Hospital Denver-Aurora-Centennial, CO

Childrens Hospital Colorado

Childrens Hospital Colorado in Aurora, CO publishes cash prices for 409 common procedures listed here, from its own machine-readable price file updated Apr 17, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Colorado median for 269 of 396 procedures and above it for 121. By typical cash price it ranks #16 of 50 Colorado hospitals and #3 of 21 hospitals in the Denver, CO area, cheapest first. Select a procedure to compare it with other hospitals nearby.

13123 E. 16th Ave., Aurora, CO 80045 Collected Sep 23, 2026 Source price file Check a bill from this hospital (720) 777-1234

Children's hospital Nonprofit hospital Emergency department CCN 063301 · CMS hospital register NPI 1336245828

Financial assistance

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

Childrens Hospital Colorado 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.

State law

This state limits hospital bills for lower-income patients

Colorado's Hospital Discounted Care law (HB21-1198): for qualifying patients with household income at or below 250% of the federal poverty level, hospitals and the clinicians who work in them may charge no more than the greater of the Medicare rate or the Medicaid base rate, and monthly payments are capped. That can be less than the cash prices below; ask the hospital to screen you for discounted care. Other states' laws.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Abdominal CT scan without and with contrast CPT 74170 HB=CT ABDOMEN WO/W CONTRAST	$2,322.45	$3,573.00	$357.30–$3,287.16	1% above	35%
Abdominal CT scan without and with contrast inpatient CPT 74170 HB=CT ABDOMEN WO/W CONTRAST	$2,322.45	$3,573.00	$535.95–$3,287.16	—	35%
Abdominal X-ray, 2 views CPT 74019 HB=XR ABDOMEN 2 VIEWS	$395.20	$608.00	$60.80–$559.36	14% above	35%
Abdominal X-ray, 2 views inpatient CPT 74019 HB=XR ABDOMEN 2 VIEWS	$395.20	$608.00	$91.20–$559.36	—	35%
Ankle X-ray, complete, 3 or more views CPT 73610 HB=XR ANKLE 3+ VIEWS	$221.00	$340.00	$34.00–$312.80	33% below	35%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HB=XR ANKLE 3+ VIEWS	$221.00	$340.00	$51.00–$312.80	—	35%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HB=CT UPPER EXT WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	3% above	35%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HB=CT UPPER EXT WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HB=XR ESOPHAGRAM	$265.85	$409.00	$40.90–$376.28	58% below	35%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HB=XR ESOPHAGRAM	$265.85	$409.00	$61.35–$376.28	—	35%
Bone scan, whole body (nuclear medicine) CPT 78306 HB=NM BONE/JOINT WHOLE BODY	$2,975.70	$4,578.00	$457.80–$4,211.76	44% above	35%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HB=NM BONE/JOINT WHOLE BODY	$2,975.70	$4,578.00	$686.70–$4,211.76	—	35%
Breast ultrasound, limited (one breast or one area) CPT 76642 HB=US SOFT TISSUE BREAST LIMITED	$391.95	$603.00	$60.30–$554.76	9% below	35%
Breast ultrasound, limited (one breast or one area) one side CPT 76642 HB=US BREAST UNILATERAL LIMITED	$624.00	$960.00	$96.00–$883.20	44% above	35%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HB=US SOFT TISSUE BREAST LIMITED	$391.95	$603.00	$90.45–$554.76	—	35%
Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 HB=US BREAST UNILATERAL LIMITED	$624.00	$960.00	$144.00–$883.20	—	35%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HB=CTA ABDOMEN/PELVIS W CONTRAST	$2,470.00	$3,800.00	$380.00–$3,496.00	13% below	35%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HB=CTA ABDOMEN/PELVIS W CONTRAST	$2,470.00	$3,800.00	$570.00–$3,496.00	—	35%
CT angiography (CTA) of the head CPT 70496 HB=CT ANGIO HEAD W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	23% below	35%
CT angiography (CTA) of the head inpatient CPT 70496 HB=CT ANGIO HEAD W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
CT angiography (CTA) of the neck CPT 70498 HB=CT ANGIO NECK W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	22% below	35%
CT angiography (CTA) of the neck inpatient CPT 70498 HB=CT ANGIO NECK W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HB=CTA CHEST NONCORONARY W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	25% below	35%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HB=CTA CHEST NONCORONARY W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HB=CT ANGIO HEART W/3D IMAGE	$2,050.10	$3,154.00	$315.40–$2,901.68	6% above	35%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HB=CT ANGIO HEART W/3D IMAGE	$2,050.10	$3,154.00	$473.10–$2,901.68	—	35%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HB=CT ABDOMEN/PELVIS WO CONTRAST	$1,946.10	$2,994.00	$299.40–$2,754.48	9% below	35%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HB=CT ABDOMEN/PELVIS WO CONTRAST	$1,946.10	$2,994.00	$449.10–$2,754.48	—	35%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HB=CT ABDOMEN/PELVIS W CONTRAST	$2,232.10	$3,434.00	$343.40–$3,159.28	14% below	35%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HB=CT ABDOMEN/PELVIS W CONTRAST	$2,232.10	$3,434.00	$515.10–$3,159.28	—	35%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HB=CT ABDOMEN/PELVIS WO/W CONTRAST	$2,795.00	$4,300.00	$430.00–$3,956.00	20% below	35%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HB=CT ABDOMEN/PELVIS WO/W CONTRAST	$2,795.00	$4,300.00	$645.00–$3,956.00	—	35%
CT scan of the abdomen with contrast CPT 74160 HB=CT ABDOMEN W CONTRAST	$2,050.10	$3,154.00	$315.40–$2,901.68	3% below	35%
CT scan of the abdomen with contrast inpatient CPT 74160 HB=CT ABDOMEN W CONTRAST	$2,050.10	$3,154.00	$473.10–$2,901.68	—	35%
CT scan of the abdomen without contrast CPT 74150 HB=CT ABDOMEN WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	22% above	35%
CT scan of the abdomen without contrast inpatient CPT 74150 HB=CT ABDOMEN WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB=CT PANOREX MAXILLOFACIAL	$1,621.10	$2,494.00	$249.40–$2,294.48	22% above	35%
CT scan of the face and sinuses, no contrast dye CPT 70486 HB=CT MAXILLOFACIAL WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	31% above	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB=CT PANOREX MAXILLOFACIAL	$1,621.10	$2,494.00	$374.10–$2,294.48	—	35%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HB=CT MAXILLOFACIAL WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
CT scan of the head or brain, no contrast dye CPT 70450 HB=CT HEAD BRAIN WO CONTRAST	$1,539.85	$2,369.00	$236.90–$2,179.48	11% above	35%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HB=CT HEAD BRAIN WO CONTRAST	$1,539.85	$2,369.00	$355.35–$2,179.48	—	35%
CT scan of the head with contrast CPT 70460 HB=CT HEAD BRAIN W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	4% above	35%
CT scan of the head with contrast inpatient CPT 70460 HB=CT HEAD BRAIN W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
CT scan of the head without and with contrast CPT 70470 HB=CT HEAD BRAIN WO/W CONTRAST	$2,299.05	$3,537.00	$353.70–$3,254.04	12% above	35%
CT scan of the head without and with contrast inpatient CPT 70470 HB=CT HEAD BRAIN WO/W CONTRAST	$2,299.05	$3,537.00	$530.55–$3,254.04	—	35%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HB=CT LUMBAR SPINE WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	8% above	35%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HB=CT LUMBAR SPINE WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HB=CT CERVICAL SPINE WO CONTRAST	$1,539.85	$2,369.00	$236.90–$2,179.48	1% above	35%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HB=CT CERVICAL SPINE WO CONTRAST	$1,539.85	$2,369.00	$355.35–$2,179.48	—	35%
CT scan of the pelvis, with contrast dye CPT 72193 HB=CT PELVIS W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	13% below	35%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HB=CT PELVIS W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 HB=DUPLEX EXTRACRANIAL COMP BIL	$931.45	$1,433.00	$143.30–$1,318.36	45% below	35%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 HB=DUPLEX EXTRACRANIAL COMP BIL	$931.45	$1,433.00	$214.95–$1,318.36	—	35%
Chest CT scan without and with contrast CPT 71270 HB=CT CHEST WO/W CONTRAST	$2,496.65	$3,841.00	$384.10–$3,533.72	21% above	35%
Chest CT scan without and with contrast inpatient CPT 71270 HB=CT CHEST WO/W CONTRAST	$2,496.65	$3,841.00	$576.15–$3,533.72	—	35%
Chest X-ray, 2 views CPT 71046 HB=XR CHEST 2 VIEWS	$503.10	$774.00	$77.40–$712.08	66% above	35%
Chest X-ray, 2 views inpatient CPT 71046 HB=XR CHEST 2 VIEWS	$503.10	$774.00	$116.10–$712.08	—	35%
Chest X-ray, single view CPT 71045 HB=XR CHEST 1 VIEW	$458.25	$705.00	$70.50–$648.60	73% above	35%
Chest X-ray, single view inpatient CPT 71045 HB=XR CHEST 1 VIEW	$458.25	$705.00	$105.75–$648.60	—	35%
Collarbone (clavicle) X-ray, complete CPT 73000 HB=XR CLAVICLE	$169.00	$260.00	$26.00–$239.20	43% below	35%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HB=XR CLAVICLE	$169.00	$260.00	$39.00–$239.20	—	35%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HB=US RETROPERITONEAL COMPLETE	$733.20	$1,128.00	$112.80–$1,037.76	9% above	35%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HB=US RETROPERITONEAL COMPLETE	$733.20	$1,128.00	$169.20–$1,037.76	—	35%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 HB=DEXA 1+ SITES AXIAL SKELETON	$414.05	$637.00	$63.70–$586.04	20% below	35%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 HB=DEXA 1+ SITES AXIAL SKELETON	$414.05	$637.00	$95.55–$586.04	—	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HB=DEXA 1+ SITES APPENDICULAR SKELETON	$422.50	$650.00	$65.00–$598.00	10% above	35%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 HB=DEXA 1+ SITES APPENDICULAR SKELETON	$422.50	$650.00	$97.50–$598.00	—	35%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 OB US DETAILED SINGLE FETUS	$1,218.75	$1,875.00	$187.50–$1,725.00	14% above	35%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 OB US DETAILED SINGLE FETUS	$1,218.75	$1,875.00	$281.25–$1,725.00	—	35%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HB=CT CHEST WO CONTRAST	$1,539.85	$2,369.00	$236.90–$2,179.48	2% above	35%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HB=CT CHEST WO CONTRAST	$1,539.85	$2,369.00	$355.35–$2,179.48	—	35%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HB=CT CHEST W CONTRAST	$1,831.05	$2,817.00	$281.70–$2,591.64	2% below	35%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HB=CT CHEST W CONTRAST	$1,831.05	$2,817.00	$422.55–$2,591.64	—	35%
Duplex ultrasound of the leg arteries, both legs CPT 93925 HB=DUPLEX SCAN L/E ART COMP BIL	$858.65	$1,321.00	$132.10–$1,215.32	64% below	35%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 HB=DUPLEX SCAN L/E ART COMP BIL	$858.65	$1,321.00	$198.15–$1,215.32	—	35%
Duplex ultrasound of the leg veins, both legs CPT 93970 HB=DUPLEX SCAN EXTREMITY VEINS COMP BIL	$876.20	$1,348.00	$134.80–$1,240.16	32% below	35%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 HB=DUPLEX SCAN EXTREMITY VEINS COMP BIL	$876.20	$1,348.00	$202.20–$1,240.16	—	35%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HB=ECHO W SPECTRAL/COLOR NON-CHD COMP	$1,225.90	$1,886.00	$188.60–$1,735.12	43% below	35%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HB=ECHO W SPECTRAL/COLOR NON-CHD COMP	$1,225.90	$1,886.00	$282.90–$1,735.12	—	35%
Elbow X-ray, 2 views CPT 73070 HB=XR ELBOW 2 VIEWS	$178.75	$275.00	$27.50–$253.00	40% below	35%
Elbow X-ray, 2 views inpatient CPT 73070 HB=XR ELBOW 2 VIEWS	$178.75	$275.00	$41.25–$253.00	—	35%
Elbow X-ray, complete, 3 or more views CPT 73080 HB=XR ELBOW 3+ VIEWS	$312.00	$480.00	$48.00–$441.60	4% above	35%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HB=XR ELBOW 3+ VIEWS	$312.00	$480.00	$72.00–$441.60	—	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HB=CT ORBIT/SELLA WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	6% above	35%
Eye socket (orbit) CT scan without contrast CPT 70480 HB=CT INNER EAR WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	6% above	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HB=CT INNER EAR WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HB=CT ORBIT/SELLA WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Facial bones X-ray, complete, 3 or more views CPT 70150 HB=XR FACIAL BONES 3+ VIEWS	$377.65	$581.00	$58.10–$534.52	4% above	35%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HB=XR FACIAL BONES 3+ VIEWS	$377.65	$581.00	$87.15–$534.52	—	35%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HB=XR FOREARM 2 VIEWS	$180.05	$277.00	$27.70–$254.84	39% below	35%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HB=XR FOREARM 2 VIEWS	$180.05	$277.00	$41.55–$254.84	—	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HB=NM HIDA SCAN WO RX	$2,135.90	$3,286.00	$328.60–$3,023.12	1% above	35%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HB=NM HIDA SCAN WO RX	$2,135.90	$3,286.00	$492.90–$3,023.12	—	35%
Hand X-ray, 2 views CPT 73120 HB=XR HAND 2 VIEWS	$158.60	$244.00	$24.40–$224.48	47% below	35%
Hand X-ray, 2 views inpatient CPT 73120 HB=XR HAND 2 VIEWS	$158.60	$244.00	$36.60–$224.48	—	35%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HB=XR CALCANEUS 2+ VIEWS	$174.85	$269.00	$26.90–$247.48	36% below	35%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HB=XR CALCANEUS 2+ VIEWS	$174.85	$269.00	$40.35–$247.48	—	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HB=POLYSOM 6/>YRS CPAP 4/> PARM	$6,908.20	$10,628.00	$1,062.80–$9,777.76	100% above	35%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HB=POLYSOM 6/>YRS CPAP 4/> PARM	$6,908.20	$10,628.00	$1,594.20–$9,777.76	—	35%
Knee X-ray, 3 views CPT 73562 HB=XR KNEE 3 VIEWS	$297.70	$458.00	$45.80–$421.36	14% below	35%
Knee X-ray, 3 views inpatient CPT 73562 HB=XR KNEE 3 VIEWS	$297.70	$458.00	$68.70–$421.36	—	35%
Knee X-ray, complete, 4 or more views CPT 73564 HB=XR KNEE 4+ VIEWS	$416.65	$641.00	$64.10–$589.72	at median	35%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HB=XR KNEE 4+ VIEWS	$416.65	$641.00	$96.15–$589.72	—	35%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HB=CT LOWER EXT WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	18% above	35%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HB=CT LOWER EXT WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMINAL LIMITED	$624.00	$960.00	$96.00–$883.20	7% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMEN LIMITED LIVER	$637.00	$980.00	$98.00–$901.60	9% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMEN LIMITED PANCREAS	$637.00	$980.00	$98.00–$901.60	9% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMEN LIMITED GALL BLADDER	$637.00	$980.00	$98.00–$901.60	9% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMEN LIMITED.	$637.00	$980.00	$98.00–$901.60	9% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HB=US ABDOMEN LIMITED SPLEEN	$637.00	$980.00	$98.00–$901.60	9% above	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMINAL LIMITED	$624.00	$960.00	$144.00–$883.20	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMEN LIMITED LIVER	$637.00	$980.00	$147.00–$901.60	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMEN LIMITED.	$637.00	$980.00	$147.00–$901.60	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMEN LIMITED SPLEEN	$637.00	$980.00	$147.00–$901.60	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMEN LIMITED GALL BLADDER	$637.00	$980.00	$147.00–$901.60	—	35%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HB=US ABDOMEN LIMITED PANCREAS	$637.00	$980.00	$147.00–$901.60	—	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB=US JOINT/LIMITED/OTHER NONVASCULAR	$624.00	$960.00	$96.00–$883.20	33% above	35%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HB=US LIMITED JOINT/OTHER/NONVAS EXTREMITY	$793.00	$1,220.00	$122.00–$1,122.40	69% above	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HB=US JOINT/LIMITED/OTHER NONVASCULAR	$624.00	$960.00	$144.00–$883.20	—	35%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HB=US LIMITED JOINT/OTHER/NONVAS EXTREMITY	$793.00	$1,220.00	$183.00–$1,122.40	—	35%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HB=XR TIBIA/FIBULA 2 VIEWS	$194.35	$299.00	$29.90–$275.08	35% below	35%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HB=XR TIBIA/FIBULA 2 VIEWS	$194.35	$299.00	$44.85–$275.08	—	35%
MR angiography (MRA) of the head without contrast CPT 70544 HB=MRA HEAD WO CONTRAST	$2,451.15	$3,771.00	$377.10–$3,469.32	9% above	35%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HB=MRA HEAD WO CONTRAST	$2,451.15	$3,771.00	$565.65–$3,469.32	—	35%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HB=MRI LOWER EXT ANY JOINT WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	34% above	35%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HB=MRI LOWER EXT ANY JOINT WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HB=MRI LOWER EXT ANY JOINT WO/W CONTRAST	$3,601.65	$5,541.00	$554.10–$5,097.72	8% above	35%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HB=MRI LOWER EXT ANY JOINT WO/W CONTRAST	$3,601.65	$5,541.00	$831.15–$5,097.72	—	35%
MRI of the abdomen without contrast CPT 74181 HB=MRI ABDOMEN WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	22% above	35%
MRI of the abdomen without contrast inpatient CPT 74181 HB=MRI ABDOMEN WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
MRI of the abdomen, without and then with contrast dye CPT 74183 HB=MRI ABDOMEN WO/W CONTRAST	$3,182.40	$4,896.00	$489.60–$4,504.32	4% below	35%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HB=MRI ABDOMEN WO/W CONTRAST	$3,182.40	$4,896.00	$734.40–$4,504.32	—	35%
MRI of the brain, no contrast dye CPT 70551 HB=MRI BRAIN WO CONTRAST	$2,451.15	$3,771.00	$377.10–$3,469.32	7% above	35%
MRI of the brain, no contrast dye inpatient CPT 70551 HB=MRI BRAIN WO CONTRAST	$2,451.15	$3,771.00	$565.65–$3,469.32	—	35%
MRI of the brain, with and without contrast dye CPT 70553 HB=MRI BRAIN WO/W CONTRAST	$3,182.40	$4,896.00	$489.60–$4,504.32	at median	35%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HB=MRI BRAIN WO/W CONTRAST	$3,182.40	$4,896.00	$734.40–$4,504.32	—	35%
