$1,583.00	$838.99–$1,424.70	—	47%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$906.83	$1,711.00	$396.95–$1,539.90	6% above	47%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W/CONTRAST	$906.83	$1,711.00	$906.83–$1,539.90	—	47%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,078.55	$2,035.00	$396.95–$1,831.50	3% above	47%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN W&W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,197.80	$2,260.00	$237.53–$2,034.00	35% above	47%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE W/O CONTRAST	$1,197.80	$2,260.00	$1,197.80–$2,034.00	—	47%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	6% below	47%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W/CONTRAST	$906.83	$1,711.00	$396.95–$1,539.90	2% below	47%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W/CONTRAST	$906.83	$1,711.00	$906.83–$1,539.90	—	47%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$718.68	$1,356.00	$339.00–$1,411.19	—	47%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX EXTRACRANIAL/CAROTID BILAT	$718.68	$1,356.00	$718.68–$1,220.40	—	47%
Chest CT scan without and with contrast CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$1,078.55	$2,035.00	$396.95–$1,831.50	1% below	47%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT THORAX DIAG W&W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
Chest X-ray, 2 views CPT 71046 HC XR CHEST 2 VIEWS	$149.99	$283.00	$70.75–$523.32	27% below	47%
Chest X-ray, 2 views inpatient CPT 71046 HC XR CHEST 2 VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%
Chest X-ray, single view CPT 71045 HC XR CHEST 1 VIEW	$135.15	$255.00	$63.75–$523.32	17% below	47%
Chest X-ray, single view inpatient CPT 71045 HC XR CHEST 1 VIEW	$135.15	$255.00	$135.15–$229.50	—	47%
Collarbone (clavicle) X-ray, complete CPT 73000 HC XR CLAVICLE COMPLETE	$137.80	$260.00	$65.00–$523.32	28% below	47%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC XR CLAVICLE COMPLETE	$137.80	$260.00	$137.80–$234.00	—	47%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERITIONEAL COMPLETE	$169.07	$319.00	$79.75–$633.18	66% below	47%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERITIONEAL COMPLETE	$169.07	$319.00	$169.07–$287.10	—	47%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$239.56	$452.00	$113.00–$633.18	17% below	47%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HC XR BONE DENSITY DUAL ENERGY (DXA) AXIAL	$239.56	$452.00	$239.56–$406.80	—	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$183.38	$346.00	$86.50–$523.32	26% above	47%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HC XR BONE DENSITY DUAL ENERGY (DEXA) APPENDICULAR	$183.38	$346.00	$183.38–$311.40	—	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$780.16	$1,472.00	$237.53–$1,324.80	6% below	47%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT LOW DOSE LUNG DIAGNOSTIC - FOLLOW UP	$780.16	$1,472.00	$237.53–$1,324.80	6% below	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT THORAX DIAG W/O CONTRAST	$780.16	$1,472.00	$780.16–$1,324.80	—	47%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT LOW DOSE LUNG DIAGNOSTIC - FOLLOW UP	$780.16	$1,472.00	$780.16–$1,324.80	—	47%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT THORAX DIAG W/CONTRAST	$876.62	$1,654.00	$396.95–$1,488.60	7% below	47%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT THORAX DIAG W/CONTRAST	$876.62	$1,654.00	$876.62–$1,488.60	—	47%
Diagnostic mammogram, both breasts both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$189.21	$357.00	$89.25–$321.30	—	47%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC MAMMOGRAM DIAGNOSTIC BILATERAL W/DIGITAL IMAGES W CAD	$189.21	$357.00	$189.21–$321.30	—	47%
Diagnostic mammogram, one breast one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$139.92	$264.00	$66.00–$237.60	37% below	47%
Diagnostic mammogram, one breast inpatient one side CPT 77065 HC MAMMOGRAM DIAGNOSTIC UNILATERAL W/DIGITAL IMAGES W CAD	$139.92	$264.00	$139.92–$237.60	—	47%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$779.10	$1,470.00	$367.50–$1,411.19	—	47%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC DUPLEX ARTERIAL LOWER EXTREMITY BILAT	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$658.79	$1,243.00	$310.75–$1,411.19	—	47%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC DUPLEX VENOUS EXTREMITY BILAT	$658.79	$1,243.00	$658.79–$1,118.70	—	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$933.33	$1,761.00	$440.25–$3,177.16	44% below	47%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE	$933.33	$1,761.00	$440.25–$3,177.16	44% below	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE	$933.33	$1,761.00	$933.33–$1,584.90	—	47%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO 2D WITH SPEC/COLOR FLOW M-MODE COMPLETE	$933.33	$1,761.00	$933.33–$1,584.90	—	47%
Elbow X-ray, 2 views CPT 73070 HC XR ELBOW 2 VIEWS	$119.78	$226.00	$56.50–$523.32	28% below	47%
Elbow X-ray, 2 views inpatient CPT 73070 HC XR ELBOW 2 VIEWS	$119.78	$226.00	$119.78–$203.40	—	47%
Elbow X-ray, complete, 3 or more views CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$140.98	$266.00	$66.50–$523.32	45% below	47%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC XR ELBOW COMPLETE 3+ VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	9% below	47%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT/SELLA/FOSSA/EAR W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$157.94	$298.00	$74.50–$633.18	42% below	47%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC XR FACIAL BONES COMPLETE 3+ VIEWS	$157.94	$298.00	$157.94–$268.20	—	47%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC XR FOREARM 2 VIEWS	$140.98	$266.00	$66.50–$523.32	24% below	47%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC XR FOREARM 2 VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$833.16	$1,572.00	$393.00–$2,375.33	37% below	47%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC NM HEPATOBILIARY SYSTEM IMAGING INC GALLBLADDER	$833.16	$1,572.00	$833.16–$1,414.80	—	47%
Hand X-ray, 2 views CPT 73120 HC XR HAND 2 VIEWS	$137.80	$260.00	$65.00–$633.18	20% below	47%
Hand X-ray, 2 views inpatient CPT 73120 HC XR HAND 2 VIEWS	$137.80	$260.00	$137.80–$234.00	—	47%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC XR CALCANEUS 2+ VIEWS	$123.49	$233.00	$58.25–$523.32	42% below	47%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC XR CALCANEUS 2+ VIEWS	$123.49	$233.00	$123.49–$209.70	—	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,802.00	$3,400.00	$850.00–$6,021.41	45% below	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,802.00	$3,400.00	$850.00–$6,021.41	45% below	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND SPLY	$1,802.00	$3,400.00	$1,802.00–$3,060.00	—	47%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND CPAP	$1,802.00	$3,400.00	$1,802.00–$3,060.00	—	47%
Knee X-ray, 3 views CPT 73562 HC XR KNEE 3 VIEWS	$164.83	$311.00	$77.75–$523.32	28% below	47%
Knee X-ray, 3 views inpatient CPT 73562 HC XR KNEE 3 VIEWS	$164.83	$311.00	$164.83–$279.90	—	47%
Knee X-ray, complete, 4 or more views CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$179.67	$339.00	$84.75–$633.18	31% below	47%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC XR KNEE COMPLETE 4+ VIEWS	$179.67	$339.00	$179.67–$305.10	—	47%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	1% below	47%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTREMITY W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$479.12	$904.00	$226.00–$813.60	5% above	47%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$479.12	$904.00	$479.12–$813.60	—	47%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$323.83	$611.00	$152.75–$633.18	7% above	47%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US EXTREMITY NON VASCULAR LIMITED ANATOMIC SPEC	$323.83	$611.00	$323.83–$549.90	—	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC LOW DOSE LUNG CT SCREENING	$906.83	$1,711.00	$241.63–$1,539.90	376% above	47%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC LOW DOSE LUNG CT SCREENING	$906.83	$1,711.00	$906.83–$1,539.90	—	47%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$149.99	$283.00	$70.75–$523.32	24% below	47%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC XR TIBIA/FIBULA 2 VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA HEAD W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	4% below	47%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA HEAD W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$984.21	$1,857.00	$464.25–$1,671.30	4% below	47%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$984.21	$1,857.00	$984.21–$1,671.30	—	47%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$1,378.00	$2,600.00	$650.00–$2,340.00	5% below	47%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER EXTREMITY JOINT W&W/O CONTRAST	$1,378.00	$2,600.00	$1,378.00–$2,340.00	—	47%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	1% above	47%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,378.00	$2,600.00	$650.00–$2,340.00	13% below	47%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABDOMEN W&W/O CONTRAST	$1,378.00	$2,600.00	$1,378.00–$2,340.00	—	47%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	6% above	47%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$1,189.85	$2,245.00	$561.25–$2,214.82	9% below	47%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W&W/O CONTRAST	$1,189.85	$2,245.00	$1,189.85–$2,020.50	—	47%
MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	6% above	47%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMBAR SPINE W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$1,378.00	$2,600.00	$650.00–$2,340.00	6% below	47%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI LUMBAR SPINE W&W/O CONTRAST	$1,378.00	$2,600.00	$1,378.00–$2,340.00	—	47%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	7% above	47%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI THORACIC SPINE W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,378.00	$2,600.00	$650.00–$2,340.00	6% below	47%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI CERVICAL SPINE W&W/O CONTRAST	$1,378.00	$2,600.00	$1,378.00–$2,340.00	—	47%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	4% above	47%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI CERVICAL SPINE W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,378.00	$2,600.00	$650.00–$2,340.00	5% below	47%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS W&W/O CONTRAST	$1,378.00	$2,600.00	$1,378.00–$2,340.00	—	47%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,078.55	$2,035.00	$508.75–$1,831.50	3% above	47%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,078.55	$2,035.00	$1,078.55–$1,831.50	—	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$984.21	$1,857.00	$464.25–$1,671.30	8% below	47%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$984.21	$1,857.00	$984.21–$1,671.30	—	47%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$209.35	$395.00	$98.75–$633.18	40% below	47%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC XR CERVICAL SPINE 4 OR 5 VIEWS	$209.35	$395.00	$209.35–$355.50	—	47%
Neck soft tissue CT scan with contrast CPT 70491 HC CT NECK W/CONTRAST	$906.83	$1,711.00	$396.95–$1,539.90	7% below	47%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT NECK W/CONTRAST	$906.83	$1,711.00	$906.83–$1,539.90	—	47%
Neck soft tissue CT scan without contrast CPT 70490 HC CT NECK W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	6% below	47%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT NECK W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Neck soft tissue X-ray CPT 70360 HC XR NECK SOFT TISSUE	$92.22	$174.00	$43.50–$523.32	47% below	47%
Neck soft tissue X-ray inpatient CPT 70360 HC XR NECK SOFT TISSUE	$92.22	$174.00	$92.22–$156.60	—	47%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$751.54	$1,418.00	$354.50–$8,177.76	80% below	47%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC NM MYOCARDIAL PERFUSION MULTIPLE SPECT	$751.54	$1,418.00	$751.54–$1,276.20	—	47%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS W/O CONTRAST	$779.10	$1,470.00	$237.53–$1,323.00	6% below	47%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS W/O CONTRAST	$779.10	$1,470.00	$779.10–$1,323.00	—	47%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIS NON OB LIMITED	$316.94	$598.00	$149.50–$633.18	11% below	47%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIS NON OB LIMITED	$316.94	$598.00	$316.94–$538.20	—	47%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIS NON OB	$272.95	$515.00	$128.75–$633.18	41% below	47%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIS NON OB	$272.95	$515.00	$272.95–$463.50	—	47%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$467.99	$883.00	$220.75–$794.70	16% below	47%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US PREGNANCY > 14 WEEKS SINGLE/FIRST GEST	$467.99	$883.00	$467.99–$794.70	—	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$467.99	$883.00	$220.75–$794.70	9% below	47%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC US PREGNANCY < 14 WEEKS SINGLE/FIRST GEST	$467.99	$883.00	$467.99–$794.70	—	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$318.00	$600.00	$150.00–$633.18	17% below	47%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC US PREGNANCY 1 OR MORE FETUSES LIMITED	$318.00	$600.00	$318.00–$540.00	—	47%
Rib X-ray, one side, 2 views one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$183.91	$347.00	$86.75–$523.32	10% below	47%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HC XR RIBS UNILATERAL 2 VIEWS	$183.91	$347.00	$183.91–$312.30	—	47%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$275.07	$519.00	$129.75–$633.18	13% above	47%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HC XR RIBS UNILATERAL W/CHEST 3+ VIEWS	$275.07	$519.00	$275.07–$467.10	—	47%
Screening mammogram, both breasts both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$178.61	$337.00	$84.25–$303.30	—	47%
Screening mammogram, both breasts inpatient both sides CPT 77067 HC MAMMOGRAM SCREENING BILATERAL W/DIGITAL IMAGES W CAD	$178.61	$337.00	$178.61–$303.30	—	47%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$183.91	$347.00	$86.75–$523.32	12% below	47%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC XR SHOULDER COMPLETE 2+ VIEWS	$183.91	$347.00	$183.91–$312.30	—	47%
Sinus X-ray, complete, 3 or more views CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$157.94	$298.00	$74.50–$523.32	44% below	47%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC XR SINUSES COMPLETE 3+ VIEWS	$157.94	$298.00	$157.94–$268.20	—	47%
