Hospital Sierra Vista-Douglas, AZ

Benson Hospital

Listed in its price file as “Benson Hospital Corporation”.

Benson Hospital in Benson, AZ publishes cash prices for 325 common procedures listed here, from its own machine-readable price file updated May 13, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Arizona median for 264 of 320 procedures and above it for 49. By typical cash price it ranks #19 of 53 Arizona hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.

450 S. Ocotillo Ave., Benson, AZ 85602 Collected Sep 23, 2026 Source price file Check a bill from this hospital (520) 586-2261

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 031301 · CMS hospital register NPI 1336118322

Financial assistance

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

Benson 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 Arizona	Off list
Abdominal CT scan without and with contrast CPT 74170 FAC CT ABDOMEN WO/W CONTRAST	$905.76	$1,887.00	$603.84–$1,699.56	42% below	52%
Abdominal CT scan without and with contrast inpatient CPT 74170 FAC CT ABDOMEN WO/W CONTRAST	$905.76	$1,887.00	$1,132.20–$1,698.30	—	52%
Abdominal X-ray, 2 views CPT 74019 FAC ABDOMEN ADDITIONAL	$69.60	$145.00	$46.40–$170.33	67% below	52%
Abdominal X-ray, 2 views CPT 74019 FAC XR ABDOMEN SERIES 2 VIEWS	$104.16	$217.00	$69.44–$195.30	51% below	52%
Abdominal X-ray, 2 views inpatient CPT 74019 FAC ABDOMEN ADDITIONAL	$69.60	$145.00	$87.00–$130.50	—	52%
Abdominal X-ray, 2 views inpatient CPT 74019 FAC XR ABDOMEN SERIES 2 VIEWS	$104.16	$217.00	$130.20–$195.30	—	52%
Ankle X-ray, complete, 3 or more views one side CPT 73610 FAC XR ANKLE LEFT COMPLETE MIN 3V	$71.04	$148.00	$47.36–$187.74	54% below	52%
Ankle X-ray, complete, 3 or more views one side CPT 73610 FAC XR ANKLE RIGHT COMPLETE MIN 3V	$71.04	$148.00	$47.36–$187.74	54% below	52%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 FAC XR ANKLE RIGHT COMPLETE MIN 3V	$71.04	$148.00	$88.80–$133.20	—	52%
Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 FAC XR ANKLE LEFT COMPLETE MIN 3V	$71.04	$148.00	$88.80–$133.20	—	52%
Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 BILATERAL ABI'S	$140.64	$293.00	$93.76–$1,119.63	—	52%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 FAC US ABI (ANKLE BRACHI	$317.76	$662.00	$211.84–$1,119.63	15% below	52%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 BILATERAL ABI'S	$140.64	$293.00	$175.80–$263.70	—	52%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 FAC US ABI (ANKLE BRACHI	$317.76	$662.00	$397.20–$595.80	—	52%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 FAC CT EXTREMITY UPPER W/O CONTRAST	$433.44	$903.00	$288.96–$995.11	53% below	52%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 FAC CT EXTREMITY UPPER W/O CONTRAST	$433.44	$903.00	$541.80–$812.70	—	52%
Barium swallow (esophagus X-ray with contrast) CPT 74220 FAC ESOPHAGUS MULTI VIEW	$211.20	$440.00	$140.80–$465.48	41% below	52%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 FAC ESOPHAGUS MULTI VIEW	$211.20	$440.00	$264.00–$396.00	—	52%
Breast ultrasound, complete, one breast both sides CPT 76641 FAC US BREAST BILATERAL	$89.76	$187.00	$59.84–$452.34	—	52%
Breast ultrasound, complete, one breast one side CPT 76641 FAC US BREAST RIGHT UNILATERAL	$89.76	$187.00	$59.84–$452.34	64% below	52%
Breast ultrasound, complete, one breast one side CPT 76641 FAC US BREAST LEFT UNILATERAL	$89.76	$187.00	$59.84–$452.34	64% below	52%
Breast ultrasound, complete, one breast inpatient both sides CPT 76641 FAC US BREAST BILATERAL	$89.76	$187.00	$112.20–$168.30	—	52%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 FAC US BREAST LEFT UNILATERAL	$89.76	$187.00	$112.20–$168.30	—	52%
Breast ultrasound, complete, one breast inpatient one side CPT 76641 FAC US BREAST RIGHT UNILATERAL	$89.76	$187.00	$112.20–$168.30	—	52%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 FAC CT ANGIO ABD PEL W W/0	$1,082.25	$2,254.68	$721.50–$2,547.49	35% below	52%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 FAC CT ANGIO ABD PEL W W/0	$1,082.25	$2,254.68	$1,352.81–$2,029.21	—	52%
CT angiography (CTA) of the head CPT 70496 FAC CT ANGIO HEAD W/WO	$822.53	$1,713.60	$548.35–$1,678.69	30% below	52%
CT angiography (CTA) of the head inpatient CPT 70496 FAC CT ANGIO HEAD W/WO	$822.53	$1,713.60	$1,028.16–$1,542.24	—	52%
CT angiography (CTA) of the neck CPT 70498 FAC CT ANGIO NECK W/WO	$822.53	$1,713.60	$548.35–$1,677.24	30% below	52%
CT angiography (CTA) of the neck inpatient CPT 70498 FAC CT ANGIO NECK W/WO	$822.53	$1,713.60	$1,028.16–$1,542.24	—	52%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 FAC CT ANGIO CHEST W/WO	$822.53	$1,713.60	$548.35–$1,688.84	37% below	52%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 FAC CT ANGIO CHEST W/WO	$822.53	$1,713.60	$1,028.16–$1,542.24	—	52%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 FAC CT ABD/PELVIS W/O CONTRAST	$1,297.80	$2,703.75	$865.20–$2,433.38	1% below	52%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 FAC CT ABD/PELVIS W/O CONTRAST	$1,297.80	$2,703.75	$1,622.25–$2,433.38	—	52%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST	$1,421.40	$2,961.25	$947.60–$2,665.13	30% below	52%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 FAC CT ABDOMEN/PELVIS W/ IV & ORAL CONTRAST	$1,421.40	$2,961.25	$1,776.75–$2,665.13	—	52%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 FAC CT ABDOMEN/PELVIS WO/W CONTRAST	$1,545.00	$3,218.75	$1,030.00–$2,896.88	34% below	52%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 FAC CT ABDOMEN/PELVIS WO/W CONTRAST	$1,545.00	$3,218.75	$1,931.25–$2,896.88	—	52%
CT scan of the abdomen with contrast CPT 74160 FAC CT ABDOMEN W/ CONTRAST	$827.52	$1,724.00	$551.68–$1,594.90	34% below	52%
CT scan of the abdomen with contrast inpatient CPT 74160 FAC CT ABDOMEN W/ CONTRAST	$827.52	$1,724.00	$1,034.40–$1,551.60	—	52%
CT scan of the abdomen without contrast CPT 74150 FAC CT ABDOMEN W/O CONTRAST	$635.52	$1,324.00	$423.68–$1,191.60	28% below	52%
CT scan of the abdomen without contrast inpatient CPT 74150 FAC CT ABDOMEN W/O CONTRAST	$635.52	$1,324.00	$794.40–$1,191.60	—	52%
CT scan of the face and sinuses, no contrast dye CPT 70486 FAC CT SINUS LIMITED	$395.04	$823.00	$263.36–$804.75	51% below	52%
CT scan of the face and sinuses, no contrast dye CPT 70486 FAC CT MAXILLOFACIAL W/O CONTRAST	$445.92	$929.00	$297.28–$836.10	44% below	52%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FAC CT SINUS LIMITED	$395.04	$823.00	$493.80–$740.70	—	52%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 FAC CT MAXILLOFACIAL W/O CONTRAST	$445.92	$929.00	$557.40–$836.10	—	52%
CT scan of the head or brain, no contrast dye CPT 70450 FAC CT HEAD W/O CONTRAST	$580.80	$1,210.00	$387.20–$1,089.00	37% below	52%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 FAC CT HEAD W/O CONTRAST	$580.80	$1,210.00	$726.00–$1,089.00	—	52%
CT scan of the head with contrast CPT 70460 FAC CT HEAD W/ CONTRAST	$733.56	$1,528.23	$489.03–$1,375.41	38% below	52%
CT scan of the head with contrast inpatient CPT 70460 FAC CT HEAD W/ CONTRAST	$733.56	$1,528.23	$916.94–$1,375.41	—	52%
CT scan of the head without and with contrast CPT 70470 FAC CT HEAD WO/W CONTRAST	$880.50	$1,834.36	$587.00–$1,650.92	38% below	52%
CT scan of the head without and with contrast inpatient CPT 70470 FAC CT HEAD WO/W CONTRAST	$880.50	$1,834.36	$1,100.62–$1,650.92	—	52%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 FAC CT L SPINE W/O CONTRAST	$626.88	$1,306.00	$417.92–$1,175.40	45% below	52%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 FAC CT L SPINE W/O CONTRAST	$626.88	$1,306.00	$783.60–$1,175.40	—	52%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 FAC CT C SPINE W/O CONTRAST	$600.96	$1,252.00	$400.64–$1,126.80	47% below	52%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 FAC CT C SPINE W/O CONTRAST	$600.96	$1,252.00	$751.20–$1,126.80	—	52%
CT scan of the pelvis, with contrast dye CPT 72193 FAC CT PELVIS W/ CONTRAST	$861.12	$1,794.00	$574.08–$1,614.60	23% below	52%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 FAC CT PELVIS W/ CONTRAST	$861.12	$1,794.00	$1,076.40–$1,614.60	—	52%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 FAC US DUPLEX BILATERAL XCRA C	$317.76	$662.00	$211.84–$1,920.55	—	52%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 FAC US DUPLEX BILATERAL XCRA C	$317.76	$662.00	$397.20–$595.80	—	52%
Chest CT scan without and with contrast CPT 71270 FAC CT CHEST WO/W CONTRAST	$841.92	$1,754.00	$561.28–$1,578.60	39% below	52%
Chest CT scan without and with contrast inpatient CPT 71270 FAC CT CHEST WO/W CONTRAST	$841.92	$1,754.00	$1,052.40–$1,578.60	—	52%
Chest X-ray, 2 views CPT 71046 FAC CHEST AP/LAT/APICAL	$79.20	$165.00	$52.80–$152.81	55% below	52%
Chest X-ray, 2 views CPT 71046 FAC XR CHEST 2 VIEW (PA-AP & LAT)	$121.36	$252.83	$80.91–$227.55	31% below	52%
Chest X-ray, 2 views inpatient CPT 71046 FAC CHEST AP/LAT/APICAL	$79.20	$165.00	$99.00–$148.50	—	52%
Chest X-ray, 2 views inpatient CPT 71046 FAC XR CHEST 2 VIEW (PA-AP & LAT)	$121.36	$252.83	$151.70–$227.55	—	52%
Chest X-ray, single view CPT 71045 FAC XR CHEST 1 VIEW PORTABLE	$116.64	$243.00	$77.76–$218.70	4% above	52%
Chest X-ray, single view CPT 71045 FAC CHEST SINGLE VIEW	$116.64	$243.00	$77.76–$218.70	4% above	52%
Chest X-ray, single view inpatient CPT 71045 FAC XR CHEST 1 VIEW PORTABLE	$116.64	$243.00	$145.80–$218.70	—	52%
Chest X-ray, single view inpatient CPT 71045 FAC CHEST SINGLE VIEW	$116.64	$243.00	$145.80–$218.70	—	52%
Collarbone (clavicle) X-ray, complete both sides CPT 73000 FAC XR CLAVICLES BILATERAL	$60.96	$127.00	$40.64–$159.39	—	52%
Collarbone (clavicle) X-ray, complete CPT 73000 FAC XR CLAVICLE	$48.00	$100.00	$32.00–$159.39	75% below	52%
Collarbone (clavicle) X-ray, complete inpatient both sides CPT 73000 FAC XR CLAVICLES BILATERAL	$60.96	$127.00	$76.20–$114.30	—	52%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 FAC XR CLAVICLE	$48.00	$100.00	$60.00–$90.00	—	52%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 FAC US ABDOMEN RETRO AORTA R	$216.96	$452.00	$144.64–$485.21	49% below	52%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 FAC US ABDOMEN RETRO AORTA R	$216.96	$452.00	$271.20–$406.80	—	52%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 FAC DXA AXIAL SKELETON	$168.00	$350.00	$112.00–$315.00	45% below	52%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 FAC DXA AXIAL SKELETON	$168.00	$350.00	$210.00–$315.00	—	52%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 FAC DXA APPENDICULAR	$150.72	$314.00	$100.48–$282.60	27% below	52%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 FAC DXA APPENDICULAR	$150.72	$314.00	$188.40–$282.60	—	52%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 FAC US OB W/ DETAIL FETA	$192.00	$400.00	$128.00–$565.31	51% below	52%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 FAC US OB W/ DETAIL FETA	$192.00	$400.00	$240.00–$360.00	—	52%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 FAC CT CHEST W/O CONTRAST	$613.92	$1,279.00	$409.28–$1,151.10	31% below	52%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 FAC CT CHEST W/O CONTRAST	$613.92	$1,279.00	$767.40–$1,151.10	—	52%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 FAC CT CHEST W/ CONTRAST	$776.64	$1,618.00	$517.76–$1,456.20	37% below	52%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 FAC CT CHEST W/ CONTRAST	$776.64	$1,618.00	$970.80–$1,456.20	—	52%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 FAC US DUPLEX BILATERAL LOWER EXTREMITY	$317.76	$662.00	$211.84–$2,240.48	—	52%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 FAC US DUPLEX BILATERAL LOWER EXTREMITY	$317.76	$662.00	$397.20–$595.80	—	52%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 FAC US DUPLEX BILATERAL EXTREMITY	$317.76	$662.00	$211.84–$1,925.99	—	52%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 FAC US DUPLEX BILATERAL EXTREMITY	$317.76	$662.00	$397.20–$595.80	—	52%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 FAC US ECHOCARDIO COMP	$360.00	$750.00	$240.00–$2,426.63	64% below	52%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 FAC US ECHOCARDIO COMP	$360.00	$750.00	$450.00–$675.00	—	52%
Elbow X-ray, 2 views one side CPT 73070 FAC XR ELBOW RIGHT LIMITED <3 V	$61.44	$128.00	$40.96–$139.67	68% below	52%
Elbow X-ray, 2 views one side CPT 73070 FAC XR ELBOW LEFT LIMITED <3 VIEWS	$61.44	$128.00	$40.96–$139.67	68% below	52%
Elbow X-ray, 2 views inpatient one side CPT 73070 FAC XR ELBOW LEFT LIMITED <3 VIEWS	$61.44	$128.00	$76.80–$115.20	—	52%
Elbow X-ray, 2 views inpatient one side CPT 73070 FAC XR ELBOW RIGHT LIMITED <3 V	$61.44	$128.00	$76.80–$115.20	—	52%
Elbow X-ray, complete, 3 or more views one side CPT 73080 FAC XR ELBOW LEFT COMPLETE 3+ VIEWS	$79.68	$166.00	$53.12–$159.39	43% below	52%
Elbow X-ray, complete, 3 or more views one side CPT 73080 FAC XR ELBOW RIGHT COMPLETE 3+ VIEWS	$79.68	$166.00	$53.12–$159.39	43% below	52%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 FAC XR ELBOW RIGHT COMPLETE 3+ VIEWS	$79.68	$166.00	$99.60–$149.40	—	52%
Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 FAC XR ELBOW LEFT COMPLETE 3+ VIEWS	$79.68	$166.00	$99.60–$149.40	—	52%
Eye socket (orbit) CT scan without contrast CPT 70480 FAC CT ORBIT SELLA INN W/O CONTRAST	$494.40	$1,030.00	$329.60–$927.00	46% below	52%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 FAC CT ORBIT SELLA INN W/O CONTRAST	$494.40	$1,030.00	$618.00–$927.00	—	52%
Facial bones X-ray, complete, 3 or more views CPT 70150 FAC XR FACIAL BONES COMPLETE 3V MIN	$89.76	$187.00	$59.84–$227.13	65% below	52%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FAC XR FACIAL BONES COMPLETE 3V MIN	$89.76	$187.00	$112.20–$168.30	—	52%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FAC XR FOREARM LEFT	$73.44	$153.00	$48.96–$141.87	58% below	52%
Forearm X-ray (radius and ulna), 2 views one side CPT 73090 FAC XR FOREARM RIGHT	$73.44	$153.00	$48.96–$141.87	58% below	52%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FAC XR FOREARM RIGHT	$73.44	$153.00	$91.80–$137.70	—	52%
Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 FAC XR FOREARM LEFT	$73.44	$153.00	$91.80–$137.70	—	52%