MRI of the lower back, no contrast dye CPT 72148 HB=MRI LUMBAR SPINE WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	28% above	35%
MRI of the lower back, no contrast dye inpatient CPT 72148 HB=MRI LUMBAR SPINE WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
MRI of the lower back, without and then with contrast dye CPT 72158 HB=MRI LUMBAR SPINE WO/W CONTRAST	$3,182.40	$4,896.00	$489.60–$4,504.32	1% below	35%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HB=MRI LUMBAR SPINE WO/W CONTRAST	$3,182.40	$4,896.00	$734.40–$4,504.32	—	35%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HB=MRI THORACIC SPINE WO CONTRAST	$3,601.65	$5,541.00	$554.10–$5,097.72	53% above	35%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HB=MRI THORACIC SPINE WO CONTRAST	$3,601.65	$5,541.00	$831.15–$5,097.72	—	35%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HB=MRI CERVICAL SPINE WO/W CONTRAST	$3,182.40	$4,896.00	$489.60–$4,504.32	1% below	35%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HB=MRI CERVICAL SPINE WO/W CONTRAST	$3,182.40	$4,896.00	$734.40–$4,504.32	—	35%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HB=MRI CERVICAL SPINE WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	21% above	35%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HB=MRI CERVICAL SPINE WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
MRI of the pelvis without and with contrast CPT 72197 HB=MRI PELVIS WO/W CONTRAST	$3,601.65	$5,541.00	$554.10–$5,097.72	6% above	35%
MRI of the pelvis without and with contrast inpatient CPT 72197 HB=MRI PELVIS WO/W CONTRAST	$3,601.65	$5,541.00	$831.15–$5,097.72	—	35%
MRI of the pelvis, no contrast dye CPT 72195 HB=MRI PELVIS WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	19% above	35%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HB=MRI PELVIS WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HB=MRI UPPER EXT ANY JOINT WO CONTRAST	$2,773.55	$4,267.00	$426.70–$3,925.64	32% above	35%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HB=MRI UPPER EXT ANY JOINT WO CONTRAST	$2,773.55	$4,267.00	$640.05–$3,925.64	—	35%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HB=XR CERVICAL SPINE 4-5 VIEWS	$326.95	$503.00	$50.30–$462.76	32% below	35%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HB=XR CERVICAL SPINE 4-5 VIEWS	$326.95	$503.00	$75.45–$462.76	—	35%
Neck soft tissue CT scan with contrast CPT 70491 HB=CT SOFT TISSUE NECK W CONTRAST	$1,811.55	$2,787.00	$278.70–$2,564.04	6% below	35%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HB=CT SOFT TISSUE NECK W CONTRAST	$1,811.55	$2,787.00	$418.05–$2,564.04	—	35%
Neck soft tissue CT scan without contrast CPT 70490 HB=CT SOFT TISSUE NECK WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	11% above	35%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HB=CT SOFT TISSUE NECK WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Neck soft tissue X-ray CPT 70360 HB=XR SOFT TISSUE NECK	$315.25	$485.00	$48.50–$446.20	5% above	35%
Neck soft tissue X-ray inpatient CPT 70360 HB=XR SOFT TISSUE NECK	$315.25	$485.00	$72.75–$446.20	—	35%
OCT scan of the retina (optical coherence tomography) CPT 92134 HB=OCT POSTERIOR SEGMENT RETINA	$410.15	$631.00	$63.10–$580.52	—	35%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 HB=OCT POSTERIOR SEGMENT RETINA	$410.15	$631.00	$94.65–$580.52	—	35%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 HB=PET W CT SKULL-THIGH	$8,251.10	$12,694.00	$1,269.40–$11,678.48	15% above	35%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 HB=PET W CT SKULL-THIGH	$8,251.10	$12,694.00	$1,904.10–$11,678.48	—	35%
Pelvic CT scan without contrast CPT 72192 HB=CT PELVIS WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	9% above	35%
Pelvic CT scan without contrast inpatient CPT 72192 HB=CT PELVIS WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB=US PELVIC (NON OB) LIMITED/FOLLOW-UP	$624.00	$960.00	$96.00–$883.20	36% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HB=US PELVIC LIMITED	$624.00	$960.00	$96.00–$883.20	36% above	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB=US PELVIC (NON OB) LIMITED/FOLLOW-UP	$624.00	$960.00	$144.00–$883.20	—	35%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HB=US PELVIC LIMITED	$624.00	$960.00	$144.00–$883.20	—	35%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HB=US PELVIC COMPLETE	$773.50	$1,190.00	$119.00–$1,094.80	13% above	35%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HB=US PELVIC COMPLETE	$773.50	$1,190.00	$178.50–$1,094.80	—	35%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US > 14 WKS SINGLE FETUS	$926.25	$1,425.00	$142.50–$1,311.00	33% above	35%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 OB US > 14 WKS SINGLE FETUS	$926.25	$1,425.00	$213.75–$1,311.00	—	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 OB US < 14 WKS SINGLE FETUS	$624.00	$960.00	$96.00–$883.20	6% above	35%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 OB US < 14 WKS SINGLE FETUS	$624.00	$960.00	$144.00–$883.20	—	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 OB US LIMITED FETUS(S)	$624.00	$960.00	$96.00–$883.20	35% above	35%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 OB US LIMITED FETUS(S)	$624.00	$960.00	$144.00–$883.20	—	35%
Rib X-ray, one side, 2 views one side CPT 71100 HB=XR RIBS UNILATERAL 2 VIEWS	$187.20	$288.00	$28.80–$264.96	45% below	35%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 HB=XR RIBS UNILATERAL 2 VIEWS	$187.20	$288.00	$43.20–$264.96	—	35%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 HB=XR RIBS UNILATERAL W/ PA CHEST 3+ VIEWS	$244.40	$376.00	$37.60–$345.92	37% below	35%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 HB=XR RIBS UNILATERAL W/ PA CHEST 3+ VIEWS	$244.40	$376.00	$56.40–$345.92	—	35%
Shoulder X-ray, complete, 2 or more views CPT 73030 HB=XR SHOULDER 2 VIEWS	$208.00	$320.00	$32.00–$294.40	34% below	35%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HB=XR SHOULDER 2 VIEWS	$208.00	$320.00	$48.00–$294.40	—	35%
Sinus X-ray, complete, 3 or more views CPT 70220 HB=XR SINUSES 3+ VIEWS	$189.80	$292.00	$29.20–$268.64	45% below	35%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HB=XR SINUSES 3+ VIEWS	$189.80	$292.00	$43.80–$268.64	—	35%
Skull X-ray, fewer than 4 views CPT 70250 HB=XR SKULL < 4 VIEWS	$208.00	$320.00	$32.00–$294.40	36% below	35%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HB=XR SKULL < 4 VIEWS	$208.00	$320.00	$48.00–$294.40	—	35%
Sleep study in a lab (polysomnography) CPT 95810 HB=POLYSOM 6/> YRS 4/> PARAM	$4,963.40	$7,636.00	$763.60–$7,025.12	57% above	35%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HB=POLYSOM 6/> YRS 4/> PARAM	$4,963.40	$7,636.00	$1,145.40–$7,025.12	—	35%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HB=XR SWALLOW FUNCTION W/VIDEO	$414.05	$637.00	$63.70–$586.04	32% below	35%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HB=XR SWALLOW FUNCTION W/VIDEO	$414.05	$637.00	$95.55–$586.04	—	35%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HB=XR FEMUR 2+ VIEWS	$251.55	$387.00	$38.70–$356.04	16% below	35%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HB=XR FEMUR 2+ VIEWS	$251.55	$387.00	$58.05–$356.04	—	35%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HB=CT THORACIC SPINE WO CONTRAST	$1,742.65	$2,681.00	$268.10–$2,466.52	17% above	35%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HB=CT THORACIC SPINE WO CONTRAST	$1,742.65	$2,681.00	$402.15–$2,466.52	—	35%
Toe X-ray, 2 or more views CPT 73660 HB=XR TOES 2+ VIEWS	$183.95	$283.00	$28.30–$260.36	35% below	35%
Toe X-ray, 2 or more views inpatient CPT 73660 HB=XR TOES 2+ VIEWS	$183.95	$283.00	$42.45–$260.36	—	35%
Transvaginal pelvic ultrasound CPT 76830 HB=US TRANSVAGINAL	$624.00	$960.00	$96.00–$883.20	1% above	35%
Transvaginal pelvic ultrasound inpatient CPT 76830 HB=US TRANSVAGINAL	$624.00	$960.00	$144.00–$883.20	—	35%
Transvaginal ultrasound during pregnancy CPT 76817 OB US TRANSVAGINAL	$624.00	$960.00	$96.00–$883.20	2% above	35%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 OB US TRANSVAGINAL	$624.00	$960.00	$144.00–$883.20	—	35%
Ultrasound of the abdomen, complete CPT 76700 HB=US ABDOMEN COMPLETE	$677.30	$1,042.00	$104.20–$958.64	7% below	35%
Ultrasound of the abdomen, complete inpatient CPT 76700 HB=US ABDOMEN COMPLETE	$677.30	$1,042.00	$156.30–$958.64	—	35%
Ultrasound of the scrotum and testicles CPT 76870 HB=US SCROTUM AND CONTENTS	$624.00	$960.00	$96.00–$883.20	7% below	35%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HB=US SCROTUM AND CONTENTS	$624.00	$960.00	$144.00–$883.20	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB=US SOFT TISSUE HEAD&NECK	$624.00	$960.00	$96.00–$883.20	1% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HB=US SOFT TISSUE HEAD/NECK.	$628.55	$967.00	$96.70–$889.64	1% above	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB=US SOFT TISSUE HEAD&NECK	$624.00	$960.00	$144.00–$883.20	—	35%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HB=US SOFT TISSUE HEAD/NECK.	$628.55	$967.00	$145.05–$889.64	—	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HB=XR UPPER GI SERIES WO KUB	$404.30	$622.00	$62.20–$572.24	53% below	35%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HB=XR UPPER GI SERIES WO KUB	$404.30	$622.00	$93.30–$572.24	—	35%
Upper arm X-ray (humerus), 2 views CPT 73060 HB=XR HUMERUS 2+ VIEWS	$183.95	$283.00	$28.30–$260.36	38% below	35%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HB=XR HUMERUS 2+ VIEWS	$183.95	$283.00	$42.45–$260.36	—	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HB=DUPLEX SCAN EXTREMITY VEINS UNI/LTD	$543.40	$836.00	$83.60–$769.12	2% below	35%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HB=DUPLEX SCAN EXTREMITY VEINS UNI/LTD	$543.40	$836.00	$125.40–$769.12	—	35%
Wrist X-ray, 2 views CPT 73100 HB=XR WRIST 2 VIEWS	$150.80	$232.00	$23.20–$213.44	50% below	35%
Wrist X-ray, 2 views inpatient CPT 73100 HB=XR WRIST 2 VIEWS	$150.80	$232.00	$34.80–$213.44	—	35%
Wrist X-ray, complete, 3 or more views CPT 73110 HB=XR WRIST 3+ VIEWS	$195.00	$300.00	$30.00–$276.00	35% below	35%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HB=XR WRIST 3+ VIEWS	$195.00	$300.00	$45.00–$276.00	—	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HB=XR HIP UNILATERAL 2-3 VIEWS	$228.80	$352.00	$35.20–$323.84	29% below	35%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HB=XR HIP UNILATERAL 2-3 VIEWS	$228.80	$352.00	$52.80–$323.84	—	35%
X-ray of the abdomen, 1 view CPT 74018 HB=XR ABDOMEN 1 VIEW	$369.20	$568.00	$56.80–$522.56	32% above	35%
X-ray of the abdomen, 1 view inpatient CPT 74018 HB=XR ABDOMEN 1 VIEW	$369.20	$568.00	$85.20–$522.56	—	35%
X-ray of the ankle, 2 views CPT 73600 HB=XR ANKLE 2 VIEWS	$178.10	$274.00	$27.40–$252.08	41% below	35%
X-ray of the ankle, 2 views inpatient CPT 73600 HB=XR ANKLE 2 VIEWS	$178.10	$274.00	$41.10–$252.08	—	35%
X-ray of the finger(s), 2 or more views CPT 73140 HB=XR FINGERS 2+ VIEWS	$194.35	$299.00	$29.90–$275.08	35% below	35%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HB=XR FINGERS 2+ VIEWS	$194.35	$299.00	$44.85–$275.08	—	35%
X-ray of the foot, 2 views CPT 73620 HB=XR FOOT 2 VIEWS	$182.65	$281.00	$28.10–$258.52	36% below	35%
X-ray of the foot, 2 views inpatient CPT 73620 HB=XR FOOT 2 VIEWS	$182.65	$281.00	$42.15–$258.52	—	35%
X-ray of the foot, complete, 3 or more views CPT 73630 HB=XR FOOT 3+ VIEWS	$233.35	$359.00	$35.90–$330.28	25% below	35%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HB=XR FOOT 3+ VIEWS	$233.35	$359.00	$53.85–$330.28	—	35%
X-ray of the hand, 3 or more views CPT 73130 HB=XR HAND 3+ VIEWS	$208.65	$321.00	$32.10–$295.32	34% below	35%
X-ray of the hand, 3 or more views inpatient CPT 73130 HB=XR HAND 3+ VIEWS	$208.65	$321.00	$48.15–$295.32	—	35%
X-ray of the knee, 1 or 2 views CPT 73560 HB=XR KNEE 1-2 VIEWS	$222.30	$342.00	$34.20–$314.64	26% below	35%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HB=XR KNEE 1-2 VIEWS	$222.30	$342.00	$51.30–$314.64	—	35%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HB=XR SPINE LUMBOSACRAL 2-3 VIEWS	$252.20	$388.00	$38.80–$356.96	30% below	35%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HB=XR SPINE LUMBOSACRAL 2-3 VIEWS	$252.20	$388.00	$58.20–$356.96	—	35%
X-ray of the lower back, 4 or more views CPT 72110 HB=XR SPINE LUMBOSACRAL 4+ VIEWS	$359.45	$553.00	$55.30–$508.76	25% below	35%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HB=XR SPINE LUMBOSACRAL 4+ VIEWS	$359.45	$553.00	$82.95–$508.76	—	35%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HB=XR THORACIC SPINE 2 VIEWS	$239.85	$369.00	$36.90–$339.48	23% below	35%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HB=XR THORACIC SPINE 2 VIEWS	$239.85	$369.00	$55.35–$339.48	—	35%
X-ray of the nasal bones, 3 or more views CPT 70160 HB=XR NASAL BONES 3+ VIEWS	$290.55	$447.00	$44.70–$411.24	8% below	35%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HB=XR NASAL BONES 3+ VIEWS	$290.55	$447.00	$67.05–$411.24	—	35%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HB=XR CERVICAL SPINE 2-3 VIEWS	$247.65	$381.00	$38.10–$350.52	21% below	35%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HB=XR CERVICAL SPINE 2-3 VIEWS	$247.65	$381.00	$57.15–$350.52	—	35%
X-ray of the pelvis, 1 or 2 views CPT 72170 HB=XR PELVIS 1-2 VIEWS	$175.50	$270.00	$27.00–$248.40	42% below	35%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HB=XR PELVIS 1-2 VIEWS	$175.50	$270.00	$40.50–$248.40	—	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HB=XR SACRUM AND COCCYX 2+ VIEWS	$267.80	$412.00	$41.20–$379.04	11% below	35%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HB=XR SACRUM AND COCCYX 2+ VIEWS	$267.80	$412.00	$61.80–$379.04	—	35%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
ACTH blood test CPT 82024 HB=CSHB ACTH	$37.05	$57.00	$5.70–$52.44	84% below	35%
ACTH blood test CPT 82024 HB=ACTH	$116.35	$179.00	$17.90–$164.68	50% below	35%
ACTH blood test CPT 82024 HB=CSHB ADRENOCORTICOTROPIC HORMN	$135.85	$209.00	$20.90–$192.28	41% below	35%
ACTH blood test CPT 82024 HB=ACTH-ICMA	$156.65	$241.00	$24.10–$221.72	32% below	35%
ACTH blood test inpatient CPT 82024 HB=CSHB ACTH	$37.05	$57.00	$8.55–$52.44	—	35%
ACTH blood test inpatient CPT 82024 HB=ACTH	$116.35	$179.00	$26.85–$164.68	—	35%
ACTH blood test inpatient CPT 82024 HB=CSHB ADRENOCORTICOTROPIC HORMN	$135.85	$209.00	$31.35–$192.28	—	35%
ACTH blood test inpatient CPT 82024 HB=ACTH-ICMA	$156.65	$241.00	$36.15–$221.72	—	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB=GPT/ALT, SERUM	$5.85	$9.00	$0.90–$8.28	90% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB=CSHB LIVER FIBROSIS ALT	$20.15	$31.00	$3.10–$28.52	66% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB=CSHB ALANINE AMINOTRANSFERASE FIBROMETER	$20.15	$31.00	$3.10–$28.52	66% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB=CSHB ALT(SGPT)	$38.35	$59.00	$5.90–$54.28	35% below	35%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HB=CSHB POCT ALT(SGPT)	$38.35	$59.00	$5.90–$54.28	35% below	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB=GPT/ALT, SERUM	$5.85	$9.00	$1.35–$8.28	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB=CSHB LIVER FIBROSIS ALT	$20.15	$31.00	$4.65–$28.52	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB=CSHB ALANINE AMINOTRANSFERASE FIBROMETER	$20.15	$31.00	$4.65–$28.52	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB=CSHB POCT ALT(SGPT)	$38.35	$59.00	$8.85–$54.28	—	35%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HB=CSHB ALT(SGPT)	$38.35	$59.00	$8.85–$54.28	—	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB=GOT/AST, SERUM	$7.15	$11.00	$1.10–$10.12	88% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB=CSHB ASPARTATE AMINOTRANSFERASE FIBROMETER	$20.15	$31.00	$3.10–$28.52	66% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB=CSHB LIVER FIBROSIS AST	$20.15	$31.00	$3.10–$28.52	66% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB=CSHB POCT AST(SGOT)	$37.05	$57.00	$5.70–$52.44	38% below	35%
AST (aspartate aminotransferase) enzyme test CPT 84450 HB=CSHB AST(SGOT)	$37.05	$57.00	$5.70–$52.44	38% below	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB=GOT/AST, SERUM	$7.15	$11.00	$1.65–$10.12	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB=CSHB LIVER FIBROSIS AST	$20.15	$31.00	$4.65–$28.52	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB=CSHB ASPARTATE AMINOTRANSFERASE FIBROMETER	$20.15	$31.00	$4.65–$28.52	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB=CSHB POCT AST(SGOT)	$37.05	$57.00	$8.55–$52.44	—	35%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HB=CSHB AST(SGOT)	$37.05	$57.00	$8.55–$52.44	—	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB=ACUTE HEPATITIS PANE	$311.35	$479.00	$47.90–$440.68	24% below	35%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HB=CSHB ACUTE HEPATITIS PANEL	$435.50	$670.00	$67.00–$616.40	6% above	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB=ACUTE HEPATITIS PANE	$311.35	$479.00	$71.85–$440.68	—	35%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HB=CSHB ACUTE HEPATITIS PANEL	$435.50	$670.00	$100.50–$616.40	—	35%
Albumin blood test CPT 82040 HB=ALBUMIN, SERUM	$4.55	$7.00	$0.70–$6.44	92% below	35%
Albumin blood test CPT 82040 HB=ALBUMIN S - MS PROFILE	$18.20	$28.00	$2.80–$25.76	68% below	35%
Albumin blood test CPT 82040 HB=CSHB OLIGO ALBUMIN SERUM	$20.15	$31.00	$3.10–$28.52	64% below	35%
Albumin blood test CPT 82040 HB=CSHB POCT ALBUMIN	$35.75	$55.00	$5.50–$50.60	36% below	35%
Albumin blood test CPT 82040 HB=CSHB ALBUMIN BLD	$35.75	$55.00	$5.50–$50.60	36% below	35%
Albumin blood test CPT 82040 HB=LYME ALBUMIN SERUM	$92.95	$143.00	$14.30–$131.56	66% above	35%
Albumin blood test inpatient CPT 82040 HB=ALBUMIN, SERUM	$4.55	$7.00	$1.05–$6.44	—	35%
Albumin blood test inpatient CPT 82040 HB=ALBUMIN S - MS PROFILE	$18.20	$28.00	$4.20–$25.76	—	35%
Albumin blood test inpatient CPT 82040 HB=CSHB OLIGO ALBUMIN SERUM	$20.15	$31.00	$4.65–$28.52	—	35%
Albumin blood test inpatient CPT 82040 HB=CSHB ALBUMIN BLD	$35.75	$55.00	$8.25–$50.60	—	35%
Albumin blood test inpatient CPT 82040 HB=CSHB POCT ALBUMIN	$35.75	$55.00	$8.25–$50.60	—	35%
Albumin blood test inpatient CPT 82040 HB=LYME ALBUMIN SERUM	$92.95	$143.00	$21.45–$131.56	—	35%