Skull X-ray, fewer than 4 views CPT 70250 HC XR SKULL < 4 VIEWS	$157.94	$298.00	$74.50–$633.18	32% below	47%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC XR SKULL < 4 VIEWS	$157.94	$298.00	$157.94–$268.20	—	47%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,743.17	$3,289.00	$822.25–$6,021.41	34% below	47%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,743.17	$3,289.00	$1,743.17–$2,960.10	—	47%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC ECHO TTHRC R T 2D WWO M MODE REST AND STRS CONT ECG	$1,230.66	$2,322.00	$580.50–$3,177.16	31% below	47%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC ECHO TTHRC R T 2D WWO M MODE REST AND STRS CONT ECG	$1,230.66	$2,322.00	$1,230.66–$2,089.80	—	47%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$206.70	$390.00	$97.50–$1,058.16	43% below	47%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC XR EXAM SWLNG FUNCJ CNTRST STUDY	$206.70	$390.00	$206.70–$351.00	—	47%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC XR FEMUR MIN 2 VIEWS	$142.57	$269.00	$67.25–$523.32	29% below	47%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC XR FEMUR MIN 2 VIEWS	$142.57	$269.00	$142.57–$242.10	—	47%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$876.62	$1,654.00	$237.53–$1,488.60	3% above	47%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE W/O CONTRAST	$876.62	$1,654.00	$876.62–$1,488.60	—	47%
Toe X-ray, 2 or more views CPT 73660 HC XR TOE(S) 2+ VIEWS	$119.78	$226.00	$56.50–$523.32	22% below	47%
Toe X-ray, 2 or more views inpatient CPT 73660 HC XR TOE(S) 2+ VIEWS	$119.78	$226.00	$119.78–$203.40	—	47%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL	$383.19	$723.00	$180.75–$650.70	6% below	47%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL	$383.19	$723.00	$383.19–$650.70	—	47%
Transvaginal ultrasound during pregnancy CPT 76817 HC US PREGNANCY TRANSVAGINAL	$338.67	$639.00	$159.75–$633.18	8% below	47%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC US PREGNANCY TRANSVAGINAL	$338.67	$639.00	$338.67–$575.10	—	47%
Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMEN COMPLETE	$508.80	$960.00	$240.00–$864.00	3% below	47%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMEN COMPLETE	$508.80	$960.00	$508.80–$864.00	—	47%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$419.23	$791.00	$197.75–$711.90	1% below	47%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$419.23	$791.00	$419.23–$711.90	—	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US SOFT TISSUE HEAD/NECK	$419.23	$791.00	$197.75–$711.90	2% below	47%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US SOFT TISSUE HEAD/NECK	$419.23	$791.00	$419.23–$711.90	—	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$275.07	$519.00	$129.75–$1,058.16	48% below	47%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC XR EXAM UPR GI TRC 1CNTRST	$275.07	$519.00	$275.07–$467.10	—	47%
Upper arm X-ray (humerus), 2 views CPT 73060 HC XR HUMERUS 2+ VIEWS	$140.98	$266.00	$66.50–$523.32	27% below	47%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC XR HUMERUS 2+ VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$419.23	$791.00	$197.75–$711.90	34% below	47%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 HC DUPLEX VENOUS EXTREMITY UNILATERAL/LIMITED	$419.23	$791.00	$419.23–$711.90	—	47%
Wrist X-ray, 2 views CPT 73100 HC XR WRIST 2 VIEWS	$119.78	$226.00	$56.50–$523.32	23% below	47%
Wrist X-ray, 2 views inpatient CPT 73100 HC XR WRIST 2 VIEWS	$119.78	$226.00	$119.78–$203.40	—	47%
Wrist X-ray, complete, 3 or more views CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$140.98	$266.00	$66.50–$523.32	45% below	47%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC XR WRIST COMPLETE 3+ VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$137.80	$260.00	$65.00–$523.32	48% below	47%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC XR HIP UNILATERAL W/PELVIS 2-3 VIEWS	$137.80	$260.00	$137.80–$234.00	—	47%
X-ray of the abdomen, 1 view CPT 74018 HC XR ABDOMEN 1 VIEW	$92.22	$174.00	$43.50–$523.32	57% below	47%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC XR ABDOMEN 1 VIEW	$92.22	$174.00	$92.22–$156.60	—	47%
X-ray of the ankle, 2 views CPT 73600 HC XR ANKLE 2 VIEWS	$140.98	$266.00	$66.50–$523.32	12% below	47%
X-ray of the ankle, 2 views inpatient CPT 73600 HC XR ANKLE 2 VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
X-ray of the finger(s), 2 or more views CPT 73140 HC XR FINGER(S) 2+ VIEWS	$119.78	$226.00	$56.50–$523.32	25% below	47%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC XR FINGER(S) 2+ VIEWS	$119.78	$226.00	$119.78–$203.40	—	47%
X-ray of the foot, 2 views CPT 73620 HC XR FOOT 2 VIEWS	$137.80	$260.00	$65.00–$523.32	16% below	47%
X-ray of the foot, 2 views inpatient CPT 73620 HC XR FOOT 2 VIEWS	$137.80	$260.00	$137.80–$234.00	—	47%
X-ray of the foot, complete, 3 or more views CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$140.98	$266.00	$66.50–$523.32	30% below	47%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC XR FOOT COMPLETE 3+ VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
X-ray of the hand, 3 or more views CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$140.98	$266.00	$66.50–$523.32	30% below	47%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC XR HAND COMPLETE 3+ VIEWS	$140.98	$266.00	$140.98–$239.40	—	47%
X-ray of the knee, 1 or 2 views CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$149.99	$283.00	$70.75–$523.32	28% below	47%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC XR KNEE 1 OR 2 VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$149.99	$283.00	$70.75–$633.18	40% below	47%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC XR LUMBAR SPINE 2 OR 3 VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%
X-ray of the lower back, 4 or more views CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$209.35	$395.00	$98.75–$633.18	40% below	47%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR LUMBAR SPINE 4+ VIEWS	$209.35	$395.00	$209.35–$355.50	—	47%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$213.06	$402.00	$100.50–$633.18	9% below	47%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC XR THORACIC SPINE 2 VIEWS	$213.06	$402.00	$213.06–$361.80	—	47%
X-ray of the nasal bones, 3 or more views CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$157.94	$298.00	$74.50–$523.32	22% below	47%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC XR NASAL BONES COMPLETE 3+ VIEWS	$157.94	$298.00	$157.94–$268.20	—	47%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$149.99	$283.00	$70.75–$523.32	40% below	47%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC XR CERVICAL SPINE 2 OR 3 VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$131.44	$248.00	$62.00–$633.18	33% below	47%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC XR PELVIS 1 OR 2 VIEWS	$131.44	$248.00	$131.44–$223.20	—	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$149.99	$283.00	$70.75–$523.32	32% below	47%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC XR SACRUM/COCCYX 2+ VIEWS	$149.99	$283.00	$149.99–$254.70	—	47%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
ACTH blood test CPT 82024 HC ACTH B	$105.47	$199.00	$38.62–$179.10	58% below	47%
ACTH blood test CPT 82024 HC ACTH STIMULATION 30 MIN	$110.77	$209.00	$38.62–$188.10	55% below	47%
ACTH blood test inpatient CPT 82024 HC ACTH B	$105.47	$199.00	$105.47–$179.10	—	47%
ACTH blood test inpatient CPT 82024 HC ACTH STIMULATION 30 MIN	$110.77	$209.00	$110.77–$188.10	—	47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC ALT SGPT B	$54.06	$102.00	$5.30–$91.80	97% above	47%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC FIBROMETER ALT SGPT	$54.06	$102.00	$5.30–$91.80	97% above	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC FIBROMETER ALT SGPT	$54.06	$102.00	$15.90–$91.80	—	47%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC ALT SGPT B	$54.06	$102.00	$15.90–$91.80	—	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC AST SGOT B	$47.70	$90.00	$5.18–$81.00	64% above	47%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC FIBROMETER AST SGOT	$47.70	$90.00	$5.18–$81.00	64% above	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC AST SGOT B	$47.70	$90.00	$15.54–$81.00	—	47%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC FIBROMETER AST SGOT	$47.70	$90.00	$15.54–$81.00	—	47%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$125.08	$236.00	$47.63–$212.40	60% below	47%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$125.08	$236.00	$125.08–$212.40	—	47%
Albumin blood test CPT 82040 HC ALBUMIN NEPHELOMETRY	$13.25	$25.00	$4.95–$22.50	42% below	47%
Albumin blood test CPT 82040 HC ALBUMIN B	$13.78	$26.00	$4.95–$23.40	40% below	47%
Albumin blood test inpatient CPT 82040 HC ALBUMIN NEPHELOMETRY	$13.25	$25.00	$13.25–$22.50	—	47%
Albumin blood test inpatient CPT 82040 HC ALBUMIN B	$13.78	$26.00	$13.78–$23.40	—	47%
Aldosterone blood test CPT 82088 HC ASSAY OF ALDOSTERONE	$63.07	$119.00	$29.75–$163.00	69% below	47%
Aldosterone blood test CPT 82088 HC ALDOSTERONE BLOOD	$105.47	$199.00	$40.75–$179.10	49% below	47%
Aldosterone blood test inpatient CPT 82088 HC ASSAY OF ALDOSTERONE	$63.07	$119.00	$63.07–$122.25	—	47%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE BLOOD	$105.47	$199.00	$105.47–$179.10	—	47%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$46.64	$88.00	$5.18–$79.20	46% above	47%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$46.64	$88.00	$15.54–$79.20	—	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$10.60	$20.00	$5.00–$20.88	45% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$10.60	$20.00	$5.00–$20.88	45% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$10.60	$20.00	$5.00–$20.88	45% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$10.60	$20.00	$5.00–$20.88	45% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$10.60	$20.00	$5.00–$20.88	45% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS ORCHARD GRASS COCKSFOOT IGE	$15.90	$30.00	$5.22–$27.00	17% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN COCONUT	$15.90	$30.00	$5.22–$27.00	17% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BAY LEAF IGE	$15.90	$30.00	$5.22–$27.00	17% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PINE NUT	$15.90	$30.00	$5.22–$27.00	17% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MUSTARD	$15.90	$30.00	$5.22–$27.00	17% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC FOOD RED DYE IGE ALLERGEN	$17.49	$33.00	$5.22–$29.70	9% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD HALIBUT IGE	$18.02	$34.00	$5.22–$30.60	6% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD PHOMA BETAE IGE	$18.02	$34.00	$5.22–$30.60	6% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EGG YOLK	$18.02	$34.00	$5.22–$30.60	6% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MACKEREL IGE	$18.02	$34.00	$5.22–$30.60	6% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN KIWI	$18.02	$34.00	$5.22–$30.60	6% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD APPLE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD R NIGRICANS IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GREEN BEAN (STRING)	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD C IUNATA IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD POPPY SEED IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS BENT/REDTOP GRASS IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT COCKROACH AMERICAN IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD ONION IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD C ALBICANS IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD EPICOCCUM IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD TROUT IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGENS DOG AND CAT EPITHELIUM	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD HELMINTHOSPOR IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD A PULLULANS IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD SALMON IGE	$18.55	$35.00	$5.22–$31.50	3% below	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD WHEAT IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MITES D PTERONYSSINUS IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD SOYBEAN IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL HORSE HAIR DANDER IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CORN IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN DOG DANDER	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL CAT DANDER IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN MITES D FARINAE IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED COMMON/SHORT RAGWEED IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BEEF IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD PORK IGE	$19.61	$37.00	$5.22–$33.30	2% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CARROT IGE	$20.67	$39.00	$5.22–$35.10	8% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD TOMATO IGE	$20.67	$39.00	$5.22–$35.10	8% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CHICKEN IGE	$20.67	$39.00	$5.22–$35.10	8% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED LAMBS QUARTERS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD HAZELNUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD OYSTER IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED RUSSIAN THISTLE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD RYE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE MESQUITE TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS MEADOW FESCUE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN CHOCOLATE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD GELATIN BOVINE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD A FUMIGATUS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD POTATO IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CLAM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN EGG WHOLE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CINNAMON	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BLUE MUSSEL IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD HORMODENDRUM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE WALNUT TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD HORMODENDRUM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD OAT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD SCALLOP IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE ELM TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI MOLD F MONILIFORME IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL DOG DANDER IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD LOBSTER IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD WALNUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD LETTUCE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD PECAN IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CABBAGE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BRAZIL NUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS BERMUDA GRASS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE OLIVE TREE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CRAB IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD M RACEMOSUS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN SESAME SEED IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC GLUTEN IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CODFISH IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED SHEEP SORREL IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD PISTACHIO IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD P NOTATUM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD SHRIMP IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL MOUSE EPITHELIUM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD ALMOND IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE BOX ELDER/MAPLE TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD ORANGE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE OAK TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE SYCAMORE TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED PIGWEED IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC PEANUT ALLERGEN	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE MOUNTAIN CEDAR TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD TUNA IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS TIMOTHY GRASS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE BIRCH TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED MUGWORT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CASHEW IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN HOUSE DUST GREER	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FUNGI/MOLD A ALTERNATA IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN INSECT COCKROACH GERMAN IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE WHITE ASH TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD BARLEY IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD EGG WHITE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD RICE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE PECAN TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS JOHNSON GRASS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE COTTONWOOD TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS JUNE GRASS KY BLUEGRASS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MILK (COW) IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN WEED ENGLISH PLANTAIN IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD MACADAMIA NUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD CHESTNUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD PEANUT IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN GRASS PERENNIAL RYE GRASS IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD GELATIN PORCINE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN TREE WHITE MULBERRY TREE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN ANIMAL COW HAIR DANDER IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN PEA	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD C. PEPPER ANNUUM IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD GRAPE IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLERGEN FOOD NAVY BEAN IGE	$21.20	$40.00	$5.22–$36.00	10% above	47%
Allergy blood test, specific IgE, per allergen CPT 86003 HC MILK ALLERGEN	$63.60	$120.00	$5.22–$108.00	231% above	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT PAPER WASP IGE	$10.60	$20.00	$10.60–$18.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT WHITE FACED HORNET IGE	$10.60	$20.00	$10.60–$18.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT HONEY BEE VENOM IGE	$10.60	$20.00	$10.60–$18.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW FACED HORNET IGE	$10.60	$20.00	$10.60–$18.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT YELLOW JACKET VENOM IGE	$10.60	$20.00	$10.60–$18.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MUSTARD	$15.90	$30.00	$15.66–$27.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS ORCHARD GRASS COCKSFOOT IGE	$15.90	$30.00	$15.66–$27.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PINE NUT	$15.90	$30.00	$15.66–$27.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BAY LEAF IGE	$15.90	$30.00	$15.66–$27.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN COCONUT	$15.90	$30.00	$15.66–$27.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC FOOD RED DYE IGE ALLERGEN	$17.49	$33.00	$15.66–$29.70	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EGG YOLK	$18.02	$34.00	$15.66–$30.60	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD HALIBUT IGE	$18.02	$34.00	$15.66–$30.60	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD PHOMA BETAE IGE	$18.02	$34.00	$15.66–$30.60	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN KIWI	$18.02	$34.00	$15.66–$30.60	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MACKEREL IGE	$18.02	$34.00	$15.66–$30.60	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD SALMON IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD A PULLULANS IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS BENT/REDTOP GRASS IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD ONION IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD C ALBICANS IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GREEN BEAN (STRING)	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGENS DOG AND CAT EPITHELIUM	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD TROUT IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD C IUNATA IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD R NIGRICANS IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD APPLE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD POPPY SEED IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD HELMINTHOSPOR IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD EPICOCCUM IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT COCKROACH AMERICAN IGE	$18.55	$35.00	$15.66–$31.50	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED COMMON/SHORT RAGWEED IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL CAT DANDER IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD SOYBEAN IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL HORSE HAIR DANDER IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD PORK IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN DOG DANDER	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MITES D PTERONYSSINUS IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN MITES D FARINAE IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BEEF IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CORN IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD WHEAT IGE	$19.61	$37.00	$15.66–$33.30	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CARROT IGE	$20.67	$39.00	$15.66–$35.10	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CHICKEN IGE	$20.67	$39.00	$15.66–$35.10	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD TOMATO IGE	$20.67	$39.00	$15.66–$35.10	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD GELATIN BOVINE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE PECAN TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MILK (COW) IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN SESAME SEED IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD F MONILIFORME IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BARLEY IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD OYSTER IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CHESTNUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD HORMODENDRUM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD A ALTERNATA IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BLUE MUSSEL IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE ELM TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE WHITE ASH TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED MUGWORT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL DOG DANDER IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CRAB IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD BRAZIL NUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE BOX ELDER/MAPLE TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE OLIVE TREE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CODFISH IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD GRAPE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED LAMBS QUARTERS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD GELATIN PORCINE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD M RACEMOSUS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD SHRIMP IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS PERENNIAL RYE GRASS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE OAK TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE BIRCH TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI MOLD HORMODENDRUM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CINNAMON	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD LETTUCE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED PIGWEED IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD A FUMIGATUS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC PEANUT ALLERGEN	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD TUNA IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD RYE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD POTATO IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC GLUTEN IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL COW HAIR DANDER IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD WALNUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD PECAN IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD LOBSTER IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE COTTONWOOD TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE WALNUT TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD PEANUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN CHOCOLATE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE MOUNTAIN CEDAR TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS BERMUDA GRASS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CASHEW IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD SCALLOP IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED ENGLISH PLANTAIN IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS MEADOW FESCUE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD NAVY BEAN IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD RICE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS JUNE GRASS KY BLUEGRASS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN EGG WHOLE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN INSECT COCKROACH GERMAN IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN HOUSE DUST GREER	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED SHEEP SORREL IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS JOHNSON GRASS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD PISTACHIO IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE MESQUITE TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN PEA	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FUNGI/MOLD P NOTATUM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE WHITE MULBERRY TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD C. PEPPER ANNUUM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CABBAGE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN ANIMAL MOUSE EPITHELIUM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN TREE SYCAMORE TREE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN WEED RUSSIAN THISTLE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN GRASS TIMOTHY GRASS IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD OAT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD EGG WHITE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD MACADAMIA NUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD CLAM IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD ORANGE IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD ALMOND IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLERGEN FOOD HAZELNUT IGE	$21.20	$40.00	$15.66–$36.00	—	47%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC MILK ALLERGEN	$63.60	$120.00	$15.66–$108.00	—	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP MATERNAL	$43.46	$82.00	$16.77–$73.80	57% below	47%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC AFP TUMOR MARKER	$53.00	$100.00	$16.77–$90.00	48% below	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP MATERNAL	$43.46	$82.00	$43.46–$73.80	—	47%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC AFP TUMOR MARKER	$53.00	$100.00	$50.31–$90.00	—	47%
Ammonia blood test CPT 82140 HC AMMONIA B	$37.10	$70.00	$14.57–$63.00	69% below	47%
Ammonia blood test inpatient CPT 82140 HC AMMONIA B	$37.10	$70.00	$37.10–$63.00	—	47%
Amylase blood test CPT 82150 HC AMYLASE BODY FLUID	$24.38	$46.00	$6.48–$41.40	53% below	47%
Amylase blood test CPT 82150 HC AMYLASE B	$59.36	$112.00	$6.48–$100.80	15% above	47%
Amylase blood test inpatient CPT 82150 HC AMYLASE BODY FLUID	$24.38	$46.00	$19.44–$41.40	—	47%
Amylase blood test inpatient CPT 82150 HC AMYLASE B	$59.36	$112.00	$19.44–$100.80	—	47%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC CYCLIC CITRUL PEPTIDE AB IGG	$39.75	$75.00	$12.95–$67.50	25% below	47%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC CYCLIC CITRUL PEPTIDE AB IGG	$39.75	$75.00	$38.85–$67.50	—	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA WITH REFLEX	$35.51	$67.00	$12.09–$60.30	41% below	47%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANA SCREEN	$37.10	$70.00	$12.09–$63.00	38% below	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA WITH REFLEX	$35.51	$67.00	$35.51–$60.30	—	47%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANA SCREEN	$37.10	$70.00	$36.27–$63.00	—	47%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC BN PEPTIDE BNP	$174.37	$329.00	$39.26–$296.10	2% above	47%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC BN PEPTIDE BNP	$174.37	$329.00	$117.78–$296.10	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE RESPIRATORY TRACT	$31.80	$60.00	$8.62–$54.00	66% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE CSF	$36.57	$69.00	$8.62–$62.10	61% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EYE	$56.18	$106.00	$8.62–$95.40	40% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE BODY FLUID	$56.71	$107.00	$8.62–$96.30	39% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$57.24	$108.00	$8.62–$97.20	39% below	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC CULTURE EAR	$106.53	$201.00	$8.62–$180.90	14% above	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE RESPIRATORY TRACT	$31.80	$60.00	$25.86–$54.00	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE CSF	$36.57	$69.00	$25.86–$62.10	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EYE	$56.18	$106.00	$25.86–$95.40	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE BODY FLUID	$56.71	$107.00	$25.86–$96.30	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE OTHR SPECIMN AEROBIC	$57.24	$108.00	$25.86–$97.20	—	47%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC CULTURE EAR	$106.53	$201.00	$25.86–$180.90	—	47%