Hand X-ray, 2 views one side CPT 73120 FAC XR HAND LEFT LIMITED <3 VIEWS	$89.76	$187.00	$59.84–$168.30	20% below	52%
Hand X-ray, 2 views one side CPT 73120 FAC XR HAND RIGHT LIMITED <3 VIEWS	$89.76	$187.00	$59.84–$168.30	20% below	52%
Hand X-ray, 2 views inpatient one side CPT 73120 FAC XR HAND RIGHT LIMITED <3 VIEWS	$89.76	$187.00	$112.20–$168.30	—	52%
Hand X-ray, 2 views inpatient one side CPT 73120 FAC XR HAND LEFT LIMITED <3 VIEWS	$89.76	$187.00	$112.20–$168.30	—	52%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 FAC XR HEEL RIGHT (CALCANEUS) 2V	$62.40	$130.00	$41.60–$137.52	48% below	52%
Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 FAC XR HEEL LEFT (CALCANEUS) 2V	$62.40	$130.00	$41.60–$137.52	48% below	52%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 FAC XR HEEL LEFT (CALCANEUS) 2V	$62.40	$130.00	$78.00–$117.00	—	52%
Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 FAC XR HEEL RIGHT (CALCANEUS) 2V	$62.40	$130.00	$78.00–$117.00	—	52%
Knee X-ray, 3 views one side CPT 73562 FAC XR KNEE RIGHT 3 VIEW	$91.20	$190.00	$60.80–$207.46	56% below	52%
Knee X-ray, 3 views one side CPT 73562 FAC XR KNEE LEFT 3 VIEW	$91.20	$190.00	$60.80–$207.46	56% below	52%
Knee X-ray, 3 views inpatient one side CPT 73562 FAC XR KNEE LEFT 3 VIEW	$91.20	$190.00	$114.00–$171.00	—	52%
Knee X-ray, 3 views inpatient one side CPT 73562 FAC XR KNEE RIGHT 3 VIEW	$91.20	$190.00	$114.00–$171.00	—	52%
Knee X-ray, complete, 4 or more views one side CPT 73564 FAC XR KNEE LEFT COMPLETE	$104.64	$218.00	$69.76–$233.69	62% below	52%
Knee X-ray, complete, 4 or more views one side CPT 73564 FAC XR KNEE RIGHT COMPLETE	$104.64	$218.00	$69.76–$233.69	62% below	52%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 FAC XR KNEE LEFT COMPLETE	$104.64	$218.00	$130.80–$196.20	—	52%
Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 FAC XR KNEE RIGHT COMPLETE	$104.64	$218.00	$130.80–$196.20	—	52%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 FAC CT EXTREMITY LOWER W/O CONTRAST	$420.96	$877.00	$280.64–$789.30	61% below	52%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 FAC CT EXTREMITY LOWER W/O CONTRAST	$420.96	$877.00	$526.20–$789.30	—	52%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 FAC US ABDOMEN LIMITED SINGLE	$128.16	$267.00	$85.44–$395.45	67% below	52%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 FAC US ABDOMEN LIMITED SINGLE	$128.16	$267.00	$160.20–$240.30	—	52%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC EXTREM REAL-TIME W/ IMAGE DOC	$95.37	$198.68	$63.58–$223.53	51% below	52%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 ULTRASOUND, LIMITED, JOINT OR OTHER NONVASC EXTREM REAL-TIME W/ IMAGE DOC	$95.37	$198.68	$119.21–$178.81	—	52%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE LUNG CANCER SCREENING W/O CONTRAST MTL(S)	$475.53	$990.68	$317.02–$891.61	242% above	52%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 COMPUTED TOMOGRAPHY THORAX LOW DOSE LUNG CANCER SCREENING W/O CONTRAST MTL(S)	$475.53	$990.68	$594.41–$891.61	—	52%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 FAC XR TIBIA-FIBULA RIGHT	$72.96	$152.00	$48.64–$157.16	42% below	52%
Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 FAC XR TIBIA-FIBULA LEFT	$72.96	$152.00	$48.64–$157.16	42% below	52%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 FAC XR TIBIA-FIBULA LEFT	$72.96	$152.00	$91.20–$136.80	—	52%
Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 FAC XR TIBIA-FIBULA RIGHT	$72.96	$152.00	$91.20–$136.80	—	52%
MR angiography (MRA) of the head without contrast CPT 70544 FAC MRI HEAD W/O CONTRAST	$764.55	$1,592.80	$509.70–$1,458.28	33% below	52%
MR angiography (MRA) of the head without contrast CPT 70544 FAC MRA HEAD W/O CONTRAST	$764.55	$1,592.80	$509.70–$1,458.28	33% below	52%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 FAC MRI HEAD W/O CONTRAST	$764.55	$1,592.80	$955.68–$1,433.52	—	52%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 FAC MRA HEAD W/O CONTRAST	$764.55	$1,592.80	$955.68–$1,433.52	—	52%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 FAC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$1,019.57	$2,124.10	$679.71–$1,911.69	32% below	52%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 FAC MRI LOWER EXTREMITY JOINT W/O CONTRAST	$1,019.57	$2,124.10	$1,274.46–$1,911.69	—	52%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 FAC MRI LOWER EXTREMITY JOINT WO/W CONTRAST	$1,245.03	$2,593.80	$830.02–$2,640.51	41% below	52%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 FAC MRI LOWER EXTREMITY JOINT WO/W CONTRAST	$1,245.03	$2,593.80	$1,556.28–$2,334.42	—	52%
MRI of the abdomen without contrast CPT 74181 FAC MRI ABDOMEN W/O CONTRAST	$682.71	$1,422.30	$455.14–$1,280.07	40% below	52%
MRI of the abdomen without contrast inpatient CPT 74181 FAC MRI ABDOMEN W/O CONTRAST	$682.71	$1,422.30	$853.38–$1,280.07	—	52%
MRI of the abdomen, without and then with contrast dye CPT 74183 FAC MRI ABDOMEN COMBINED WO/W CONTRAST	$1,152.10	$2,400.20	$768.06–$2,181.31	48% below	52%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 FAC MRI ABDOMEN COMBINED WO/W CONTRAST	$1,152.10	$2,400.20	$1,440.12–$2,160.18	—	52%
MRI of the brain, no contrast dye CPT 70551 FAC MRI BRAIN W/O CONTRAST	$1,020.63	$2,126.30	$680.42–$1,913.67	22% below	52%
MRI of the brain, no contrast dye inpatient CPT 70551 FAC MRI BRAIN W/O CONTRAST	$1,020.63	$2,126.30	$1,275.78–$1,913.67	—	52%
MRI of the brain, with and without contrast dye CPT 70553 FAC MRI BRAIN COMBINED WO/W CONTRAST	$1,453.06	$3,027.20	$968.70–$2,724.48	23% below	52%
MRI of the brain, with and without contrast dye inpatient CPT 70553 FAC MRI BRAIN COMBINED WO/W CONTRAST	$1,453.06	$3,027.20	$1,816.32–$2,724.48	—	52%
MRI of the lower back, no contrast dye CPT 72148 FAC MRI LUMBAR SPINE W/O CONTRAST	$1,162.13	$2,421.10	$774.75–$2,178.99	34% below	52%
MRI of the lower back, no contrast dye inpatient CPT 72148 FAC MRI LUMBAR SPINE W/O CONTRAST	$1,162.13	$2,421.10	$1,452.66–$2,178.99	—	52%
MRI of the lower back, without and then with contrast dye CPT 72158 FAC MRI LUMBAR SPINE COMPLETE WO/W CONTRAST	$1,279.35	$2,665.30	$852.90–$2,398.77	48% below	52%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 FAC MRI LUMBAR SPINE COMPLETE WO/W CONTRAST	$1,279.35	$2,665.30	$1,599.18–$2,398.77	—	52%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 FAC MRI THORASIC SPINE W/O CONTRAST	$1,137.32	$2,369.40	$758.21–$2,132.46	37% below	52%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 FAC MRI THORASIC SPINE W/O CONTRAST	$1,137.32	$2,369.40	$1,421.64–$2,132.46	—	52%
MRI of the neck (cervical spine) without and with contrast CPT 72156 FAC MRI CERVICAL SPINE CANAL WO/W CONTRAST	$1,318.42	$2,746.70	$878.94–$2,472.03	40% below	52%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 FAC MRI CERVICAL SPINE CANAL WO/W CONTRAST	$1,318.42	$2,746.70	$1,648.02–$2,472.03	—	52%
MRI of the neck (cervical spine), no contrast dye CPT 72141 FAC MRI CERVICAL SPINE W/O CONTRAST	$1,149.46	$2,394.70	$766.30–$2,155.23	20% below	52%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 FAC MRI CERVICAL SPINE W/O CONTRAST	$1,149.46	$2,394.70	$1,436.82–$2,155.23	—	52%
MRI of the pelvis without and with contrast CPT 72197 FAC MRI PELVIS COMBINED WO/W CONTRAST	$1,341.65	$2,795.10	$894.43–$2,515.59	32% below	52%
MRI of the pelvis without and with contrast inpatient CPT 72197 FAC MRI PELVIS COMBINED WO/W CONTRAST	$1,341.65	$2,795.10	$1,677.06–$2,515.59	—	52%
MRI of the pelvis, no contrast dye CPT 72195 FAC MRI PELVIS W/O CONTRAST	$986.31	$2,054.80	$657.54–$1,849.32	22% below	52%
MRI of the pelvis, no contrast dye inpatient CPT 72195 FAC MRI PELVIS W/O CONTRAST	$986.31	$2,054.80	$1,232.88–$1,849.32	—	52%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 FAC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$1,022.21	$2,129.60	$681.47–$1,916.64	30% below	52%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 FAC MRI UPPER EXTREMITY JOINT W/O CONTRAST	$1,022.21	$2,129.60	$1,277.76–$1,916.64	—	52%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 FAC XR C SPINE COMPLETE 4V MIN	$136.32	$284.00	$90.88–$264.27	51% below	52%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 FAC XR C SPINE COMPLETE 4V MIN	$136.32	$284.00	$170.40–$255.60	—	52%
Neck soft tissue CT scan with contrast CPT 70491 FAC CT NECK SOFT TISSUE W/CONTRAST	$585.12	$1,219.00	$390.08–$1,097.92	51% below	52%
Neck soft tissue CT scan with contrast inpatient CPT 70491 FAC CT NECK SOFT TISSUE W/CONTRAST	$585.12	$1,219.00	$731.40–$1,097.10	—	52%
Neck soft tissue CT scan without contrast CPT 70490 FAC CT NECK SOFT TISSUE W/O CONTRAST	$683.28	$1,423.50	$455.52–$1,281.15	24% below	52%
Neck soft tissue CT scan without contrast inpatient CPT 70490 FAC CT NECK SOFT TISSUE W/O CONTRAST	$683.28	$1,423.50	$854.10–$1,281.15	—	52%
Neck soft tissue X-ray CPT 70360 FAC XR NECK SOFT TISSUE	$63.36	$132.00	$42.24–$150.60	64% below	52%
Neck soft tissue X-ray inpatient CPT 70360 FAC XR NECK SOFT TISSUE	$63.36	$132.00	$79.20–$118.80	—	52%
Pelvic CT scan without contrast CPT 72192 FAC CT PELVIS W/O CONTRAST	$644.16	$1,342.00	$429.44–$1,207.80	39% below	52%
Pelvic CT scan without contrast inpatient CPT 72192 FAC CT PELVIS W/O CONTRAST	$644.16	$1,342.00	$805.20–$1,207.80	—	52%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 FAC US PELVIC LIMITED NOT OB	$89.76	$187.00	$59.84–$168.30	72% below	52%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 FAC US PELVIC LIMITED NOT OB	$89.76	$187.00	$112.20–$168.30	—	52%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 FAC US PELVIC COMPLETE NOT OB	$176.64	$368.00	$117.76–$480.77	57% below	52%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 FAC US PELVIC COMPLETE NOT OB	$176.64	$368.00	$220.80–$331.20	—	52%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 FAC US OB>14 WEEKS SIGNL	$192.00	$400.00	$128.00–$583.28	54% below	52%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 FAC US OB>14 WEEKS SIGNL	$192.00	$400.00	$240.00–$360.00	—	52%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 FAC US OB<14 WEEKS SINGL	$144.00	$300.00	$96.00–$467.69	57% below	52%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 FAC US OB<14 WEEKS SINGL	$144.00	$300.00	$180.00–$270.00	—	52%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 FAC US OB LIMITED 1 OR MORE FETUS	$120.00	$250.00	$80.00–$332.09	62% below	52%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 FAC US OB LIMITED 1 OR MORE FETUS	$120.00	$250.00	$150.00–$225.00	—	52%
Rib X-ray, one side, 2 views one side CPT 71100 FAC XR RIB LEFT W/O 1V CXR	$61.44	$128.00	$40.96–$172.53	57% below	52%
Rib X-ray, one side, 2 views one side CPT 71100 FAC XR RIB RIGHT W/ 1V CXR	$61.44	$128.00	$40.96–$172.53	57% below	52%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 FAC XR RIB RIGHT W/ 1V CXR	$61.44	$128.00	$76.80–$115.20	—	52%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 FAC XR RIB LEFT W/O 1V CXR	$61.44	$128.00	$76.80–$115.20	—	52%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 FAC RIBS RIGHT, UNILATERAL	$89.76	$187.00	$59.84–$194.32	70% below	52%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 FAC XR RIB LEFT W/ 1V CXR	$89.76	$187.00	$59.84–$194.32	70% below	52%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 FAC XR RIB LEFT W/ 1V CXR	$89.76	$187.00	$112.20–$168.30	—	52%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 FAC RIBS RIGHT, UNILATERAL	$89.76	$187.00	$112.20–$168.30	—	52%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 FAC XR SHOULDER LEFT COMPLETE 2+ VIEWS	$85.44	$178.00	$56.96–$168.10	46% below	52%
Shoulder X-ray, complete, 2 or more views one side CPT 73030 FAC XR SHOULDER RIGHT COMPLETE 2+ VIEWS	$85.44	$178.00	$56.96–$168.10	46% below	52%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 FAC XR SHOULDER LEFT COMPLETE 2+ VIEWS	$85.44	$178.00	$106.80–$160.20	—	52%
Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 FAC XR SHOULDER RIGHT COMPLETE 2+ VIEWS	$85.44	$178.00	$106.80–$160.20	—	52%
Sinus X-ray, complete, 3 or more views CPT 70220 FAC XR SINUS PARANASAL COMPLETE	$89.28	$186.00	$59.52–$179.03	48% below	52%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 FAC XR SINUS PARANASAL COMPLETE	$89.28	$186.00	$111.60–$167.40	—	52%
Skull X-ray, fewer than 4 views CPT 70250 FAC XR SKULL LIMITED	$89.76	$187.00	$59.84–$179.03	60% below	52%
Skull X-ray, fewer than 4 views inpatient CPT 70250 FAC XR SKULL LIMITED	$89.76	$187.00	$112.20–$168.30	—	52%
Swallow study (modified barium swallow, video X-ray) CPT 74230 FAC VIDEO ESOPHAGUS	$145.92	$304.00	$97.28–$668.76	64% below	52%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 FAC VIDEO ESOPHAGUS	$145.92	$304.00	$182.40–$273.60	—	52%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FAC FEMUR RIGHT; AP/LAT	$70.08	$146.00	$46.72–$176.83	61% below	52%
Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 FAC FEMUR LEFT; AP/LAT	$70.08	$146.00	$46.72–$176.83	61% below	52%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FAC FEMUR LEFT; AP/LAT	$70.08	$146.00	$87.60–$131.40	—	52%
Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 FAC FEMUR RIGHT; AP/LAT	$70.08	$146.00	$87.60–$131.40	—	52%
Thoracic spine (mid back) CT scan without contrast CPT 72128 FAC CT T SPINE W/O CONTRAST	$637.92	$1,329.00	$425.28–$1,196.10	44% below	52%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 FAC CT T SPINE W/O CONTRAST	$637.92	$1,329.00	$797.40–$1,196.10	—	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE RIGHT 3RD DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE GREAT RIGHT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE LEFT 5TH DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE LEFT 4TH DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE RIGHT 2ND DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE RIGHT 4TH DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE GREAT LEFT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE RIGHT 5TH DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE LEFT 2ND DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views one side CPT 73660 FAC XR TOE LEFT 3RD DIGIT	$49.92	$104.00	$33.28–$150.60	53% below	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE LEFT 2ND DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE GREAT LEFT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE RIGHT 5TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE RIGHT 3RD DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE GREAT RIGHT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE LEFT 5TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE LEFT 4TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE RIGHT 4TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE RIGHT 2ND DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Toe X-ray, 2 or more views inpatient one side CPT 73660 FAC XR TOE LEFT 3RD DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