Aldosterone blood test CPT 82088 HB=CSHB ALDOSTERONE URINE	$46.15	$71.00	$7.10–$65.32	83% below	35%
Aldosterone blood test CPT 82088 HB=CSHB C-ALDOSTERONE RENIN RATIO	$46.15	$71.00	$7.10–$65.32	83% below	35%
Aldosterone blood test CPT 82088 HB=CSHB ALDOSTERONE	$46.15	$71.00	$7.10–$65.32	83% below	35%
Aldosterone blood test CPT 82088 HB=ALDOSTERONE-PLASMA	$164.45	$253.00	$25.30–$232.76	39% below	35%
Aldosterone blood test CPT 82088 HB=MINERAL CORTICOID PROF ALDOSTERONE	$178.75	$275.00	$27.50–$253.00	34% below	35%
Aldosterone blood test inpatient CPT 82088 HB=CSHB ALDOSTERONE	$46.15	$71.00	$10.65–$65.32	—	35%
Aldosterone blood test inpatient CPT 82088 HB=CSHB ALDOSTERONE URINE	$46.15	$71.00	$10.65–$65.32	—	35%
Aldosterone blood test inpatient CPT 82088 HB=CSHB C-ALDOSTERONE RENIN RATIO	$46.15	$71.00	$10.65–$65.32	—	35%
Aldosterone blood test inpatient CPT 82088 HB=ALDOSTERONE-PLASMA	$164.45	$253.00	$37.95–$232.76	—	35%
Aldosterone blood test inpatient CPT 82088 HB=MINERAL CORTICOID PROF ALDOSTERONE	$178.75	$275.00	$41.25–$253.00	—	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HB=ALK PHOSPHATASE SERU	$5.85	$9.00	$0.90–$8.28	90% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HB=CSHB ALK PHOS SERUM	$13.00	$20.00	$2.00–$18.40	77% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HB=PHOSPHATASE,ALKALINE	$24.70	$38.00	$3.80–$34.96	56% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HB=CSHB POCT ALP	$37.05	$57.00	$5.70–$52.44	34% below	35%
Alkaline phosphatase (ALP) blood test CPT 84075 HB=CSHB PHOSPHATASE ALK	$37.05	$57.00	$5.70–$52.44	34% below	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB=ALK PHOSPHATASE SERU	$5.85	$9.00	$1.35–$8.28	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB=CSHB ALK PHOS SERUM	$13.00	$20.00	$3.00–$18.40	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB=PHOSPHATASE,ALKALINE	$24.70	$38.00	$5.70–$34.96	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB=CSHB POCT ALP	$37.05	$57.00	$8.55–$52.44	—	35%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HB=CSHB PHOSPHATASE ALK	$37.05	$57.00	$8.55–$52.44	—	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH	$15.60	$24.00	$2.40–$22.08	61% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=ALLERGEN FOOD MILK COMPONENTS IGE-ARUP	$18.85	$29.00	$2.90–$26.68	53% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=STINGING INSECTS ALLERGEN PROFILE	$20.80	$32.00	$3.20–$29.44	48% below	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CHICKEN FEATHERS IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=MULBERRY IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=GUINEA PIG EPITHELIUM IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=RABBIT EPITHELIUM IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=WORMWOOD IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=JOHNSON GRASS IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=GINGER IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=BUCKWHEAT IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=GRAPEFRUIT IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=BUDGERIGAR FEATHERS IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=HAZELNUT-TREE IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=WATERMELON IGE	$52.00	$80.00	$8.00–$73.60	31% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=ALLERGEN SPECIFIC IGE QNT SEMI-QNT EA IGE AB	$52.65	$81.00	$8.10–$74.52	32% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH ,	$78.65	$121.00	$12.10–$111.32	98% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=REF ALLERGEN SPEC IGE SEMI/QNT EACH	$119.60	$184.00	$18.40–$169.28	201% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=REFERRAL ALLERGEN SPEC IGE SEMI/QNT EA-MAYO	$141.05	$217.00	$21.70–$199.64	255% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH .	$171.71	$264.16	$26.42–$243.03	332% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH,	$171.71	$264.16	$26.42–$243.03	332% above	35%
Allergy blood test, specific IgE, per allergen CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH.	$171.71	$264.16	$26.42–$243.03	332% above	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH	$15.60	$24.00	$3.60–$22.08	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=ALLERGEN FOOD MILK COMPONENTS IGE-ARUP	$18.85	$29.00	$4.35–$26.68	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=STINGING INSECTS ALLERGEN PROFILE	$20.80	$32.00	$4.80–$29.44	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=RABBIT EPITHELIUM IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=HAZELNUT-TREE IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=BUDGERIGAR FEATHERS IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=GRAPEFRUIT IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=BUCKWHEAT IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=GINGER IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=JOHNSON GRASS IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CHICKEN FEATHERS IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=WORMWOOD IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=GUINEA PIG EPITHELIUM IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=MULBERRY IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=WATERMELON IGE	$52.00	$80.00	$12.00–$73.60	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=ALLERGEN SPECIFIC IGE QNT SEMI-QNT EA IGE AB	$52.65	$81.00	$12.15–$74.52	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH ,	$78.65	$121.00	$18.15–$111.32	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=REF ALLERGEN SPEC IGE SEMI/QNT EACH	$119.60	$184.00	$27.60–$169.28	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=REFERRAL ALLERGEN SPEC IGE SEMI/QNT EA-MAYO	$141.05	$217.00	$32.55–$199.64	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH.	$171.71	$264.16	$39.62–$243.03	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH,	$171.71	$264.16	$39.62–$243.03	—	35%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HB=CSHB ALLERGEN SPECIFIC IGE, EACH .	$171.71	$264.16	$39.62–$243.03	—	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB=CSHB MATERNAL SERUM AFP ONLY	$31.85	$49.00	$4.90–$45.08	76% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB=ALPHA-FETOPROTEIN,SE	$111.80	$172.00	$17.20–$158.24	17% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB=CSHB ALPHA-FETOPROTEIN BLD	$115.05	$177.00	$17.70–$162.84	15% below	35%
Alpha-fetoprotein (AFP) blood test CPT 82105 HB=AFP SINGLE MARKER SCREEN, MS	$384.15	$591.00	$59.10–$543.72	185% above	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB=CSHB MATERNAL SERUM AFP ONLY	$31.85	$49.00	$7.35–$45.08	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB=ALPHA-FETOPROTEIN,SE	$111.80	$172.00	$25.80–$158.24	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB=CSHB ALPHA-FETOPROTEIN BLD	$115.05	$177.00	$26.55–$162.84	—	35%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HB=AFP SINGLE MARKER SCREEN, MS	$384.15	$591.00	$88.65–$543.72	—	35%
Ammonia blood test CPT 82140 HB=CSHB AMMONIA	$187.20	$288.00	$28.80–$264.96	1% above	35%
Ammonia blood test CPT 82140 HB=AMMONIA NITROGEN BLO	$199.55	$307.00	$30.70–$282.44	8% above	35%
Ammonia blood test inpatient CPT 82140 HB=CSHB AMMONIA	$187.20	$288.00	$43.20–$264.96	—	35%
Ammonia blood test inpatient CPT 82140 HB=AMMONIA NITROGEN BLO	$199.55	$307.00	$46.05–$282.44	—	35%
Amylase blood test CPT 82150 HB=CSHB AMYLASE, PANCREATIC CYST	$26.65	$41.00	$4.10–$37.72	73% below	35%
Amylase blood test CPT 82150 HB=CSHB AMYLASE ISOENZYME	$26.65	$41.00	$4.10–$37.72	73% below	35%
Amylase blood test CPT 82150 HB=CSHB AMYLASE	$35.10	$54.00	$5.40–$49.68	64% below	35%
Amylase blood test CPT 82150 HB=CSHB POCT AMYLASE	$35.10	$54.00	$5.40–$49.68	64% below	35%
Amylase blood test CPT 82150 HB=AMYLASE, BODY FLUID	$59.15	$91.00	$9.10–$83.72	39% below	35%
Amylase blood test CPT 82150 HB=AMYLASE SERUM	$63.70	$98.00	$9.80–$90.16	35% below	35%
Amylase blood test CPT 82150 HB=SALIVARY AMYLASE ISOENZYME	$94.90	$146.00	$14.60–$134.32	3% below	35%
Amylase blood test CPT 82150 HB=PANCREATIC AMYLASE	$94.90	$146.00	$14.60–$134.32	3% below	35%
Amylase blood test CPT 82150 HB=AMYLASE URINE	$153.40	$236.00	$23.60–$217.12	57% above	35%
Amylase blood test inpatient CPT 82150 HB=CSHB AMYLASE ISOENZYME	$26.65	$41.00	$6.15–$37.72	—	35%
Amylase blood test inpatient CPT 82150 HB=CSHB AMYLASE, PANCREATIC CYST	$26.65	$41.00	$6.15–$37.72	—	35%
Amylase blood test inpatient CPT 82150 HB=CSHB AMYLASE	$35.10	$54.00	$8.10–$49.68	—	35%
Amylase blood test inpatient CPT 82150 HB=CSHB POCT AMYLASE	$35.10	$54.00	$8.10–$49.68	—	35%
Amylase blood test inpatient CPT 82150 HB=AMYLASE, BODY FLUID	$59.15	$91.00	$13.65–$83.72	—	35%
Amylase blood test inpatient CPT 82150 HB=AMYLASE SERUM	$63.70	$98.00	$14.70–$90.16	—	35%
Amylase blood test inpatient CPT 82150 HB=SALIVARY AMYLASE ISOENZYME	$94.90	$146.00	$21.90–$134.32	—	35%
Amylase blood test inpatient CPT 82150 HB=PANCREATIC AMYLASE	$94.90	$146.00	$21.90–$134.32	—	35%
Amylase blood test inpatient CPT 82150 HB=AMYLASE URINE	$153.40	$236.00	$35.40–$217.12	—	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB=CSHB CYCLIC CITRULLINATED PEPTIDE AB	$18.20	$28.00	$2.80–$25.76	84% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB=CSHB CYCLIC CITRULLINATED PEPTIDE	$55.90	$86.00	$8.60–$79.12	50% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB=CYCLIC CITRULLINATED PEPTIDE IGG/A-ARUP	$67.60	$104.00	$10.40–$95.68	39% below	35%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HB=CYCLIC CITRULLINATED PEP AB	$73.45	$113.00	$11.30–$103.96	34% below	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB=CSHB CYCLIC CITRULLINATED PEPTIDE AB	$18.20	$28.00	$4.20–$25.76	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB=CSHB CYCLIC CITRULLINATED PEPTIDE	$55.90	$86.00	$12.90–$79.12	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB=CYCLIC CITRULLINATED PEPTIDE IGG/A-ARUP	$67.60	$104.00	$15.60–$95.68	—	35%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HB=CYCLIC CITRULLINATED PEP AB	$73.45	$113.00	$16.95–$103.96	—	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=ANTINUCLEAR ANTIBODIES	$12.35	$19.00	$1.90–$17.48	86% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=ANA REFLEXIVE PROFILE-ARUP	$52.00	$80.00	$8.00–$73.60	42% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=SCLERODERMA COMP PROFILE-ANA	$75.40	$116.00	$11.60–$106.72	17% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=CSHB ANTI-NUCLEAR ANTIBODIES	$77.35	$119.00	$11.90–$109.48	14% below	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=CSHB ANA	$94.25	$145.00	$14.50–$133.40	4% above	35%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HB=ANTI-NUCLEAR ANTIBODIES	$100.75	$155.00	$15.50–$142.60	12% above	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=ANTINUCLEAR ANTIBODIES	$12.35	$19.00	$2.85–$17.48	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=ANA REFLEXIVE PROFILE-ARUP	$52.00	$80.00	$12.00–$73.60	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=SCLERODERMA COMP PROFILE-ANA	$75.40	$116.00	$17.40–$106.72	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=CSHB ANTI-NUCLEAR ANTIBODIES	$77.35	$119.00	$17.85–$109.48	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=CSHB ANA	$94.25	$145.00	$21.75–$133.40	—	35%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HB=ANTI-NUCLEAR ANTIBODIES	$100.75	$155.00	$23.25–$142.60	—	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB=CSHB PRO BRAIN NATRIUETIC PEPTIDE NT	$140.40	$216.00	$21.60–$198.72	50% below	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB=CSHB NATRIURETIC PEPTIDE	$363.35	$559.00	$55.90–$514.28	29% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB=CSHB POCT BNP	$363.35	$559.00	$55.90–$514.28	29% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB=CSHB NT-PROBNP	$363.35	$559.00	$55.90–$514.28	29% above	35%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HB=NATRIURETIC PEPTIDE	$377.00	$580.00	$58.00–$533.60	34% above	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB=CSHB PRO BRAIN NATRIUETIC PEPTIDE NT	$140.40	$216.00	$32.40–$198.72	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB=CSHB NATRIURETIC PEPTIDE	$363.35	$559.00	$83.85–$514.28	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB=CSHB NT-PROBNP	$363.35	$559.00	$83.85–$514.28	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB=CSHB POCT BNP	$363.35	$559.00	$83.85–$514.28	—	35%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HB=NATRIURETIC PEPTIDE	$377.00	$580.00	$87.00–$533.60	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=ENVIRONMENTAL CULTURE	$24.05	$37.00	$3.70–$34.04	78% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=HELICOBACTER PYLORI CULTURE IDENT	$61.10	$94.00	$9.40–$86.48	44% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CSHB DIPTHERIA CULTURE	$95.55	$147.00	$14.70–$135.24	13% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CSHB H. PYLORI CULTURE SENDOUT	$95.55	$147.00	$14.70–$135.24	13% below	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CYSTIC FIBROSIS THRO	$121.55	$187.00	$18.70–$172.04	11% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CULTURE, RESPIRATORY	$195.65	$301.00	$30.10–$276.92	78% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CULTURE, BACTERIAL, CSF	$195.65	$301.00	$30.10–$276.92	78% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CULTURE, OTHER SPECIMEN, AEROBIC	$222.95	$343.00	$34.30–$315.56	103% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CSHB CULTURE RESP CYSTIC FIBROSIS	$240.80	$370.46	$37.05–$340.82	119% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HB=CSHB CULTURE BACTERIAL	$291.20	$448.00	$44.80–$412.16	165% above	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=ENVIRONMENTAL CULTURE	$24.05	$37.00	$5.55–$34.04	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=HELICOBACTER PYLORI CULTURE IDENT	$61.10	$94.00	$14.10–$86.48	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CSHB DIPTHERIA CULTURE	$95.55	$147.00	$22.05–$135.24	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CSHB H. PYLORI CULTURE SENDOUT	$95.55	$147.00	$22.05–$135.24	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CYSTIC FIBROSIS THRO	$121.55	$187.00	$28.05–$172.04	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CULTURE, RESPIRATORY	$195.65	$301.00	$45.15–$276.92	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CULTURE, BACTERIAL, CSF	$195.65	$301.00	$45.15–$276.92	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CULTURE, OTHER SPECIMEN, AEROBIC	$222.95	$343.00	$51.45–$315.56	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CSHB CULTURE RESP CYSTIC FIBROSIS	$240.80	$370.46	$55.57–$340.82	—	35%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HB=CSHB CULTURE BACTERIAL	$291.20	$448.00	$67.20–$412.16	—	35%
Basic metabolic panel (blood test) CPT 80048 HB=BASIC METABOLIC PANE	$74.75	$115.00	$11.50–$105.80	45% below	35%
Basic metabolic panel (blood test) CPT 80048 HB=CSHB BASIC METABOLIC PANEL	$200.20	$308.00	$30.80–$283.36	48% above	35%
Basic metabolic panel (blood test) inpatient CPT 80048 HB=BASIC METABOLIC PANE	$74.75	$115.00	$17.25–$105.80	—	35%
Basic metabolic panel (blood test) inpatient CPT 80048 HB=CSHB BASIC METABOLIC PANEL	$200.20	$308.00	$46.20–$283.36	—	35%
Bilirubin blood test, total CPT 82247 HB=BILIRUBIN,TOTAL,SERU	$4.55	$7.00	$0.70–$6.44	92% below	35%
Bilirubin blood test, total CPT 82247 HB=CSHB BILIRUBIN, AMNIOTIC FLUID	$23.40	$36.00	$3.60–$33.12	60% below	35%
Bilirubin blood test, total CPT 82247 HB=CSHB BILIRUBIN BODY FLUID	$37.70	$58.00	$5.80–$53.36	36% below	35%
Bilirubin blood test, total CPT 82247 HB=CSHB BILIRUBIN TOTAL	$37.70	$58.00	$5.80–$53.36	36% below	35%
Bilirubin blood test, total CPT 82247 HB=CSHB POCT BILI T	$37.70	$58.00	$5.80–$53.36	36% below	35%
Bilirubin blood test, total CPT 82247 HB=BILIRUBIN,TOTAL,MISC	$74.10	$114.00	$11.40–$104.88	26% above	35%
Bilirubin blood test, total inpatient CPT 82247 HB=BILIRUBIN,TOTAL,SERU	$4.55	$7.00	$1.05–$6.44	—	35%
Bilirubin blood test, total inpatient CPT 82247 HB=CSHB BILIRUBIN, AMNIOTIC FLUID	$23.40	$36.00	$5.40–$33.12	—	35%
Bilirubin blood test, total inpatient CPT 82247 HB=CSHB BILIRUBIN TOTAL	$37.70	$58.00	$8.70–$53.36	—	35%
Bilirubin blood test, total inpatient CPT 82247 HB=CSHB BILIRUBIN BODY FLUID	$37.70	$58.00	$8.70–$53.36	—	35%
Bilirubin blood test, total inpatient CPT 82247 HB=CSHB POCT BILI T	$37.70	$58.00	$8.70–$53.36	—	35%
Bilirubin blood test, total inpatient CPT 82247 HB=BILIRUBIN,TOTAL,MISC	$74.10	$114.00	$17.10–$104.88	—	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=CELL BLOCK	$106.60	$164.00	$16.40–$150.88	79% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=HIRSCHSPRUNGS	$273.00	$420.00	$42.00–$386.40	45% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=BONE MARROW BIOPSY	$372.45	$573.00	$57.30–$527.16	25% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=TC LEVEL IV	$372.45	$573.00	$57.30–$527.16	25% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC=SURG PATH,LEVEL IV	$397.80	$612.00	$61.20–$563.04	20% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=BONE MARROW CLOT PRE	$411.45	$633.00	$63.30–$582.36	17% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=CSHB PEN SURG PATH GROSS/MICRO	$482.76	$742.70	$74.27–$683.28	3% below	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=TC MUSCLE HISTOCH	$1,827.80	$2,812.00	$281.20–$2,587.04	268% above	35%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HB=TC KIDNEY BIOPSY	$1,987.70	$3,058.00	$305.80–$2,813.36	300% above	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=CELL BLOCK	$106.60	$164.00	$24.60–$150.88	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=HIRSCHSPRUNGS	$273.00	$420.00	$63.00–$386.40	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=TC LEVEL IV	$372.45	$573.00	$85.95–$527.16	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=BONE MARROW BIOPSY	$372.45	$573.00	$85.95–$527.16	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC=SURG PATH,LEVEL IV	$397.80	$612.00	$91.80–$563.04	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=BONE MARROW CLOT PRE	$411.45	$633.00	$94.95–$582.36	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=CSHB PEN SURG PATH GROSS/MICRO	$482.76	$742.70	$111.41–$683.28	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=TC MUSCLE HISTOCH	$1,827.80	$2,812.00	$421.80–$2,587.04	—	35%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HB=TC KIDNEY BIOPSY	$1,987.70	$3,058.00	$458.70–$2,813.36	—	35%