Basic metabolic panel (blood test) CPT 80048 HC BASIC METABOLIC PROF CHEM8	$27.56	$52.00	$8.46–$46.80	65% below	47%
Basic metabolic panel (blood test) inpatient CPT 80048 HC BASIC METABOLIC PROF CHEM8	$27.56	$52.00	$25.38–$46.80	—	47%
Bilirubin blood test, total CPT 82247 HC BILI NEONAT 1 CLINIC	$20.14	$38.00	$5.02–$34.20	42% below	47%
Bilirubin blood test, total CPT 82247 HC BILIRUBIN TOTAL	$21.20	$40.00	$5.02–$36.00	39% below	47%
Bilirubin blood test, total inpatient CPT 82247 HC BILI NEONAT 1 CLINIC	$20.14	$38.00	$15.06–$34.20	—	47%
Bilirubin blood test, total inpatient CPT 82247 HC BILIRUBIN TOTAL	$21.20	$40.00	$15.06–$36.00	—	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC CYTOLOGY WITH BLOCK	$104.41	$197.00	$49.25–$312.05	60% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL IV	$139.92	$264.00	$53.22–$312.05	46% below	47%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE LEVEL 4 ADD SAMPLES	$139.92	$264.00	$53.22–$312.05	46% below	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC CYTOLOGY WITH BLOCK	$104.41	$197.00	$104.41–$177.30	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL 4 ADD SAMPLES	$139.92	$264.00	$139.92–$237.60	—	47%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE LEVEL IV	$139.92	$264.00	$139.92–$237.60	—	47%
Blood culture for bacteria CPT 87040 HC CULTURE BLOOD	$83.21	$157.00	$10.32–$141.30	36% below	47%
Blood culture for bacteria inpatient CPT 87040 HC CULTURE BLOOD	$83.21	$157.00	$30.96–$141.30	—	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$9.54	$18.00	$4.50–$35.32	43% below	47%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC VENIPUNCTURE	$9.54	$18.00	$4.50–$35.32	43% below	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC VENIPUNCTURE	$9.54	$18.00	$9.54–$25.71	—	47%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE	$9.54	$18.00	$9.54–$25.71	—	47%
Blood glucose (sugar) test CPT 82947 HC FIBROMETER GLUCOSE	$45.58	$86.00	$3.93–$77.40	71% above	47%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE BY DEVICE	$47.70	$90.00	$3.93–$81.00	79% above	47%
Blood glucose (sugar) test inpatient CPT 82947 HC FIBROMETER GLUCOSE	$45.58	$86.00	$11.79–$77.40	—	47%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE BY DEVICE	$47.70	$90.00	$11.79–$81.00	—	47%
Blood lead test CPT 83655 HC HEAVY METAL LEAD BLOOD	$39.75	$75.00	$12.11–$67.50	44% below	47%
Blood lead test CPT 83655 HC LEAD 24HR URINE	$41.34	$78.00	$12.11–$70.20	42% below	47%
Blood lead test CPT 83655 HC LEAD PEDIATRIC	$41.87	$79.00	$12.11–$71.10	41% below	47%
Blood lead test inpatient CPT 83655 HC HEAVY METAL LEAD BLOOD	$39.75	$75.00	$36.33–$67.50	—	47%
Blood lead test inpatient CPT 83655 HC LEAD 24HR URINE	$41.34	$78.00	$36.33–$70.20	—	47%
Blood lead test inpatient CPT 83655 HC LEAD PEDIATRIC	$41.87	$79.00	$36.33–$71.10	—	47%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC HCG SERUM PREGNANCY	$19.08	$36.00	$7.52–$32.40	74% below	47%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC HCG SERUM PREGNANCY	$19.08	$36.00	$19.08–$32.40	—	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO TYPING	$23.85	$45.00	$2.99–$125.45	51% below	47%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ARC ABO TYPE	$28.62	$54.00	$2.99–$125.45	42% below	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO TYPING	$23.85	$45.00	$8.97–$40.50	—	47%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ARC ABO TYPE	$28.62	$54.00	$8.97–$48.60	—	47%
Blood urea nitrogen (BUN) test CPT 84520 HC BUN B	$34.98	$66.00	$3.95–$59.40	48% above	47%
Blood urea nitrogen (BUN) test CPT 84520 HC FIBROMETER UREA NITROGEN QUANT	$34.98	$66.00	$3.95–$59.40	48% above	47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC FIBROMETER UREA NITROGEN QUANT	$34.98	$66.00	$11.85–$59.40	—	47%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC BUN B	$34.98	$66.00	$11.85–$59.40	—	47%
C-peptide blood test CPT 84681 HC C PEPTIDE	$64.66	$122.00	$20.81–$109.80	53% below	47%
C-peptide blood test inpatient CPT 84681 HC C PEPTIDE	$64.66	$122.00	$62.43–$109.80	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC IBD SGI C REACTIVE PROTEIN	$10.60	$20.00	$5.00–$20.72	85% below	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C REACTIVE PROTEIN	$94.87	$179.00	$5.18–$161.10	38% above	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC IBD SGI C REACTIVE PROTEIN	$10.60	$20.00	$10.60–$18.00	—	47%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C REACTIVE PROTEIN	$94.87	$179.00	$15.54–$161.10	—	47%
C. difficile toxin gene test (stool PCR) CPT 87493 HC CLOSTRIDIUM BY PCR	$130.38	$246.00	$37.27–$221.40	2% below	47%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC CLOSTRIDIUM BY PCR	$130.38	$246.00	$111.81–$221.40	—	47%
CA 19-9 blood test (tumor marker) CPT 86301 HC CARBOHYDRATE ANTIGEN 19 9	$59.36	$112.00	$20.81–$100.80	59% below	47%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC CARBOHYDRATE ANTIGEN 19 9	$59.36	$112.00	$59.36–$100.80	—	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 AG	$27.56	$52.00	$13.00–$83.24	83% below	47%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC CA 125 ANTIGEN	$64.66	$122.00	$20.81–$109.80	60% below	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 AG	$27.56	$52.00	$27.56–$62.43	—	47%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC CA 125 ANTIGEN	$64.66	$122.00	$62.43–$109.80	—	47%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$218.89	$413.00	$51.31–$371.70	107% above	47%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC SARS-COV-2 COVID-19 AMP PRB	$218.89	$413.00	$153.93–$371.70	—	47%
Calcium blood test, total CPT 82310 HC CALCIUM URINE RANDOM	$17.49	$33.00	$5.16–$29.70	34% below	47%
Calcium blood test, total CPT 82310 HC CALCIUM B	$50.35	$95.00	$5.16–$85.50	90% above	47%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM URINE RANDOM	$17.49	$33.00	$15.48–$29.70	—	47%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM B	$50.35	$95.00	$15.48–$85.50	—	47%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA BODY FLUID	$59.36	$112.00	$18.96–$100.80	51% below	47%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$60.95	$115.00	$18.96–$103.50	49% below	47%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA BODY FLUID	$59.36	$112.00	$56.88–$100.80	—	47%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA CARCINOEMBRYONIC ANTIGEN	$60.95	$115.00	$56.88–$103.50	—	47%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGM	$29.68	$56.00	$12.88–$51.52	70% below	47%
Chickenpox (varicella) immunity blood test CPT 86787 HC VARICELLA ZOSTER IGG	$58.30	$110.00	$12.88–$99.00	40% below	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGM	$29.68	$56.00	$29.68–$50.40	—	47%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC VARICELLA ZOSTER IGG	$58.30	$110.00	$38.64–$99.00	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$54.06	$102.00	$25.50–$140.36	44% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC C TRACHOMATIS	$69.96	$132.00	$33.00–$140.36	28% below	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS BY TMA	$54.06	$102.00	$54.06–$105.27	—	47%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC C TRACHOMATIS	$69.96	$132.00	$69.96–$118.80	—	47%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PROFILE CORONARY RISK	$67.31	$127.00	$13.39–$114.30	36% below	47%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PROFILE CORONARY RISK	$67.31	$127.00	$40.17–$114.30	—	47%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF	$21.73	$41.00	$7.77–$36.90	48% below	47%
Complete blood count (CBC) with differential CPT 85025 HC CBC W AUTO DIFF CLINIC	$51.41	$97.00	$7.77–$87.30	24% above	47%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF	$21.73	$41.00	$21.73–$36.90	—	47%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC W AUTO DIFF CLINIC	$51.41	$97.00	$23.31–$87.30	—	47%
Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED CLINIC	$17.49	$33.00	$6.47–$29.70	41% below	47%
Complete blood count (CBC), no differential CPT 85027 HC CBC W/ REFLEX	$18.02	$34.00	$6.47–$30.60	39% below	47%
Complete blood count (CBC), no differential CPT 85027 HC CBC W MANUAL DIFF	$18.02	$34.00	$6.47–$30.60	39% below	47%
Complete blood count (CBC), no differential CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC	$23.85	$45.00	$6.47–$40.50	19% below	47%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED CLINIC	$17.49	$33.00	$17.49–$29.70	—	47%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W MANUAL DIFF	$18.02	$34.00	$18.02–$30.60	—	47%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/ REFLEX	$18.02	$34.00	$18.02–$30.60	—	47%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC W/ REFLEX FERRITIN IRON TIBC	$23.85	$45.00	$19.41–$40.50	—	47%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$33.92	$64.00	$10.56–$57.60	62% below	47%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC PROFILE	$33.92	$64.00	$31.68–$57.60	—	47%
Cortisol blood test, total CPT 82533 HC CORTISOL B	$31.80	$60.00	$15.00–$65.20	66% below	47%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL B	$31.80	$60.00	$31.80–$54.00	—	47%
Creatine kinase (CK) blood test, total CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$47.70	$90.00	$6.51–$81.00	23% above	47%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CK CPK CREATINE PHOSPHOKINASE	$47.70	$90.00	$19.53–$81.00	—	47%
Creatinine blood test CPT 82565 HC GLOMERULAR FILT RATE EST	$18.55	$35.00	$5.12–$31.50	36% below	47%
Creatinine blood test CPT 82565 HC BODY FLUID CREATININE	$20.14	$38.00	$5.12–$34.20	30% below	47%
Creatinine blood test CPT 82565 HC CREATININE B	$36.57	$69.00	$5.12–$62.10	27% above	47%
Creatinine blood test inpatient CPT 82565 HC GLOMERULAR FILT RATE EST	$18.55	$35.00	$15.36–$31.50	—	47%
Creatinine blood test inpatient CPT 82565 HC BODY FLUID CREATININE	$20.14	$38.00	$15.36–$34.20	—	47%
Creatinine blood test inpatient CPT 82565 HC CREATININE B	$36.57	$69.00	$15.36–$62.10	—	47%
Cytomegalovirus (CMV) antibody test CPT 86644 HC CMV ABS IGG	$41.34	$78.00	$14.39–$70.20	48% below	47%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC CMV ABS IGG	$41.34	$78.00	$41.34–$70.20	—	47%
D-dimer blood test (blood clot marker) CPT 85379 HC DIMER QUANTITATIVE	$104.41	$197.00	$10.18–$177.30	14% below	47%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HC DIMER QUANTITATIVE	$104.41	$197.00	$30.54–$177.30	—	47%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$64.13	$121.00	$22.23–$108.90	56% below	47%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$64.13	$121.00	$64.13–$108.90	—	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN RX OTC	$37.63	$71.00	$17.75–$248.56	67% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC URINE FENTANYL QUALITATIVE	$82.15	$155.00	$38.75–$248.56	28% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC AIT DRUG SCREEN URINE	$86.92	$164.00	$41.00–$248.56	24% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 7 MEDICAL	$100.70	$190.00	$47.50–$248.56	12% below	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PAIN URINE	$138.33	$261.00	$62.14–$248.56	21% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PAIN SALIVA	$138.33	$261.00	$62.14–$248.56	21% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN 9 PANEL	$162.71	$307.00	$62.14–$276.30	42% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUGS OF ABUSE 9 URINE	$218.89	$413.00	$62.14–$371.70	92% above	47%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG SCREEN PANEL 10	$242.74	$458.00	$62.14–$412.20	112% above	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN RX OTC	$37.63	$71.00	$37.63–$186.42	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC URINE FENTANYL QUALITATIVE	$82.15	$155.00	$82.15–$186.42	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC AIT DRUG SCREEN URINE	$86.92	$164.00	$86.92–$186.42	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 7 MEDICAL	$100.70	$190.00	$100.70–$186.42	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PAIN URINE	$138.33	$261.00	$138.33–$234.90	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PAIN SALIVA	$138.33	$261.00	$138.33–$234.90	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN 9 PANEL	$162.71	$307.00	$162.71–$276.30	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUGS OF ABUSE 9 URINE	$218.89	$413.00	$186.42–$371.70	—	47%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG SCREEN PANEL 10	$242.74	$458.00	$186.42–$412.20	—	47%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTES NA K CL C02	$59.36	$112.00	$7.01–$100.80	8% below	47%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTES NA K CL C02	$59.36	$112.00	$21.03–$100.80	—	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGM	$49.29	$93.00	$18.14–$83.70	40% below	47%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGG	$162.71	$307.00	$18.14–$276.30	100% above	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGM	$49.29	$93.00	$49.29–$83.70	—	47%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC EPSTEIN BARR VIRAL CAPSID ANTGN IGG	$162.71	$307.00	$54.42–$276.30	—	47%
Estradiol blood test CPT 82670 HC ESTRADIOL TOTAL	$37.10	$70.00	$17.50–$111.76	71% below	47%
Estradiol blood test CPT 82670 HC ESTRADIOL B	$71.55	$135.00	$27.94–$121.50	44% below	47%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL TOTAL	$37.10	$70.00	$37.10–$83.82	—	47%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL B	$71.55	$135.00	$71.55–$121.50	—	47%
FSH (follicle-stimulating hormone) test CPT 83001 HC FSH FOLLICLE STIM HORMONE	$47.70	$90.00	$18.58–$81.00	63% below	47%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FSH FOLLICLE STIM HORMONE	$47.70	$90.00	$47.70–$81.00	—	47%
Fecal calprotectin (stool inflammation test) CPT 83993 HC CALPROTECTIN FECAL	$150.52	$284.00	$19.63–$255.60	17% below	47%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC CALPROTECTIN FECAL	$150.52	$284.00	$58.89–$255.60	—	47%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$32.33	$61.00	$13.63–$54.90	59% below	47%
Ferritin blood test (iron stores) CPT 82728 HC FIBROMETER FERRITIN	$58.30	$110.00	$13.63–$99.00	27% below	47%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$32.33	$61.00	$32.33–$54.90	—	47%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FIBROMETER FERRITIN	$58.30	$110.00	$40.89–$99.00	—	47%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN B	$36.04	$68.00	$9.72–$61.20	40% below	47%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN B	$36.04	$68.00	$29.16–$61.20	—	47%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$53.53	$101.00	$14.70–$90.90	30% below	47%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$53.53	$101.00	$44.10–$90.90	—	47%