Transvaginal pelvic ultrasound CPT 76830 FAC US TRANSVAGINAL NOT	$120.00	$250.00	$80.00–$312.37	68% below	52%
Transvaginal pelvic ultrasound inpatient CPT 76830 FAC US TRANSVAGINAL NOT	$120.00	$250.00	$150.00–$225.00	—	52%
Transvaginal ultrasound during pregnancy CPT 76817 FAC US OB TRANSVAGINAL	$120.00	$250.00	$80.00–$375.81	66% below	52%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 FAC US OB TRANSVAGINAL	$120.00	$250.00	$150.00–$225.00	—	52%
Ultrasound of the abdomen, complete CPT 76700 FAC US ABDOMEN COMPLETE	$163.68	$341.00	$109.12–$517.94	68% below	52%
Ultrasound of the abdomen, complete inpatient CPT 76700 FAC US ABDOMEN COMPLETE	$163.68	$341.00	$204.60–$306.90	—	52%
Ultrasound of the scrotum and testicles CPT 76870 FAC US SCROTUM AND CONTE	$128.64	$268.00	$85.76–$465.48	66% below	52%
Ultrasound of the scrotum and testicles inpatient CPT 76870 FAC US SCROTUM AND CONTE	$128.64	$268.00	$160.80–$241.20	—	52%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 FAC US SOFT TISSUE NECK	$98.40	$205.00	$65.60–$555.07	70% below	52%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 FAC US SOFT TISSUE NECK	$98.40	$205.00	$123.00–$184.50	—	52%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 FAC UGI W/O KUB	$153.12	$319.00	$102.08–$568.21	61% below	52%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 FAC UGI W/O KUB	$153.12	$319.00	$191.40–$287.10	—	52%
Upper arm X-ray (humerus), 2 views one side CPT 73060 FAC XR HUMERUS RIGHT INCLUDE 1 JOINT	$76.80	$160.00	$51.20–$159.39	66% below	52%
Upper arm X-ray (humerus), 2 views one side CPT 73060 FAC XR HUMERUS LEFT INCLUDE 1 JOINT	$76.80	$160.00	$51.20–$159.39	66% below	52%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 FAC XR HUMERUS LEFT INCLUDE 1 JOINT	$76.80	$160.00	$96.00–$144.00	—	52%
Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 FAC XR HUMERUS RIGHT INCLUDE 1 JOINT	$76.80	$160.00	$96.00–$144.00	—	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 DUPLEX SCAN EXTREMITY VEINS, UNILATERAL/LIMITED	$214.93	$447.77	$143.29–$1,255.78	48% below	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 FAC US DUPLEX RIGHT EXTREMITY VE	$253.92	$529.00	$169.28–$1,255.78	39% below	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 FAC US DUPLEX LEFT EXTREMITY VEN LEFT	$253.92	$529.00	$169.28–$1,255.78	39% below	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 DUPLEX SCAN EXTREMITY VEINS, UNILATERAL/LIMITED	$214.93	$447.77	$268.66–$402.99	—	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 FAC US DUPLEX RIGHT EXTREMITY VE	$253.92	$529.00	$317.40–$476.10	—	52%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 FAC US DUPLEX LEFT EXTREMITY VEN LEFT	$253.92	$529.00	$317.40–$476.10	—	52%
Wrist X-ray, 2 views one side CPT 73100 FAC XR WRIST RIGHT LIMITED	$57.12	$119.00	$38.08–$170.33	63% below	52%
Wrist X-ray, 2 views one side CPT 73100 FAC XR WRIST LEFT LIMITED	$57.12	$119.00	$38.08–$170.33	63% below	52%
Wrist X-ray, 2 views inpatient one side CPT 73100 FAC XR WRIST RIGHT LIMITED	$57.12	$119.00	$71.40–$107.10	—	52%
Wrist X-ray, 2 views inpatient one side CPT 73100 FAC XR WRIST LEFT LIMITED	$57.12	$119.00	$71.40–$107.10	—	52%
Wrist X-ray, complete, 3 or more views one side CPT 73110 FAC XR WRIST LEFT COMPLETE	$70.56	$147.00	$47.04–$213.97	68% below	52%
Wrist X-ray, complete, 3 or more views one side CPT 73110 FAC XR WRIST RIGHT COMPLETE	$70.56	$147.00	$47.04–$213.97	68% below	52%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 FAC XR WRIST LEFT COMPLETE	$70.56	$147.00	$88.20–$132.30	—	52%
Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 FAC XR WRIST RIGHT COMPLETE	$70.56	$147.00	$88.20–$132.30	—	52%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 FAC XR HIP RIGHT COMPLETE	$105.60	$220.00	$70.40–$238.04	57% below	52%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 FAC XR HIP LEFT COMPLETE	$105.60	$220.00	$70.40–$238.04	57% below	52%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 FAC XR HIP RIGHT COMPLETE	$105.60	$220.00	$132.00–$198.00	—	52%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 FAC XR HIP LEFT COMPLETE	$105.60	$220.00	$132.00–$198.00	—	52%
X-ray of the abdomen, 1 view CPT 74018 FAC ABDOMEN SINGLE VIEW	$67.20	$140.00	$44.80–$139.67	65% below	52%
X-ray of the abdomen, 1 view CPT 74018 FAC ABDOMEN KUB 1 VIEW	$75.84	$158.00	$50.56–$142.20	61% below	52%
X-ray of the abdomen, 1 view inpatient CPT 74018 FAC ABDOMEN SINGLE VIEW	$67.20	$140.00	$84.00–$126.00	—	52%
X-ray of the abdomen, 1 view inpatient CPT 74018 FAC ABDOMEN KUB 1 VIEW	$75.84	$158.00	$94.80–$142.20	—	52%
X-ray of the ankle, 2 views one side CPT 73600 FAC XR ANKLE RIGHT LIMITED < 3V	$49.44	$103.00	$32.96–$161.54	66% below	52%
X-ray of the ankle, 2 views one side CPT 73600 FAC XR ANKLE LEFT LIMITED < 3V	$61.44	$128.00	$40.96–$161.54	58% below	52%
X-ray of the ankle, 2 views inpatient one side CPT 73600 FAC XR ANKLE RIGHT LIMITED < 3V	$49.44	$103.00	$61.80–$92.70	—	52%
X-ray of the ankle, 2 views inpatient one side CPT 73600 FAC XR ANKLE LEFT LIMITED < 3V	$61.44	$128.00	$76.80–$115.20	—	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR THUMB RIGHT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER LEFT 3RD DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER LEFT 4TH DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER LEFT 5TH DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER RIGHT 2ND DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER RIGHT 3RD DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER RIGHT 4TH DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER RIGHT 5TH DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR THUMB LEFT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views one side CPT 73140 FAC XR FINGER LEFT 2ND DIGIT	$49.92	$104.00	$33.28–$205.26	54% below	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER LEFT 2ND DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR THUMB LEFT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER RIGHT 5TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER RIGHT 4TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER RIGHT 3RD DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER RIGHT 2ND DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR THUMB RIGHT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER LEFT 4TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER LEFT 5TH DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 FAC XR FINGER LEFT 3RD DIGIT	$49.92	$104.00	$62.40–$93.60	—	52%
X-ray of the foot, 2 views one side CPT 73620 FAC XR FOOT LEFT LIMITED <3 VIEWS	$60.48	$126.00	$40.32–$137.52	34% below	52%
X-ray of the foot, 2 views one side CPT 73620 FAC XR FOOT RIGHT LIMITED <3 VIEWS	$60.48	$126.00	$40.32–$137.52	34% below	52%
X-ray of the foot, 2 views inpatient one side CPT 73620 FAC XR FOOT RIGHT LIMITED <3 VIEWS	$60.48	$126.00	$75.60–$113.40	—	52%
X-ray of the foot, 2 views inpatient one side CPT 73620 FAC XR FOOT LEFT LIMITED <3 VIEWS	$60.48	$126.00	$75.60–$113.40	—	52%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FAC XR FOOT RIGHT COMPLETE 3V MIN	$81.60	$170.00	$54.40–$172.53	30% below	52%
X-ray of the foot, complete, 3 or more views one side CPT 73630 FAC XR FOOT LEFT COMPLETE 3V MIN	$81.60	$170.00	$54.40–$172.53	30% below	52%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FAC XR FOOT RIGHT COMPLETE 3V MIN	$81.60	$170.00	$102.00–$153.00	—	52%
X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 FAC XR FOOT LEFT COMPLETE 3V MIN	$81.60	$170.00	$102.00–$153.00	—	52%
X-ray of the hand, 3 or more views one side CPT 73130 FAC XR HAND RIGHT COMPLETE 3V MIN	$71.04	$148.00	$47.36–$187.74	65% below	52%
X-ray of the hand, 3 or more views one side CPT 73130 FAC XR HAND LEFT COMPLETE 3V MIN	$71.04	$148.00	$47.36–$187.74	65% below	52%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 FAC XR HAND RIGHT COMPLETE 3V MIN	$71.04	$148.00	$88.80–$133.20	—	52%
X-ray of the hand, 3 or more views inpatient one side CPT 73130 FAC XR HAND LEFT COMPLETE 3V MIN	$71.04	$148.00	$88.80–$133.20	—	52%
X-ray of the knee, 1 or 2 views one side CPT 73560 FAC XR KNEE RIGHT LIMITED 2 OR LESS	$83.04	$173.00	$55.36–$172.53	46% below	52%
X-ray of the knee, 1 or 2 views one side CPT 73560 FAC XR KNEE LEFT LIMITED 2 OR LESS	$83.04	$173.00	$55.36–$172.53	46% below	52%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 FAC XR KNEE RIGHT LIMITED 2 OR LESS	$83.04	$173.00	$103.80–$155.70	—	52%
X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 FAC XR KNEE LEFT LIMITED 2 OR LESS	$83.04	$173.00	$103.80–$155.70	—	52%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 FAC SPINE, LUMBAR LMTD.	$92.16	$192.00	$61.44–$192.18	52% below	52%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 FAC SPINE, LUMBAR LMTD.	$92.16	$192.00	$115.20–$172.80	—	52%
X-ray of the lower back, 4 or more views CPT 72110 FAC XR L SPINE COMPLETE	$179.08	$373.07	$119.38–$335.76	47% below	52%
X-ray of the lower back, 4 or more views inpatient CPT 72110 FAC XR L SPINE COMPLETE	$179.08	$373.07	$223.84–$335.76	—	52%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 FAC XR SPINE THORACO LUMBAR AP-LAT	$89.76	$187.00	$59.84–$168.30	63% below	52%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 FAC SCOLIOSIS 1 VIEW	$89.76	$187.00	$59.84–$168.30	63% below	52%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 FAC T SPINE 2 VIEW	$115.20	$240.00	$76.80–$216.00	53% below	52%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 FAC SCOLIOSIS 1 VIEW	$89.76	$187.00	$112.20–$168.30	—	52%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 FAC XR SPINE THORACO LUMBAR AP-LAT	$89.76	$187.00	$112.20–$168.30	—	52%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 FAC T SPINE 2 VIEW	$115.20	$240.00	$144.00–$216.00	—	52%
X-ray of the nasal bones, 3 or more views CPT 70160 FAC XR NASAL BONES	$72.00	$150.00	$48.00–$196.56	35% below	52%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 FAC XR NASAL BONES	$72.00	$150.00	$90.00–$135.00	—	52%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 FAC XR C SPINE LIMITED	$108.00	$225.00	$72.00–$202.50	50% below	52%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 FAC XR C SPINE LIMITED	$108.00	$225.00	$135.00–$202.50	—	52%
X-ray of the pelvis, 1 or 2 views CPT 72170 FAC XR PELVIS AP	$89.76	$187.00	$59.84–$168.30	53% below	52%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 FAC XR PELVIS AP	$89.76	$187.00	$112.20–$168.30	—	52%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 FAC XR SACRUM COCCYX	$64.32	$134.00	$42.88–$159.39	50% below	52%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 FAC XR SACRUM COCCYX	$64.32	$134.00	$80.40–$120.60	—	52%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
ACTH blood test CPT 82024 ACTH	$118.56	$247.00	$79.04–$222.30	40% above	52%
ACTH blood test inpatient CPT 82024 ACTH	$118.56	$247.00	$148.20–$222.30	—	52%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 LC SGPT	$4.05	$8.42	$2.69–$29.88	83% below	52%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 SGPT	$24.96	$52.00	$16.64–$46.80	5% above	52%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 LC SGPT	$4.05	$8.42	$5.05–$7.58	—	52%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 SGPT	$24.96	$52.00	$31.20–$46.80	—	52%
AST (aspartate aminotransferase) enzyme test CPT 84450 SGOT	$27.36	$57.00	$18.24–$51.30	2% above	52%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 SGOT	$27.36	$57.00	$34.20–$51.30	—	52%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS B PROFILE	$83.04	$173.00	$55.36–$268.40	13% below	52%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS ACUTE PROF	$133.44	$278.00	$88.96–$268.40	40% above	52%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS B PROFILE	$83.04	$173.00	$103.80–$155.70	—	52%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HEPATITIS ACUTE PROF	$133.44	$278.00	$166.80–$250.20	—	52%
Albumin blood test CPT 82040 ALBUMIN	$23.52	$49.00	$15.68–$44.10	60% above	52%
Albumin blood test inpatient CPT 82040 ALBUMIN	$23.52	$49.00	$29.40–$44.10	—	52%
Aldosterone blood test CPT 82088 ALDOSTERONE	$88.80	$185.00	$59.20–$229.64	5% above	52%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE	$88.80	$185.00	$111.00–$166.50	—	52%
Alkaline phosphatase (ALP) blood test CPT 84075 ALK PHOS	$24.00	$50.00	$16.00–$45.00	44% above	52%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALK PHOS	$24.00	$50.00	$30.00–$45.00	—	52%
Allergy blood test, specific IgE, per allergen CPT 86003 M003 IGE ASPERGILLUS	$7.20	$15.00	$4.80–$29.43	39% below	52%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPECIFIC IG	$10.08	$21.00	$6.72–$29.43	15% below	52%
Allergy blood test, specific IgE, per allergen CPT 86003 LATEX IGE	$10.56	$22.00	$7.04–$29.43	11% below	52%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGENS	$18.12	$37.75	$12.08–$33.98	53% above	52%
Allergy blood test, specific IgE, per allergen CPT 86003 R.A.S.T.	$70.56	$147.00	$29.43–$132.30	497% above	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 M003 IGE ASPERGILLUS	$7.20	$15.00	$9.00–$13.50	—	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPECIFIC IG	$10.08	$21.00	$12.60–$18.90	—	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LATEX IGE	$10.56	$22.00	$13.20–$19.80	—	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGENS	$18.12	$37.75	$22.65–$33.98	—	52%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 R.A.S.T.	$70.56	$147.00	$88.20–$132.30	—	52%