Blood culture for bacteria CPT 87040 HB=CSHB CULT BACT BLOOD	$182.00	$280.00	$28.00–$257.60	13% below	35%
Blood culture for bacteria CPT 87040 HB=CSHB CULTURE BLOOD BANK PRODUCTS	$182.00	$280.00	$28.00–$257.60	13% below	35%
Blood culture for bacteria CPT 87040 HB=CSHB CULT BACT BLOOD ISOLATOR	$182.00	$280.00	$28.00–$257.60	13% below	35%
Blood culture for bacteria CPT 87040 HB=CULTURE, BACTERIAL B	$395.85	$609.00	$60.90–$560.28	89% above	35%
Blood culture for bacteria inpatient CPT 87040 HB=CSHB CULT BACT BLOOD	$182.00	$280.00	$42.00–$257.60	—	35%
Blood culture for bacteria inpatient CPT 87040 HB=CSHB CULTURE BLOOD BANK PRODUCTS	$182.00	$280.00	$42.00–$257.60	—	35%
Blood culture for bacteria inpatient CPT 87040 HB=CSHB CULT BACT BLOOD ISOLATOR	$182.00	$280.00	$42.00–$257.60	—	35%
Blood culture for bacteria inpatient CPT 87040 HB=CULTURE, BACTERIAL B	$395.85	$609.00	$91.35–$560.28	—	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=CSHB HUM DRAWING CHARGE	$15.05	$23.15	$2.32–$21.30	50% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=CSHB BLOOD DRAW - LABORATORY	$20.15	$31.00	$3.10–$28.52	34% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=CSHB DRAWING CHARGE	$20.15	$31.00	$3.10–$28.52	34% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=ROUTINE VENIPUNCTURE	$27.95	$43.00	$4.30–$39.56	8% below	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=VENI SPEC PROCURE OP	$34.45	$53.00	$5.30–$48.76	13% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=QPSYED=VENIPUNCTURE	$35.10	$54.00	$5.40–$49.68	16% above	35%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HB=VENI SPEC PROCURE INPATIENT	$35.75	$55.00	$5.50–$50.60	18% above	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=CSHB HUM DRAWING CHARGE	$15.05	$23.15	$3.47–$21.30	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=CSHB DRAWING CHARGE	$20.15	$31.00	$4.65–$28.52	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=CSHB BLOOD DRAW - LABORATORY	$20.15	$31.00	$4.65–$28.52	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=ROUTINE VENIPUNCTURE	$27.95	$43.00	$6.45–$39.56	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=VENI SPEC PROCURE OP	$34.45	$53.00	$7.95–$48.76	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=QPSYED=VENIPUNCTURE	$35.10	$54.00	$8.10–$49.68	—	35%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HB=VENI SPEC PROCURE INPATIENT	$35.75	$55.00	$8.25–$50.60	—	35%
Blood glucose (sugar) test CPT 82947 HB=GLUCOSE (SERUM)	$4.55	$7.00	$0.70–$6.44	92% below	35%
Blood glucose (sugar) test CPT 82947 HB=CSHB LIVER FIBROSIS GLUCOSE	$18.20	$28.00	$2.80–$25.76	70% below	35%
Blood glucose (sugar) test CPT 82947 HB=POC - GLUCOSE ISTAT	$19.50	$30.00	$3.00–$27.60	67% below	35%
Blood glucose (sugar) test CPT 82947 HB=CSHB GLUCOSE	$88.40	$136.00	$13.60–$125.12	48% above	35%
Blood glucose (sugar) test CPT 82947 HB=CSHB POCT GLUCOSE	$88.40	$136.00	$13.60–$125.12	48% above	35%
Blood glucose (sugar) test CPT 82947 HB=CSHB GLUCOSE WHOLE BLOOD IN OR	$88.40	$136.00	$13.60–$125.12	48% above	35%
Blood glucose (sugar) test CPT 82947 HB=CSHB POCT MANUAL GLUCOSE RALS FAILURE	$88.40	$136.00	$13.60–$125.12	48% above	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=GLUCOSE (SERUM)	$4.55	$7.00	$1.05–$6.44	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=CSHB LIVER FIBROSIS GLUCOSE	$18.20	$28.00	$4.20–$25.76	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=POC - GLUCOSE ISTAT	$19.50	$30.00	$4.50–$27.60	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=CSHB POCT GLUCOSE	$88.40	$136.00	$20.40–$125.12	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=CSHB GLUCOSE WHOLE BLOOD IN OR	$88.40	$136.00	$20.40–$125.12	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=CSHB POCT MANUAL GLUCOSE RALS FAILURE	$88.40	$136.00	$20.40–$125.12	—	35%
Blood glucose (sugar) test inpatient CPT 82947 HB=CSHB GLUCOSE	$88.40	$136.00	$20.40–$125.12	—	35%
Blood lead test CPT 83655 HB=HEAVY METALS CREAT RATIO URINE LEAD	$18.20	$28.00	$2.80–$25.76	84% below	35%
Blood lead test CPT 83655 HB=HEAVY METALS SCREEN URINE LEAD	$19.50	$30.00	$3.00–$27.60	82% below	35%
Blood lead test CPT 83655 HB=LEAD, RANDOM, URINE	$22.75	$35.00	$3.50–$32.20	79% below	35%
Blood lead test CPT 83655 HB=HEAVY METALS SCREEN,LEAD B	$24.05	$37.00	$3.70–$34.04	78% below	35%
Blood lead test CPT 83655 HB=LEAD BLOOD CAPILLARY-ARUP	$52.00	$80.00	$8.00–$73.60	53% below	35%
Blood lead test CPT 83655 HB=LEAD BLOOD VENOUS-ARUP	$52.00	$80.00	$8.00–$73.60	53% below	35%
Blood lead test CPT 83655 HB=LEAD WITH DEMOGRAPHICS, BLOOD	$53.95	$83.00	$8.30–$76.36	51% below	35%
Blood lead test CPT 83655 HB=CSHB LEAD WHOLE BLOOD OR URINE	$63.05	$97.00	$9.70–$89.24	43% below	35%
Blood lead test CPT 83655 HB=LEAD,URINE	$102.70	$158.00	$15.80–$145.36	7% below	35%
Blood lead test inpatient CPT 83655 HB=HEAVY METALS CREAT RATIO URINE LEAD	$18.20	$28.00	$4.20–$25.76	—	35%
Blood lead test inpatient CPT 83655 HB=HEAVY METALS SCREEN URINE LEAD	$19.50	$30.00	$4.50–$27.60	—	35%
Blood lead test inpatient CPT 83655 HB=LEAD, RANDOM, URINE	$22.75	$35.00	$5.25–$32.20	—	35%
Blood lead test inpatient CPT 83655 HB=HEAVY METALS SCREEN,LEAD B	$24.05	$37.00	$5.55–$34.04	—	35%
Blood lead test inpatient CPT 83655 HB=LEAD BLOOD VENOUS-ARUP	$52.00	$80.00	$12.00–$73.60	—	35%
Blood lead test inpatient CPT 83655 HB=LEAD BLOOD CAPILLARY-ARUP	$52.00	$80.00	$12.00–$73.60	—	35%
Blood lead test inpatient CPT 83655 HB=LEAD WITH DEMOGRAPHICS, BLOOD	$53.95	$83.00	$12.45–$76.36	—	35%
Blood lead test inpatient CPT 83655 HB=CSHB LEAD WHOLE BLOOD OR URINE	$63.05	$97.00	$14.55–$89.24	—	35%
Blood lead test inpatient CPT 83655 HB=LEAD,URINE	$102.70	$158.00	$23.70–$145.36	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB=PREGNANCY TEST, SERU	$99.45	$153.00	$15.30–$140.76	7% below	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB=CSHB POCT B-HCG QUAL	$114.40	$176.00	$17.60–$161.92	7% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HB=CSHB HCG QUAL/PREG TEST	$114.40	$176.00	$17.60–$161.92	7% above	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB=PREGNANCY TEST, SERU	$99.45	$153.00	$22.95–$140.76	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB=CSHB HCG QUAL/PREG TEST	$114.40	$176.00	$26.40–$161.92	—	35%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HB=CSHB POCT B-HCG QUAL	$114.40	$176.00	$26.40–$161.92	—	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=VITALANT ABO GROUPING	$16.25	$25.00	$2.50–$23.00	84% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=ABO QUICK SPIN	$65.65	$101.00	$10.10–$92.92	37% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=ABO BLOOD TYPING	$70.20	$108.00	$10.80–$99.36	33% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=CSHB ABO TYPE	$85.80	$132.00	$13.20–$121.44	18% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=CSHB C-BLOOD TYPING ABO	$85.80	$132.00	$13.20–$121.44	18% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=BLOOD TYPING, ABO	$100.75	$155.00	$15.50–$142.60	4% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=ARC ABO TYPE	$101.40	$156.00	$15.60–$143.52	3% below	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=VITALANT ABO DISCREPANCY	$122.72	$188.80	$18.88–$173.70	17% above	35%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HB=CSHB ABO	$226.85	$349.00	$34.90–$321.08	117% above	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=VITALANT ABO GROUPING	$16.25	$25.00	$3.75–$23.00	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=ABO QUICK SPIN	$65.65	$101.00	$15.15–$92.92	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=ABO BLOOD TYPING	$70.20	$108.00	$16.20–$99.36	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=CSHB ABO TYPE	$85.80	$132.00	$19.80–$121.44	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=CSHB C-BLOOD TYPING ABO	$85.80	$132.00	$19.80–$121.44	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=BLOOD TYPING, ABO	$100.75	$155.00	$23.25–$142.60	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=ARC ABO TYPE	$101.40	$156.00	$23.40–$143.52	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=VITALANT ABO DISCREPANCY	$122.72	$188.80	$28.32–$173.70	—	35%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HB=CSHB ABO	$226.85	$349.00	$52.35–$321.08	—	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=BLOOD UREA NITROGEN (BUN)	$5.85	$9.00	$0.90–$8.28	90% below	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=POC - BLOOD UREA NITROGEN (BUN)	$16.25	$25.00	$2.50–$23.00	74% below	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=CSHB LIVER FIBROSIS UREA NITROGEN	$20.15	$31.00	$3.10–$28.52	67% below	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=CSHB UREA NITROGEN FIBROMETER	$20.15	$31.00	$3.10–$28.52	67% below	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=UREA, MISC FLUID	$83.85	$129.00	$12.90–$118.68	37% above	35%
Blood urea nitrogen (BUN) test CPT 84520 HB=CSHB UREA NITROGEN	$83.85	$129.00	$12.90–$118.68	37% above	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=BLOOD UREA NITROGEN (BUN)	$5.85	$9.00	$1.35–$8.28	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=POC - BLOOD UREA NITROGEN (BUN)	$16.25	$25.00	$3.75–$23.00	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=CSHB LIVER FIBROSIS UREA NITROGEN	$20.15	$31.00	$4.65–$28.52	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=CSHB UREA NITROGEN FIBROMETER	$20.15	$31.00	$4.65–$28.52	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=UREA, MISC FLUID	$83.85	$129.00	$19.35–$118.68	—	35%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HB=CSHB UREA NITROGEN	$83.85	$129.00	$19.35–$118.68	—	35%
C-peptide blood test CPT 84681 HB=CSHB C-PEPTIDE.	$37.70	$58.00	$5.80–$53.36	77% below	35%
C-peptide blood test CPT 84681 HB=CSHB C-PEPTIDE	$86.45	$133.00	$13.30–$122.36	48% below	35%
C-peptide blood test CPT 84681 HB=C PEPTIDE	$137.80	$212.00	$21.20–$195.04	17% below	35%
C-peptide blood test inpatient CPT 84681 HB=CSHB C-PEPTIDE.	$37.70	$58.00	$8.70–$53.36	—	35%
C-peptide blood test inpatient CPT 84681 HB=CSHB C-PEPTIDE	$86.45	$133.00	$19.95–$122.36	—	35%
C-peptide blood test inpatient CPT 84681 HB=C PEPTIDE	$137.80	$212.00	$31.80–$195.04	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=CSHB C-IBD SGI DIAGNOSTIC-HSCRP	$57.85	$89.00	$8.90–$81.88	38% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=C-REACTIVE PROTEIN UCH	$70.20	$108.00	$10.80–$99.36	25% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=C-REACTIVE PROTEIN	$74.10	$114.00	$11.40–$104.88	20% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=CSHB C-REACTIVE PROTEIN	$79.95	$123.00	$12.30–$113.16	14% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=PROMETHEUS IB SGI DIAG C REACTIVE PROTEIN	$87.75	$135.00	$13.50–$124.20	6% below	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HB=CRP HIGH SENSITIVITY CTRC	$92.95	$143.00	$14.30–$131.56	at median	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=CSHB C-IBD SGI DIAGNOSTIC-HSCRP	$57.85	$89.00	$13.35–$81.88	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=C-REACTIVE PROTEIN UCH	$70.20	$108.00	$16.20–$99.36	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=C-REACTIVE PROTEIN	$74.10	$114.00	$17.10–$104.88	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=CSHB C-REACTIVE PROTEIN	$79.95	$123.00	$18.45–$113.16	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=PROMETHEUS IB SGI DIAG C REACTIVE PROTEIN	$87.75	$135.00	$20.25–$124.20	—	35%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HB=CRP HIGH SENSITIVITY CTRC	$92.95	$143.00	$21.45–$131.56	—	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HB=CSHB CLOSTRIDIUM DIFFICILE	$258.70	$398.00	$39.80–$366.16	12% below	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HB=CSHB C DIFF TOXIN GENE-AMPLIFIED PROBE	$259.35	$399.00	$39.90–$367.08	12% below	35%
C. difficile toxin gene test (stool PCR) CPT 87493 HB=C. DIFFICILE TOXIN PCR	$291.20	$448.00	$44.80–$412.16	1% below	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB=CSHB CLOSTRIDIUM DIFFICILE	$258.70	$398.00	$59.70–$366.16	—	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB=CSHB C DIFF TOXIN GENE-AMPLIFIED PROBE	$259.35	$399.00	$59.85–$367.08	—	35%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HB=C. DIFFICILE TOXIN PCR	$291.20	$448.00	$67.20–$412.16	—	35%
CA 19-9 blood test (tumor marker) CPT 86301 HB=CARBOHYDRATE AG 19-9, S	$66.30	$102.00	$10.20–$93.84	63% below	35%
CA 19-9 blood test (tumor marker) CPT 86301 HB=CSHB CANCER ANTIGEN 19-9	$132.60	$204.00	$20.40–$187.68	26% below	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB=CARBOHYDRATE AG 19-9, S	$66.30	$102.00	$15.30–$93.84	—	35%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HB=CSHB CANCER ANTIGEN 19-9	$132.60	$204.00	$30.60–$187.68	—	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB=CSHB CA-125	$28.60	$44.00	$4.40–$40.48	84% below	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB=CA 125	$81.90	$126.00	$12.60–$115.92	54% below	35%
CA-125 blood test (ovarian cancer marker) CPT 86304 HB=CSHB CA 125	$115.70	$178.00	$17.80–$163.76	35% below	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB=CSHB CA-125	$28.60	$44.00	$6.60–$40.48	—	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB=CA 125	$81.90	$126.00	$18.90–$115.92	—	35%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HB=CSHB CA 125	$115.70	$178.00	$26.70–$163.76	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB=CSHB COVID-19 INHOUSE LAB TEST NON CDC	$65.00	$100.00	$10.00–$92.00	45% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB=CSHB COVID-19 SCREEN	$65.00	$100.00	$10.00–$92.00	45% below	35%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HB=COVID-19 PCR - DIASORIN/CEPHEID ASSAY	$147.55	$227.00	$22.70–$208.84	24% above	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB=CSHB COVID-19 INHOUSE LAB TEST NON CDC	$65.00	$100.00	$15.00–$92.00	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB=CSHB COVID-19 SCREEN	$65.00	$100.00	$15.00–$92.00	—	35%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HB=COVID-19 PCR - DIASORIN/CEPHEID ASSAY	$147.55	$227.00	$34.05–$208.84	—	35%
Calcium blood test, total CPT 82310 HB=CALCIUM SERUM TOTAL	$4.55	$7.00	$0.70–$6.44	93% below	35%
Calcium blood test, total CPT 82310 HB=CSHB CALCIUM TOTAL	$72.15	$111.00	$11.10–$102.12	12% above	35%
Calcium blood test, total CPT 82310 HB=CSHB CALCIUM NON-TIMED URINE	$72.15	$111.00	$11.10–$102.12	12% above	35%
Calcium blood test, total CPT 82310 HB=CSHB CALCIUM FOR PTH INTACT	$72.15	$111.00	$11.10–$102.12	12% above	35%
Calcium blood test, total inpatient CPT 82310 HB=CALCIUM SERUM TOTAL	$4.55	$7.00	$1.05–$6.44	—	35%
Calcium blood test, total inpatient CPT 82310 HB=CSHB CALCIUM NON-TIMED URINE	$72.15	$111.00	$16.65–$102.12	—	35%
Calcium blood test, total inpatient CPT 82310 HB=CSHB CALCIUM TOTAL	$72.15	$111.00	$16.65–$102.12	—	35%
Calcium blood test, total inpatient CPT 82310 HB=CSHB CALCIUM FOR PTH INTACT	$72.15	$111.00	$16.65–$102.12	—	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HB=CSHB CEA PC FLUID	$35.10	$54.00	$5.40–$49.68	80% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HB=CSHB CEA, BF	$35.10	$54.00	$5.40–$49.68	80% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HB=CARCINOEMBRYONIC AG (CEA), S	$79.95	$123.00	$12.30–$113.16	54% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HB=CSHB CEA	$115.05	$177.00	$17.70–$162.84	34% below	35%
Carcinoembryonic antigen (CEA) test CPT 82378 HB=CEA, CSF	$189.15	$291.00	$29.10–$267.72	8% above	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB=CSHB CEA PC FLUID	$35.10	$54.00	$8.10–$49.68	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB=CSHB CEA, BF	$35.10	$54.00	$8.10–$49.68	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB=CARCINOEMBRYONIC AG (CEA), S	$79.95	$123.00	$18.45–$113.16	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB=CSHB CEA	$115.05	$177.00	$26.55–$162.84	—	35%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HB=CEA, CSF	$189.15	$291.00	$43.65–$267.72	—	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=CSHB VARICELLA ZOSTER IGM	$31.85	$49.00	$4.90–$45.08	71% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=CSHB VARICELLA ZOSTER IGG - SENDOUT	$31.85	$49.00	$4.90–$45.08	71% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VARICELLA-ZOSTER VIRUS AB IGG-ARUP	$39.65	$61.00	$6.10–$56.12	64% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VARICELLA-ZOSTER VIRUS AB IGM-ARUP	$39.65	$61.00	$6.10–$56.12	64% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=LIAISON VZV IGG HT	$44.85	$69.00	$6.90–$63.48	60% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VARICELLA-ZOSTER AB IGM	$73.45	$113.00	$11.30–$103.96	34% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=CSHB VARICELLA ZOSTER AB	$79.95	$123.00	$12.30–$113.16	28% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=MMRV IMMUNE STATUS PROFILE S-AB VARICELLA-ZOSTER	$98.80	$152.00	$15.20–$139.84	11% below	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VARICELLA-ZOSTER AB IGG S	$152.10	$234.00	$23.40–$215.28	37% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VARICELLA ZOSTER VIRUS AB IGM CSF	$156.65	$241.00	$24.10–$221.72	41% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VZGM VARICELLA-ZOSTER AB IGG	$365.95	$563.00	$56.30–$517.96	229% above	35%