Free T3 thyroid hormone test CPT 84481 HC FREE T3	$41.87	$79.00	$16.94–$71.10	68% below	47%
Free T3 thyroid hormone test inpatient CPT 84481 HC FREE T3	$41.87	$79.00	$41.87–$71.10	—	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4 CONSULT	$29.15	$55.00	$9.02–$49.50	64% below	47%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$35.51	$67.00	$9.02–$60.30	56% below	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4 CONSULT	$29.15	$55.00	$27.06–$49.50	—	47%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$35.51	$67.00	$27.06–$60.30	—	47%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE	$69.43	$131.00	$25.47–$117.90	17% below	47%
Free testosterone test CPT 84402 HC TESTOS FREE FE CHILD	$81.09	$153.00	$25.47–$137.70	3% below	47%
Free testosterone test CPT 84402 HC TESTOSTERONE FREE ADULT MALE	$98.05	$185.00	$25.47–$166.50	17% above	47%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE	$69.43	$131.00	$69.43–$117.90	—	47%
Free testosterone test inpatient CPT 84402 HC TESTOS FREE FE CHILD	$81.09	$153.00	$76.41–$137.70	—	47%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE FREE ADULT MALE	$98.05	$185.00	$76.41–$166.50	—	47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$76.32	$144.00	$7.20–$129.60	134% above	47%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC FIBROMETER GGT GAMMA GLUTAMYLTRANSFERASE	$76.32	$144.00	$7.20–$129.60	134% above	47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGT GAMMA GLUTAMYL TRANSPE	$76.32	$144.00	$21.60–$129.60	—	47%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC FIBROMETER GGT GAMMA GLUTAMYLTRANSFERASE	$76.32	$144.00	$21.60–$129.60	—	47%
Glucose tolerance test, 3 samples CPT 82951 HC LACTOSE TOLERANCE 0	$46.64	$88.00	$12.87–$79.20	37% below	47%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 90	$142.57	$269.00	$12.87–$242.10	93% above	47%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE 0	$149.99	$283.00	$12.87–$254.70	103% above	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC LACTOSE TOLERANCE 0	$46.64	$88.00	$38.61–$79.20	—	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 90	$142.57	$269.00	$38.61–$242.10	—	47%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE 0	$149.99	$283.00	$38.61–$254.70	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE BY TMA	$54.06	$102.00	$25.50–$140.36	44% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N GONORRHOEAE	$69.96	$132.00	$33.00–$140.36	28% below	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE BY TMA	$54.06	$102.00	$54.06–$105.27	—	47%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC N GONORRHOEAE	$69.96	$132.00	$69.96–$118.80	—	47%
H. pylori stool antigen test CPT 87338 HC H PILORI ANTIGEN	$69.43	$131.00	$14.38–$117.90	47% below	47%
H. pylori stool antigen test CPT 87338 HC HELICOBACTOR PYLORI AG	$113.95	$215.00	$14.38–$193.50	13% below	47%
H. pylori stool antigen test inpatient CPT 87338 HC H PILORI ANTIGEN	$69.43	$131.00	$43.14–$117.90	—	47%
H. pylori stool antigen test inpatient CPT 87338 HC HELICOBACTOR PYLORI AG	$113.95	$215.00	$43.14–$193.50	—	47%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC VIRAL LOAD HIV	$227.90	$430.00	$85.10–$387.00	36% below	47%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC VIRAL LOAD HIV	$227.90	$430.00	$227.90–$387.00	—	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$53.00	$100.00	$24.08–$96.32	11% below	47%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV ANTIBODY 1 PLUS 2	$53.00	$100.00	$53.00–$90.00	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC HGB A1C	$38.69	$73.00	$9.71–$65.70	41% below	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCATED HEMOGLOBIN	$38.69	$73.00	$9.71–$65.70	41% below	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC HGB A1C	$38.69	$73.00	$29.13–$65.70	—	47%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCATED HEMOGLOBIN	$38.69	$73.00	$29.13–$65.70	—	47%
Hemoglobin blood test CPT 85018 HC HGB	$9.54	$18.00	$2.37–$16.20	48% below	47%
Hemoglobin blood test inpatient CPT 85018 HC HGB	$9.54	$18.00	$7.11–$16.20	—	47%
Hepatitis B core antibody test (total) CPT 86704 HC HEP B CORE ATB TOTAL	$38.16	$72.00	$12.05–$64.80	43% below	47%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEP B CORE ATB TOTAL	$38.16	$72.00	$36.15–$64.80	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B SURFACE ANTIBO	$37.10	$70.00	$10.74–$63.00	43% below	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEP B SURF ANTB TITER	$56.18	$106.00	$10.74–$95.40	14% below	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B SURFACE ANTIBO	$37.10	$70.00	$32.22–$63.00	—	47%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEP B SURF ANTB TITER	$56.18	$106.00	$32.22–$95.40	—	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURF ANTGN	$13.78	$26.00	$6.50–$41.32	77% below	47%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$18.55	$35.00	$8.75–$41.32	70% below	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURF ANTGN	$13.78	$26.00	$13.78–$30.99	—	47%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B SURFACE ANTIGEN	$18.55	$35.00	$18.55–$31.50	—	47%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C ANTIBODY	$228.43	$431.00	$14.27–$387.90	129% above	47%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C ANTIBODY	$228.43	$431.00	$42.81–$387.90	—	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT REF	$315.88	$596.00	$42.84–$536.40	41% above	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C VIRUS RNA QUANT	$331.78	$626.00	$42.84–$563.40	48% above	47%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA QUANT BY PCR	$331.78	$626.00	$42.84–$563.40	48% above	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT REF	$315.88	$596.00	$128.52–$536.40	—	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C VIRUS RNA QUANT	$331.78	$626.00	$128.52–$563.40	—	47%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA QUANT BY PCR	$331.78	$626.00	$128.52–$563.40	—	47%
Herpes blood test, HSV-1 antibody CPT 86695 HC HSV TYPE1 G SPEC IGG	$29.15	$55.00	$13.19–$52.76	43% below	47%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HSV TYPE1 G SPEC IGG	$29.15	$55.00	$29.15–$49.50	—	47%
Herpes blood test, HSV-2 antibody CPT 86696 HC HSV TYPE2 G SPEC IGG	$53.53	$101.00	$19.35–$90.90	26% below	47%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HSV TYPE2 G SPEC IGG	$53.53	$101.00	$53.53–$90.90	—	47%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVE	$32.33	$61.00	$12.95–$54.90	56% below	47%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVE	$32.33	$61.00	$32.33–$54.90	—	47%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE B	$72.08	$136.00	$17.92–$122.40	45% below	47%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE B	$72.08	$136.00	$53.76–$122.40	—	47%
Insulin blood test CPT 83525 HC INSULIN RANDOM	$39.75	$75.00	$11.43–$67.50	44% below	47%
Insulin blood test CPT 83525 HC INSULIN 1 HOUR	$43.46	$82.00	$11.43–$73.80	39% below	47%
Insulin blood test CPT 83525 HC INSULIN 2 HOURS	$43.46	$82.00	$11.43–$73.80	39% below	47%
Insulin blood test CPT 83525 HC INSULIN 180 MIN	$43.46	$82.00	$11.43–$73.80	39% below	47%
Insulin blood test inpatient CPT 83525 HC INSULIN RANDOM	$39.75	$75.00	$34.29–$67.50	—	47%
Insulin blood test inpatient CPT 83525 HC INSULIN 2 HOURS	$43.46	$82.00	$34.29–$73.80	—	47%
Insulin blood test inpatient CPT 83525 HC INSULIN 1 HOUR	$43.46	$82.00	$34.29–$73.80	—	47%
Insulin blood test inpatient CPT 83525 HC INSULIN 180 MIN	$43.46	$82.00	$34.29–$73.80	—	47%
Iron blood test (serum iron) CPT 83540 HC IRON B	$23.85	$45.00	$6.47–$40.50	50% below	47%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON B	$23.85	$45.00	$19.41–$40.50	—	47%
Iron-binding capacity (TIBC) test CPT 83550 HC IRON AND IRON BIND CAP	$25.44	$48.00	$8.74–$43.20	43% below	47%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HC IRON AND IRON BIND CAP	$25.44	$48.00	$25.44–$43.20	—	47%
Kidney function blood test panel CPT 80069 HC RENAL PROFILE	$83.74	$158.00	$8.68–$142.20	17% below	47%
Kidney function blood test panel inpatient CPT 80069 HC RENAL PROFILE	$83.74	$158.00	$26.04–$142.20	—	47%
LH (luteinizing hormone) test CPT 83002 HC LH LUTEINIZING HORMONE	$47.17	$89.00	$18.52–$80.10	67% below	47%
LH (luteinizing hormone) test inpatient CPT 83002 HC LH LUTEINIZING HORMONE	$47.17	$89.00	$47.17–$80.10	—	47%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$49.82	$94.00	$11.57–$84.60	45% below	47%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$49.82	$94.00	$34.71–$84.60	—	47%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH BODY FLUID	$22.26	$42.00	$6.04–$37.80	48% below	47%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LDH B	$45.58	$86.00	$6.04–$77.40	7% above	47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH BODY FLUID	$22.26	$42.00	$18.12–$37.80	—	47%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LDH B	$45.58	$86.00	$18.12–$77.40	—	47%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE FLUID	$36.57	$69.00	$6.89–$62.10	59% below	47%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE B	$36.57	$69.00	$6.89–$62.10	59% below	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE B	$36.57	$69.00	$20.67–$62.10	—	47%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE FLUID	$36.57	$69.00	$20.67–$62.10	—	47%
Liver function blood test panel CPT 80076 HC LIVER HEPATIC PROFILE	$82.15	$155.00	$8.17–$139.50	13% below	47%
Liver function blood test panel inpatient CPT 80076 HC LIVER HEPATIC PROFILE	$82.15	$155.00	$24.51–$139.50	—	47%
Lyme disease antibody test CPT 86618 HC LYME DIS ACUT RFLX PANL	$29.15	$55.00	$13.75–$68.12	76% below	47%
Lyme disease antibody test CPT 86618 HC LYME DIS CHRN RFLX PANL	$29.15	$55.00	$13.75–$68.12	76% below	47%
Lyme disease antibody test CPT 86618 HC LYME MODIFIED 2 TIER TESTING 1ST TIER	$58.30	$110.00	$17.03–$99.00	53% below	47%
Lyme disease antibody test CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS ACUTE	$58.30	$110.00	$17.03–$99.00	53% below	47%
Lyme disease antibody test CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS CHRONIC	$58.30	$110.00	$17.03–$99.00	53% below	47%
Lyme disease antibody test CPT 86618 HC LYME DISEASE ANTIBODY	$67.84	$128.00	$17.03–$115.20	45% below	47%
Lyme disease antibody test inpatient CPT 86618 HC LYME DIS ACUT RFLX PANL	$29.15	$55.00	$29.15–$51.09	—	47%
Lyme disease antibody test inpatient CPT 86618 HC LYME DIS CHRN RFLX PANL	$29.15	$55.00	$29.15–$51.09	—	47%
Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS CHRONIC	$58.30	$110.00	$51.09–$99.00	—	47%
Lyme disease antibody test inpatient CPT 86618 HC LYME MODIFIED 2 TIER TESTING 1ST TIER	$58.30	$110.00	$51.09–$99.00	—	47%
Lyme disease antibody test inpatient CPT 86618 HC B BURGDORFERI VLSE1/PEPC10 ABS ACUTE	$58.30	$110.00	$51.09–$99.00	—	47%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE ANTIBODY	$67.84	$128.00	$51.09–$115.20	—	47%
Magnesium blood test CPT 83735 HC MAGNESIUM 24 HR URINE	$29.68	$56.00	$6.70–$50.40	38% below	47%
Magnesium blood test CPT 83735 HC MAGNESIUM INTRACELLULAR RBC	$79.50	$150.00	$6.70–$135.00	67% above	47%
Magnesium blood test CPT 83735 HC MAGNESIUM B	$80.03	$151.00	$6.70–$135.90	68% above	47%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM 24 HR URINE	$29.68	$56.00	$20.10–$50.40	—	47%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM INTRACELLULAR RBC	$79.50	$150.00	$20.10–$135.00	—	47%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM B	$80.03	$151.00	$20.10–$135.90	—	47%
Measles (rubeola) antibody test CPT 86765 HC RUBEOLA ANTIBODY MEASLES	$31.80	$60.00	$12.88–$54.00	60% below	47%
Measles (rubeola) antibody test CPT 86765 HC MEASLES ATB IGG	$39.75	$75.00	$12.88–$67.50	49% below	47%
Measles (rubeola) antibody test CPT 86765 HC MEASLES ATB IGM	$41.87	$79.00	$12.88–$71.10	47% below	47%
Measles (rubeola) antibody test inpatient CPT 86765 HC RUBEOLA ANTIBODY MEASLES	$31.80	$60.00	$31.80–$54.00	—	47%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES ATB IGG	$39.75	$75.00	$38.64–$67.50	—	47%
Measles (rubeola) antibody test inpatient CPT 86765 HC MEASLES ATB IGM	$41.87	$79.00	$38.64–$71.10	—	47%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO	$49.29	$93.00	$5.18–$83.70	37% below	47%
Mono test (heterophile antibody, Monospot) CPT 86308 HC EPSTEIN BARR HETEROPHILE ANTB	$49.29	$93.00	$5.18–$83.70	37% below	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO	$49.29	$93.00	$15.54–$83.70	—	47%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC EPSTEIN BARR HETEROPHILE ANTB	$49.29	$93.00	$15.54–$83.70	—	47%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY IGG	$31.80	$60.00	$13.05–$54.00	58% below	47%
Mumps immunity blood test CPT 86735 HC MUMPS ANTIBODY IGM	$34.98	$66.00	$13.05–$59.40	54% below	47%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY IGG	$31.80	$60.00	$31.80–$54.00	—	47%
Mumps immunity blood test inpatient CPT 86735 HC MUMPS ANTIBODY IGM	$34.98	$66.00	$34.98–$59.40	—	47%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE	$50.35	$95.00	$18.39–$85.50	28% below	47%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN FREE	$50.35	$95.00	$50.35–$85.50	—	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$50.35	$95.00	$18.39–$85.50	37% below	47%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA DIAGNOSTIC	$75.26	$142.00	$18.39–$127.80	6% below	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN TOTAL	$50.35	$95.00	$50.35–$85.50	—	47%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA DIAGNOSTIC	$75.26	$142.00	$55.17–$127.80	—	47%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTO PAP THIN LAYER C/V MANUAL DIAG	$57.24	$108.00	$20.26–$97.20	18% below	47%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTO PAP THIN LAYER C/V MANUAL DIAG	$57.24	$108.00	$57.24–$97.20	—	47%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH WITH CALCIUM	$95.93	$181.00	$41.28–$165.12	50% below	47%
Parathyroid hormone (PTH) blood test CPT 83970 HC PTH INTACT SURGERY USE ONLY	$96.46	$182.00	$41.28–$165.12	50% below	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH WITH CALCIUM	$95.93	$181.00	$95.93–$162.90	—	47%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PTH INTACT SURGERY USE ONLY	$96.46	$182.00	$96.46–$163.80	—	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT RATIO	$37.10	$70.00	$6.01–$63.00	26% below	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL	$47.70	$90.00	$6.01–$81.00	5% below	47%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC ANTIPHOSPHOLIPID SYN THROMBOPLASTIN TIME PARTIAL	$47.70	$90.00	$6.01–$81.00	5% below	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT RATIO	$37.10	$70.00	$18.03–$63.00	—	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC LUPUS ANTICOAG THROMBOPLASTIN TIME PARTIAL	$47.70	$90.00	$18.03–$81.00	—	47%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC ANTIPHOSPHOLIPID SYN THROMBOPLASTIN TIME PARTIAL	$47.70	$90.00	$18.03–$81.00	—	47%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS B	$49.29	$93.00	$4.74–$83.70	72% above	47%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS B	$49.29	$93.00	$14.22–$83.70	—	47%