Alpha-fetoprotein (AFP) blood test CPT 82105 FETOPROTEIN	$43.68	$91.00	$29.12–$94.50	11% above	52%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 FETOPROTEIN	$43.68	$91.00	$54.60–$81.90	—	52%
Ammonia blood test CPT 82140 SONORA QUEST AMMONIA	$10.83	$22.56	$7.22–$82.11	83% below	52%
Ammonia blood test CPT 82140 PLASMA AMMONIA	$46.56	$97.00	$31.04–$87.30	29% below	52%
Ammonia blood test CPT 82140 AMMONIA	$48.00	$100.00	$32.00–$90.00	27% below	52%
Ammonia blood test inpatient CPT 82140 SONORA QUEST AMMONIA	$10.83	$22.56	$13.54–$20.30	—	52%
Ammonia blood test inpatient CPT 82140 PLASMA AMMONIA	$46.56	$97.00	$58.20–$87.30	—	52%
Ammonia blood test inpatient CPT 82140 AMMONIA	$48.00	$100.00	$60.00–$90.00	—	52%
Amylase blood test CPT 82150 LC AMYLASE	$5.76	$12.00	$3.84–$36.47	56% below	52%
Amylase blood test CPT 82150 AMYLASE	$27.36	$57.00	$18.24–$51.30	110% above	52%
Amylase blood test CPT 82150 AMYLASE SERUM	$48.48	$101.00	$32.32–$90.90	272% above	52%
Amylase blood test inpatient CPT 82150 LC AMYLASE	$5.76	$12.00	$7.20–$10.80	—	52%
Amylase blood test inpatient CPT 82150 AMYLASE	$27.36	$57.00	$34.20–$51.30	—	52%
Amylase blood test inpatient CPT 82150 AMYLASE SERUM	$48.48	$101.00	$60.60–$90.90	—	52%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP ANTIBODY	$49.44	$103.00	$32.96–$92.70	68% above	52%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CCP CYCLIC	$62.40	$130.00	$41.60–$117.00	113% above	52%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP ANTIBODY	$49.44	$103.00	$61.80–$92.70	—	52%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CCP CYCLIC	$62.40	$130.00	$78.00–$117.00	—	52%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANTINUCLEAR ANTIBODI	$24.00	$50.00	$16.00–$68.10	12% below	52%
Antinuclear antibody (ANA) blood test, screen CPT 86038 TOTAL ANA	$27.84	$58.00	$18.56–$68.10	2% above	52%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANTINUCLEAR ANTIBODI	$24.00	$50.00	$30.00–$45.00	—	52%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 TOTAL ANA	$27.84	$58.00	$34.80–$52.20	—	52%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 SONORA QUEST BNP	$22.40	$46.65	$14.93–$221.25	71% below	52%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 BNP	$93.24	$194.25	$62.16–$221.25	21% above	52%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 SONORA QUEST BNP	$22.40	$46.65	$27.99–$41.99	—	52%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 BNP	$93.24	$194.25	$116.55–$174.83	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 NOSE THROAT	$24.96	$52.00	$16.64–$48.63	59% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 MISC. SENSITIVITY	$28.32	$59.00	$18.88–$53.10	54% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULEFTURE GENITAL	$29.28	$61.00	$19.52–$54.90	52% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULEFTURE CSF	$29.28	$61.00	$19.52–$54.90	52% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC IH	$34.56	$72.00	$23.04–$64.80	43% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE DEFINED	$34.56	$72.00	$23.04–$64.80	43% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULEFTURE DEFINED	$34.56	$72.00	$23.04–$64.80	43% below	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 NOSE THROAT	$24.96	$52.00	$31.20–$46.80	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 MISC. SENSITIVITY	$28.32	$59.00	$35.40–$53.10	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULEFTURE CSF	$29.28	$61.00	$36.60–$54.90	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULEFTURE GENITAL	$29.28	$61.00	$36.60–$54.90	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC IH	$34.56	$72.00	$43.20–$64.80	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULEFTURE DEFINED	$34.56	$72.00	$43.20–$64.80	—	52%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE DEFINED	$34.56	$72.00	$43.20–$64.80	—	52%
Basic metabolic panel (blood test) CPT 80048 BMP	$57.96	$120.75	$38.64–$108.68	19% below	52%
Basic metabolic panel (blood test) inpatient CPT 80048 BMP	$57.96	$120.75	$72.45–$108.68	—	52%
Bilirubin blood test, total CPT 82247 LABCORP BILIRUBIN TOTAL	$7.20	$15.00	$4.80–$28.29	64% below	52%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL	$23.52	$49.00	$15.68–$44.10	16% above	52%
Bilirubin blood test, total inpatient CPT 82247 LABCORP BILIRUBIN TOTAL	$7.20	$15.00	$9.00–$13.50	—	52%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL	$23.52	$49.00	$29.40–$44.10	—	52%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURGICAL PATHOLOGY	$72.00	$150.00	$48.00–$228.19	16% below	52%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 TISSUE EXAM	$72.00	$150.00	$48.00–$228.19	16% below	52%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURGICAL PATHOLOGY	$72.00	$150.00	$90.00–$135.00	—	52%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 TISSUE EXAM	$72.00	$150.00	$90.00–$135.00	—	52%
Blood culture for bacteria CPT 87040 BACTI BLOOD CULTURE	$32.64	$68.00	$21.76–$61.20	74% below	52%
Blood culture for bacteria inpatient CPT 87040 BACTI BLOOD CULTURE	$32.64	$68.00	$40.80–$61.20	—	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LC VENIPUNCTURE	$3.60	$7.50	$2.40–$11.47	78% below	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 SONORA QUEST VENIPUNCTURE	$3.84	$8.00	$2.56–$11.47	77% below	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 ROUTINE VENIPUNCTURE	$5.28	$11.00	$3.52–$11.47	68% below	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 LHI BLOOD DRAW	$6.60	$13.75	$4.40–$12.38	60% below	52%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUCTURE COLL OF	$7.68	$16.00	$5.12–$14.40	53% below	52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LC VENIPUNCTURE	$3.60	$7.50	$4.50–$6.75	—	52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 SONORA QUEST VENIPUNCTURE	$3.84	$8.00	$4.80–$7.20	—	52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 ROUTINE VENIPUNCTURE	$5.28	$11.00	$6.60–$9.90	—	52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 LHI BLOOD DRAW	$6.60	$13.75	$8.25–$12.38	—	52%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUCTURE COLL OF	$7.68	$16.00	$9.60–$14.40	—	52%
Blood glucose (sugar) test CPT 82947 LABCORP GLUCOSE	$4.32	$9.00	$2.88–$22.18	90% below	52%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$23.52	$49.00	$15.68–$44.10	48% below	52%
Blood glucose (sugar) test inpatient CPT 82947 LABCORP GLUCOSE	$4.32	$9.00	$5.40–$8.10	—	52%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$23.52	$49.00	$29.40–$44.10	—	52%
Blood lead test CPT 83655 LEAD LEVEL	$33.60	$70.00	$22.40–$68.27	30% above	52%
Blood lead test inpatient CPT 83655 LEAD LEVEL	$33.60	$70.00	$42.00–$63.00	—	52%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 LABCORP PREGNANCY SERUM	$8.16	$17.00	$5.44–$42.35	88% below	52%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST URINE	$12.00	$25.00	$8.00–$42.35	82% below	52%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY SERUM	$42.24	$88.00	$28.16–$79.20	37% below	52%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 LABCORP PREGNANCY SERUM	$8.16	$17.00	$10.20–$15.30	—	52%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST URINE	$12.00	$25.00	$15.00–$22.50	—	52%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY SERUM	$42.24	$88.00	$52.80–$79.20	—	52%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 ABO TYPE	$14.40	$30.00	$9.60–$27.00	82% below	52%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 ABO TYPE	$14.40	$30.00	$18.00–$27.00	—	52%
Blood urea nitrogen (BUN) test CPT 84520 LABCORP BUN	$4.32	$9.00	$2.88–$22.24	73% below	52%
Blood urea nitrogen (BUN) test CPT 84520 BUN	$23.52	$49.00	$15.68–$44.10	45% above	52%
Blood urea nitrogen (BUN) test inpatient CPT 84520 LABCORP BUN	$4.32	$9.00	$5.40–$8.10	—	52%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN	$23.52	$49.00	$29.40–$44.10	—	52%
C-peptide blood test CPT 84681 C/PEPTIDE	$55.20	$115.00	$36.80–$117.26	3% below	52%
C-peptide blood test inpatient CPT 84681 C/PEPTIDE	$55.20	$115.00	$69.00–$103.50	—	52%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 CRP	$32.16	$67.00	$21.44–$60.30	33% below	52%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 CRP	$32.16	$67.00	$40.20–$60.30	—	52%
C. difficile toxin gene test (stool PCR) CPT 87493 C DIFF NUCLEIC ACID	$45.85	$95.52	$30.57–$210.09	38% below	52%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C DIFF NUCLEIC ACID	$45.85	$95.52	$57.31–$85.97	—	52%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19 9	$64.32	$134.00	$42.88–$120.60	128% above	52%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19 9	$64.32	$134.00	$80.40–$120.60	—	52%
CA-125 blood test (ovarian cancer marker) CPT 86304 CA 125	$84.00	$175.00	$56.00–$157.50	24% above	52%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CA 125	$84.00	$175.00	$105.00–$157.50	—	52%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (COVID-19)	$34.08	$71.00	$22.72–$289.13	47% below	52%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (COVID-19)	$34.08	$71.00	$42.60–$63.90	—	52%
Calcium blood test, total CPT 82310 LABCORP CALCIUM SERUM	$3.94	$8.19	$2.62–$29.04	74% below	52%
Calcium blood test, total CPT 82310 CALCIUM SERUM	$24.00	$50.00	$16.00–$45.00	60% above	52%
Calcium blood test, total inpatient CPT 82310 LABCORP CALCIUM SERUM	$3.94	$8.19	$4.91–$7.37	—	52%
Calcium blood test, total inpatient CPT 82310 CALCIUM SERUM	$24.00	$50.00	$30.00–$45.00	—	52%
Carcinoembryonic antigen (CEA) test CPT 82378 CARCINOEMBRYONIC ANT	$33.60	$70.00	$22.40–$106.88	42% below	52%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA	$40.32	$84.00	$26.88–$106.88	30% below	52%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CARCINOEMBRYONIC ANT	$33.60	$70.00	$42.00–$63.00	—	52%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA	$40.32	$84.00	$50.40–$75.60	—	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG	$33.12	$69.00	$22.08–$72.54	60% above	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA	$50.88	$106.00	$33.92–$95.40	146% above	52%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM	$51.36	$107.00	$34.24–$96.30	148% above	52%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG	$33.12	$69.00	$41.40–$62.10	—	52%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA	$50.88	$106.00	$63.60–$95.40	—	52%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM	$51.36	$107.00	$64.20–$96.30	—	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHYLMD TRACH DNA A	$36.96	$77.00	$24.64–$197.76	40% below	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 IAD NA;CHLAMYDIA TRA	$41.76	$87.00	$27.84–$197.76	33% below	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA URINE	$42.72	$89.00	$28.48–$197.76	31% below	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATI	$76.80	$160.00	$51.20–$197.76	24% above	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHYLMD TRACH DNA A	$36.96	$77.00	$46.20–$69.30	—	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 IAD NA;CHLAMYDIA TRA	$41.76	$87.00	$52.20–$78.30	—	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA URINE	$42.72	$89.00	$53.40–$80.10	—	52%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATI	$76.80	$160.00	$96.00–$144.00	—	52%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PROFILE	$39.36	$82.00	$26.24–$75.44	at median	52%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PROFILE	$39.36	$82.00	$49.20–$73.80	—	52%
Complete blood count (CBC) with differential CPT 85025 SONORA QUEST CBC (HEMOGRAM)W/PIT CNT	$4.38	$9.12	$2.92–$43.80	93% below	52%
Complete blood count (CBC) with differential CPT 85025 LABCORP CBC W/ INDICIES	$8.64	$18.00	$5.76–$43.80	86% below	52%
Complete blood count (CBC) with differential CPT 85025 ABC	$33.12	$69.00	$22.08–$62.10	45% below	52%
Complete blood count (CBC) with differential CPT 85025 CBC W/ INCICIES	$43.68	$91.00	$29.12–$81.90	27% below	52%
Complete blood count (CBC) with differential inpatient CPT 85025 SONORA QUEST CBC (HEMOGRAM)W/PIT CNT	$4.38	$9.12	$5.47–$8.21	—	52%
Complete blood count (CBC) with differential inpatient CPT 85025 LABCORP CBC W/ INDICIES	$8.64	$18.00	$10.80–$16.20	—	52%
Complete blood count (CBC) with differential inpatient CPT 85025 ABC	$33.12	$69.00	$41.40–$62.10	—	52%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/ INCICIES	$43.68	$91.00	$54.60–$81.90	—	52%
Comprehensive metabolic panel (blood test) CPT 80053 CMP	$93.24	$194.25	$59.48–$174.83	29% below	52%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP	$93.24	$194.25	$116.55–$174.83	—	52%
Cortisol blood test, total CPT 82533 CORIGHTISOL SERUM	$58.56	$122.00	$39.04–$109.80	43% above	52%
Cortisol blood test, total inpatient CPT 82533 CORIGHTISOL SERUM	$58.56	$122.00	$73.20–$109.80	—	52%
Creatine kinase (CK) blood test, total CPT 82550 LABCORP CPK	$4.98	$10.36	$3.32–$36.69	64% below	52%
Creatine kinase (CK) blood test, total CPT 82550 CPK	$31.68	$66.00	$21.12–$59.40	126% above	52%
Creatine kinase (CK) blood test, total inpatient CPT 82550 LABCORP CPK	$4.98	$10.36	$6.22–$9.32	—	52%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CPK	$31.68	$66.00	$39.60–$59.40	—	52%
Creatinine blood test CPT 82565 LABCORP CREATININE SERUM	$4.32	$9.00	$2.88–$28.82	71% below	52%
Creatinine blood test CPT 82565 SERUM CREATININE	$23.52	$49.00	$15.68–$44.10	56% above	52%
Creatinine blood test CPT 82565 CREATININE SERUM	$23.52	$49.00	$15.68–$44.10	56% above	52%
Creatinine blood test inpatient CPT 82565 LABCORP CREATININE SERUM	$4.32	$9.00	$5.40–$8.10	—	52%
Creatinine blood test inpatient CPT 82565 CREATININE SERUM	$23.52	$49.00	$29.40–$44.10	—	52%
Creatinine blood test inpatient CPT 82565 SERUM CREATININE	$23.52	$49.00	$29.40–$44.10	—	52%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV IGG	$43.68	$91.00	$29.12–$81.90	42% above	52%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV IGG	$43.68	$91.00	$54.60–$81.90	—	52%
D-dimer blood test (blood clot marker) CPT 85379 LABCORP D DIMER QUANTITATIV	$12.00	$25.00	$8.00–$57.33	88% below	52%
D-dimer blood test (blood clot marker) CPT 85379 D DIMER QUANTITATIV	$36.00	$75.00	$24.00–$67.50	65% below	52%