Chickenpox (varicella) immunity blood test CPT 86787 HB=VZGM VARICELLA-ZOSTER AB IGM	$365.95	$563.00	$56.30–$517.96	229% above	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=CSHB VARICELLA ZOSTER IGM	$31.85	$49.00	$7.35–$45.08	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=CSHB VARICELLA ZOSTER IGG - SENDOUT	$31.85	$49.00	$7.35–$45.08	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VARICELLA-ZOSTER VIRUS AB IGM-ARUP	$39.65	$61.00	$9.15–$56.12	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VARICELLA-ZOSTER VIRUS AB IGG-ARUP	$39.65	$61.00	$9.15–$56.12	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=LIAISON VZV IGG HT	$44.85	$69.00	$10.35–$63.48	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VARICELLA-ZOSTER AB IGM	$73.45	$113.00	$16.95–$103.96	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=CSHB VARICELLA ZOSTER AB	$79.95	$123.00	$18.45–$113.16	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=MMRV IMMUNE STATUS PROFILE S-AB VARICELLA-ZOSTER	$98.80	$152.00	$22.80–$139.84	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VARICELLA-ZOSTER AB IGG S	$152.10	$234.00	$35.10–$215.28	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VARICELLA ZOSTER VIRUS AB IGM CSF	$156.65	$241.00	$36.15–$221.72	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VZGM VARICELLA-ZOSTER AB IGG	$365.95	$563.00	$84.45–$517.96	—	35%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HB=VZGM VARICELLA-ZOSTER AB IGM	$365.95	$563.00	$84.45–$517.96	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB=CHL PCR	$79.30	$122.00	$12.20–$112.24	52% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB=CHLAMYDIA CONFIRMATION	$151.45	$233.00	$23.30–$214.36	8% below	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB=CSHB C. TRACHOMATIS SENDOUT	$226.20	$348.00	$34.80–$320.16	37% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HB=CSHB C. TRACHOMATIS AMP PROBE	$283.41	$436.01	$43.60–$401.13	71% above	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB=CHL PCR	$79.30	$122.00	$18.30–$112.24	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB=CHLAMYDIA CONFIRMATION	$151.45	$233.00	$34.95–$214.36	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB=CSHB C. TRACHOMATIS SENDOUT	$226.20	$348.00	$52.20–$320.16	—	35%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HB=CSHB C. TRACHOMATIS AMP PROBE	$283.41	$436.01	$65.40–$401.13	—	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=CSHB LIPOPROTEIN LIPID PANEL	$29.90	$46.00	$4.60–$42.32	76% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=LIPID PANEL.	$65.00	$100.00	$10.00–$92.00	47% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=LIPID PANEL .	$68.25	$105.00	$10.50–$96.60	45% below	35%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HB=CSHB LIPID PANEL	$162.50	$250.00	$25.00–$230.00	32% above	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=CSHB LIPOPROTEIN LIPID PANEL	$29.90	$46.00	$6.90–$42.32	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=LIPID PANEL.	$65.00	$100.00	$15.00–$92.00	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=LIPID PANEL .	$68.25	$105.00	$15.75–$96.60	—	35%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HB=CSHB LIPID PANEL	$162.50	$250.00	$37.50–$230.00	—	35%
Complete blood count (CBC) with differential CPT 85025 HB=CBC PLATELET AUTO DI	$80.60	$124.00	$12.40–$114.08	1% above	35%
Complete blood count (CBC) with differential CPT 85025 HB=CSHB CBC WITH AUTO DIFF	$141.05	$217.00	$21.70–$199.64	78% above	35%
Complete blood count (CBC) with differential CPT 85025 HB=CSHB POCT CBC W/AUTO DIFF	$141.05	$217.00	$21.70–$199.64	78% above	35%
Complete blood count (CBC) with differential CPT 85025 HB=POC CBC WITH AUTO DIFF	$148.85	$229.00	$22.90–$210.68	87% above	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HB=CBC PLATELET AUTO DI	$80.60	$124.00	$18.60–$114.08	—	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HB=CSHB CBC WITH AUTO DIFF	$141.05	$217.00	$32.55–$199.64	—	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HB=CSHB POCT CBC W/AUTO DIFF	$141.05	$217.00	$32.55–$199.64	—	35%
Complete blood count (CBC) with differential inpatient CPT 85025 HB=POC CBC WITH AUTO DIFF	$148.85	$229.00	$34.35–$210.68	—	35%
Complete blood count (CBC), no differential CPT 85027 HB=CBC WITH NO DIFF	$81.25	$125.00	$12.50–$115.00	at median	35%
Complete blood count (CBC), no differential CPT 85027 HB=CBC AUTOMATED WITHOU	$112.45	$173.00	$17.30–$159.16	39% above	35%
Complete blood count (CBC), no differential CPT 85027 HB=CSHB HEMOGRAM	$125.45	$193.00	$19.30–$177.56	55% above	35%
Complete blood count (CBC), no differential CPT 85027 HB=CSHB CBC WITHOUT AUTO DIFF	$125.45	$193.00	$19.30–$177.56	55% above	35%
Complete blood count (CBC), no differential CPT 85027 HB=CBC PLATELET MANUAL	$167.05	$257.00	$25.70–$236.44	106% above	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC WITH NO DIFF	$81.25	$125.00	$18.75–$115.00	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC AUTOMATED WITHOU	$112.45	$173.00	$25.95–$159.16	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HB=CSHB CBC WITHOUT AUTO DIFF	$125.45	$193.00	$28.95–$177.56	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HB=CSHB HEMOGRAM	$125.45	$193.00	$28.95–$177.56	—	35%
Complete blood count (CBC), no differential inpatient CPT 85027 HB=CBC PLATELET MANUAL	$167.05	$257.00	$38.55–$236.44	—	35%
Comprehensive metabolic panel (blood test) CPT 80053 HB=COMPREHENSIVE METABO	$115.70	$178.00	$17.80–$163.76	35% below	35%
Comprehensive metabolic panel (blood test) CPT 80053 HB=COMP METABOLIC ELTROMBOPAG	$115.70	$178.00	$17.80–$163.76	35% below	35%
Comprehensive metabolic panel (blood test) CPT 80053 HB=CSHB POCT COMPREHENSIVE METABOLIC PANEL	$249.60	$384.00	$38.40–$353.28	40% above	35%
Comprehensive metabolic panel (blood test) CPT 80053 HB=CSHB COMP METABOLIC PANEL	$249.60	$384.00	$38.40–$353.28	40% above	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=COMP METABOLIC ELTROMBOPAG	$115.70	$178.00	$26.70–$163.76	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=COMPREHENSIVE METABO	$115.70	$178.00	$26.70–$163.76	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=CSHB POCT COMPREHENSIVE METABOLIC PANEL	$249.60	$384.00	$57.60–$353.28	—	35%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HB=CSHB COMP METABOLIC PANEL	$249.60	$384.00	$57.60–$353.28	—	35%
Cortisol blood test, total CPT 82533 HB=CAH1 CORTISOL	$35.75	$55.00	$5.50–$50.60	75% below	35%
Cortisol blood test, total CPT 82533 HB=CAH2 CORTISOL	$37.70	$58.00	$5.80–$53.36	73% below	35%
Cortisol blood test, total CPT 82533 HB=CSHB CORTISOL SALIVA	$53.95	$83.00	$8.30–$76.36	62% below	35%
Cortisol blood test, total CPT 82533 HB=CORTISOL FREE SERUM WITH CBG	$59.15	$91.00	$9.10–$83.72	58% below	35%
Cortisol blood test, total CPT 82533 HB=CORTISOL SERUM	$67.60	$104.00	$10.40–$95.68	52% below	35%
Cortisol blood test, total CPT 82533 HB=CAH4 CORTISOL	$85.15	$131.00	$13.10–$120.52	39% below	35%
Cortisol blood test, total CPT 82533 HB=CAH6 CORTISOL	$118.30	$182.00	$18.20–$167.44	16% below	35%
Cortisol blood test, total CPT 82533 HB=CORTISOL, SERUM	$122.20	$188.00	$18.80–$172.96	13% below	35%
Cortisol blood test, total CPT 82533 HB=CORTISOL SALIVARY	$122.85	$189.00	$18.90–$173.88	13% below	35%
Cortisol blood test, total CPT 82533 HB=CSHB CORTISOL SERUM	$152.10	$234.00	$23.40–$215.28	8% above	35%
Cortisol blood test, total inpatient CPT 82533 HB=CAH1 CORTISOL	$35.75	$55.00	$8.25–$50.60	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CAH2 CORTISOL	$37.70	$58.00	$8.70–$53.36	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CSHB CORTISOL SALIVA	$53.95	$83.00	$12.45–$76.36	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CORTISOL FREE SERUM WITH CBG	$59.15	$91.00	$13.65–$83.72	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CORTISOL SERUM	$67.60	$104.00	$15.60–$95.68	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CAH4 CORTISOL	$85.15	$131.00	$19.65–$120.52	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CAH6 CORTISOL	$118.30	$182.00	$27.30–$167.44	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CORTISOL, SERUM	$122.20	$188.00	$28.20–$172.96	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CORTISOL SALIVARY	$122.85	$189.00	$28.35–$173.88	—	35%
Cortisol blood test, total inpatient CPT 82533 HB=CSHB CORTISOL SERUM	$152.10	$234.00	$35.10–$215.28	—	35%
Creatine kinase (CK) blood test, total CPT 82550 HB=CSHB TOTAL CK FOR ISOS	$21.45	$33.00	$3.30–$30.36	76% below	35%
Creatine kinase (CK) blood test, total CPT 82550 HB=CK-MB FRACTION-UCH	$55.90	$86.00	$8.60–$79.12	36% below	35%
Creatine kinase (CK) blood test, total CPT 82550 HB=CREATINE KINASE (CK), S	$64.35	$99.00	$9.90–$91.08	27% below	35%
Creatine kinase (CK) blood test, total CPT 82550 HB=CK/CREATINE KINASE	$66.95	$103.00	$10.30–$94.76	24% below	35%
Creatine kinase (CK) blood test, total CPT 82550 HB=CSHB CREATINE KINASE TOTAL	$136.50	$210.00	$21.00–$193.20	55% above	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB=CSHB TOTAL CK FOR ISOS	$21.45	$33.00	$4.95–$30.36	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB=CK-MB FRACTION-UCH	$55.90	$86.00	$12.90–$79.12	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB=CREATINE KINASE (CK), S	$64.35	$99.00	$14.85–$91.08	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB=CK/CREATINE KINASE	$66.95	$103.00	$15.45–$94.76	—	35%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HB=CSHB CREATINE KINASE TOTAL	$136.50	$210.00	$31.50–$193.20	—	35%
Creatinine blood test CPT 82565 HB=CREATININE SERUM	$5.20	$8.00	$0.80–$7.36	90% below	35%
Creatinine blood test CPT 82565 HB=POC - CREATININE	$16.25	$25.00	$2.50–$23.00	70% below	35%
Creatinine blood test CPT 82565 HB=CSHB POCT CREATININE, WHOLE BLOOD	$57.20	$88.00	$8.80–$80.96	5% above	35%
Creatinine blood test CPT 82565 HB=CSHB POCT CREATININE ISTAT	$57.20	$88.00	$8.80–$80.96	5% above	35%
Creatinine blood test CPT 82565 HB=CSHB CREATININE BLD	$57.20	$88.00	$8.80–$80.96	5% above	35%
Creatinine blood test CPT 82565 HB=CSHB POCT CREATININE	$57.20	$88.00	$8.80–$80.96	5% above	35%
Creatinine blood test inpatient CPT 82565 HB=CREATININE SERUM	$5.20	$8.00	$1.20–$7.36	—	35%
Creatinine blood test inpatient CPT 82565 HB=POC - CREATININE	$16.25	$25.00	$3.75–$23.00	—	35%
Creatinine blood test inpatient CPT 82565 HB=CSHB POCT CREATININE, WHOLE BLOOD	$57.20	$88.00	$13.20–$80.96	—	35%
Creatinine blood test inpatient CPT 82565 HB=CSHB POCT CREATININE	$57.20	$88.00	$13.20–$80.96	—	35%
Creatinine blood test inpatient CPT 82565 HB=CSHB POCT CREATININE ISTAT	$57.20	$88.00	$13.20–$80.96	—	35%
Creatinine blood test inpatient CPT 82565 HB=CSHB CREATININE BLD	$57.20	$88.00	$13.20–$80.96	—	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CYTOMEGALOVIRUS (CMV) AB IGM/IGG S IGG-MAYO	$38.35	$59.00	$5.90–$54.28	69% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CMV IGG	$69.94	$107.60	$10.76–$98.99	44% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CSHB CMV PER UNIT	$98.80	$152.00	$15.20–$139.84	20% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CSHB CMV - IGG	$98.80	$152.00	$15.20–$139.84	20% below	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CSHB CMV AB,IGG	$134.55	$207.00	$20.70–$190.44	9% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CSHB CMV SEROLOGY	$134.55	$207.00	$20.70–$190.44	9% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=BBMBC CMV SCREEN	$201.50	$310.00	$31.00–$285.20	63% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CYTOMEGALOVIRUS IGG AVIDITY	$303.55	$467.00	$46.70–$429.64	145% above	35%
Cytomegalovirus (CMV) antibody test CPT 86644 HB=CYTOMEGALOVIRUS AB IGG S	$364.65	$561.00	$56.10–$516.12	195% above	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CYTOMEGALOVIRUS (CMV) AB IGM/IGG S IGG-MAYO	$38.35	$59.00	$8.85–$54.28	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CMV IGG	$69.94	$107.60	$16.14–$98.99	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CSHB CMV PER UNIT	$98.80	$152.00	$22.80–$139.84	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CSHB CMV - IGG	$98.80	$152.00	$22.80–$139.84	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CSHB CMV AB,IGG	$134.55	$207.00	$31.05–$190.44	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CSHB CMV SEROLOGY	$134.55	$207.00	$31.05–$190.44	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=BBMBC CMV SCREEN	$201.50	$310.00	$46.50–$285.20	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CYTOMEGALOVIRUS IGG AVIDITY	$303.55	$467.00	$70.05–$429.64	—	35%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HB=CYTOMEGALOVIRUS AB IGG S	$364.65	$561.00	$84.15–$516.12	—	35%
D-dimer blood test (blood clot marker) CPT 85379 HB=CSHB POCT D DIMER QUANTITATIVE	$113.10	$174.00	$17.40–$160.08	22% below	35%
D-dimer blood test (blood clot marker) CPT 85379 HB=CSHB D-DIMER QUANT	$113.10	$174.00	$17.40–$160.08	22% below	35%
D-dimer blood test (blood clot marker) CPT 85379 HB=D-DIMER	$462.80	$712.00	$71.20–$655.04	218% above	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB=CSHB POCT D DIMER QUANTITATIVE	$113.10	$174.00	$26.10–$160.08	—	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB=CSHB D-DIMER QUANT	$113.10	$174.00	$26.10–$160.08	—	35%
D-dimer blood test (blood clot marker) inpatient CPT 85379 HB=D-DIMER	$462.80	$712.00	$106.80–$655.04	—	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB=CSHB DHEA-SULFATE	$20.80	$32.00	$3.20–$29.44	89% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB=CSHB ZZ-DHEA SULFATE	$91.65	$141.00	$14.10–$129.72	52% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB=HIRSUTISM II DEHYDROEPIANDROSTERONE	$101.40	$156.00	$15.60–$143.52	47% below	35%
DHEA sulfate (DHEA-S) blood test CPT 82627 HB=DEHYDROEPIANDROSTERO	$111.80	$172.00	$17.20–$158.24	42% below	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB=CSHB DHEA-SULFATE	$20.80	$32.00	$4.80–$29.44	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB=CSHB ZZ-DHEA SULFATE	$91.65	$141.00	$21.15–$129.72	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB=HIRSUTISM II DEHYDROEPIANDROSTERONE	$101.40	$156.00	$23.40–$143.52	—	35%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HB=DEHYDROEPIANDROSTERO	$111.80	$172.00	$25.80–$158.24	—	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB DRUG TEST(S) PRESUMPTIVE QUAL	$120.25	$185.00	$18.50–$170.20	32% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CONFIRMED DRUG PANEL 9 U	$125.45	$193.00	$19.30–$177.56	29% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=DRUG SCREEN 5 COC MECONIUM	$148.20	$228.00	$22.80–$209.76	16% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=DRUG SCREEN MECONIUM	$148.20	$228.00	$22.80–$209.76	16% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB LSD URINE	$161.20	$248.00	$24.80–$228.16	9% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB DRUG TEST(S) PRESUMPTIVE CHEM ANALYLZR	$161.20	$248.00	$24.80–$228.16	9% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB BUPRENORPHINE, URN SCRN W/REFEX	$161.20	$248.00	$24.80–$228.16	9% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB DRUG OF ABUSE PANEL MECON W/REFLEX	$161.20	$248.00	$24.80–$228.16	9% below	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=PROPRANOLOL SCREEN SERUM/PLASMA-REFLEX	$179.40	$276.00	$27.60–$253.92	2% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB DRUG SCREEN 9 PANEL, BLD OR URINE	$182.00	$280.00	$28.00–$257.60	3% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB DRUG SCREEN MECOMIUM	$192.40	$296.00	$29.60–$272.32	9% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=DRUG SCREEN SERUM	$200.85	$309.00	$30.90–$284.28	14% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB PAIN MGT URINE DRUG SCREEN	$213.20	$328.00	$32.80–$301.76	21% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=FENTANYL LEVEL SCREEN CHEM	$219.70	$338.00	$33.80–$310.96	24% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=PROPRANOLOL SCREEN SERUM/PLASMA	$234.00	$360.00	$36.00–$331.20	32% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=PAIN CLINICAL MONITORING PROFILE URINE	$257.40	$396.00	$39.60–$364.32	46% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=GAMMA-HYDROXYBUTYRIC ACID	$257.40	$396.00	$39.60–$364.32	46% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB GAMMA-HYDROXYBUTERIC ACID	$286.00	$440.00	$44.00–$404.80	62% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB CORDSTAT DRUG SCREEN QUAL	$397.80	$612.00	$61.20–$563.04	125% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB MECSTAT DRUG SCREEN QUAL	$397.80	$612.00	$61.20–$563.04	125% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=CSHB CORDSTAT 17 PANEL SENDOUT	$507.00	$780.00	$78.00–$717.60	187% above	35%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HB=SEDATIVE HYPNOTIC PANEL, URINE	$574.60	$884.00	$88.40–$813.28	225% above	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB DRUG TEST(S) PRESUMPTIVE QUAL	$120.25	$185.00	$27.75–$170.20	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CONFIRMED DRUG PANEL 9 U	$125.45	$193.00	$28.95–$177.56	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=DRUG SCREEN 5 COC MECONIUM	$148.20	$228.00	$34.20–$209.76	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=DRUG SCREEN MECONIUM	$148.20	$228.00	$34.20–$209.76	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB DRUG TEST(S) PRESUMPTIVE CHEM ANALYLZR	$161.20	$248.00	$37.20–$228.16	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB BUPRENORPHINE, URN SCRN W/REFEX	$161.20	$248.00	$37.20–$228.16	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB DRUG OF ABUSE PANEL MECON W/REFLEX	$161.20	$248.00	$37.20–$228.16	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB LSD URINE	$161.20	$248.00	$37.20–$228.16	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=PROPRANOLOL SCREEN SERUM/PLASMA-REFLEX	$179.40	$276.00	$41.40–$253.92	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB DRUG SCREEN 9 PANEL, BLD OR URINE	$182.00	$280.00	$42.00–$257.60	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB DRUG SCREEN MECOMIUM	$192.40	$296.00	$44.40–$272.32	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=DRUG SCREEN SERUM	$200.85	$309.00	$46.35–$284.28	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB PAIN MGT URINE DRUG SCREEN	$213.20	$328.00	$49.20–$301.76	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=FENTANYL LEVEL SCREEN CHEM	$219.70	$338.00	$50.70–$310.96	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=PROPRANOLOL SCREEN SERUM/PLASMA	$234.00	$360.00	$54.00–$331.20	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=PAIN CLINICAL MONITORING PROFILE URINE	$257.40	$396.00	$59.40–$364.32	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=GAMMA-HYDROXYBUTYRIC ACID	$257.40	$396.00	$59.40–$364.32	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB GAMMA-HYDROXYBUTERIC ACID	$286.00	$440.00	$66.00–$404.80	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB CORDSTAT DRUG SCREEN QUAL	$397.80	$612.00	$91.80–$563.04	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB MECSTAT DRUG SCREEN QUAL	$397.80	$612.00	$91.80–$563.04	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=CSHB CORDSTAT 17 PANEL SENDOUT	$507.00	$780.00	$117.00–$717.60	—	35%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HB=SEDATIVE HYPNOTIC PANEL, URINE	$574.60	$884.00	$132.60–$813.28	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB=ELECTROLYTE PANEL.	$61.75	$95.00	$9.50–$87.40	50% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB=ELECTROLYTE PANEL	$74.10	$114.00	$11.40–$104.88	41% below	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB=CSHB ELECTROLYTES PANEL	$191.10	$294.00	$29.40–$270.48	53% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HB=CSHB POCT ELECTROLYTE PANEL	$191.10	$294.00	$29.40–$270.48	53% above	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB=ELECTROLYTE PANEL.	$61.75	$95.00	$14.25–$87.40	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB=ELECTROLYTE PANEL	$74.10	$114.00	$17.10–$104.88	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB=CSHB POCT ELECTROLYTE PANEL	$191.10	$294.00	$44.10–$270.48	—	35%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HB=CSHB ELECTROLYTES PANEL	$191.10	$294.00	$44.10–$270.48	—	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB=EBV ANTIBODY PANEL I-VIRAL CAPSID-ARUP	$29.25	$45.00	$4.50–$41.40	71% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB=EBV VCA-IGM/IGG MAYO [BACKUP]	$41.60	$64.00	$6.40–$58.88	59% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB=CSHB EB VIRUS VCA IGG AND OR IGM	$59.15	$91.00	$9.10–$83.72	42% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB=CSHB EB VIRUS VCA IGG AND OR IGM.	$65.65	$101.00	$10.10–$92.92	35% below	35%