Potassium blood test CPT 84132 HC POTASSIUM B	$46.64	$88.00	$4.76–$79.20	63% above	47%
Potassium blood test inpatient CPT 84132 HC POTASSIUM B	$46.64	$88.00	$14.28–$79.20	—	47%
Progesterone blood test CPT 84144 HC PROGESTERONE	$64.66	$122.00	$20.86–$109.80	53% below	47%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$64.66	$122.00	$62.58–$109.80	—	47%
Prolactin blood test CPT 84146 HC MACROPROLACTIN	$56.18	$106.00	$19.38–$95.40	44% below	47%
Prolactin blood test CPT 84146 HC PROLACTIN B	$56.18	$106.00	$19.38–$95.40	44% below	47%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN B	$56.18	$106.00	$56.18–$95.40	—	47%
Prolactin blood test inpatient CPT 84146 HC MACROPROLACTIN	$56.18	$106.00	$56.18–$95.40	—	47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME POC	$11.66	$22.00	$4.29–$19.80	56% below	47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME	$12.72	$24.00	$4.29–$21.60	52% below	47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$46.64	$88.00	$4.29–$79.20	76% above	47%
Prothrombin time (PT/INR) clotting test CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME	$46.64	$88.00	$4.29–$79.20	76% above	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME POC	$11.66	$22.00	$11.66–$19.80	—	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC ANTIPHOSPHOLIPID SYN PROTHROMBIN TIME	$12.72	$24.00	$12.72–$21.60	—	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$46.64	$88.00	$12.87–$79.20	—	47%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC LUPUS ANTICOAG PROTHROMBIN TIME	$46.64	$88.00	$12.87–$79.20	—	47%
Rapid flu test (influenza antigen) CPT 87804 HC INFLUENZA A AND B ANTIGEN	$33.39	$63.00	$15.75–$66.20	36% below	47%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC INFLUENZA A AND B ANTIGEN	$33.39	$63.00	$33.39–$56.70	—	47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC RAPID STREP CLINIC	$51.94	$98.00	$16.53–$88.20	33% below	47%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$191.86	$362.00	$16.53–$325.80	147% above	47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC RAPID STREP CLINIC	$51.94	$98.00	$49.59–$88.20	—	47%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC THROAT RAPID BETASTREP A ANTGN	$191.86	$362.00	$49.59–$325.80	—	47%
Renin blood test CPT 84244 HC ASSAY OF RENIN	$41.87	$79.00	$19.75–$87.96	62% below	47%
Renin blood test CPT 84244 HC RENIN	$81.09	$153.00	$21.99–$137.70	27% below	47%
Renin blood test inpatient CPT 84244 HC ASSAY OF RENIN	$41.87	$79.00	$41.87–$71.10	—	47%
Renin blood test inpatient CPT 84244 HC RENIN	$81.09	$153.00	$65.97–$137.70	—	47%
Rh blood typing CPT 86901 HC RH TYPING	$26.50	$50.00	$2.99–$45.00	31% below	47%
Rh blood typing CPT 86901 HC ARC RH TYPE	$28.62	$54.00	$2.99–$48.60	26% below	47%
Rh blood typing inpatient CPT 86901 HC RH TYPING	$26.50	$50.00	$8.97–$45.00	—	47%
Rh blood typing inpatient CPT 86901 HC ARC RH TYPE	$28.62	$54.00	$8.97–$48.60	—	47%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR	$94.87	$179.00	$5.67–$161.10	95% above	47%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR	$94.87	$179.00	$17.01–$161.10	—	47%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA	$36.57	$69.00	$14.39–$62.10	45% below	47%
Rubella antibody test (immunity check) CPT 86762 HC RUBELLA IGM	$51.94	$98.00	$14.39–$88.20	22% below	47%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA	$36.57	$69.00	$36.57–$62.10	—	47%
Rubella antibody test (immunity check) inpatient CPT 86762 HC RUBELLA IGM	$51.94	$98.00	$43.17–$88.20	—	47%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC SED RATE WESTERGREN	$38.69	$73.00	$2.70–$65.70	1% below	47%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC SED RATE WESTERGREN	$38.69	$73.00	$8.10–$65.70	—	47%
Sodium blood test CPT 84295 HC SODIUM B	$36.57	$69.00	$4.81–$62.10	at median	47%
Sodium blood test inpatient CPT 84295 HC SODIUM B	$36.57	$69.00	$14.43–$62.10	—	47%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE	$27.56	$52.00	$8.90–$46.80	43% below	47%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITE FECES	$30.21	$57.00	$8.90–$51.30	38% below	47%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE	$27.56	$52.00	$26.70–$46.80	—	47%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITE FECES	$30.21	$57.00	$26.70–$51.30	—	47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD SCREEN	$8.48	$16.00	$4.00–$17.52	76% below	47%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD FECES	$24.38	$46.00	$4.38–$41.40	32% below	47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD SCREEN	$8.48	$16.00	$8.48–$14.40	—	47%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD FECES	$24.38	$46.00	$13.14–$41.40	—	47%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLOOD FECAL BY IMMUNOASSAY	$48.76	$92.00	$15.92–$82.80	6% below	47%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLOOD FECAL BY IMMUNOASSAY	$48.76	$92.00	$47.76–$82.80	—	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB MHA TP	$39.75	$75.00	$13.24–$67.50	41% below	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC SYPHILIS ANTIB	$39.75	$75.00	$13.24–$67.50	41% below	47%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC FTA ABS	$41.87	$79.00	$13.24–$71.10	38% below	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC SYPHILIS ANTIB	$39.75	$75.00	$39.72–$67.50	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB MHA TP	$39.75	$75.00	$39.72–$67.50	—	47%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC FTA ABS	$41.87	$79.00	$39.72–$71.10	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC VDRL CSF	$37.10	$70.00	$4.27–$63.00	9% below	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC RPR REVERSE WITH REFLEX TO TITER	$40.81	$77.00	$4.27–$69.30	at median	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC VDRL CSF	$37.10	$70.00	$12.81–$63.00	—	47%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC RPR REVERSE WITH REFLEX TO TITER	$40.81	$77.00	$12.81–$69.30	—	47%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC QUANTIFERON TB GOLD	$128.79	$243.00	$60.75–$247.92	13% below	47%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC QUANTIFERON TB GOLD	$128.79	$243.00	$128.79–$218.70	—	47%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL	$82.68	$156.00	$25.81–$140.40	30% below	47%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE TOTAL ADULT MALE	$99.11	$187.00	$25.81–$168.30	17% below	47%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOS TOTAL FE CHILD	$113.42	$214.00	$25.81–$192.60	5% below	47%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE FREE AND TOTAL	$113.42	$214.00	$25.81–$192.60	5% below	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL	$82.68	$156.00	$77.43–$140.40	—	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE TOTAL ADULT MALE	$99.11	$187.00	$77.43–$168.30	—	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE FREE AND TOTAL	$113.42	$214.00	$77.43–$192.60	—	47%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOS TOTAL FE CHILD	$113.42	$214.00	$77.43–$192.60	—	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC THYROID PEROXIDASE AB TPO	$50.35	$95.00	$14.55–$85.50	46% below	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC ANTI THYROID ANTIBODIES MI	$66.25	$125.00	$14.55–$112.50	29% below	47%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC LIVER KIDNEY MICROSOME ABS IGG	$81.62	$154.00	$14.55–$138.60	12% below	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC THYROID PEROXIDASE AB TPO	$50.35	$95.00	$43.65–$85.50	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC ANTI THYROID ANTIBODIES MI	$66.25	$125.00	$43.65–$112.50	—	47%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC LIVER KIDNEY MICROSOME ABS IGG	$81.62	$154.00	$43.65–$138.60	—	47%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH THIRD GENERATION	$65.72	$124.00	$16.80–$111.60	19% below	47%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH THIRD GENERATION	$65.72	$124.00	$50.40–$111.60	—	47%
Total IgE blood test CPT 82785 HC IMMUNOGLOBULIN E	$45.58	$86.00	$16.46–$77.40	39% below	47%
Total IgE blood test CPT 82785 HC IGE B	$47.70	$90.00	$16.46–$81.00	37% below	47%
Total IgE blood test inpatient CPT 82785 HC IMMUNOGLOBULIN E	$45.58	$86.00	$45.58–$77.40	—	47%
Total IgE blood test inpatient CPT 82785 HC IGE B	$47.70	$90.00	$47.70–$81.00	—	47%
Total cholesterol blood test CPT 82465 HC CHOLESTEROL B	$50.35	$95.00	$4.35–$85.50	64% above	47%
Total cholesterol blood test inpatient CPT 82465 HC CHOLESTEROL B	$50.35	$95.00	$13.05–$85.50	—	47%
Total thyroxine (T4) blood test CPT 84436 HC T4 B	$21.73	$41.00	$6.87–$36.90	54% below	47%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T4 B	$21.73	$41.00	$20.61–$36.90	—	47%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE	$21.73	$41.00	$10.25–$56.72	82% below	47%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 TOTAL TRIIODOTHYRONINE	$21.73	$41.00	$21.73–$42.54	—	47%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$40.81	$77.00	$12.76–$69.30	52% below	47%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$40.81	$77.00	$38.28–$69.30	—	47%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$69.96	$132.00	$33.00–$140.36	26% below	47%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA	$72.08	$136.00	$34.00–$140.36	24% below	47%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS (TMA)	$69.96	$132.00	$69.96–$118.80	—	47%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS BY TMA	$72.08	$136.00	$72.08–$122.40	—	47%
Triglycerides blood test CPT 84478 HC BODY FLUID TRIGLYCERIDE	$22.26	$42.00	$5.74–$37.80	38% below	47%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$22.26	$42.00	$5.74–$37.80	38% below	47%
Triglycerides blood test inpatient CPT 84478 HC BODY FLUID TRIGLYCERIDE	$22.26	$42.00	$17.22–$37.80	—	47%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$22.26	$42.00	$17.22–$37.80	—	47%
Troponin test, quantitative CPT 84484 HC TROPONIN #1	$36.57	$69.00	$12.47–$62.10	70% below	47%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN #1	$36.57	$69.00	$36.57–$62.10	—	47%
Uric acid blood test CPT 84550 HC URIC ACID	$60.42	$114.00	$4.52–$102.60	26% above	47%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$60.42	$114.00	$13.56–$102.60	—	47%
Urinalysis with microscope exam, automated CPT 81001 HC UA AUTO WITH MICRO 81001	$30.21	$57.00	$3.17–$51.30	28% below	47%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO CULTURE	$31.80	$60.00	$3.17–$54.00	24% below	47%
Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W MICRO	$31.80	$60.00	$3.17–$54.00	24% below	47%
Urinalysis with microscope exam, automated CPT 81001 HC UA	$31.80	$60.00	$3.17–$54.00	24% below	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA AUTO WITH MICRO 81001	$30.21	$57.00	$9.51–$51.30	—	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO CULTURE	$31.80	$60.00	$9.51–$54.00	—	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC UA	$31.80	$60.00	$9.51–$54.00	—	47%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W MICRO	$31.80	$60.00	$9.51–$54.00	—	47%
Urinalysis without microscope exam, automated CPT 81003 HC KETONE URINE	$27.03	$51.00	$2.25–$45.90	10% above	47%
Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS CLINIC	$28.09	$53.00	$2.25–$47.70	15% above	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC KETONE URINE	$27.03	$51.00	$6.75–$45.90	—	47%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS CLINIC	$28.09	$53.00	$6.75–$47.70	—	47%
Urine culture for bacteria, with colony count CPT 87086 HC URINE CULTURE PRE PROCEDURE	$30.21	$57.00	$8.07–$51.30	31% below	47%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$53.53	$101.00	$8.07–$90.90	22% above	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC URINE CULTURE PRE PROCEDURE	$30.21	$57.00	$24.21–$51.30	—	47%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$53.53	$101.00	$24.21–$90.90	—	47%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$20.67	$39.00	$5.78–$35.10	40% below	47%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN QUANT URINE	$26.50	$50.00	$5.78–$45.00	23% below	47%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN URINE	$26.50	$50.00	$5.78–$45.00	23% below	47%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANTITATIVE URINE	$20.67	$39.00	$17.34–$35.10	—	47%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN QUANT URINE	$26.50	$50.00	$17.34–$45.00	—	47%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN URINE	$26.50	$50.00	$17.34–$45.00	—	47%
Urine pregnancy test, read by color change CPT 81025 HC PREGNANCY TEST URINE	$21.73	$41.00	$8.61–$36.90	60% below	47%
Urine pregnancy test, read by color change inpatient CPT 81025 HC PREGNANCY TEST URINE	$21.73	$41.00	$21.73–$36.90	—	47%
Vitamin B12 (cobalamin) blood test CPT 82607 HC B12	$38.69	$73.00	$15.08–$65.70	48% below	47%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC B12	$38.69	$73.00	$38.69–$65.70	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$108.12	$204.00	$29.60–$183.60	20% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$120.84	$228.00	$29.60–$205.20	10% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC 25 OH VITAMIN D	$127.20	$240.00	$29.60–$216.00	6% below	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25-HYDROXYVITAMIN D2 AND D3	$108.12	$204.00	$88.80–$183.60	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$120.84	$228.00	$88.80–$205.20	—	47%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC 25 OH VITAMIN D	$127.20	$240.00	$88.80–$216.00	—	47%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25 DEHYROXY	$110.24	$208.00	$38.50–$187.20	38% below	47%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25 DEHYROXY	$110.24	$208.00	$110.24–$187.20	—	47%
Zinc blood test CPT 84630 HC ZINC URINE	$14.84	$28.00	$7.00–$45.56	82% below	47%
Zinc blood test CPT 84630 HC ZINC WHOLE BLOOD	$26.50	$50.00	$11.39–$45.56	68% below	47%
Zinc blood test CPT 84630 HC ZINC BLOOD	$47.70	$90.00	$11.39–$81.00	42% below	47%
Zinc blood test CPT 84630 HC ZINC RBC	$78.97	$149.00	$11.39–$134.10	4% below	47%
Zinc blood test inpatient CPT 84630 HC ZINC URINE	$14.84	$28.00	$14.84–$34.17	—	47%
Zinc blood test inpatient CPT 84630 HC ZINC WHOLE BLOOD	$26.50	$50.00	$26.50–$45.00	—	47%
Zinc blood test inpatient CPT 84630 HC ZINC BLOOD	$47.70	$90.00	$34.17–$81.00	—	47%