D-dimer blood test (blood clot marker) inpatient CPT 85379 LABCORP D DIMER QUANTITATIV	$12.00	$25.00	$15.00–$22.50	—	52%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D DIMER QUANTITATIV	$36.00	$75.00	$45.00–$67.50	—	52%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA SO4	$55.68	$116.00	$37.12–$125.30	5% above	52%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA SO4	$55.68	$116.00	$69.60–$104.40	—	52%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN PRE CHEM	$220.80	$460.00	$147.20–$414.00	162% above	52%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN PRE CHEM	$220.80	$460.00	$276.00–$414.00	—	52%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES	$56.64	$118.00	$37.76–$106.20	at median	52%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES	$56.64	$118.00	$70.80–$106.20	—	52%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN BARR ANTIBOD	$21.60	$45.00	$14.40–$102.20	at median	52%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN BARR ANTIBOD	$21.60	$45.00	$27.00–$40.50	—	52%
Estradiol blood test CPT 82670 ESTRADIOL	$60.96	$127.00	$40.64–$157.41	4% below	52%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$60.96	$127.00	$76.20–$114.30	—	52%
FSH (follicle-stimulating hormone) test CPT 83001 FSH	$43.68	$91.00	$29.12–$104.74	25% below	52%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 FSH	$43.68	$91.00	$54.60–$81.90	—	52%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN, FECAL	$61.03	$127.14	$40.68–$143.80	23% above	52%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN, FECAL	$61.03	$127.14	$76.28–$114.43	—	52%
Ferritin blood test (iron stores) CPT 82728 FERRITIN	$39.36	$82.00	$26.24–$76.84	50% below	52%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN	$39.36	$82.00	$49.20–$73.80	—	52%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$25.92	$54.00	$17.28–$54.82	47% below	52%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$25.92	$54.00	$32.40–$48.60	—	52%
Folate (folic acid) blood test CPT 82746 FOLIC ACID	$45.12	$94.00	$30.08–$84.60	47% below	52%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID	$45.12	$94.00	$56.40–$84.60	—	52%
Free T3 thyroid hormone test CPT 84481 FREE T 3	$36.00	$75.00	$24.00–$95.47	10% below	52%
Free T3 thyroid hormone test inpatient CPT 84481 FREE T 3	$36.00	$75.00	$45.00–$67.50	—	52%
Free T4 (free thyroxine) thyroid blood test CPT 84439 FREE T 4	$56.64	$118.00	$37.76–$106.20	5% above	52%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 FREE T 4	$56.64	$118.00	$70.80–$106.20	—	52%
Free testosterone test CPT 84402 TESTOSTERONE F/TOT	$112.80	$235.00	$75.20–$211.50	154% above	52%
Free testosterone test inpatient CPT 84402 TESTOSTERONE F/TOT	$112.80	$235.00	$141.00–$211.50	—	52%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGTP	$9.60	$20.00	$6.40–$40.59	67% below	52%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GGT	$24.00	$50.00	$16.00–$45.00	16% below	52%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGTP	$9.60	$20.00	$12.00–$18.00	—	52%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GGT	$24.00	$50.00	$30.00–$45.00	—	52%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 GENERAL HEALTH PANEL	$177.24	$369.25	$118.16–$332.33	71% below	52%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 GENERAL HEALTH PANEL	$177.24	$369.25	$221.55–$332.33	—	52%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INC GLUCOSE)	$8.18	$17.03	$5.45–$26.76	91% below	52%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE; POST GLUCOSE DOSE (INC GLUCOSE)	$8.18	$17.03	$10.22–$15.33	—	52%
Glucose tolerance test, 3 samples CPT 82951 GTT FIRST 3 SPEC	$38.40	$80.00	$25.60–$72.54	62% below	52%
Glucose tolerance test, 3 samples inpatient CPT 82951 GTT FIRST 3 SPEC	$38.40	$80.00	$48.00–$72.00	—	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.GONORRHOEAE DNA	$36.96	$77.00	$24.64–$197.76	39% below	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 IAD NA NG	$41.76	$87.00	$27.84–$197.76	31% below	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N.GONORRHOEAE DNA	$36.96	$77.00	$46.20–$69.30	—	52%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 IAD NA NG	$41.76	$87.00	$52.20–$78.30	—	52%
H. pylori antibody blood test CPT 86677 HELICOBACTER	$46.08	$96.00	$30.72–$94.94	17% above	52%
H. pylori antibody blood test CPT 86677 H. PYLORI TITER	$58.56	$122.00	$39.04–$109.80	48% above	52%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER	$46.08	$96.00	$57.60–$86.40	—	52%
H. pylori antibody blood test inpatient CPT 86677 H. PYLORI TITER	$58.56	$122.00	$73.20–$109.80	—	52%
H. pylori stool antigen test CPT 87338 H.PYLORI ANTIGEN STO	$98.88	$206.00	$65.92–$185.40	129% above	52%
H. pylori stool antigen test inpatient CPT 87338 H.PYLORI ANTIGEN STO	$98.88	$206.00	$123.60–$185.40	—	52%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 RNAPCR (NONGRAPH) R	$120.00	$250.00	$80.00–$479.55	1% below	52%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV RNA QUANT	$215.52	$449.00	$143.68–$479.55	77% above	52%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 RNAPCR (NONGRAPH) R	$120.00	$250.00	$150.00–$225.00	—	52%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV RNA QUANT	$215.52	$449.00	$269.40–$404.10	—	52%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1/0/2 SCREEN W/R	$49.44	$103.00	$32.96–$92.70	30% above	52%
HIV-1 and HIV-2 antibody test CPT 86703 HIV SC REFLEX WEST B	$55.20	$115.00	$36.80–$103.50	45% above	52%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1/0/2 SCREEN W/R	$49.44	$103.00	$61.80–$92.70	—	52%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV SC REFLEX WEST B	$55.20	$115.00	$69.00–$103.50	—	52%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANT W/ HIV1 HIV2	$28.80	$60.00	$19.20–$107.02	30% below	52%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANT W/ HIV1 HIV2	$28.80	$60.00	$36.00–$54.00	—	52%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HPV HIGH RISK	$50.88	$106.00	$33.92–$257.01	7% below	52%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HPV HIGH RISK	$50.88	$106.00	$63.60–$95.40	—	52%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HGB A1C	$28.80	$60.00	$19.20–$54.74	41% below	52%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HGB A1C	$28.80	$60.00	$36.00–$54.00	—	52%
Hemoglobin blood test CPT 85018 HGB	$14.40	$30.00	$9.60–$27.00	44% below	52%
Hemoglobin blood test inpatient CPT 85018 HGB	$14.40	$30.00	$18.00–$27.00	—	52%
Hepatitis B core antibody test (total) CPT 86704 HEP B CORE ANTIBODY	$19.20	$40.00	$12.80–$67.88	30% below	52%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEP B CORE ANTIBODY	$19.20	$40.00	$24.00–$36.00	—	52%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURFACE ANTIBO	$32.16	$67.00	$21.44–$60.54	10% above	52%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEP B SURF/ANT	$38.88	$81.00	$25.92–$72.90	33% above	52%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURFACE ANTIBO	$32.16	$67.00	$40.20–$60.30	—	52%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEP B SURF/ANT	$38.88	$81.00	$48.60–$72.90	—	52%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEB B SURFACE AG W/R	$22.08	$46.00	$14.72–$58.26	at median	52%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANTIGEN	$22.56	$47.00	$15.04–$58.26	2% above	52%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEP B SURF ANT S/O	$22.56	$47.00	$15.04–$58.26	2% above	52%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEB B SURFACE AG W/R	$22.08	$46.00	$27.60–$41.40	—	52%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF ANTIGEN	$22.56	$47.00	$28.20–$42.30	—	52%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEP B SURF ANT S/O	$22.56	$47.00	$28.20–$42.30	—	52%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C AB	$48.48	$101.00	$32.32–$90.90	27% above	52%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C AB	$48.48	$101.00	$60.60–$90.90	—	52%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEP C RNA PCR QUANT	$149.28	$311.00	$99.52–$279.90	68% above	52%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C RNA QUA	$168.00	$350.00	$112.00–$315.00	89% above	52%
Hepatitis C viral load (HCV RNA) test CPT 87522 NGI HCV QUANTASURE	$168.00	$350.00	$112.00–$315.00	89% above	52%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEP C RNA PCR QUANT	$149.28	$311.00	$186.60–$279.90	—	52%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 NGI HCV QUANTASURE	$168.00	$350.00	$210.00–$315.00	—	52%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C RNA QUA	$168.00	$350.00	$210.00–$315.00	—	52%
Herpes blood test, HSV-1 antibody CPT 86695 AB;HSV I	$33.60	$70.00	$22.40–$96.62	9% above	52%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES SIMPLEX TEST	$48.00	$100.00	$32.00–$96.62	56% above	52%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 AB;HSV I	$33.60	$70.00	$42.00–$63.00	—	52%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES SIMPLEX TEST	$48.00	$100.00	$60.00–$90.00	—	52%
Herpes blood test, HSV-2 antibody CPT 86696 AB; HSV 2	$33.60	$70.00	$22.40–$141.82	1% above	52%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 6	$96.00	$200.00	$64.00–$180.00	189% above	52%
Herpes blood test, HSV-2 antibody CPT 86696 HERPES 2 IGG	$96.00	$200.00	$64.00–$180.00	189% above	52%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 AB; HSV 2	$33.60	$70.00	$42.00–$63.00	—	52%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 2 IGG	$96.00	$200.00	$120.00–$180.00	—	52%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HERPES 6	$96.00	$200.00	$120.00–$180.00	—	52%
High-sensitivity CRP (hs-CRP) test CPT 86141 HSCRP	$41.76	$87.00	$27.84–$78.30	25% below	52%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HSCRP	$41.76	$87.00	$52.20–$78.30	—	52%
Homocysteine blood test CPT 83090 HOMOCYSTINE	$59.52	$124.00	$39.68–$111.60	57% below	52%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE	$59.52	$124.00	$74.40–$111.60	—	52%
Insulin blood test CPT 83525 INSULIN;TOTAL (SERUM	$27.84	$58.00	$18.56–$64.45	2% above	52%
Insulin blood test inpatient CPT 83525 INSULIN;TOTAL (SERUM	$27.84	$58.00	$34.80–$52.20	—	52%
Iron blood test (serum iron) CPT 83540 IRON SERUM	$15.84	$33.00	$10.56–$36.47	58% below	52%
Iron blood test (serum iron) CPT 83540 IRON & TIBC	$49.92	$104.00	$33.28–$93.60	32% above	52%
Iron blood test (serum iron) inpatient CPT 83540 IRON SERUM	$15.84	$33.00	$19.80–$29.70	—	52%
Iron blood test (serum iron) inpatient CPT 83540 IRON & TIBC	$49.92	$104.00	$62.40–$93.60	—	52%
Iron-binding capacity (TIBC) test CPT 83550 TIBC SERUM	$14.40	$30.00	$9.60–$49.24	82% below	52%
Iron-binding capacity (TIBC) test inpatient CPT 83550 TIBC SERUM	$14.40	$30.00	$18.00–$27.00	—	52%
Kidney function blood test panel CPT 80069 RENAL PANEL	$38.40	$80.00	$25.60–$72.00	56% below	52%
Kidney function blood test panel inpatient CPT 80069 RENAL PANEL	$38.40	$80.00	$48.00–$72.00	—	52%
LH (luteinizing hormone) test CPT 83002 LH S/O	$36.96	$77.00	$24.64–$104.35	38% below	52%
LH (luteinizing hormone) test inpatient CPT 83002 LH S/O	$36.96	$77.00	$46.20–$69.30	—	52%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID	$47.52	$99.00	$31.68–$89.10	67% above	52%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID	$47.52	$99.00	$59.40–$89.10	—	52%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH	$26.88	$56.00	$17.92–$50.40	17% below	52%
Lactate dehydrogenase (LDH) blood test CPT 83615 90 CYTOCHROME	$168.00	$350.00	$34.01–$315.00	419% above	52%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH	$26.88	$56.00	$33.60–$50.40	—	52%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 90 CYTOCHROME	$168.00	$350.00	$210.00–$315.00	—	52%
Lipase blood test (pancreas enzyme) CPT 83690 SONORA QUEST LIPASE	$4.96	$10.32	$3.30–$38.84	82% below	52%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$36.00	$75.00	$24.00–$67.50	33% above	52%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 SONORA QUEST LIPASE	$4.96	$10.32	$6.19–$9.29	—	52%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$36.00	$75.00	$45.00–$67.50	—	52%
Liver function blood test panel CPT 80076 LIVER PROFILE	$53.28	$111.00	$35.52–$99.90	34% below	52%
Liver function blood test panel CPT 80076 HEPATIC FUNCTION PAN	$60.00	$125.00	$40.00–$112.50	25% below	52%
Liver function blood test panel inpatient CPT 80076 LIVER PROFILE	$53.28	$111.00	$66.60–$99.90	—	52%
Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PAN	$60.00	$125.00	$75.00–$112.50	—	52%
Lyme disease antibody test CPT 86618 LYME ABS REFLX POS	$304.32	$634.00	$95.95–$570.60	770% above	52%
Lyme disease antibody test inpatient CPT 86618 LYME ABS REFLX POS	$304.32	$634.00	$380.40–$570.60	—	52%
Magnesium blood test CPT 83735 SONORA QUEST MAGNESIUM	$4.57	$9.52	$3.05–$37.78	67% below	52%
Magnesium blood test CPT 83735 LABCORP MAGNESIUM	$5.12	$10.65	$3.41–$37.78	63% below	52%
Magnesium blood test CPT 83735 MAGNESIUM URINE	$19.68	$41.00	$13.12–$37.78	42% above	52%
Magnesium blood test CPT 83735 MAGNESIUM	$24.96	$52.00	$16.64–$46.80	81% above	52%
Magnesium blood test CPT 83735 MAGNESIUM SERUM	$31.20	$65.00	$20.80–$58.50	126% above	52%
Magnesium blood test inpatient CPT 83735 SONORA QUEST MAGNESIUM	$4.57	$9.52	$5.71–$8.57	—	52%
Magnesium blood test inpatient CPT 83735 LABCORP MAGNESIUM	$5.12	$10.65	$6.39–$9.59	—	52%
Magnesium blood test inpatient CPT 83735 MAGNESIUM URINE	$19.68	$41.00	$24.60–$36.90	—	52%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$24.96	$52.00	$31.20–$46.80	—	52%
Magnesium blood test inpatient CPT 83735 MAGNESIUM SERUM	$31.20	$65.00	$39.00–$58.50	—	52%
Measles (rubeola) antibody test CPT 86765 RUBEOLA ANTIBODIES I	$12.00	$25.00	$8.00–$72.54	28% below	52%
Measles (rubeola) antibody test inpatient CPT 86765 RUBEOLA ANTIBODIES I	$12.00	$25.00	$15.00–$22.50	—	52%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO SPOT	$25.44	$53.00	$16.96–$47.70	66% below	52%
Mono test (heterophile antibody, Monospot) CPT 86308 ANTITHYROID ANTIBODY	$43.68	$91.00	$29.12–$81.90	41% below	52%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO SPOT	$25.44	$53.00	$31.80–$47.70	—	52%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 ANTITHYROID ANTIBODY	$43.68	$91.00	$54.60–$81.90	—	52%
Mumps immunity blood test CPT 86735 MMR IMMUNE	$157.92	$329.00	$73.54–$296.10	434% above	52%