Epstein-Barr virus (EBV) antibody test CPT 86665 HB=LIAISON EBV VCA IGM/IGG	$70.85	$109.00	$10.90–$100.28	30% below	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB=EBV ANTIBODY PANEL I-VIRAL CAPSID-ARUP	$29.25	$45.00	$6.75–$41.40	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB=EBV VCA-IGM/IGG MAYO [BACKUP]	$41.60	$64.00	$9.60–$58.88	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB=CSHB EB VIRUS VCA IGG AND OR IGM	$59.15	$91.00	$13.65–$83.72	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB=CSHB EB VIRUS VCA IGG AND OR IGM.	$65.65	$101.00	$15.15–$92.92	—	35%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HB=LIAISON EBV VCA IGM/IGG	$70.85	$109.00	$16.35–$100.28	—	35%
Estradiol blood test CPT 82670 HB=CSHB ESTRADIOL ESOTERIX	$46.80	$72.00	$7.20–$66.24	81% below	35%
Estradiol blood test CPT 82670 HB=ESTRADIOL BY MASS SPEC	$96.20	$148.00	$14.80–$136.16	60% below	35%
Estradiol blood test CPT 82670 HB=CSHB ESTRADIOL	$100.75	$155.00	$15.50–$142.60	58% below	35%
Estradiol blood test CPT 82670 HB=ESTRADIOL TOTAL SERUM	$288.60	$444.00	$44.40–$408.48	20% above	35%
Estradiol blood test inpatient CPT 82670 HB=CSHB ESTRADIOL ESOTERIX	$46.80	$72.00	$10.80–$66.24	—	35%
Estradiol blood test inpatient CPT 82670 HB=ESTRADIOL BY MASS SPEC	$96.20	$148.00	$22.20–$136.16	—	35%
Estradiol blood test inpatient CPT 82670 HB=CSHB ESTRADIOL	$100.75	$155.00	$23.25–$142.60	—	35%
Estradiol blood test inpatient CPT 82670 HB=ESTRADIOL TOTAL SERUM	$288.60	$444.00	$66.60–$408.48	—	35%
FSH (follicle-stimulating hormone) test CPT 83001 HB=CSHB FSH ESOTERIX	$26.00	$40.00	$4.00–$36.80	84% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 HB=CSHB FSH	$68.25	$105.00	$10.50–$96.60	57% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 HB=FOLLICLE STIMULATING	$85.80	$132.00	$13.20–$121.44	46% below	35%
FSH (follicle-stimulating hormone) test CPT 83001 HB=FSH-PEDIATRIC	$198.90	$306.00	$30.60–$281.52	25% above	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB=CSHB FSH ESOTERIX	$26.00	$40.00	$6.00–$36.80	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB=CSHB FSH	$68.25	$105.00	$15.75–$96.60	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB=FOLLICLE STIMULATING	$85.80	$132.00	$19.80–$121.44	—	35%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HB=FSH-PEDIATRIC	$198.90	$306.00	$45.90–$281.52	—	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HB=CALPROTECTIN FECAL	$146.25	$225.00	$22.50–$207.00	42% below	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HB=CSHB FECAL CALPROTECTIN	$180.33	$277.42	$27.74–$255.23	29% below	35%
Fecal calprotectin (stool inflammation test) CPT 83993 HB=CSHB CALPROTECTIN FECAL	$208.00	$320.00	$32.00–$294.40	18% below	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB=CALPROTECTIN FECAL	$146.25	$225.00	$33.75–$207.00	—	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB=CSHB FECAL CALPROTECTIN	$180.33	$277.42	$41.61–$255.23	—	35%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HB=CSHB CALPROTECTIN FECAL	$208.00	$320.00	$48.00–$294.40	—	35%
Ferritin blood test (iron stores) CPT 82728 HB=CSHB LIVER FIBROSIS FERRITIN	$23.40	$36.00	$3.60–$33.12	80% below	35%
Ferritin blood test (iron stores) CPT 82728 HB=FERRITIN, SERUM	$125.45	$193.00	$19.30–$177.56	7% above	35%
Ferritin blood test (iron stores) CPT 82728 HB=THALASSEMIA/HEMOGLOBINOPATHY EV-FERRITIN	$135.85	$209.00	$20.90–$192.28	16% above	35%
Ferritin blood test (iron stores) CPT 82728 HB=THEVP FERRITIN, SERUM	$146.25	$225.00	$22.50–$207.00	25% above	35%
Ferritin blood test (iron stores) CPT 82728 HB=CSHB FERRITIN	$159.25	$245.00	$24.50–$225.40	36% above	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HB=CSHB LIVER FIBROSIS FERRITIN	$23.40	$36.00	$5.40–$33.12	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HB=FERRITIN, SERUM	$125.45	$193.00	$28.95–$177.56	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HB=THALASSEMIA/HEMOGLOBINOPATHY EV-FERRITIN	$135.85	$209.00	$31.35–$192.28	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HB=THEVP FERRITIN, SERUM	$146.25	$225.00	$33.75–$207.00	—	35%
Ferritin blood test (iron stores) inpatient CPT 82728 HB=CSHB FERRITIN	$159.25	$245.00	$36.75–$225.40	—	35%
Fibrinogen blood test CPT 85384 HB=FIB EVAL FIBRINOGEN ACTIVITY	$135.20	$208.00	$20.80–$191.36	2% below	35%
Fibrinogen blood test CPT 85384 HB=FIBRINOGEN DADE	$183.95	$283.00	$28.30–$260.36	33% above	35%
Fibrinogen blood test CPT 85384 HB=CSHB FIBRINOGEN ACTIVITY (K,ANGLE)	$200.85	$309.00	$30.90–$284.28	45% above	35%
Fibrinogen blood test CPT 85384 HB=CSHB FIBRINOGEN SEMI-QUANT	$200.85	$309.00	$30.90–$284.28	45% above	35%
Fibrinogen blood test inpatient CPT 85384 HB=FIB EVAL FIBRINOGEN ACTIVITY	$135.20	$208.00	$31.20–$191.36	—	35%
Fibrinogen blood test inpatient CPT 85384 HB=FIBRINOGEN DADE	$183.95	$283.00	$42.45–$260.36	—	35%
Fibrinogen blood test inpatient CPT 85384 HB=CSHB FIBRINOGEN SEMI-QUANT	$200.85	$309.00	$46.35–$284.28	—	35%
Fibrinogen blood test inpatient CPT 85384 HB=CSHB FIBRINOGEN ACTIVITY (K,ANGLE)	$200.85	$309.00	$46.35–$284.28	—	35%
Folate (folic acid) blood test CPT 82746 HB=FOLATE, S	$82.55	$127.00	$12.70–$116.84	35% below	35%
Folate (folic acid) blood test CPT 82746 HB=CSHB FOLATE SERUM	$151.45	$233.00	$23.30–$214.36	20% above	35%
Folate (folic acid) blood test inpatient CPT 82746 HB=FOLATE, S	$82.55	$127.00	$19.05–$116.84	—	35%
Folate (folic acid) blood test inpatient CPT 82746 HB=CSHB FOLATE SERUM	$151.45	$233.00	$34.95–$214.36	—	35%
Free T3 thyroid hormone test CPT 84481 HB=CSHB T3 FREE	$132.60	$204.00	$20.40–$187.68	18% below	35%
Free T3 thyroid hormone test CPT 84481 HB=CSHB FREE T3	$133.90	$206.00	$20.60–$189.52	18% below	35%
Free T3 thyroid hormone test CPT 84481 HB=T-3, FREE	$236.60	$364.00	$36.40–$334.88	46% above	35%
Free T3 thyroid hormone test inpatient CPT 84481 HB=CSHB T3 FREE	$132.60	$204.00	$30.60–$187.68	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 HB=CSHB FREE T3	$133.90	$206.00	$30.90–$189.52	—	35%
Free T3 thyroid hormone test inpatient CPT 84481 HB=T-3, FREE	$236.60	$364.00	$54.60–$334.88	—	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=CSHB T4 FREE BY DIALYSIS	$48.10	$74.00	$7.40–$68.08	54% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=T4 FREE DIRECT DIALYSIS S-MAYO	$59.80	$92.00	$9.20–$84.64	43% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=T4 FREE DIALYSIS	$81.90	$126.00	$12.60–$115.92	21% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=FREE T4 BY EQUIL DIALYSIS TMS-ARUP	$95.55	$147.00	$14.70–$135.24	8% below	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=T4 FREE	$104.65	$161.00	$16.10–$148.12	1% above	35%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HB=CSHB FREE T4	$119.60	$184.00	$18.40–$169.28	15% above	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=CSHB T4 FREE BY DIALYSIS	$48.10	$74.00	$11.10–$68.08	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=T4 FREE DIRECT DIALYSIS S-MAYO	$59.80	$92.00	$13.80–$84.64	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=T4 FREE DIALYSIS	$81.90	$126.00	$18.90–$115.92	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=FREE T4 BY EQUIL DIALYSIS TMS-ARUP	$95.55	$147.00	$22.05–$135.24	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=T4 FREE	$104.65	$161.00	$24.15–$148.12	—	35%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HB=CSHB FREE T4	$119.60	$184.00	$27.60–$169.28	—	35%
Free testosterone test CPT 84402 HB=TESTOSTERONE FREE BY MASS SPEC	$34.45	$53.00	$5.30–$48.76	79% below	35%
Free testosterone test CPT 84402 HB=CSHB TESTOSTERONE FREE	$50.05	$77.00	$7.70–$70.84	70% below	35%
Free testosterone test CPT 84402 HB=TESTOSTERONE, FREE,	$51.35	$79.00	$7.90–$72.68	69% below	35%
Free testosterone test CPT 84402 HB=TEST PANEL TESTOSTERONE FREE	$89.05	$137.00	$13.70–$126.04	46% below	35%
Free testosterone test CPT 84402 HB=TESTOSTERONE FREE BY DIALYSIS	$95.88	$147.50	$14.75–$135.70	42% below	35%
Free testosterone test CPT 84402 HB=HIRSUTISM II TESTOSTERONE FREE	$101.40	$156.00	$15.60–$143.52	39% below	35%
Free testosterone test inpatient CPT 84402 HB=TESTOSTERONE FREE BY MASS SPEC	$34.45	$53.00	$7.95–$48.76	—	35%
Free testosterone test inpatient CPT 84402 HB=CSHB TESTOSTERONE FREE	$50.05	$77.00	$11.55–$70.84	—	35%
Free testosterone test inpatient CPT 84402 HB=TESTOSTERONE, FREE,	$51.35	$79.00	$11.85–$72.68	—	35%
Free testosterone test inpatient CPT 84402 HB=TEST PANEL TESTOSTERONE FREE	$89.05	$137.00	$20.55–$126.04	—	35%
Free testosterone test inpatient CPT 84402 HB=TESTOSTERONE FREE BY DIALYSIS	$95.88	$147.50	$22.13–$135.70	—	35%
Free testosterone test inpatient CPT 84402 HB=HIRSUTISM II TESTOSTERONE FREE	$101.40	$156.00	$23.40–$143.52	—	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB=CSHB GAMMA GLUTAMYLTRANSFERASE FIBROMETER	$20.15	$31.00	$3.10–$28.52	74% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB=CSHB LIVER FIBROSIS GTT	$20.15	$31.00	$3.10–$28.52	74% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB=CSHB POCT GGT	$37.05	$57.00	$5.70–$52.44	52% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB=CSHB GAMMA GLUTAMLYTRANSFERASE	$37.05	$57.00	$5.70–$52.44	52% below	35%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HB=GAMMA GLUTAMYLTRANSF	$76.70	$118.00	$11.80–$108.56	at median	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB=CSHB GAMMA GLUTAMYLTRANSFERASE FIBROMETER	$20.15	$31.00	$4.65–$28.52	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB=CSHB LIVER FIBROSIS GTT	$20.15	$31.00	$4.65–$28.52	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB=CSHB GAMMA GLUTAMLYTRANSFERASE	$37.05	$57.00	$8.55–$52.44	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB=CSHB POCT GGT	$37.05	$57.00	$8.55–$52.44	—	35%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HB=GAMMA GLUTAMYLTRANSF	$76.70	$118.00	$17.70–$108.56	—	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB=GENERAL HEALTH PANEL	$283.40	$436.00	$43.60–$401.12	31% below	35%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HB=CSHB GENERAL HEALTH PANEL	$386.10	$594.00	$59.40–$546.48	6% below	35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB=GENERAL HEALTH PANEL	$283.40	$436.00	$65.40–$401.12	—	35%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HB=CSHB GENERAL HEALTH PANEL	$386.10	$594.00	$89.10–$546.48	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB=GLUCOSE POST GLUCOSE DOSE	$26.65	$41.00	$4.10–$37.72	73% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HB=CSHB GLUCOSE POST GLUCOSE DOSE	$34.45	$53.00	$5.30–$48.76	65% below	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB=GLUCOSE POST GLUCOSE DOSE	$26.65	$41.00	$6.15–$37.72	—	35%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HB=CSHB GLUCOSE POST GLUCOSE DOSE	$34.45	$53.00	$7.95–$48.76	—	35%
Glucose tolerance test, 3 samples CPT 82951 HB=CSHB GLUCOSE TOLERANCE 3 SPECIMENS	$65.00	$100.00	$10.00–$92.00	42% below	35%
Glucose tolerance test, 3 samples CPT 82951 HB=GLUCOSE TOLERANCE 3 SPECIMENS	$78.65	$121.00	$12.10–$111.32	29% below	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HB=CSHB GLUCOSE TOLERANCE 3 SPECIMENS	$65.00	$100.00	$15.00–$92.00	—	35%
Glucose tolerance test, 3 samples inpatient CPT 82951 HB=GLUCOSE TOLERANCE 3 SPECIMENS	$78.65	$121.00	$18.15–$111.32	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB=CSHB N. GONORRHOEAE SENDOUT	$52.00	$80.00	$8.00–$73.60	68% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB=GC PCR	$79.30	$122.00	$12.20–$112.24	52% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB=N GONORRHOEAE DNA AMP PROB	$151.45	$233.00	$23.30–$214.36	8% below	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB=CSHB N. GONORRHOEAE AMP PROBE	$183.95	$283.00	$28.30–$260.36	12% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HB=CSHB GC FROM THINPREP DNA AMP	$183.95	$283.00	$28.30–$260.36	12% above	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB=CSHB N. GONORRHOEAE SENDOUT	$52.00	$80.00	$12.00–$73.60	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB=GC PCR	$79.30	$122.00	$18.30–$112.24	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB=N GONORRHOEAE DNA AMP PROB	$151.45	$233.00	$34.95–$214.36	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB=CSHB N. GONORRHOEAE AMP PROBE	$183.95	$283.00	$42.45–$260.36	—	35%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HB=CSHB GC FROM THINPREP DNA AMP	$183.95	$283.00	$42.45–$260.36	—	35%
H. pylori antibody blood test CPT 86677 HB=HELICOBACTER PYLORI ANTIBODY IGG	$68.25	$105.00	$10.50–$96.60	65% below	35%
H. pylori antibody blood test CPT 86677 HB=CSHB H. PYLORI AB	$72.15	$111.00	$11.10–$102.12	63% below	35%
H. pylori antibody blood test CPT 86677 HB=HELICOBACTER PYLORI AB IGG S	$87.10	$134.00	$13.40–$123.28	55% below	35%
H. pylori antibody blood test inpatient CPT 86677 HB=HELICOBACTER PYLORI ANTIBODY IGG	$68.25	$105.00	$15.75–$96.60	—	35%
H. pylori antibody blood test inpatient CPT 86677 HB=CSHB H. PYLORI AB	$72.15	$111.00	$16.65–$102.12	—	35%
H. pylori antibody blood test inpatient CPT 86677 HB=HELICOBACTER PYLORI AB IGG S	$87.10	$134.00	$20.10–$123.28	—	35%
H. pylori stool antigen test CPT 87338 HB=CSHB H.PYLORI FECAL ANTIGEN	$91.65	$141.00	$14.10–$129.72	42% below	35%
H. pylori stool antigen test CPT 87338 HB=CSHB H. PYLORI ANTIGEN STOOL	$107.90	$166.00	$16.60–$152.72	31% below	35%
H. pylori stool antigen test inpatient CPT 87338 HB=CSHB H.PYLORI FECAL ANTIGEN	$91.65	$141.00	$21.15–$129.72	—	35%
H. pylori stool antigen test inpatient CPT 87338 HB=CSHB H. PYLORI ANTIGEN STOOL	$107.90	$166.00	$24.90–$152.72	—	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB=CSHB HIV-1 RNA QUANTIFICATION	$230.75	$355.00	$35.50–$326.60	46% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB=HIV-1 RNA QUANT REFLEX TO RESIST TEST PLASMA-MAYO	$290.55	$447.00	$44.70–$411.24	32% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB=HIV PCR QUANT	$341.90	$526.00	$52.60–$483.92	20% below	35%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HB=CSHB HIV QUANT PCR	$851.08	$1,309.35	$130.94–$1,204.60	99% above	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB=CSHB HIV-1 RNA QUANTIFICATION	$230.75	$355.00	$53.25–$326.60	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB=HIV-1 RNA QUANT REFLEX TO RESIST TEST PLASMA-MAYO	$290.55	$447.00	$67.05–$411.24	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB=HIV PCR QUANT	$341.90	$526.00	$78.90–$483.92	—	35%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HB=CSHB HIV QUANT PCR	$851.08	$1,309.35	$196.40–$1,204.60	—	35%
HIV-1 and HIV-2 antibody test CPT 86703 HB=CSHB HIV1/HIV2 SINGLE ASSAY	$35.75	$55.00	$5.50–$50.60	72% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HB=HIV 1 & 2, (EIA)	$52.00	$80.00	$8.00–$73.60	59% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HB=POC RAPID HIV 1/2 ANTIBODY	$61.75	$95.00	$9.50–$87.40	51% below	35%
HIV-1 and HIV-2 antibody test CPT 86703 HB=CSHB HIV-1/2	$107.25	$165.00	$16.50–$151.80	15% below	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB=CSHB HIV1/HIV2 SINGLE ASSAY	$35.75	$55.00	$8.25–$50.60	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB=HIV 1 & 2, (EIA)	$52.00	$80.00	$12.00–$73.60	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB=POC RAPID HIV 1/2 ANTIBODY	$61.75	$95.00	$14.25–$87.40	—	35%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HB=CSHB HIV-1/2	$107.25	$165.00	$24.75–$151.80	—	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HB=HIV ANTIGEN/ANTIBODIES SCREEN	$67.60	$104.00	$10.40–$95.68	32% below	35%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HB=HIV ANTIGEN/ANTIBODIES SCREEN	$67.60	$104.00	$15.60–$95.68	—	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB=HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK	$107.90	$166.00	$16.60–$152.72	20% below	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB=HPV DNA GENO HIGH RISK PCR	$139.10	$214.00	$21.40–$196.88	3% above	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB=REFLEX HPVNAA THIN PREP	$139.10	$214.00	$21.40–$196.88	3% above	35%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HB=HPV HIGH-RISK TYPES	$202.80	$312.00	$31.20–$287.04	50% above	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB=HUMAN PAPILLOMAVIRUS (HPV) HIGH RISK	$107.90	$166.00	$24.90–$152.72	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB=REFLEX HPVNAA THIN PREP	$139.10	$214.00	$32.10–$196.88	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB=HPV DNA GENO HIGH RISK PCR	$139.10	$214.00	$32.10–$196.88	—	35%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HB=HPV HIGH-RISK TYPES	$202.80	$312.00	$46.80–$287.04	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB=POC - HEMOGLOBIN, GLYCOSYLATED (A1C)	$18.20	$28.00	$2.80–$25.76	82% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB=CSHB GLYCATED HEMOGLOBIN	$22.10	$34.00	$3.40–$31.28	78% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB=CSHB HEMOGLOBIN AIC	$65.65	$101.00	$10.10–$92.92	34% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HB=HEMOGLOBIN, GLYCOSYLATED (A1C)	$84.50	$130.00	$13.00–$119.60	15% below	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB=POC - HEMOGLOBIN, GLYCOSYLATED (A1C)	$18.20	$28.00	$4.20–$25.76	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB=CSHB GLYCATED HEMOGLOBIN	$22.10	$34.00	$5.10–$31.28	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB=CSHB HEMOGLOBIN AIC	$65.65	$101.00	$15.15–$92.92	—	35%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HB=HEMOGLOBIN, GLYCOSYLATED (A1C)	$84.50	$130.00	$19.50–$119.60	—	35%