Zinc blood test inpatient CPT 84630 HC ZINC RBC	$78.97	$149.00	$34.17–$134.10	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER	$28.09	$53.00	$13.25–$60.20	65% below	47%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$190.27	$359.00	$15.05–$323.10	139% above	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE TUMOR MARKER	$28.09	$53.00	$28.09–$47.70	—	47%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANTITATIVE PREGNANCY	$190.27	$359.00	$45.15–$323.10	—	47%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Botox injections for chronic migraine CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$769.03	$1,451.00	$362.75–$1,705.76	19% above	47%
Botox injections for chronic migraine inpatient CPT 64615 HC CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE	$769.03	$1,451.00	$769.03–$1,305.90	—	47%
Earwax removal by irrigation (rinsing), one ear one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$160.59	$303.00	$75.75–$352.24	9% below	47%
Earwax removal by irrigation (rinsing), one ear inpatient one side CPT 69209 HC REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT	$160.59	$303.00	$160.59–$272.70	—	47%
Earwax removal with instruments, one ear one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$98.58	$186.00	$46.50–$352.24	38% below	47%
Earwax removal with instruments, one ear inpatient one side CPT 69210 HC REMOVE CERUMEN IMPACTED REQUIRING INSTR UNILAT	$98.58	$186.00	$98.58–$167.40	—	47%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PV FACET JNT L/S 1 LEV	$1,865.60	$3,520.00	$880.00–$5,249.32	61% above	47%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PV FACET JNT L/S 1 LEV	$1,865.60	$3,520.00	$1,865.60–$3,168.00	—	47%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSCESS SIMPLE	$214.65	$405.00	$101.25–$1,152.96	53% below	47%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSCESS SIMPLE	$214.65	$405.00	$214.65–$364.50	—	47%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJECTION TENDON SHEATH	$72.08	$136.00	$34.00–$1,705.76	87% below	47%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJECTION TENDON SHEATH	$72.08	$136.00	$72.08–$122.40	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$219.42	$414.00	$103.50–$1,705.76	47% below	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCEN ASP/INJ JOINT/BURSA MAJOR W/O US	$219.42	$414.00	$103.50–$1,705.76	47% below	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$219.42	$414.00	$103.50–$1,705.76	47% below	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA MAJOR	$219.42	$414.00	$219.42–$372.60	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCEN ASP/INJ JOINT/BURSA MAJOR W/O US	$219.42	$414.00	$219.42–$372.60	—	47%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHRO/ASP/INJ MAJOR JOINT/BURSA	$219.42	$414.00	$219.42–$372.60	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$219.42	$414.00	$103.50–$1,705.76	49% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCEN ASP/INJ JOINT/BURSA INTERMEDIATE W/O US	$219.42	$414.00	$103.50–$1,705.76	49% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$219.42	$414.00	$103.50–$1,705.76	49% below	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPI JOINT - INTERMEDIATE	$219.42	$414.00	$219.42–$372.60	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCEN ASP/INJ JOINT/BURSA INTERMEDIATE W/O US	$219.42	$414.00	$219.42–$372.60	—	47%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASP/INJ JOINT/BURSA INTERMEDIATE	$219.42	$414.00	$219.42–$372.60	—	47%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCEN ASP/INJ JOINT/BURSA SMALL W/O US	$393.79	$743.00	$185.75–$1,705.76	34% above	47%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCEN ASP/INJ JOINT/BURSA SMALL W/O US	$393.79	$743.00	$393.79–$668.70	—	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$490.78	$926.00	$231.50–$2,296.42	32% below	47%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC REPAIR LAC INTERMED SCALP/AXIL/TRUNK <2.5CM	$490.78	$926.00	$490.78–$833.40	—	47%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$132.50	$250.00	$62.50–$1,152.96	67% below	47%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE 1 NAIL	$132.50	$250.00	$132.50–$225.00	—	47%
Occipital nerve block (injection for headaches) CPT 64405 HC NERVE BLOCK INJ OCCIPITAL	$165.89	$313.00	$78.25–$1,705.76	73% below	47%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NERVE BLOCK INJ OCCIPITAL	$165.89	$313.00	$165.89–$281.70	—	47%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$765.32	$1,444.00	$361.00–$5,220.58	45% below	47%
Paracentesis with imaging guidance CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$765.32	$1,444.00	$361.00–$5,220.58	45% below	47%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING ED	$765.32	$1,444.00	$765.32–$1,299.60	—	47%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABDOMINAL PARACENTESIS W IMAGING	$765.32	$1,444.00	$765.32–$1,299.60	—	47%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXCISION NAIL & MATRIX	$156.35	$295.00	$73.75–$2,296.42	78% below	47%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXCISION NAIL & MATRIX	$156.35	$295.00	$156.35–$265.50	—	47%
Prostate biopsy CPT 55700 HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$1,908.00	$3,600.00	$900.00–$11,730.30	46% below	47%
Prostate biopsy inpatient CPT 55700 HC BIOPSY PROSTATE NEEDLE SINGLE OR MULTI	$1,908.00	$3,600.00	$1,908.00–$3,240.00	—	47%
Removal of a foreign object under the skin, simple CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$416.05	$785.00	$196.25–$2,296.42	32% below	47%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INCISION/REMOVAL FOREIGN BODY SUBQ SIMPLE	$416.05	$785.00	$416.05–$706.50	—	47%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SPLINT SHORT ARM	$170.66	$322.00	$80.50–$735.65	6% below	47%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SPLINT SHORT ARM	$170.66	$322.00	$170.66–$289.80	—	47%
Short leg splint (calf to foot) CPT 29515 HC APPLY SPLINT SHORT LEG	$73.67	$139.00	$34.75–$907.47	69% below	47%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SPLINT SHORT LEG	$73.67	$139.00	$73.67–$125.10	—	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$179.67	$339.00	$84.75–$1,152.96	59% below	47%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN <2.5CM	$179.67	$339.00	$179.67–$305.10	—	47%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$262.35	$495.00	$123.75–$3,982.69	74% below	47%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC LUMBAR PUNCTURE DIAGNOSTIC	$262.35	$495.00	$262.35–$445.50	—	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$269.24	$508.00	$127.00–$1,152.96	33% below	47%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC REPAIR LAC SIMPLE SCALP/HAND/FT/GEN 2.6-7.5CM	$269.24	$508.00	$269.24–$457.20	—	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$216.77	$409.00	$102.25–$1,152.96	50% below	47%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC REPAIR LAC SIMPLE FACE/EAR/LIPS <2.5CM	$216.77	$409.00	$216.77–$368.10	—	47%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS WITH IMAGE GUIDE	$548.55	$1,035.00	$258.75–$3,617.93	50% below	47%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS WITH IMAGE GUIDE	$548.55	$1,035.00	$548.55–$931.50	—	47%
Trigger point injections, 1 or 2 muscles CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$78.97	$149.00	$37.25–$1,705.76	86% below	47%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC TRIGGER PT 1-2 MUSCLE	$78.97	$149.00	$78.97–$134.10	—	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$765.32	$1,444.00	$361.00–$9,337.22	67% below	47%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$765.32	$1,444.00	$765.32–$1,299.60	—	47%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM	$113.95	$215.00	$53.75–$2,296.42	85% below	47%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM	$113.95	$215.00	$113.95–$193.50	—	47%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$320.65	$605.00	$151.25–$2,500.09	64% below	47%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD/BLOOD COMPONENTS	$320.65	$605.00	$320.65–$544.50	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$42.93	$81.00	$20.25–$1,228.39	62% below	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$42.93	$81.00	$20.25–$1,228.39	62% below	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$42.93	$81.00	$20.25–$1,228.39	62% below	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT EZ PAP	$42.93	$81.00	$42.93–$72.90	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NMDI	$42.93	$81.00	$42.93–$72.90	—	47%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC INHAL RX AIRWAY OBST/DX SPUTUM INDUCT NEB	$42.93	$81.00	$42.93–$72.90	—	47%
Chemotherapy IV infusion, first hour CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$214.12	$404.00	$101.00–$1,950.41	68% below	47%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC IV CHEMOTHERAPY INFUSION - INITIAL UP TO 1 HOUR	$214.12	$404.00	$214.12–$363.60	—	47%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$931.21	$1,757.00	$439.25–$5,110.51	56% below	47%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE 30 - 74 MIN	$931.21	$1,757.00	$931.21–$1,581.30	—	47%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE AND DROWSY	$382.13	$721.00	$180.25–$1,807.70	44% below	47%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE AND DROWSY	$382.13	$721.00	$382.13–$648.90	—	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC EKG	$108.65	$205.00	$51.25–$352.24	46% below	47%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC EKG	$108.65	$205.00	$108.65–$184.50	—	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC ED LEVEL 1 VISIT 99281	$90.10	$170.00	$42.50–$511.28	59% below	47%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC ED LEVEL 1 VISIT 99281	$90.10	$170.00	$90.10–$153.00	—	47%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC ED LEVEL 2 VISIT 99282	$151.05	$285.00	$71.25–$941.90	64% below	47%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC ED LEVEL 2 VISIT 99282	$151.05	$285.00	$151.05–$256.50	—	47%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC ED LEVEL 3 VISIT 99283	$264.47	$499.00	$124.75–$1,643.22	66% below	47%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC ED LEVEL 3 VISIT 99283	$264.47	$499.00	$264.47–$449.10	—	47%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC ED LEVEL 4 VISIT 99284	$459.51	$867.00	$216.75–$2,550.79	61% below	47%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC ED LEVEL 4 VISIT 99284	$459.51	$867.00	$459.51–$780.30	—	47%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC ED LEVEL 5 VISIT 99285	$722.39	$1,363.00	$340.75–$3,699.16	59% below	47%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC ED LEVEL 5 VISIT 99285	$722.39	$1,363.00	$722.39–$1,226.70	—	47%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$487.60	$920.00	$230.00–$1,807.70	36% below	47%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC STRESS TEST TREADML OR BIKE/PHARM	$487.60	$920.00	$487.60–$828.00	—	47%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$104.94	$198.00	$49.50–$1,234.41	71% below	47%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC IV HYDRATION INFUSION - INITIAL 31 MINUTES TO 1 HOUR	$104.94	$198.00	$104.94–$178.20	—	47%
IV infusion of a medicine, first hour CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$136.21	$257.00	$64.25–$1,234.41	66% below	47%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV THERAPEUTIC INFUSION - INITIAL UP TO 1 HOUR	$136.21	$257.00	$136.21–$231.30	—	47%
IV push of a medicine, first drug CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$76.32	$144.00	$36.00–$1,234.41	64% below	47%
IV push of a medicine, first drug CPT 96374 HC IV PUSH INITIAL RADIOLOGY	$266.06	$502.00	$125.50–$1,234.41	26% above	47%
IV push of a medicine, first drug inpatient CPT 96374 HC IV THERAPEUTIC PUSH - INITIAL	$76.32	$144.00	$76.32–$129.60	—	47%
IV push of a medicine, first drug inpatient CPT 96374 HC IV PUSH INITIAL RADIOLOGY	$266.06	$502.00	$266.06–$451.80	—	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$55.12	$104.00	$26.00–$405.70	48% below	47%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC INJECTION SQ/IM	$60.95	$115.00	$28.75–$405.70	42% below	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC IM/SC THERAPEUTIC ADMINISTRATION	$55.12	$104.00	$55.12–$93.60	—	47%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC INJECTION SQ/IM	$60.95	$115.00	$60.95–$103.50	—	47%
Neuromuscular re-education, 15 minutes CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$78.97	$149.00	$37.25–$134.10	4% above	47%
Neuromuscular re-education, 15 minutes CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$78.97	$149.00	$37.25–$134.10	4% above	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC OT NEUROMUSCULAR RE ED 15 MIN	$78.97	$149.00	$78.97–$134.10	—	47%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC PT NEUROMUSCULAR RE ED 15 MIN	$78.97	$149.00	$78.97–$134.10	—	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$20.14	$38.00	$9.50–$121.56	41% below	47%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER 1ST INDIV EA 15 MIN	$20.14	$38.00	$20.14–$34.20	—	47%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$89.57	$169.00	$42.25–$152.10	44% below	47%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$89.57	$169.00	$42.25–$152.10	44% below	47%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$89.57	$169.00	$42.25–$152.10	44% below	47%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$89.57	$169.00	$42.25–$152.10	44% below	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 30 MIN LOW COMPLEX	$89.57	$169.00	$89.57–$152.10	—	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 60 MIN LOW COMPLEX	$89.57	$169.00	$89.57–$152.10	—	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 15 MIN LOW COMPLEX	$89.57	$169.00	$89.57–$152.10	—	47%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVALUATION 45 MIN LOW COMPLEX	$89.57	$169.00	$89.57–$152.10	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$159.00	$300.00	$75.00–$270.00	32% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$159.00	$300.00	$75.00–$270.00	32% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$159.00	$300.00	$75.00–$270.00	32% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 15 MIN II HIGH COMPLEX	$159.00	$300.00	$75.00–$270.00	32% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$159.00	$300.00	$75.00–$270.00	32% below	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 45 MIN HIGH COMPLEX	$159.00	$300.00	$159.00–$270.00	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 15 MIN HIGH COMPLEX	$159.00	$300.00	$159.00–$270.00	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 15 MIN II HIGH COMPLEX	$159.00	$300.00	$159.00–$270.00	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 30 MIN HIGH COMPLEX	$159.00	$300.00	$159.00–$270.00	