Mumps immunity blood test inpatient CPT 86735 MMR IMMUNE	$157.92	$329.00	$197.40–$296.10	—	52%
Obstetric blood test panel CPT 80055 OBSTETRIC PANEL	$84.00	$175.00	$56.00–$269.49	86% below	52%
Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL	$84.00	$175.00	$105.00–$157.50	—	52%
PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE	$48.48	$101.00	$32.32–$103.65	12% below	52%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE	$48.48	$101.00	$60.60–$90.90	—	52%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATIC SP ANTIG	$51.84	$108.00	$34.56–$103.65	12% below	52%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATIC SP ANTIG	$51.84	$108.00	$64.80–$97.20	—	52%
Pap test (liquid-based, automated screening with review) CPT 88175 CYTOPATHOLOGY, CERVICAL OR VAGINAL WITH SCREEN BY AUTOMATED SYSTEM	$63.84	$133.00	$42.56–$202.19	60% above	52%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 CYTOPATHOLOGY, CERVICAL OR VAGINAL WITH SCREEN BY AUTOMATED SYSTEM	$63.84	$133.00	$79.80–$119.70	—	52%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 PAP SMEAR MONOLAYER	$50.88	$106.00	$33.92–$153.95	89% above	52%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 PAP SMEAR MONOLAYER	$50.88	$106.00	$63.60–$95.40	—	52%
Parathyroid hormone (PTH) blood test CPT 83970 PTH INTACT	$119.52	$249.00	$79.68–$232.63	52% above	52%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PTH INTACT	$119.52	$249.00	$149.40–$224.10	—	52%
Partial thromboplastin time (PTT) clotting test CPT 85730 LABCORP THROMBOPLASTIN TIME	$7.20	$15.00	$4.80–$33.87	62% below	52%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIMP	$8.16	$17.00	$5.44–$33.87	57% below	52%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$34.56	$72.00	$23.04–$64.80	83% above	52%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 LABCORP THROMBOPLASTIN TIME	$7.20	$15.00	$9.00–$13.50	—	52%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIMP	$8.16	$17.00	$10.20–$15.30	—	52%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$34.56	$72.00	$43.20–$64.80	—	52%
Phosphorus (phosphate) blood test CPT 84100 PHOSPOROUS SERUM	$22.56	$47.00	$15.04–$42.30	at median	52%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPOROUS SERUM	$22.56	$47.00	$28.20–$42.30	—	52%
Potassium blood test CPT 84132 SONORA QUEST POTASSIUM SERUM	$3.29	$6.84	$2.19–$26.84	87% below	52%
Potassium blood test CPT 84132 LABCORP POTASSIUM SERUM	$4.32	$9.00	$2.88–$26.84	83% below	52%
Potassium blood test CPT 84132 POTASSIUM SERUM	$27.84	$58.00	$18.56–$52.20	9% above	52%
Potassium blood test inpatient CPT 84132 SONORA QUEST POTASSIUM SERUM	$3.29	$6.84	$4.10–$6.16	—	52%
Potassium blood test inpatient CPT 84132 LABCORP POTASSIUM SERUM	$4.32	$9.00	$5.40–$8.10	—	52%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$27.84	$58.00	$34.80–$52.20	—	52%
Progesterone blood test CPT 84144 PROGESTERONE	$88.80	$185.00	$59.20–$166.50	7% above	52%
Progesterone blood test inpatient CPT 84144 PROGESTERONE	$88.80	$185.00	$111.00–$166.50	—	52%
Prolactin blood test CPT 84146 PROLACTIN	$58.08	$121.00	$38.72–$109.23	12% above	52%
Prolactin blood test inpatient CPT 84146 PROLACTIN	$58.08	$121.00	$72.60–$108.90	—	52%
Prothrombin time (PT/INR) clotting test CPT 85610 LABCORP PRO TIME	$5.76	$12.00	$3.84–$24.16	69% below	52%
Prothrombin time (PT/INR) clotting test CPT 85610 PRO TIME	$24.48	$51.00	$16.32–$45.90	30% above	52%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 LABCORP PRO TIME	$5.76	$12.00	$7.20–$10.80	—	52%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PRO TIME	$24.48	$51.00	$30.60–$45.90	—	52%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN/OCM	$19.20	$40.00	$12.80–$71.01	14% above	52%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN SOLUTION	$19.20	$40.00	$12.80–$71.01	14% above	52%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 DRUG SCREEN URINE	$89.28	$186.00	$59.52–$167.40	430% above	52%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN/OCM	$19.20	$40.00	$24.00–$36.00	—	52%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN SOLUTION	$19.20	$40.00	$24.00–$36.00	—	52%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 DRUG SCREEN URINE	$89.28	$186.00	$111.60–$167.40	—	52%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B SWAB	$12.00	$25.00	$8.00–$93.27	49% below	52%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A SWAB	$12.00	$25.00	$8.00–$93.27	49% below	52%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B SWAB	$12.00	$25.00	$15.00–$22.50	—	52%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A SWAB	$12.00	$25.00	$15.00–$22.50	—	52%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP SCREEN	$23.52	$49.00	$15.68–$93.19	23% below	52%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP SCREEN	$23.52	$49.00	$29.40–$44.10	—	52%
Renin blood test CPT 84244 RENIN	$60.00	$125.00	$40.00–$123.93	at median	52%
Renin blood test inpatient CPT 84244 RENIN	$60.00	$125.00	$75.00–$112.50	—	52%
Rh blood typing CPT 86901 RH	$12.00	$25.00	$8.00–$22.50	73% below	52%
Rh blood typing inpatient CPT 86901 RH	$12.00	$25.00	$15.00–$22.50	—	52%
Rheumatoid factor (RF) test CPT 86431 RH	$15.84	$33.00	$10.56–$31.95	1% above	52%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR Q	$22.08	$46.00	$14.72–$41.40	40% above	52%
Rheumatoid factor (RF) test CPT 86431 RA QUANT	$25.92	$54.00	$17.28–$48.60	65% above	52%
Rheumatoid factor (RF) test inpatient CPT 86431 RH	$15.84	$33.00	$19.80–$29.70	—	52%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR Q	$22.08	$46.00	$27.60–$41.40	—	52%
Rheumatoid factor (RF) test inpatient CPT 86431 RA QUANT	$25.92	$54.00	$32.40–$48.60	—	52%
Rubella antibody test (immunity check) CPT 86762 RUBELLA SCREEN	$27.84	$58.00	$18.56–$81.11	2% above	52%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA SCREEN	$27.84	$58.00	$34.80–$52.20	—	52%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 ESR	$20.64	$43.00	$13.76–$38.70	67% below	52%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 ESR	$20.64	$43.00	$25.80–$38.70	—	52%
Sodium blood test CPT 84295 SONORA QUEST SODIUM SERUM	$3.29	$6.84	$2.19–$27.15	83% below	52%
Sodium blood test CPT 84295 LABCORP SODIUM SERUM	$4.32	$9.00	$2.88–$27.15	78% below	52%
Sodium blood test CPT 84295 SODIUM SERUM	$25.92	$54.00	$17.28–$48.60	33% above	52%
Sodium blood test inpatient CPT 84295 SONORA QUEST SODIUM SERUM	$3.29	$6.84	$4.10–$6.16	—	52%
Sodium blood test inpatient CPT 84295 LABCORP SODIUM SERUM	$4.32	$9.00	$5.40–$8.10	—	52%
Sodium blood test inpatient CPT 84295 SODIUM SERUM	$25.92	$54.00	$32.40–$48.60	—	52%
Stool ova and parasites exam CPT 87177 MALARIAL SMEAR	$15.84	$33.00	$10.56–$50.14	44% below	52%
Stool ova and parasites exam CPT 87177 OVA & PARASITES	$23.04	$48.00	$15.36–$50.14	18% below	52%
Stool ova and parasites exam inpatient CPT 87177 MALARIAL SMEAR	$15.84	$33.00	$19.80–$29.70	—	52%
Stool ova and parasites exam inpatient CPT 87177 OVA & PARASITES	$23.04	$48.00	$28.80–$43.20	—	52%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLOOD FECL	$15.84	$33.00	$10.56–$29.70	42% below	52%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLOOD FECL	$15.84	$33.00	$19.80–$29.70	—	52%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 OCCULT BLOOD	$17.28	$36.00	$11.52–$89.75	6% below	52%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 ASSAY TESTBLOOD FEC	$50.88	$106.00	$33.92–$95.40	178% above	52%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 OCCULT BLOOD	$17.28	$36.00	$21.60–$32.40	—	52%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 ASSAY TESTBLOOD FEC	$50.88	$106.00	$63.60–$95.40	—	52%
Syphilis antibody test (Treponema pallidum) CPT 86780 T PALLIDUM SCREENING	$19.20	$40.00	$12.80–$74.60	26% below	52%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDUM	$48.00	$100.00	$32.00–$90.00	85% above	52%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 T PALLIDUM SCREENING	$19.20	$40.00	$24.00–$36.00	—	52%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDUM	$48.00	$100.00	$60.00–$90.00	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 SYPHILIS TEST	$12.00	$25.00	$8.00–$24.08	8% below	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR	$14.88	$31.00	$9.92–$27.90	14% above	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 FTA	$26.40	$55.00	$17.60–$49.50	103% above	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL SERUM W/REFLEX	$31.20	$65.00	$20.80–$58.50	140% above	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RPR W/RFX TO TITER F	$49.44	$103.00	$24.08–$92.70	280% above	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 BLOOD SEROLOGY QUALI	$57.60	$120.00	$24.08–$108.00	343% above	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 SYPHILIS TEST	$12.00	$25.00	$15.00–$22.50	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR	$14.88	$31.00	$18.60–$27.90	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 FTA	$26.40	$55.00	$33.00–$49.50	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL SERUM W/REFLEX	$31.20	$65.00	$39.00–$58.50	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RPR W/RFX TO TITER F	$49.44	$103.00	$61.80–$92.70	—	52%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 BLOOD SEROLOGY QUALI	$57.60	$120.00	$72.00–$108.00	—	52%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 QUANTIFERON IN TUBE	$73.92	$154.00	$49.28–$454.02	2% above	52%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 QUANTIFERON IN TUBE	$73.92	$154.00	$92.40–$138.60	—	52%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE LEVEL	$34.56	$72.00	$23.04–$145.47	at median	52%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE LEVEL	$34.56	$72.00	$43.20–$64.80	—	52%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL ANTIBODY	$22.08	$46.00	$14.72–$81.94	3% below	52%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL TPO AB	$29.76	$62.00	$19.84–$81.94	31% above	52%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTI MICROSOMAL ANTI	$51.84	$108.00	$34.56–$97.20	128% above	52%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL ANTIBODY	$22.08	$46.00	$27.60–$41.40	—	52%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL TPO AB	$29.76	$62.00	$37.20–$55.80	—	52%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTI MICROSOMAL ANTI	$51.84	$108.00	$64.80–$97.20	—	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 LABCORP TSH	$12.82	$26.69	$8.54–$94.64	79% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM H	$16.80	$35.00	$11.20–$94.64	73% below	52%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH	$40.32	$84.00	$26.88–$94.64	35% below	52%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 LABCORP TSH	$12.82	$26.69	$16.01–$24.02	—	52%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 ASSAY THYROID STIM H	$16.80	$35.00	$21.00–$31.50	—	52%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH	$40.32	$84.00	$50.40–$75.60	—	52%
Total IgE blood test CPT 82785 ASSAY OF GAMMAGLOBUL	$24.96	$52.00	$16.64–$92.74	8% below	52%
Total IgE blood test CPT 82785 IGE	$32.64	$68.00	$21.76–$92.74	20% above	52%
Total IgE blood test inpatient CPT 82785 ASSAY OF GAMMAGLOBUL	$24.96	$52.00	$31.20–$46.80	—	52%
Total IgE blood test inpatient CPT 82785 IGE	$32.64	$68.00	$40.80–$61.20	—	52%
Total cholesterol blood test CPT 82465 CHOLESTEROL	$12.96	$27.00	$8.64–$24.55	38% below	52%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL	$12.96	$27.00	$16.20–$24.30	—	52%
Total thyroxine (T4) blood test CPT 84436 THYROXINE T4	$26.40	$55.00	$17.60–$49.50	16% below	52%
Total thyroxine (T4) blood test CPT 84436 LABCORP THYROXINE T4	$26.40	$55.00	$17.60–$49.50	16% below	52%
Total thyroxine (T4) blood test inpatient CPT 84436 LABCORP THYROXINE T4	$26.40	$55.00	$33.00–$49.50	—	52%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE T4	$26.40	$55.00	$33.00–$49.50	—	52%
Total triiodothyronine (T3) blood test CPT 84480 TRIIODOTHYRONINE T3, TOTAL	$14.86	$30.95	$9.90–$79.88	85% below	52%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIIODOTHYRONINE T3, TOTAL	$14.86	$30.95	$18.57–$27.86	—	52%
Transferrin blood test CPT 84466 TRANSFERRIN	$12.00	$25.00	$8.00–$71.93	80% below	52%
Transferrin blood test CPT 84466 ASSAY OF TRANSFERRIN	$24.00	$50.00	$16.00–$71.93	60% below	52%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN	$12.00	$25.00	$15.00–$22.50	—	52%
Transferrin blood test inpatient CPT 84466 ASSAY OF TRANSFERRIN	$24.00	$50.00	$30.00–$45.00	—	52%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALI	$23.04	$48.00	$15.36–$257.01	54% below	52%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALI	$23.04	$48.00	$28.80–$43.20	—	52%
Triglycerides blood test CPT 84478 TRIGLYCERIDES	$25.92	$54.00	$17.28–$48.60	48% above	52%
Triglycerides blood test CPT 84478 VAP LIPID	$93.12	$194.00	$32.34–$174.60	431% above	52%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES	$25.92	$54.00	$32.40–$48.60	—	52%
Triglycerides blood test inpatient CPT 84478 VAP LIPID	$93.12	$194.00	$116.40–$174.60	—	52%
Troponin test, quantitative CPT 84484 TROPONIN I	$75.60	$157.50	$50.40–$141.75	56% above	52%
Troponin test, quantitative inpatient CPT 84484 TROPONIN I	$75.60	$157.50	$94.50–$141.75	—	52%
Uric acid blood test CPT 84550 URIC ACID SERUM	$28.80	$60.00	$19.20–$54.00	59% below	52%
Uric acid blood test inpatient CPT 84550 URIC ACID SERUM	$28.80	$60.00	$36.00–$54.00	—	52%
Urinalysis with microscope exam, automated CPT 81001 URINALYSIS ROUTINE	$19.20	$40.00	$12.80–$36.00	50% below	52%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS ROUTINE	$19.20	$40.00	$24.00–$36.00	—	52%
Urinalysis without microscope exam, automated CPT 81003 LABCORP URINE DIP	$2.88	$6.00	$1.92–$12.69	85% below	52%
Urinalysis without microscope exam, automated CPT 81003 URINALYSIS DIP STIC	$10.08	$21.00	$6.72–$18.90	48% below	52%
Urinalysis without microscope exam, automated inpatient CPT 81003 LABCORP URINE DIP	$2.88	$6.00	$3.60–$5.40	—	52%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS DIP STIC	$10.08	$21.00	$12.60–$18.90	—	52%
Urine culture for bacteria, with colony count CPT 87086 URINE CULEFTURE CO COU	$19.20	$40.00	$12.80–$45.48	64% below	52%
Urine culture for bacteria, with colony count CPT 87086 CULTURE URINE	$31.68	$66.00	$21.12–$59.40	41% below	52%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULEFTURE CO COU	$19.20	$40.00	$24.00–$36.00	—	52%