Hemoglobin blood test CPT 85018 HB=HEMOGLOBIN FETAL-PUBS POC	$20.80	$32.00	$3.20–$29.44	45% below	35%
Hemoglobin blood test CPT 85018 HB=HEMOGLOBIN	$66.95	$103.00	$10.30–$94.76	79% above	35%
Hemoglobin blood test CPT 85018 HB=CSHB HEMOGLOBIN	$78.00	$120.00	$12.00–$110.40	108% above	35%
Hemoglobin blood test CPT 85018 HB=CSHB C-POCT HEMOGLOBIN	$78.00	$120.00	$12.00–$110.40	108% above	35%
Hemoglobin blood test CPT 85018 HB=GALACTOSEMIA CLASSIC PANEL HEMOGLOBIN	$176.15	$271.00	$27.10–$249.32	370% above	35%
Hemoglobin blood test inpatient CPT 85018 HB=HEMOGLOBIN FETAL-PUBS POC	$20.80	$32.00	$4.80–$29.44	—	35%
Hemoglobin blood test inpatient CPT 85018 HB=HEMOGLOBIN	$66.95	$103.00	$15.45–$94.76	—	35%
Hemoglobin blood test inpatient CPT 85018 HB=CSHB HEMOGLOBIN	$78.00	$120.00	$18.00–$110.40	—	35%
Hemoglobin blood test inpatient CPT 85018 HB=CSHB C-POCT HEMOGLOBIN	$78.00	$120.00	$18.00–$110.40	—	35%
Hemoglobin blood test inpatient CPT 85018 HB=GALACTOSEMIA CLASSIC PANEL HEMOGLOBIN	$176.15	$271.00	$40.65–$249.32	—	35%
Hepatitis B core antibody test (total) CPT 86704 HB=CSHB HEP B CORE AB TOT	$22.10	$34.00	$3.40–$31.28	80% below	35%
Hepatitis B core antibody test (total) CPT 86704 HB=HEP B CORE AB,IGG	$52.00	$80.00	$8.00–$73.60	52% below	35%
Hepatitis B core antibody test (total) CPT 86704 HB=HEPATITIS B VIRUS CORE AB TOTAL-ARUP	$55.25	$85.00	$8.50–$78.20	49% below	35%
Hepatitis B core antibody test (total) CPT 86704 HB=HBC TOTAL AB,S	$85.15	$131.00	$13.10–$120.52	22% below	35%
Hepatitis B core antibody test (total) CPT 86704 HB=CSHB HEP B CORE AB TOTAL	$168.96	$259.93	$25.99–$239.14	55% above	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB=CSHB HEP B CORE AB TOT	$22.10	$34.00	$5.10–$31.28	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB=HEP B CORE AB,IGG	$52.00	$80.00	$12.00–$73.60	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB=HEPATITIS B VIRUS CORE AB TOTAL-ARUP	$55.25	$85.00	$12.75–$78.20	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB=HBC TOTAL AB,S	$85.15	$131.00	$19.65–$120.52	—	35%
Hepatitis B core antibody test (total) inpatient CPT 86704 HB=CSHB HEP B CORE AB TOTAL	$168.96	$259.93	$38.99–$239.14	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB=HEP B SURFACE ANTIBODY.	$52.00	$80.00	$8.00–$73.60	45% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB=HEPATITIS B SURFACE AB QUAL/QUANT-MAYO	$59.15	$91.00	$9.10–$83.72	37% below	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB=CSHB HBSAB SOURCE	$116.89	$179.83	$17.98–$165.44	24% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HB=CSHB HEP B SURFACE AB TITER	$128.05	$197.00	$19.70–$181.24	36% above	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB=HEP B SURFACE ANTIBODY.	$52.00	$80.00	$12.00–$73.60	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB=HEPATITIS B SURFACE AB QUAL/QUANT-MAYO	$59.15	$91.00	$13.65–$83.72	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB=CSHB HBSAB SOURCE	$116.89	$179.83	$26.97–$165.44	—	35%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HB=CSHB HEP B SURFACE AB TITER	$128.05	$197.00	$29.55–$181.24	—	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB=CSHB HEP B SURFACE AG	$18.85	$29.00	$2.90–$26.68	82% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB=HEP B SURF AG	$52.00	$80.00	$8.00–$73.60	51% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB=HEP B SURFACE ANTIGEN	$76.70	$118.00	$11.80–$108.56	28% below	35%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HB=CSHB HBS AG	$128.70	$198.00	$19.80–$182.16	21% above	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB=CSHB HEP B SURFACE AG	$18.85	$29.00	$4.35–$26.68	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB=HEP B SURF AG	$52.00	$80.00	$12.00–$73.60	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB=HEP B SURFACE ANTIGEN	$76.70	$118.00	$17.70–$108.56	—	35%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HB=CSHB HBS AG	$128.70	$198.00	$29.70–$182.16	—	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=CSHB HEP C VIRUS AB	$33.80	$52.00	$5.20–$47.84	73% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=HEP C IGG EIA	$52.00	$80.00	$8.00–$73.60	58% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=CSHB HCVAB SCR MCARE HI RISK/OTH COVER INDICATIONS	$114.40	$176.00	$17.60–$161.92	7% below	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=HEP C ANTIBODY	$137.80	$212.00	$21.20–$195.04	12% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=CSHB HEP C AB	$180.70	$278.00	$27.80–$255.76	47% above	35%
Hepatitis C antibody blood test (screening) CPT 86803 HB=CSHB HEP C AB SOURCE	$242.44	$372.98	$37.30–$343.14	97% above	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=CSHB HEP C VIRUS AB	$33.80	$52.00	$7.80–$47.84	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=HEP C IGG EIA	$52.00	$80.00	$12.00–$73.60	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=CSHB HCVAB SCR MCARE HI RISK/OTH COVER INDICATIONS	$114.40	$176.00	$26.40–$161.92	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=HEP C ANTIBODY	$137.80	$212.00	$31.80–$195.04	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=CSHB HEP C AB	$180.70	$278.00	$41.70–$255.76	—	35%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HB=CSHB HEP C AB SOURCE	$242.44	$372.98	$55.95–$343.14	—	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB=CSHB ZZ-HEP C ULTRAQUANT/REFLEX SUB	$231.40	$356.00	$35.60–$327.52	22% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB=CSHB HEPATITIS C RNA PCR QUANTITATIVE	$235.30	$362.00	$36.20–$333.04	21% below	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB=HCV RNA DETECT/QUANT,S	$326.30	$502.00	$50.20–$461.84	10% above	35%
Hepatitis C viral load (HCV RNA) test CPT 87522 HB=HCV BY QUANTITATIVE NAAT-ARUP	$330.85	$509.00	$50.90–$468.28	12% above	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB=CSHB ZZ-HEP C ULTRAQUANT/REFLEX SUB	$231.40	$356.00	$53.40–$327.52	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB=CSHB HEPATITIS C RNA PCR QUANTITATIVE	$235.30	$362.00	$54.30–$333.04	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB=HCV RNA DETECT/QUANT,S	$326.30	$502.00	$75.30–$461.84	—	35%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HB=HCV BY QUANTITATIVE NAAT-ARUP	$330.85	$509.00	$76.35–$468.28	—	35%
Herpes blood test, HSV-1 antibody CPT 86695 HB=HSV TYPE 1 AB, IGG, S	$27.95	$43.00	$4.30–$39.56	64% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HB=CSHB HERPES SIMPLEX VIRUS1 IGG	$40.95	$63.00	$6.30–$57.96	48% below	35%
Herpes blood test, HSV-1 antibody CPT 86695 HB=CSHB HSV TYPE 1 ANTIBODY	$81.90	$126.00	$12.60–$115.92	4% above	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB=HSV TYPE 1 AB, IGG, S	$27.95	$43.00	$6.45–$39.56	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB=CSHB HERPES SIMPLEX VIRUS1 IGG	$40.95	$63.00	$9.45–$57.96	—	35%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HB=CSHB HSV TYPE 1 ANTIBODY	$81.90	$126.00	$18.90–$115.92	—	35%
Herpes blood test, HSV-2 antibody CPT 86696 HB=HSV TYPE 2 AB, IGG,S	$40.95	$63.00	$6.30–$57.96	67% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HB=CSHB HSV TYPE 2 ANTIBODY	$113.75	$175.00	$17.50–$161.00	9% below	35%
Herpes blood test, HSV-2 antibody CPT 86696 HB=CSHB HERPES SIMPLEX VIRUS2 IGG	$165.75	$255.00	$25.50–$234.60	32% above	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB=HSV TYPE 2 AB, IGG,S	$40.95	$63.00	$9.45–$57.96	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB=CSHB HSV TYPE 2 ANTIBODY	$113.75	$175.00	$26.25–$161.00	—	35%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HB=CSHB HERPES SIMPLEX VIRUS2 IGG	$165.75	$255.00	$38.25–$234.60	—	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB=CSHB HSCRP SENDOUT	$41.60	$64.00	$6.40–$58.88	65% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB=CRPHS-(HIGH SENSITIVITY)	$62.40	$96.00	$9.60–$88.32	48% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB=CRP HIGH SENSITIVITY-ARUP	$76.05	$117.00	$11.70–$107.64	37% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB=CRP ULTRA-HIGH SENSITIVITY CTRC	$92.95	$143.00	$14.30–$131.56	23% below	35%
High-sensitivity CRP (hs-CRP) test CPT 86141 HB=CSHB C-REACTIVE PROT HIGH SENS	$119.60	$184.00	$18.40–$169.28	at median	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB=CSHB HSCRP SENDOUT	$41.60	$64.00	$9.60–$58.88	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB=CRPHS-(HIGH SENSITIVITY)	$62.40	$96.00	$14.40–$88.32	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB=CRP HIGH SENSITIVITY-ARUP	$76.05	$117.00	$17.55–$107.64	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB=CRP ULTRA-HIGH SENSITIVITY CTRC	$92.95	$143.00	$21.45–$131.56	—	35%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HB=CSHB C-REACTIVE PROT HIGH SENS	$119.60	$184.00	$27.60–$169.28	—	35%
Homocysteine blood test CPT 83090 HB=CSHB HOMOCYSTEINE TOTAL	$39.00	$60.00	$6.00–$55.20	78% below	35%
Homocysteine blood test CPT 83090 HB=CSHB HOMOCYSTEINE CARDIAC RISK	$93.60	$144.00	$14.40–$132.48	47% below	35%
Homocysteine blood test CPT 83090 HB=HOMOCYSTEINE TOTAL URINE	$147.55	$227.00	$22.70–$208.84	17% below	35%
Homocysteine blood test CPT 83090 HB=HOMOCYSTEINE	$270.40	$416.00	$41.60–$382.72	52% above	35%
Homocysteine blood test inpatient CPT 83090 HB=CSHB HOMOCYSTEINE TOTAL	$39.00	$60.00	$9.00–$55.20	—	35%
Homocysteine blood test inpatient CPT 83090 HB=CSHB HOMOCYSTEINE CARDIAC RISK	$93.60	$144.00	$21.60–$132.48	—	35%
Homocysteine blood test inpatient CPT 83090 HB=HOMOCYSTEINE TOTAL URINE	$147.55	$227.00	$34.05–$208.84	—	35%
Homocysteine blood test inpatient CPT 83090 HB=HOMOCYSTEINE	$270.40	$416.00	$62.40–$382.72	—	35%
Insulin blood test CPT 83525 HB=INSULIN, TOTAL	$51.35	$79.00	$7.90–$72.68	48% below	35%
Insulin blood test CPT 83525 HB=INSULIN LEVEL	$93.60	$144.00	$14.40–$132.48	5% below	35%
Insulin blood test CPT 83525 HB=CSHB INSULIN	$106.60	$164.00	$16.40–$150.88	8% above	35%
Insulin blood test inpatient CPT 83525 HB=INSULIN, TOTAL	$51.35	$79.00	$11.85–$72.68	—	35%
Insulin blood test inpatient CPT 83525 HB=INSULIN LEVEL	$93.60	$144.00	$21.60–$132.48	—	35%
Insulin blood test inpatient CPT 83525 HB=CSHB INSULIN	$106.60	$164.00	$24.60–$150.88	—	35%
Iron blood test (serum iron) CPT 83540 HB=IRON TOTAL SERUM	$59.80	$92.00	$9.20–$84.64	5% below	35%
Iron blood test (serum iron) CPT 83540 HB=CSHB IRON	$120.25	$185.00	$18.50–$170.20	91% above	35%
Iron blood test (serum iron) CPT 83540 HB=CSHB IRON TISSUE	$137.15	$211.00	$21.10–$194.12	118% above	35%
Iron blood test (serum iron) CPT 83540 HB=IRON, LIVER TS	$306.15	$471.00	$47.10–$433.32	386% above	35%
Iron blood test (serum iron) inpatient CPT 83540 HB=IRON TOTAL SERUM	$59.80	$92.00	$13.80–$84.64	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HB=CSHB IRON	$120.25	$185.00	$27.75–$170.20	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HB=CSHB IRON TISSUE	$137.15	$211.00	$31.65–$194.12	—	35%
Iron blood test (serum iron) inpatient CPT 83540 HB=IRON, LIVER TS	$306.15	$471.00	$70.65–$433.32	—	35%
Iron-binding capacity (TIBC) test CPT 83550 HB=IRON BINDING CAPACIT	$76.70	$118.00	$11.80–$108.56	4% below	35%
Iron-binding capacity (TIBC) test inpatient CPT 83550 HB=IRON BINDING CAPACIT	$76.70	$118.00	$17.70–$108.56	—	35%
Kidney function blood test panel CPT 80069 HB=RENAL FUNCTION PANEL.	$103.35	$159.00	$15.90–$146.28	44% below	35%
Kidney function blood test panel CPT 80069 HB=CSHB RENAL FUNCTION PANEL	$157.30	$242.00	$24.20–$222.64	15% below	35%
Kidney function blood test panel inpatient CPT 80069 HB=RENAL FUNCTION PANEL.	$103.35	$159.00	$23.85–$146.28	—	35%
Kidney function blood test panel inpatient CPT 80069 HB=CSHB RENAL FUNCTION PANEL	$157.30	$242.00	$36.30–$222.64	—	35%
LH (luteinizing hormone) test CPT 83002 HB= LUTEINIZING HORMONE (LH) - ARUP	$55.90	$86.00	$8.60–$79.12	64% below	35%
LH (luteinizing hormone) test CPT 83002 HB=CSHB LUTEINIZING HORMONE	$72.15	$111.00	$11.10–$102.12	54% below	35%
LH (luteinizing hormone) test CPT 83002 HB=CSHB LH ESOTERIX	$83.20	$128.00	$12.80–$117.76	47% below	35%
LH (luteinizing hormone) test CPT 83002 HB=CSHB LH (LUTEINIZING H)	$83.20	$128.00	$12.80–$117.76	47% below	35%
LH (luteinizing hormone) test CPT 83002 HB=LUTEINIZING HORMONE,	$85.80	$132.00	$13.20–$121.44	45% below	35%
LH (luteinizing hormone) test CPT 83002 HB=GONADOTROPIN (LH)	$86.45	$133.00	$13.30–$122.36	45% below	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB= LUTEINIZING HORMONE (LH) - ARUP	$55.90	$86.00	$12.90–$79.12	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB=CSHB LUTEINIZING HORMONE	$72.15	$111.00	$16.65–$102.12	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB=CSHB LH ESOTERIX	$83.20	$128.00	$19.20–$117.76	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB=CSHB LH (LUTEINIZING H)	$83.20	$128.00	$19.20–$117.76	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB=LUTEINIZING HORMONE,	$85.80	$132.00	$19.80–$121.44	—	35%
LH (luteinizing hormone) test inpatient CPT 83002 HB=GONADOTROPIN (LH)	$86.45	$133.00	$19.95–$122.36	—	35%
Lactate (lactic acid) blood test CPT 83605 HB=POC - LACTIC ACID	$15.60	$24.00	$2.40–$22.08	87% below	35%
Lactate (lactic acid) blood test CPT 83605 HB=CSHB D-LACTATE PLASMA/URINE/CSF	$22.10	$34.00	$3.40–$31.28	82% below	35%
Lactate (lactic acid) blood test CPT 83605 HB=D-LACTATE, PLASMA	$135.20	$208.00	$20.80–$191.36	11% above	35%
Lactate (lactic acid) blood test CPT 83605 HB=LACTATE(CSF)	$153.40	$236.00	$23.60–$217.12	25% above	35%
Lactate (lactic acid) blood test CPT 83605 HB=LACTATE	$164.45	$253.00	$25.30–$232.76	35% above	35%
Lactate (lactic acid) blood test CPT 83605 HB=CSHB POCT MANUAL LACTATE RALS FAILURE	$192.40	$296.00	$29.60–$272.32	57% above	35%
Lactate (lactic acid) blood test CPT 83605 HB=CSHB POCT LACTATE	$192.40	$296.00	$29.60–$272.32	57% above	35%
Lactate (lactic acid) blood test CPT 83605 HB=CSHB LACTATE	$192.40	$296.00	$29.60–$272.32	57% above	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=POC - LACTIC ACID	$15.60	$24.00	$3.60–$22.08	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=CSHB D-LACTATE PLASMA/URINE/CSF	$22.10	$34.00	$5.10–$31.28	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=D-LACTATE, PLASMA	$135.20	$208.00	$31.20–$191.36	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=LACTATE(CSF)	$153.40	$236.00	$35.40–$217.12	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=LACTATE	$164.45	$253.00	$37.95–$232.76	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=CSHB POCT LACTATE	$192.40	$296.00	$44.40–$272.32	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=CSHB POCT MANUAL LACTATE RALS FAILURE	$192.40	$296.00	$44.40–$272.32	—	35%
Lactate (lactic acid) blood test inpatient CPT 83605 HB=CSHB LACTATE	$192.40	$296.00	$44.40–$272.32	—	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LACTATE DEHYDROGENASE ISO	$24.05	$37.00	$3.70–$34.04	65% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LACTATE DEHYDROGENASE ISOENZYMES S-LDH-ARUP	$38.35	$59.00	$5.90–$54.28	44% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LDH SERUM	$46.80	$72.00	$7.20–$66.24	32% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=CSHB LACTATE DEHYDROGENASE	$60.45	$93.00	$9.30–$85.56	12% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=CSHB LD NON-BLD	$60.45	$93.00	$9.30–$85.56	12% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LDH, TOTAL, BODY FLUID	$62.40	$96.00	$9.60–$88.32	9% below	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LDH, MISC FLUID	$99.45	$153.00	$15.30–$140.76	45% above	35%
Lactate dehydrogenase (LDH) blood test CPT 83615 HB=LACTATE DEHYDROGENAS	$102.05	$157.00	$15.70–$144.44	49% above	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LACTATE DEHYDROGENASE ISO	$24.05	$37.00	$5.55–$34.04	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LACTATE DEHYDROGENASE ISOENZYMES S-LDH-ARUP	$38.35	$59.00	$8.85–$54.28	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LDH SERUM	$46.80	$72.00	$10.80–$66.24	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=CSHB LD NON-BLD	$60.45	$93.00	$13.95–$85.56	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=CSHB LACTATE DEHYDROGENASE	$60.45	$93.00	$13.95–$85.56	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LDH, TOTAL, BODY FLUID	$62.40	$96.00	$14.40–$88.32	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LDH, MISC FLUID	$99.45	$153.00	$22.95–$140.76	—	35%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HB=LACTATE DEHYDROGENAS	$102.05	$157.00	$23.55–$144.44	—	35%
Lipase blood test (pancreas enzyme) CPT 83690 HB=LIPASE, BODY FLUID	$64.35	$99.00	$9.90–$91.08	44% below	35%
Lipase blood test (pancreas enzyme) CPT 83690 HB=CSHB LIPASE	$120.25	$185.00	$18.50–$170.20	4% above	35%
Lipase blood test (pancreas enzyme) CPT 83690 HB=LIPASE,PANCREATIC	$192.40	$296.00	$29.60–$272.32	66% above	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB=LIPASE, BODY FLUID	$64.35	$99.00	$14.85–$91.08	—	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB=CSHB LIPASE	$120.25	$185.00	$27.75–$170.20	—	35%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HB=LIPASE,PANCREATIC	$192.40	$296.00	$44.40–$272.32	—	35%