—	47%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVALUATION 60 MIN HIGH COMPLEX	$159.00	$300.00	$159.00–$270.00	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$89.57	$169.00	$42.25–$152.10	38% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$89.57	$169.00	$42.25–$152.10	38% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$89.57	$169.00	$42.25–$152.10	38% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$89.57	$169.00	$42.25–$152.10	38% below	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVALUATION 15 MIN II LOW COMPLX	$162.18	$306.00	$76.50–$275.40	13% above	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 30 MIN LOW COMPLX	$89.57	$169.00	$89.57–$152.10	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 60 MIN LOW COMPLX	$89.57	$169.00	$89.57–$152.10	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 15 MIN LOW COMPLX	$89.57	$169.00	$89.57–$152.10	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 45 MIN LOW COMPLX	$89.57	$169.00	$89.57–$152.10	—	47%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVALUATION 15 MIN II LOW COMPLX	$162.18	$306.00	$162.18–$275.40	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$126.67	$239.00	$59.75–$215.10	32% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$126.67	$239.00	$59.75–$215.10	32% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 15 MIN II MOD COMPLEX	$126.67	$239.00	$59.75–$215.10	32% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$126.67	$239.00	$59.75–$215.10	32% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$126.67	$239.00	$59.75–$215.10	32% below	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 45 MIN MOD COMPLEX	$126.67	$239.00	$126.67–$215.10	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 15 MIN MOD COMPLEX	$126.67	$239.00	$126.67–$215.10	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 60 MIN MOD COMPLEX	$126.67	$239.00	$126.67–$215.10	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 15 MIN II MOD COMPLEX	$126.67	$239.00	$126.67–$215.10	—	47%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVALUATION 30 MIN MOD COMPLEX	$126.67	$239.00	$126.67–$215.10	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$83.74	$158.00	$38.12–$142.20	2% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC PT MANUAL THERAPY 15 MIN	$83.74	$158.00	$38.12–$142.20	2% below	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC PT MANUAL THERAPY 15 MIN	$83.74	$158.00	$83.74–$142.20	—	47%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC OT MANUIAL THERAPY 15 MIN	$83.74	$158.00	$83.74–$142.20	—	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$84.27	$159.00	$39.75–$143.10	11% above	47%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$84.27	$159.00	$39.75–$143.10	11% above	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAPEUTIC EXERCISE 15 MIN	$84.27	$159.00	$84.27–$143.10	—	47%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAPEUTIC EXERCISE 15 MIN	$84.27	$159.00	$84.27–$143.10	—	47%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$166.42	$314.00	$78.50–$918.24	15% below	47%
Psychiatric evaluation with medical services inpatient CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES	$166.42	$314.00	$166.42–$282.60	—	47%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCH W/PATIENT 45 MINUTES	$128.79	$243.00	$60.75–$918.24	9% below	47%
Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYCH W/PATIENT 45 MINUTES	$128.79	$243.00	$128.79–$218.70	—	47%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC SMOKING CESSATION 3-10 MIN	$26.50	$50.00	$12.50–$165.27	12% below	47%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC SMOKING CESSATION 3-10 MIN	$26.50	$50.00	$26.50–$45.00	—	47%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$221.54	$418.00	$104.50–$376.20	8% above	47%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$221.54	$418.00	$104.50–$376.20	8% above	47%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$221.54	$418.00	$104.50–$376.20	8% above	47%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$221.54	$418.00	$104.50–$376.20	8% above	47%
Speech and language evaluation CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$251.22	$474.00	$118.50–$426.60	23% above	47%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 45 MIN	$221.54	$418.00	$221.54–$376.20	—	47%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 60 MIN	$221.54	$418.00	$221.54–$376.20	—	47%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 30 MIN	$221.54	$418.00	$221.54–$376.20	—	47%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 15 MIN	$221.54	$418.00	$221.54–$376.20	—	47%
Speech and language evaluation inpatient CPT 92523 HC ST SPEECH SOUND LANG COMPREHEN 75 MIN	$251.22	$474.00	$251.22–$426.60	—	47%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$157.94	$298.00	$74.50–$268.20	8% above	47%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$157.94	$298.00	$74.50–$268.20	8% above	47%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$157.94	$298.00	$74.50–$268.20	8% above	47%
Speech therapy session, individual CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$157.94	$298.00	$74.50–$268.20	8% above	47%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 15 MIN	$157.94	$298.00	$157.94–$268.20	—	47%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 60 MIN	$157.94	$298.00	$157.94–$268.20	—	47%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 45 MIN	$157.94	$298.00	$157.94–$268.20	—	47%
Speech therapy session, individual inpatient CPT 92507 HC ST SPEECH/HEARING THERAPY 30 MIN	$157.94	$298.00	$157.94–$268.20	—	47%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$72.61	$137.00	$34.25–$899.60	70% below	47%
Spirometry (breathing test) CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$72.61	$137.00	$34.25–$899.60	70% below	47%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR	$72.61	$137.00	$72.61–$123.30	—	47%
Spirometry (breathing test) inpatient CPT 94010 HC PFT SPIROMETRY WO BRONCHODILATOR BEDSIDE	$72.61	$137.00	$72.61–$123.30	—	47%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$217.30	$410.00	$102.50–$1,807.70	60% below	47%
Spirometry before and after a bronchodilator CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$217.30	$410.00	$102.50–$1,807.70	60% below	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR	$217.30	$410.00	$217.30–$369.00	—	47%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC PFT SPIROMETRY W BRONCHODILATOR BEDSIDE	$217.30	$410.00	$217.30–$369.00	—	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$77.38	$146.00	$36.50–$131.40	2% above	47%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$77.38	$146.00	$36.50–$131.40	2% above	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC OT THERAPEUTIC ACTIVITY 15 MIN	$77.38	$146.00	$77.38–$131.40	—	47%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC PT THERAPEUTIC ACTIVITY 15 MIN	$77.38	$146.00	$77.38–$131.40	—	47%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$61.48	$116.00	$29.00–$735.65	71% below	47%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC PHLEBOTOMY THERAPEUTIC	$61.48	$116.00	$61.48–$104.40	—	47%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Indiana	Off list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$58.30	$110.00	$27.50–$208.73	at median	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$58.30	$110.00	$27.50–$208.73	at median	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 HC IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE	$58.30	$110.00	$58.30–$99.00	—	47%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY	$58.30	$110.00	$58.30–$99.00	—	47%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$488.45	$921.60	$230.40–$829.44	19% above	47%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML IJ SUSR	$488.45	$921.60	$488.45–$829.44	—	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$74.34	$140.25	$35.06–$126.23	10% below	47%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$74.34	$140.25	$74.33–$126.23	—	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$262.04	$494.40	$123.60–$444.96	38% above	47%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUSY	$262.04	$494.40	$262.03–$444.96	—	47%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$268.53	$506.65	$126.66–$455.99	8% above	47%
DTaP, polio and Hib combination vaccine (Pentacel) inpatient CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR	$268.53	$506.65	$268.52–$455.99	—	47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 HC FLU VACCINE NO PRES	$22.79	$43.00	$10.75–$55.88	42% below	47%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$22.79	$43.00	$10.75–$55.88	42% below	47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY	$22.79	$43.00	$22.79–$38.70	—	47%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 HC FLU VACCINE NO PRES	$22.79	$43.00	$22.79–$38.70	—	47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$836.90	$1,579.05	$394.76–$1,421.15	33% above	47%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$836.90	$1,579.05	$394.76–$1,421.15	33% above	47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY	$836.90	$1,579.05	$836.90–$1,421.15	—	47%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSP	$836.90	$1,579.05	$836.90–$1,421.15	—	47%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$218.87	$412.95	$103.24–$371.66	28% above	47%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSY	$218.87	$412.95	$218.86–$371.66	—	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$99.25	$187.25	$46.81–$168.53	16% above	47%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSY	$99.25	$187.25	$99.24–$168.53	—	47%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP (WRAPPER)	$183.49	$346.20	$86.55–$311.58	4% above	47%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VAC RECOMBINANT 20 MCG/ML IJ SUSP (WRAPPER)	$183.49	$346.20	$183.49–$311.58	—	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$396.23	$747.60	$186.90–$672.84	33% above	47%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY	$396.23	$747.60	$396.23–$672.84	—	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$74.13	$139.85	$34.96–$125.87	1% above	47%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML IJ SUSY	$74.13	$139.85	$74.12–$125.87	—	47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$48.23	$91.00	$22.75–$81.90	1% below	47%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM SOLR	$48.23	$91.00	$48.23–$81.90	—	47%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$248.36	$468.60	$117.15–$421.74	3% below	47%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR	$248.36	$468.60	$248.36–$421.74	—	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$734.40	$1,385.65	$346.41–$1,247.09	73% above	47%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC SUSR	$734.40	$1,385.65	$734.39–$1,247.09	—	47%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$378.11	$713.40	$178.35–$642.06	8% above	47%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENING ACY&W-135 DIPHTH CONJ IM SOLN	$378.11	$713.40	$378.10–$642.06	—	47%
Meningococcal ACWY vaccine (MenQuadfi) CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$450.27	$849.55	$212.39–$764.60	44% above	47%
Meningococcal ACWY vaccine (MenQuadfi) inpatient CPT 90619 MENING ACY&W-135 TETANUS CONJ IM SOLN	$450.27	$849.55	$450.26–$764.60	—	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$602.96	$1,137.65	$284.41–$1,023.89	55% above	47%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY	$602.96	$1,137.65	$602.95–$1,023.89	—	47%
Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY	$527.12	$994.55	$248.64–$895.10	24% above	47%
Meningococcal B vaccine (Trumenba) inpatient CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY	$527.12	$994.55	$527.11–$895.10	—	47%
Nasal spray flu vaccine, live (FluMist) CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$36.04	$68.00	$17.00–$72.18	6% below	47%
Nasal spray flu vaccine, live (FluMist) inpatient CPT 90660 HC INFLUENZA VIRUS VACCINE LIVE NA LIQD	$36.04	$68.00	$36.04–$61.20	—	47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$575.74	$1,086.30	$271.58–$977.67	23% above	47%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 PNEUMOCOCCAL 13-VAL CONJ VACC IM SUSP	$575.74	$1,086.30	$575.74–$977.67	—	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$698.28	$1,317.50	$329.38–$1,185.75	12% above	47%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY	$698.28	$1,317.50	$698.28–$1,185.75	—	47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$42.40	$80.00	$20.00–$333.68	80% below	47%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML IJ SOSY	$42.40	$80.00	$42.40–$72.00	—	47%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$758.22	$1,430.60	$106.60–$1,287.54	512% above	47%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP	$758.22	$1,430.60	$758.22–$1,287.54	—	47%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM SUSR	$691.05	$1,303.85	$325.96–$1,173.47	14% below	47%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$746.06	$1,407.65	$351.91–$1,266.89	7% below	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM SUSR	$691.05	$1,303.85	$691.04–$1,173.47	—	47%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR	$746.06	$1,407.65	$746.05–$1,266.89	—	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN	$261.08	$492.60	$123.15–$443.34	36% above	47%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLN	$261.08	$492.60	$261.08–$443.34	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACC NO PRSRV >/= 7 IM	$94.34	$178.00	$44.50–$160.20	18% below	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$116.18	$219.20	$54.80–$197.28	1% above	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACC NO PRSRV >/= 7 IM	$94.34	$178.00	$94.34–$160.20	—	47%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$116.18	$219.20	$116.18–$197.28	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$123.07	$232.20	$58.05–$208.98	at median	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE = > 7 IM	$127.73	$241.00	$60.25–$216.90	4% above	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP (WRAPPER)	$123.07	$232.20	$123.07–$208.98	—	47%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE = > 7 IM	$127.73	$241.00	$127.73–$216.90	—	47%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VACCINE ADMIN SINGLE	$11.66	$22.00	$5.50–$405.70	81% below	47%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VACCINE ADMIN SINGLE	$11.66	$22.00	$11.66–$19.80	—	47%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC VACCINE ADMIN EA ADDL	$11.13	$21.00	$5.25–$18.90	72% below	47%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC VACCINE ADMIN EA ADDL	$11.13	$21.00	$11.13–$18.90	—	47%

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/8110/350877575_deaconess-health-system-gibson-general-hospital_standardcharges.csv