Urine culture for bacteria, with colony count inpatient CPT 87086 CULTURE URINE	$31.68	$66.00	$39.60–$59.40	—	52%
Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN	$46.08	$96.00	$30.72–$86.40	82% above	52%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN	$46.08	$96.00	$57.60–$86.40	—	52%
Urine pregnancy test, read by color change CPT 81025 SONORA QUEST PREGNANCY, URINE QUALITATIVE	$5.60	$11.66	$3.73–$48.55	89% below	52%
Urine pregnancy test, read by color change CPT 81025 LABCORP PREGNANCY TEST URO	$5.74	$11.94	$3.82–$48.55	89% below	52%
Urine pregnancy test, read by color change CPT 81025 PREGNANCY TEST URO	$33.60	$70.00	$22.40–$63.00	36% below	52%
Urine pregnancy test, read by color change inpatient CPT 81025 SONORA QUEST PREGNANCY, URINE QUALITATIVE	$5.60	$11.66	$7.00–$10.49	—	52%
Urine pregnancy test, read by color change inpatient CPT 81025 LABCORP PREGNANCY TEST URO	$5.74	$11.94	$7.16–$10.75	—	52%
Urine pregnancy test, read by color change inpatient CPT 81025 PREGNANCY TEST URO	$33.60	$70.00	$42.00–$63.00	—	52%
Vitamin B12 (cobalamin) blood test CPT 82607 LABCORP VITAMIN B12	$47.52	$99.00	$31.68–$89.10	27% below	52%
Vitamin B12 (cobalamin) blood test CPT 82607 VITAMIN B12	$47.52	$99.00	$31.68–$89.10	27% below	52%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 LABCORP VITAMIN B12	$47.52	$99.00	$59.40–$89.10	—	52%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 VITAMIN B12	$47.52	$99.00	$59.40–$89.10	—	52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VIT D 25 HYDROX	$134.88	$281.00	$89.92–$252.90	99% above	52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 CHOLECALCIFEROL/ERGO	$192.00	$400.00	$128.00–$360.00	184% above	52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VIT D 25 HYDROX	$134.88	$281.00	$168.60–$252.90	—	52%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 CHOLECALCIFEROL/ERGO	$192.00	$400.00	$240.00–$360.00	—	52%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 ASSAY OF DIHYDROXYVI	$197.76	$412.00	$131.84–$370.80	138% above	52%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 ASSAY OF DIHYDROXYVI	$197.76	$412.00	$247.20–$370.80	—	52%
Zinc blood test CPT 84630 ZINC RBC	$48.00	$100.00	$32.00–$90.00	98% above	52%
Zinc blood test inpatient CPT 84630 ZINC RBC	$48.00	$100.00	$60.00–$90.00	—	52%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 SONORA QUEST BHCG, QUANT	$10.09	$21.02	$6.73–$84.84	62% below	52%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 LABCORP BHCG QUAT	$14.40	$30.00	$9.60–$84.84	46% below	52%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BHCG QUANT.	$40.32	$84.00	$26.88–$84.84	51% above	52%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 SONORA QUEST BHCG, QUANT	$10.09	$21.02	$12.61–$18.92	—	52%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 LABCORP BHCG QUAT	$14.40	$30.00	$18.00–$27.00	—	52%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BHCG QUANT.	$40.32	$84.00	$50.40–$75.60	—	52%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Cardioversion, elective (restoring heart rhythm) CPT 92960 FAC CARDIOVERSION/DEFIB	$421.92	$879.00	$281.28–$3,357.04	55% below	52%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 FAC CARDIOVERSION/DEFIB	$421.92	$879.00	$527.40–$791.10	—	52%
Earwax removal by irrigation (rinsing), one ear CPT 69209 EAR LAVAGE REMOVE IM	$22.56	$47.00	$15.04–$113.75	95% below	52%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 EAR LAVAGE REMOVE IM	$22.56	$47.00	$28.20–$42.30	—	52%
Earwax removal with instruments, one ear CPT 69210 FAC REMOVE EAR WAX IMPAC	$43.68	$91.00	$29.12–$326.35	89% below	52%
Earwax removal with instruments, one ear inpatient CPT 69210 FAC REMOVE EAR WAX IMPAC	$43.68	$91.00	$54.60–$81.90	—	52%
Incision and drainage of a simple or single skin abscess CPT 10060 FAC DRAIN ABSCESS SIMPLE	$60.48	$126.00	$40.32–$713.46	85% below	52%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 FAC DRAIN ABSCESS SIMPLE	$60.48	$126.00	$75.60–$113.40	—	52%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 FAC TRIGGER POINT INJECT	$60.96	$127.00	$40.64–$1,256.00	84% below	52%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 FAC TRIGGER POINT INJECT	$60.96	$127.00	$76.20–$114.30	—	52%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 FAC DRAIN / INJ JOINT BU	$87.36	$182.00	$58.24–$3,944.61	85% below	52%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 FAC DRAIN / INJ JOINT BU	$87.36	$182.00	$109.20–$163.80	—	52%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 FAC FLUID ASPERATION / B	$495.36	$1,032.00	$330.24–$3,944.61	12% above	52%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 FAC FLUID ASPERATION / B	$495.36	$1,032.00	$619.20–$928.80	—	52%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 FAC ARIGHTHROCENTESIS ASP	$495.36	$1,032.00	$330.24–$3,944.61	37% above	52%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 FAC ARIGHTHROCENTESIS ASP	$495.36	$1,032.00	$619.20–$928.80	—	52%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 FAC LAYER CLOSURE OF WOUND	$495.36	$1,032.00	$330.24–$3,944.61	49% below	52%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 FAC LAYER CLOSURE OF WOUND	$495.36	$1,032.00	$619.20–$928.80	—	52%
Nail removal (partial or complete), one nail CPT 11730 FAC NAIL AVULSION	$45.60	$95.00	$30.40–$418.17	81% below	52%
Nail removal (partial or complete), one nail inpatient CPT 11730 FAC NAIL AVULSION	$45.60	$95.00	$57.00–$85.50	—	52%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 FAC EXCISION OF NAIL	$100.80	$210.00	$67.20–$3,944.61	83% below	52%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 FAC EXCISION OF NAIL	$100.80	$210.00	$126.00–$189.00	—	52%
Removal of a foreign object under the skin, simple CPT 10120 FAC REMOVE FOREIGN BODY	$60.48	$126.00	$40.32–$3,944.61	92% below	52%
Removal of a foreign object under the skin, simple inpatient CPT 10120 FAC REMOVE FOREIGN BODY	$60.48	$126.00	$75.60–$113.40	—	52%
Short arm splint (forearm and hand) CPT 29125 SPLINT SHORT ARM STATIC	$42.72	$89.00	$28.48–$547.65	96% below	52%
Short arm splint (forearm and hand) CPT 29125 FAC SPLINT SHORIGHT ARM	$79.68	$166.00	$53.12–$547.65	92% below	52%
Short arm splint (forearm and hand) CPT 29125 FAC SPLINT SHORT ARM	$102.24	$213.00	$68.16–$547.65	90% below	52%
Short arm splint (forearm and hand) inpatient CPT 29125 SPLINT SHORT ARM STATIC	$42.72	$89.00	$53.40–$80.10	—	52%
Short arm splint (forearm and hand) inpatient CPT 29125 FAC SPLINT SHORIGHT ARM	$79.68	$166.00	$99.60–$149.40	—	52%
Short arm splint (forearm and hand) inpatient CPT 29125 FAC SPLINT SHORT ARM	$102.24	$213.00	$127.80–$191.70	—	52%
Short leg splint (calf to foot) CPT 29515 FAC SPLINT SHORIGHT LEG 0 /	$99.84	$208.00	$66.56–$547.65	71% below	52%
Short leg splint (calf to foot) inpatient CPT 29515 FAC SPLINT SHORIGHT LEG 0 /	$99.84	$208.00	$124.80–$187.20	—	52%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 FAC SIMPLE REPAIR 2.5 CM	$121.92	$254.00	$81.28–$662.79	46% below	52%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 FAC SIMPLE REPAIR 2.5 CM	$121.92	$254.00	$152.40–$228.60	—	52%
Spinal tap (lumbar puncture), diagnostic CPT 62270 FAC SPINAL FLUID TAP	$403.68	$841.00	$269.12–$1,843.19	38% below	52%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 FAC SPINAL FLUID TAP	$403.68	$841.00	$504.60–$756.90	—	52%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 FAC SIMPLE REPAIR 2.6 CM	$121.92	$254.00	$81.28–$662.79	61% below	52%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 FAC SIMPLE REPAIR 2.6 CM	$121.92	$254.00	$152.40–$228.60	—	52%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 FAC SIMPLE REPAIR 2.5 CM	$121.92	$254.00	$81.28–$662.79	92% below	52%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 FAC SIMPLE REPAIR 2.5 CM	$121.92	$254.00	$152.40–$228.60	—	52%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Blood transfusion (giving blood or blood components) CPT 36430 FAC BLOOD TRANSFUSION SE	$282.24	$588.00	$188.16–$1,693.98	48% below	52%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION	$282.24	$588.00	$188.16–$1,693.98	48% below	52%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANS 2 UNITS	$367.68	$766.00	$245.12–$1,693.98	32% below	52%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION	$282.24	$588.00	$352.80–$529.20	—	52%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 FAC BLOOD TRANSFUSION SE	$282.24	$588.00	$352.80–$529.20	—	52%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANS 2 UNITS	$367.68	$766.00	$459.60–$689.40	—	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HHN TX	$31.16	$64.90	$20.77–$126.22	88% below	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SVN/MDI BRONCHO TX	$39.60	$82.50	$26.40–$126.22	85% below	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 SPUTUM INDUCTION	$51.22	$106.70	$34.14–$126.22	80% below	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HHN TX	$31.16	$64.90	$38.94–$58.41	—	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SVN/MDI BRONCHO TX	$39.60	$82.50	$49.50–$74.25	—	52%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 SPUTUM INDUCTION	$51.22	$106.70	$64.02–$96.03	—	52%
Chemotherapy IV infusion, first hour CPT 96413 CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS INFUSION TECHNIQUE; UP TO 1 HOUR, SINGL	$285.12	$594.00	$190.08–$1,403.48	35% below	52%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMOTHERAPY ADMINISTRATION, INTRAVENOUS INFUSION TECHNIQUE; UP TO 1 HOUR, SINGL	$285.12	$594.00	$356.40–$534.60	—	52%
Critical care, first 30 to 74 minutes CPT 99291 FAC FACILITY CRITICAL CA	$524.40	$1,092.50	$349.60–$983.25	81% below	52%
Critical care, first 30 to 74 minutes inpatient CPT 99291 FAC FACILITY CRITICAL CA	$524.40	$1,092.50	$655.50–$983.25	—	52%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ECG LHI	$19.76	$41.15	$13.17–$219.80	55% below	52%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM	$32.64	$68.00	$21.76–$219.80	25% below	52%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ECG LHI	$19.76	$41.15	$24.69–$37.04	—	52%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 ELECTROCARDIOGRAM	$32.64	$68.00	$40.80–$61.20	—	52%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG	$92.59	$192.89	$61.72–$173.60	29% below	52%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG	$92.59	$192.89	$115.73–$173.60	—	52%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 FAC FACILITY LEVEL 1	$121.48	$253.07	$80.98–$227.76	51% below	52%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 FAC FACILITY LEVEL 1	$121.48	$253.07	$151.84–$227.76	—	52%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 FAC FACILITY LEVEL 2	$214.13	$446.09	$142.75–$401.48	43% below	52%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 FAC FACILITY LEVEL 2	$214.13	$446.09	$267.65–$401.48	—	52%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 FAC FACILITY LEVEL 3	$382.58	$797.03	$255.05–$717.33	45% below	52%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 FAC FACILITY LEVEL 3	$382.58	$797.03	$478.22–$717.33	—	52%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 FAC FACILITY LEVEL 4	$555.44	$1,157.15	$370.29–$1,041.44	51% below	52%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 FAC FACILITY LEVEL 4	$555.44	$1,157.15	$694.29–$1,041.44	—	52%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 FAC FACILITY LEVEL 5	$730.08	$1,520.98	$486.71–$1,368.88	56% below	52%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 FAC FACILITY LEVEL 5	$730.08	$1,520.98	$912.59–$1,368.88	—	52%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO VASCULAR STRE	$100.85	$210.10	$67.23–$615.78	84% below	52%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO VASCULAR STRE	$100.85	$210.10	$126.06–$189.09	—	52%
Holter monitor, heart rhythm recording up to 48 hours, with report CPT 93224 HOLEFTER MONITER	$141.12	$294.00	$94.08–$1,243.08	—	52%
Holter monitor, heart rhythm recording up to 48 hours, with report inpatient CPT 93224 HOLEFTER MONITER	$141.12	$294.00	$176.40–$264.60	—	52%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 FAC IV HYDRATION INITIAL	$79.20	$165.00	$52.80–$538.94	58% below	52%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INT HR	$83.04	$173.00	$55.36–$538.94	56% below	52%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 FAC IV HYDRATION INITIAL	$79.20	$165.00	$99.00–$148.50	—	52%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INT HR	$83.04	$173.00	$103.80–$155.70	—	52%
IV infusion of a medicine, first hour CPT 96365 IV INFUSION < 1 HOUR	$83.04	$173.00	$55.36–$656.43	68% below	52%
IV infusion of a medicine, first hour CPT 96365 FAC IV THERAPEUTIC INIT	$143.52	$299.00	$95.68–$656.43	45% below	52%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUSION < 1 HOUR	$83.04	$173.00	$103.80–$155.70	—	52%
IV infusion of a medicine, first hour inpatient CPT 96365 FAC IV THERAPEUTIC INIT	$143.52	$299.00	$179.40–$269.10	—	52%
IV push of a medicine, first drug CPT 96374 FAC IVP INITIAL	$74.40	$155.00	$49.60–$519.92	55% below	52%
IV push of a medicine, first drug CPT 96374 INTRAVENOUS PUSH	$74.40	$155.00	$49.60–$519.92	55% below	52%
IV push of a medicine, first drug inpatient CPT 96374 FAC IVP INITIAL	$74.40	$155.00	$93.00–$139.50	—	52%
IV push of a medicine, first drug inpatient CPT 96374 INTRAVENOUS PUSH	$74.40	$155.00	$93.00–$139.50	—	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FAC INJECTION; ANTIBIOTI	$30.72	$64.00	$20.48–$201.52	56% below	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FAC INJECTION; IV	$34.08	$71.00	$22.72–$201.52	51% below	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ/DRUG ADMIN	$42.72	$89.00	$28.48–$201.52	38% below	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THERAPEUTIC INJECT	$42.72	$89.00	$28.48–$201.52	38% below	52%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 FAC INJECTION; SC/IM	$42.72	$89.00	$28.48–$201.52	38% below	52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FAC INJECTION; ANTIBIOTI	$30.72	$64.00	$38.40–$57.60	—	52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FAC INJECTION; IV	$34.08	$71.00	$42.60–$63.90	—	52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ/DRUG ADMIN	$42.72	$89.00	$53.40–$80.10	—	52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 FAC INJECTION; SC/IM	$42.72	$89.00	$53.40–$80.10	—	52%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THERAPEUTIC INJECT	$42.72	$89.00	$53.40–$80.10	—	52%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUS REED	$36.48	$76.00	$24.32–$197.31	78% below	52%
Neuromuscular re-education, 15 minutes CPT 97112 NEUROMUSCULAR RE/EDU	$48.00	$100.00	$32.00–$197.31	71% below	52%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUS REED	$36.48	$76.00	$45.60–$68.40	—	52%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 NEUROMUSCULAR RE/EDU	$48.00	$100.00	$60.00–$90.00	—	52%
New patient office visit, about 30 minutes CPT 99203 INTERMED OFF VIS NEW	$41.76	$87.00	$27.84–$78.30	77% below	52%
New patient office visit, about 30 minutes inpatient CPT 99203 INTERMED OFF VIS NEW	$41.76	$87.00	$52.20–$78.30	—	52%
New patient office visit, about 45 minutes CPT 99204 EXT OFF VIS NEW PT	$62.88	$131.00	$41.92–$117.90	68% below	52%
New patient office visit, about 45 minutes CPT 99204 VAD INITIAL 45MIN	$72.00	$150.00	$48.00–$135.00	64% below	52%
New patient office visit, about 45 minutes inpatient CPT 99204 EXT OFF VIS NEW PT	$62.88	$131.00	$78.60–$117.90	—	52%
New patient office visit, about 45 minutes inpatient CPT 99204 VAD INITIAL 45MIN	$72.00	$150.00	$90.00–$135.00	—	52%
New patient office visit, about 60 minutes CPT 99205 COMP OFF VIS NEW PT	$78.24	$163.00	$52.16–$146.70	65% below	52%
New patient office visit, about 60 minutes CPT 99205 VAD INITIAL 60 MIN	$86.40	$180.00	$57.60–$162.00	62% below	52%
New patient office visit, about 60 minutes inpatient CPT 99205 COMP OFF VIS NEW PT	$78.24	$163.00	$97.80–$146.70	—	52%
New patient office visit, about 60 minutes inpatient CPT 99205 VAD INITIAL 60 MIN	$86.40	$180.00	$108.00–$162.00	—	52%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 LIMITED OFF VI NEW P	$31.68	$66.00	$21.12–$59.40	79% below	52%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 LIMITED OFF VI NEW P	$31.68	$66.00	$39.60–$59.40	—	52%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 NUTRITION INITIAL AS	$12.96	$27.00	$8.64–$225.43	91% below	52%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 NUTRITION INITIAL AS	$12.96	$27.00	$16.20–$24.30	—	52%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW	$93.60	$195.00	$62.40–$622.59	77% below	52%
Occupational therapy evaluation, low complexity CPT 97165 INITIAL OT EVAL LOW	$136.80	$285.00	$91.20–$622.59	67% below	52%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW	$93.60	$195.00	$117.00–$175.50	—	52%
Occupational therapy evaluation, low complexity inpatient CPT 97165 INITIAL OT EVAL LOW	$136.80	$285.00	$171.00–$256.50	—	52%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 INITIAL PT EVAL HIGH	$189.60	$395.00	$126.40–$642.37	67% below	52%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 INITIAL PT EVAL HIGH	$189.60	$395.00	$237.00–$355.50	—	52%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 INITIAL PT EVAL LOW	$93.60	$195.00	$62.40–$642.37	73% below	52%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 INITIAL PT EVAL LOW	$93.60	$195.00	$117.00–$175.50	—	52%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 INITIAL PT EVAL MOD	$141.60	$295.00	$94.40–$642.37	72% below	52%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 INITIAL PT EVAL MOD	$141.60	$295.00	$177.00–$265.50	—	52%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 VISUAL PERCEPTUAL RE	$24.00	$50.00	$16.00–$177.81	83% below	52%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MYOFASCIAL RELEASE/S	$32.64	$68.00	$21.76–$177.81	77% below	52%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAPY	$48.00	$100.00	$32.00–$177.81	67% below	52%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 MANUAL THERAP TECH/1	$48.00	$100.00	$32.00–$177.81	67% below	52%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 VISUAL PERCEPTUAL RE	$24.00	$50.00	$30.00–$45.00	—	52%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MYOFASCIAL RELEASE/S	$32.64	$68.00	$40.80–$61.20	—	52%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAPY	$48.00	$100.00	$60.00–$90.00	—	52%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 MANUAL THERAP TECH/1	$48.00	$100.00	$60.00–$90.00	—	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISE	$21.65	$45.10	$14.43–$192.12	87% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EXER / 15	$48.00	$100.00	$32.00–$192.12	72% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX	$48.00	$100.00	$32.00–$192.12	72% below	52%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THER EX / 15 MIN	$62.40	$130.00	$41.60–$192.12	64% below	52%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISE	$21.65	$45.10	$27.06–$40.59	—	52%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EXER / 15	$48.00	$100.00	$60.00–$90.00	—	52%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX	$48.00	$100.00	$60.00–$90.00	—	52%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THER EX / 15 MIN	$62.40	$130.00	$78.00–$117.00	—	52%
Preventive checkup, new patient aged 18–39 CPT 99385 PHY EXM NEW PT 18 39	$48.00	$100.00	$32.00–$90.00	58% below	52%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 PHY EXM NEW PT 18 39	$48.00	$100.00	$60.00–$90.00	—	52%
Preventive checkup, new patient aged 40–64 CPT 99386 PHY EXM NEW PT 40 64	$48.00	$100.00	$32.00–$90.00	64% below	52%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 PHY EXM NEW PT 40 64	$48.00	$100.00	$60.00–$90.00	—	52%
Preventive checkup, new patient aged 65 or older CPT 99387 PHY EXM NEW PT 65 UP	$48.00	$100.00	$32.00–$90.00	55% below	52%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 PHY EXM NEW PT 65 UP	$48.00	$100.00	$60.00–$90.00	—	52%
Preventive checkup, returning patient aged 18–39 CPT 99395 PHY EXM EST PT 18 39	$31.68	$66.00	$21.12–$59.40	56% below	52%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 PHY EXM EST PT 18 39	$31.68	$66.00	$39.60–$59.40	—	52%
Preventive checkup, returning patient aged 40–64 CPT 99396 PHY EXM EST PT 40 64	$35.52	$74.00	$23.68–$66.60	85% below	52%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 PHY EXM EST PT 40 64	$35.52	$74.00	$44.40–$66.60	—	52%
Preventive checkup, returning patient aged 65 or older CPT 99397 PHY EXM EST PT 65 UP	$35.52	$74.00	$23.68–$66.60	60% below	52%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 PHY EXM EST PT 65 UP	$35.52	$74.00	$44.40–$66.60	—	52%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 SMOKING CESS 3 10MIN	$14.40	$30.00	$9.60–$112.69	53% below	52%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 SMOKING CESS 3 10MIN	$14.40	$30.00	$18.00–$27.00	—	52%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 COMP OFF VIS EST PT	$55.68	$116.00	$37.12–$104.40	75% below	52%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 COMP OFF VIS EST PT	$55.68	$116.00	$69.60–$104.40	—	52%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 INTERMED OFF VIS EST	$22.56	$47.00	$15.04–$42.30	84% below	52%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 FAMILY CONFERENCE	$52.80	$110.00	$35.20–$99.00	62% below	52%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 INTERMED OFF VIS EST	$22.56	$47.00	$28.20–$42.30	—	52%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 FAMILY CONFERENCE	$52.80	$110.00	$66.00–$99.00	—	52%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 EXT OFF VIS EST PT	$37.92	$79.00	$25.28–$71.10	84% below	52%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 EXT OFF VIS EST PT	$37.92	$79.00	$47.40–$71.10	—	52%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 LIMITED OFF VIS EST	$17.76	$37.00	$11.84–$33.30	87% below	52%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 LIMITED OFF VIS EST	$17.76	$37.00	$22.20–$33.30	—	52%
Specialist consultation, low complexity or 30+ minutes CPT 99243 CONSULEFT DETAIL 40MIN	$65.76	$137.00	$43.84–$968.88	34% below	52%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 CONSULEFT DETAIL 40MIN	$65.76	$137.00	$82.20–$123.30	—	52%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 CONSULEFT COMP 60MIN	$88.32	$184.00	$58.88–$1,535.25	34% below	52%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 CONSULEFT COMP 60MIN	$88.32	$184.00	$110.40–$165.60	—	52%
Speech and language evaluation CPT 92523 SPEECH LANG EVAL	$225.60	$470.00	$150.40–$1,696.40	74% below	52%
Speech and language evaluation inpatient CPT 92523 SPEECH LANG EVAL	$225.60	$470.00	$282.00–$423.00	—	52%
Speech therapy session, individual CPT 92507 SLP TX	$203.52	$424.00	$135.68–$381.60	38% below	52%
Speech therapy session, individual inpatient CPT 92507 SLP TX	$203.52	$424.00	$254.40–$381.60	—	52%
Spirometry (breathing test) CPT 94010 SPIROMETRY	$24.00	$50.00	$16.00–$232.85	88% below	52%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY	$24.00	$50.00	$30.00–$45.00	—	52%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL	$46.56	$97.00	$31.04–$409.60	85% below	52%
Spirometry before and after a bronchodilator CPT 94060 PFT B&A	$176.64	$368.00	$117.76–$409.60	42% below	52%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL	$46.56	$97.00	$58.20–$87.30	—	52%
Spirometry before and after a bronchodilator inpatient CPT 94060 PFT B&A	$176.64	$368.00	$220.80–$331.20	—	52%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT / 15	$48.00	$100.00	$32.00–$202.05	76% below	52%
Therapeutic activities (functional training), 15 minutes CPT 97530 THER ACT	$48.00	$100.00	$32.00–$202.05	76% below	52%
Therapeutic activities (functional training), 15 minutes CPT 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTI	$48.00	$100.00	$32.00–$202.05	76% below	52%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACT	$48.00	$100.00	$60.00–$90.00	—	52%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THER ACT / 15	$48.00	$100.00	$60.00–$90.00	—	52%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 THERAPEUTIC ACTIVITIES, DIRECT (ONE-ON-ONE) PATIENT CONTACT (USE OF DYNAMIC ACTI	$48.00	$100.00	$60.00–$90.00	—	52%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTOMY	$84.48	$176.00	$56.32–$669.43	69% below	52%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPEUTIC PHLEBOTO	$84.48	$176.00	$56.32–$669.43	69% below	52%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 THERAPUTIC PHLEBOTOMY	$84.48	$176.00	$56.32–$669.43	69% below	52%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPUTIC PHLEBOTOMY	$84.48	$176.00	$105.60–$158.40	—	52%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTO	$84.48	$176.00	$105.60–$158.40	—	52%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 THERAPEUTIC PHLEBOTOMY	$84.48	$176.00	$105.60–$158.40	—	52%
Treadmill or drug stress test with ECG, supervision and report CPT 93015 CARDIO STRESS TEST	$120.48	$251.00	$80.32–$1,052.58	—	52%
Treadmill or drug stress test with ECG, supervision and report inpatient CPT 93015 CARDIO STRESS TEST	$120.48	$251.00	$150.60–$225.90	—	52%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Arizona	Off list
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A (LHI)	$36.36	$75.75	$24.24–$602.70	63% below	52%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A (LHI)	$36.36	$75.75	$45.45–$68.18	—	52%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B (LHI)	$36.39	$75.81	$24.26–$605.29	52% below	52%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEP B	$50.40	$105.00	$33.60–$605.29	34% below	52%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B (LHI)	$36.39	$75.81	$45.49–$68.23	—	52%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEP B	$50.40	$105.00	$63.00–$94.50	—	52%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MMR	$52.80	$110.00	$35.20–$908.95	70% below	52%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MMR	$52.80	$110.00	$66.00–$99.00	—	52%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOVAX ADM	$51.41	$107.10	$34.27–$1,218.31	30% below	52%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOVAX ADM	$51.41	$107.10	$64.26–$96.39	—	52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP	$12.48	$26.00	$8.32–$415.01	91% below	52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TDAP LHI	$39.36	$82.00	$26.24–$415.01	71% below	52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP	$12.48	$26.00	$15.60–$23.40	—	52%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TDAP LHI	$39.36	$82.00	$49.20–$73.80	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 VACCINE ADMIN	$12.96	$27.00	$8.64–$59.54	76% below	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FAC VACCINE; TETANUS / I	$14.40	$30.00	$9.60–$59.54	74% below	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$22.18	$46.20	$14.78–$59.54	60% below	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 FAC INJECTION IMMUNIZATI	$42.72	$89.00	$28.48–$80.10	22% below	52%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMINISTRATION/VACCI	$42.72	$89.00	$28.48–$80.10	22% below	52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 VACCINE ADMIN	$12.96	$27.00	$16.20–$24.30	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FAC VACCINE; TETANUS / I	$14.40	$30.00	$18.00–$27.00	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$22.18	$46.20	$27.72–$41.58	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 FAC INJECTION IMMUNIZATI	$42.72	$89.00	$53.40–$80.10	—	52%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMINISTRATION/VACCI	$42.72	$89.00	$53.40–$80.10	—	52%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN	$10.08	$21.00	$6.72–$53.60	72% below	52%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADMIN EA ADTL	$21.60	$45.00	$14.40–$53.60	39% below	52%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 FAC IMMUN ADMIN EA ADTL	$21.60	$45.00	$14.40–$53.60	39% below	52%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN	$10.08	$21.00	$12.60–$18.90	—	52%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADMIN EA ADTL	$21.60	$45.00	$27.00–$40.50	—	52%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 FAC IMMUN ADMIN EA ADTL	$21.60	$45.00	$27.00–$40.50	—	52%

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/8123/866007695_benson-hospital-corporation_standardcharges.csv