Liver function blood test panel CPT 80076 HB=HEPATIC FUNCTION PAN	$63.05	$97.00	$9.70–$89.24	71% below	35%
Liver function blood test panel CPT 80076 HB=CSHB HEPATIC FUNCTION PANEL A	$156.00	$240.00	$24.00–$220.80	29% below	35%
Liver function blood test panel CPT 80076 HB=CSHB POCT LIVER FUNCTION PANEL	$156.00	$240.00	$24.00–$220.80	29% below	35%
Liver function blood test panel inpatient CPT 80076 HB=HEPATIC FUNCTION PAN	$63.05	$97.00	$14.55–$89.24	—	35%
Liver function blood test panel inpatient CPT 80076 HB=CSHB POCT LIVER FUNCTION PANEL	$156.00	$240.00	$36.00–$220.80	—	35%
Liver function blood test panel inpatient CPT 80076 HB=CSHB HEPATIC FUNCTION PANEL A	$156.00	$240.00	$36.00–$220.80	—	35%
Lyme disease antibody test CPT 86618 HB=LYME DISEASE EUROPEAN AB SCREEN	$68.25	$105.00	$10.50–$96.60	53% below	35%
Lyme disease antibody test CPT 86618 HB=LYME DISEASE SERIOLOGY, S	$68.90	$106.00	$10.60–$97.52	53% below	35%
Lyme disease antibody test CPT 86618 HB=LYME AB MODIFIED 2-TIER W/REFLEX S-MAYO	$68.90	$106.00	$10.60–$97.52	53% below	35%
Lyme disease antibody test CPT 86618 HB=LYME CNS IGG WITH AI REFLEX	$111.80	$172.00	$17.20–$158.24	24% below	35%
Lyme disease antibody test CPT 86618 HB=CSHB BORELLIA BURGDORFERI AB	$137.80	$212.00	$21.20–$195.04	6% below	35%
Lyme disease antibody test CPT 86618 HB=LYME STANDARD 2-TIER 1ST TIER-ARUP	$139.10	$214.00	$21.40–$196.88	5% below	35%
Lyme disease antibody test CPT 86618 HB=LYME SEROLOGY (ELISA)	$319.15	$491.00	$49.10–$451.72	118% above	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME DISEASE EUROPEAN AB SCREEN	$68.25	$105.00	$15.75–$96.60	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME DISEASE SERIOLOGY, S	$68.90	$106.00	$15.90–$97.52	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME AB MODIFIED 2-TIER W/REFLEX S-MAYO	$68.90	$106.00	$15.90–$97.52	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME CNS IGG WITH AI REFLEX	$111.80	$172.00	$25.80–$158.24	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=CSHB BORELLIA BURGDORFERI AB	$137.80	$212.00	$31.80–$195.04	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME STANDARD 2-TIER 1ST TIER-ARUP	$139.10	$214.00	$32.10–$196.88	—	35%
Lyme disease antibody test inpatient CPT 86618 HB=LYME SEROLOGY (ELISA)	$319.15	$491.00	$73.65–$451.72	—	35%
Magnesium blood test CPT 83735 HB=CSHB MAGNESIUM LVL 24HR URINE	$33.80	$52.00	$5.20–$47.84	43% below	35%
Magnesium blood test CPT 83735 HB=CSHB MAGNESIUM RBC	$33.80	$52.00	$5.20–$47.84	43% below	35%
Magnesium blood test CPT 83735 HB=CSHB MG FECES	$33.80	$52.00	$5.20–$47.84	43% below	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM SERUM	$80.60	$124.00	$12.40–$114.08	36% above	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM,URINE,RAND	$93.60	$144.00	$14.40–$132.48	58% above	35%
Magnesium blood test CPT 83735 HB=CSHB MAGNESIUM	$101.40	$156.00	$15.60–$143.52	72% above	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM RBC-ARUP	$105.95	$163.00	$16.30–$149.96	79% above	35%
Magnesium blood test CPT 83735 HB=CSHB MAGNESIUM URINE	$116.20	$178.76	$17.88–$164.46	97% above	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM, FECAL	$118.30	$182.00	$18.20–$167.44	100% above	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM/CREATININE RATIO RANDOM U-MAGNESIUM	$140.40	$216.00	$21.60–$198.72	138% above	35%
Magnesium blood test CPT 83735 HB=MAGNESIUM TOTAL BLOOD	$143.00	$220.00	$22.00–$202.40	142% above	35%
Magnesium blood test CPT 83735 HB=PROPRANOLOL SCREEN BLOOD	$179.40	$276.00	$27.60–$253.92	204% above	35%
Magnesium blood test CPT 83735 HB=PROPRANOLOL SCREEN BLOOD-REFLEX	$179.40	$276.00	$27.60–$253.92	204% above	35%
Magnesium blood test CPT 83735 HB=CATHARTIC LAXATIVES PROFILE (MG), FECES	$228.80	$352.00	$35.20–$323.84	287% above	35%
Magnesium blood test inpatient CPT 83735 HB=CSHB MAGNESIUM RBC	$33.80	$52.00	$7.80–$47.84	—	35%
Magnesium blood test inpatient CPT 83735 HB=CSHB MG FECES	$33.80	$52.00	$7.80–$47.84	—	35%
Magnesium blood test inpatient CPT 83735 HB=CSHB MAGNESIUM LVL 24HR URINE	$33.80	$52.00	$7.80–$47.84	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM SERUM	$80.60	$124.00	$18.60–$114.08	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM,URINE,RAND	$93.60	$144.00	$21.60–$132.48	—	35%
Magnesium blood test inpatient CPT 83735 HB=CSHB MAGNESIUM	$101.40	$156.00	$23.40–$143.52	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM RBC-ARUP	$105.95	$163.00	$24.45–$149.96	—	35%
Magnesium blood test inpatient CPT 83735 HB=CSHB MAGNESIUM URINE	$116.20	$178.76	$26.81–$164.46	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM, FECAL	$118.30	$182.00	$27.30–$167.44	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM/CREATININE RATIO RANDOM U-MAGNESIUM	$140.40	$216.00	$32.40–$198.72	—	35%
Magnesium blood test inpatient CPT 83735 HB=MAGNESIUM TOTAL BLOOD	$143.00	$220.00	$33.00–$202.40	—	35%
Magnesium blood test inpatient CPT 83735 HB=PROPRANOLOL SCREEN BLOOD	$179.40	$276.00	$41.40–$253.92	—	35%
Magnesium blood test inpatient CPT 83735 HB=PROPRANOLOL SCREEN BLOOD-REFLEX	$179.40	$276.00	$41.40–$253.92	—	35%
Magnesium blood test inpatient CPT 83735 HB=CATHARTIC LAXATIVES PROFILE (MG), FECES	$228.80	$352.00	$52.80–$323.84	—	35%
Measles (rubeola) antibody test CPT 86765 HB=MMRV IMMUNE STATUS PROFILE S-AB RUBEOLA	$37.05	$57.00	$5.70–$52.44	67% below	35%
Measles (rubeola) antibody test CPT 86765 HB=CSHB RUBEOLA IGG OR IGM	$37.70	$58.00	$5.80–$53.36	66% below	35%
Measles (rubeola) antibody test CPT 86765 HB=LIAISON MEASLES IGG	$39.65	$61.00	$6.10–$56.12	64% below	35%
Measles (rubeola) antibody test CPT 86765 HB=MEASLES (RUBELOA) ABS IGG/IGM-ARUP	$41.60	$64.00	$6.40–$58.88	63% below	35%
Measles (rubeola) antibody test CPT 86765 HB=CSHB RUBEOLA IGG OR IGM.	$59.80	$92.00	$9.20–$84.64	46% below	35%
Measles (rubeola) antibody test CPT 86765 HB=RUBEOLA IGM	$60.45	$93.00	$9.30–$85.56	46% below	35%
Measles (rubeola) antibody test CPT 86765 HB=RUBEOLA IGG	$60.45	$93.00	$9.30–$85.56	46% below	35%
Measles (rubeola) antibody test CPT 86765 HB=MEASLES ANTIBODY (RUBEOLA) IGM	$211.90	$326.00	$32.60–$299.92	90% above	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=MMRV IMMUNE STATUS PROFILE S-AB RUBEOLA	$37.05	$57.00	$8.55–$52.44	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=CSHB RUBEOLA IGG OR IGM	$37.70	$58.00	$8.70–$53.36	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=LIAISON MEASLES IGG	$39.65	$61.00	$9.15–$56.12	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=MEASLES (RUBELOA) ABS IGG/IGM-ARUP	$41.60	$64.00	$9.60–$58.88	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=CSHB RUBEOLA IGG OR IGM.	$59.80	$92.00	$13.80–$84.64	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=RUBEOLA IGG	$60.45	$93.00	$13.95–$85.56	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=RUBEOLA IGM	$60.45	$93.00	$13.95–$85.56	—	35%
Measles (rubeola) antibody test inpatient CPT 86765 HB=MEASLES ANTIBODY (RUBEOLA) IGM	$211.90	$326.00	$48.90–$299.92	—	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HB=HETEROPHILE AB (MONO	$61.75	$95.00	$9.50–$87.40	26% below	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HB=CSHB POCT MONO SCREEN	$97.50	$150.00	$15.00–$138.00	17% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HB=CSHB POCT MONOSPOT	$97.50	$150.00	$15.00–$138.00	17% above	35%
Mono test (heterophile antibody, Monospot) CPT 86308 HB=CSHB HETEROPHILE AB SCREEN	$97.50	$150.00	$15.00–$138.00	17% above	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB=HETEROPHILE AB (MONO	$61.75	$95.00	$14.25–$87.40	—	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB=CSHB POCT MONO SCREEN	$97.50	$150.00	$22.50–$138.00	—	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB=CSHB POCT MONOSPOT	$97.50	$150.00	$22.50–$138.00	—	35%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HB=CSHB HETEROPHILE AB SCREEN	$97.50	$150.00	$22.50–$138.00	—	35%
Mumps immunity blood test CPT 86735 HB=CSHB MUMPS ANTIBODY IGG AND/OR IGM	$33.15	$51.00	$5.10–$46.92	70% below	35%
Mumps immunity blood test CPT 86735 HB=LIAISON MUMPS IGG	$38.35	$59.00	$5.90–$54.28	65% below	35%
Mumps immunity blood test CPT 86735 HB=MMRV IMMUNE STATUS PROFILE S-AB MUMPS	$40.30	$62.00	$6.20–$57.04	63% below	35%
Mumps immunity blood test CPT 86735 HB=MUMPS VIRUS AB	$42.25	$65.00	$6.50–$59.80	62% below	35%
Mumps immunity blood test CPT 86735 HB=MUMPS VIRUS AB IGG-ARUP	$55.90	$86.00	$8.60–$79.12	49% below	35%
Mumps immunity blood test CPT 86735 HB=MUMPS AB IGG	$69.55	$107.00	$10.70–$98.44	37% below	35%
Mumps immunity blood test CPT 86735 HB=CSHB MUMPS IGG	$155.35	$239.00	$23.90–$219.88	41% above	35%
Mumps immunity blood test inpatient CPT 86735 HB=CSHB MUMPS ANTIBODY IGG AND/OR IGM	$33.15	$51.00	$7.65–$46.92	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=LIAISON MUMPS IGG	$38.35	$59.00	$8.85–$54.28	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=MMRV IMMUNE STATUS PROFILE S-AB MUMPS	$40.30	$62.00	$9.30–$57.04	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=MUMPS VIRUS AB	$42.25	$65.00	$9.75–$59.80	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=MUMPS VIRUS AB IGG-ARUP	$55.90	$86.00	$12.90–$79.12	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=MUMPS AB IGG	$69.55	$107.00	$16.05–$98.44	—	35%
Mumps immunity blood test inpatient CPT 86735 HB=CSHB MUMPS IGG	$155.35	$239.00	$35.85–$219.88	—	35%
Obstetric blood test panel CPT 80055 HB=CSHB OBSTETRIC PANEL	$132.60	$204.00	$20.40–$187.68	68% below	35%
Obstetric blood test panel inpatient CPT 80055 HB=CSHB OBSTETRIC PANEL	$132.60	$204.00	$30.60–$187.68	—	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB=FREE PSA	$39.65	$61.00	$6.10–$56.12	74% below	35%
PSA (prostate-specific antigen) blood test, free CPT 84154 HB=CSHB L-PSA FREE	$68.25	$105.00	$10.50–$96.60	56% below	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB=FREE PSA	$39.65	$61.00	$9.15–$56.12	—	35%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HB=CSHB L-PSA FREE	$68.25	$105.00	$15.75–$96.60	—	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB=TOTAL PSA	$39.65	$61.00	$6.10–$56.12	75% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB=CSHB L-PSA TOTAL	$68.25	$105.00	$10.50–$96.60	57% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB=PROSTATE-SPECIFIC AG, (PSA), S	$72.80	$112.00	$11.20–$103.04	54% below	35%
PSA (prostate-specific antigen) blood test, total CPT 84153 HB=CSHB PSA TOTAL DX	$101.40	$156.00	$15.60–$143.52	36% below	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=TOTAL PSA	$39.65	$61.00	$9.15–$56.12	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=CSHB L-PSA TOTAL	$68.25	$105.00	$15.75–$96.60	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=PROSTATE-SPECIFIC AG, (PSA), S	$72.80	$112.00	$16.80–$103.04	—	35%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HB=CSHB PSA TOTAL DX	$101.40	$156.00	$23.40–$143.52	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB=CYTOLOGY C/VAG THIN LAYER MANUAL SCN THINPREP	$103.35	$159.00	$15.90–$146.28	32% below	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB=THINPREP DIAGNOSTIC	$119.08	$183.20	$18.32–$168.54	22% below	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB=THINPREP SCREEN	$119.08	$183.20	$18.32–$168.54	22% below	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB=CSHB CYTOLOGY THINPREP PAP	$159.84	$245.90	$24.59–$226.23	5% above	35%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HB=CYTOPATHOLOGY, AUTO	$164.45	$253.00	$25.30–$232.76	8% above	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB=CYTOLOGY C/VAG THIN LAYER MANUAL SCN THINPREP	$103.35	$159.00	$23.85–$146.28	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB=THINPREP SCREEN	$119.08	$183.20	$27.48–$168.54	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB=THINPREP DIAGNOSTIC	$119.08	$183.20	$27.48–$168.54	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB=CSHB CYTOLOGY THINPREP PAP	$159.84	$245.90	$36.89–$226.23	—	35%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HB=CYTOPATHOLOGY, AUTO	$164.45	$253.00	$37.95–$232.76	—	35%
Parathyroid hormone (PTH) blood test CPT 83970 HB=TOTAL PTH	$187.20	$288.00	$28.80–$264.96	29% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 HB=CAP PTH	$187.20	$288.00	$28.80–$264.96	29% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 HB=INTACT PTH	$193.05	$297.00	$29.70–$273.24	26% below	35%
Parathyroid hormone (PTH) blood test CPT 83970 HB=CSHB PTH	$222.30	$342.00	$34.20–$314.64	15% below	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB=TOTAL PTH	$187.20	$288.00	$43.20–$264.96	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB=CAP PTH	$187.20	$288.00	$43.20–$264.96	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB=INTACT PTH	$193.05	$297.00	$44.55–$273.24	—	35%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HB=CSHB PTH	$222.30	$342.00	$51.30–$314.64	—	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB THROMBOPLASTIN TIME PARTIAL SENDOUT	$28.60	$44.00	$4.40–$40.48	56% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB SILICA CLITTING TIME SCREEN	$64.51	$99.24	$9.92–$91.30	1% below	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB=PARTIAL THROMBO (PTT	$118.30	$182.00	$18.20–$167.44	81% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB=CSHB PTT ACTIVATED	$120.25	$185.00	$18.50–$170.20	84% above	35%
Partial thromboplastin time (PTT) clotting test CPT 85730 HB=ACTIVATED PARTIAL THROMBOPLASTIN TIME PLASMA	$188.50	$290.00	$29.00–$266.80	188% above	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB THROMBOPLASTIN TIME PARTIAL SENDOUT	$28.60	$44.00	$6.60–$40.48	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB SILICA CLITTING TIME SCREEN	$64.51	$99.24	$14.89–$91.30	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=PARTIAL THROMBO (PTT	$118.30	$182.00	$27.30–$167.44	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=CSHB PTT ACTIVATED	$120.25	$185.00	$27.75–$170.20	—	35%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HB=ACTIVATED PARTIAL THROMBOPLASTIN TIME PLASMA	$188.50	$290.00	$43.50–$266.80	—	35%
Phosphorus (phosphate) blood test CPT 84100 HB=PHOSPHORUS SERUM INO	$24.05	$37.00	$3.70–$34.04	60% below	35%
Phosphorus (phosphate) blood test CPT 84100 HB=CSHB PHOSPHORUS	$74.10	$114.00	$11.40–$104.88	25% above	35%
Phosphorus (phosphate) blood test CPT 84100 HB=PHOSPHORUS, FECAL	$83.85	$129.00	$12.90–$118.68	41% above	35%
Phosphorus (phosphate) blood test CPT 84100 HB=CATHARTIC LAXATIVES PROFILE (PHOS), FECES	$161.85	$249.00	$24.90–$229.08	172% above	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB=PHOSPHORUS SERUM INO	$24.05	$37.00	$5.55–$34.04	—	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB=CSHB PHOSPHORUS	$74.10	$114.00	$17.10–$104.88	—	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB=PHOSPHORUS, FECAL	$83.85	$129.00	$19.35–$118.68	—	35%
Phosphorus (phosphate) blood test inpatient CPT 84100 HB=CATHARTIC LAXATIVES PROFILE (PHOS), FECES	$161.85	$249.00	$37.35–$229.08	—	35%
Potassium blood test CPT 84132 HB=POTASSIUM, SERUM	$18.85	$29.00	$2.90–$26.68	70% below	35%
Potassium blood test CPT 84132 HB=POTASSIUM (ISTAT)	$18.85	$29.00	$2.90–$26.68	70% below	35%
Potassium blood test CPT 84132 HB=CSHB POCT MANUAL POTASSIUM RALS FAILURE	$86.45	$133.00	$13.30–$122.36	39% above	35%
Potassium blood test CPT 84132 HB=CSHB POCT POTASSIUM	$86.45	$133.00	$13.30–$122.36	39% above	35%
Potassium blood test CPT 84132 HB=CSHB POTASSIUM WHOLE BLOOD	$86.45	$133.00	$13.30–$122.36	39% above	35%
Potassium blood test CPT 84132 HB=CSHB POTASSIUM	$86.45	$133.00	$13.30–$122.36	39% above	35%
Potassium blood test inpatient CPT 84132 HB=POTASSIUM, SERUM	$18.85	$29.00	$4.35–$26.68	—	35%
Potassium blood test inpatient CPT 84132 HB=POTASSIUM (ISTAT)	$18.85	$29.00	$4.35–$26.68	—	35%
Potassium blood test inpatient CPT 84132 HB=CSHB POCT MANUAL POTASSIUM RALS FAILURE	$86.45	$133.00	$19.95–$122.36	—	35%
Potassium blood test inpatient CPT 84132 HB=CSHB POTASSIUM WHOLE BLOOD	$86.45	$133.00	$19.95–$122.36	—	35%
Potassium blood test inpatient CPT 84132 HB=CSHB POTASSIUM	$86.45	$133.00	$19.95–$122.36	—	35%
Potassium blood test inpatient CPT 84132 HB=CSHB POCT POTASSIUM	$86.45	$133.00	$19.95–$122.36	—	35%
Progesterone blood test CPT 84144 HB=CAH6 PROGESTERONE	$118.30	$182.00	$18.20–$167.44	26% below	35%
Progesterone blood test CPT 84144 HB=CSHB PROGESTERONE	$118.30	$182.00	$18.20–$167.44	26% below	35%
Progesterone blood test CPT 84144 HB=PROGESTERONE,SERUM	$122.20	$188.00	$18.80–$172.96	23% below	35%
Progesterone blood test inpatient CPT 84144 HB=CSHB PROGESTERONE	$118.30	$182.00	$27.30–$167.44	—	35%
Progesterone blood test inpatient CPT 84144 HB=CAH6 PROGESTERONE	$118.30	$182.00	$27.30–$167.44	—	35%
Progesterone blood test inpatient CPT 84144 HB=PROGESTERONE,SERUM	$122.20	$188.00	$28.20–$172.96	—	35%
Prolactin blood test CPT 84146 HB=PROLACTIN DILUTION STUDY	$63.70	$98.00	$9.80–$90.16	62% below	35%
Prolactin blood test CPT 84146 HB=PROLACTIN	$78.00	$120.00	$12.00–$110.40	53% below	35%
Prolactin blood test CPT 84146 HB=PROLACTIN, SERUM	$109.85	$169.00	$16.90–$155.48	34% below	35%
Prolactin blood test CPT 84146 HB=CSHB PROLACTIN	$139.10	$214.00	$21.40–$196.88	17% below	35%
Prolactin blood test inpatient CPT 84146 HB=PROLACTIN DILUTION STUDY	$63.70	$98.00	$14.70–$90.16	—	35%
Prolactin blood test inpatient CPT 84146 HB=PROLACTIN	$78.00	$120.00	$18.00–$110.40	—	35%
Prolactin blood test inpatient CPT 84146 HB=PROLACTIN, SERUM	$109.85	$169.00	$25.35–$155.48	—	35%
Prolactin blood test inpatient CPT 84146 HB=CSHB PROLACTIN	$139.10	$214.00	$32.10–$196.88	—	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB PROTHROMBIN TIME SENDOUT	$30.55	$47.00	$4.70–$43.24	35% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=PT MIXING PROTHROMBIN TIME	$44.85	$69.00	$6.90–$63.48	5% below	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=PROTHROMBIN TIME.	$76.70	$118.00	$11.80–$108.56	63% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB POCT PT/INR	$100.75	$155.00	$15.50–$142.60	114% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=CSHB PROTHROMBIN TIME INR	$100.75	$155.00	$15.50–$142.60	114% above	35%
Prothrombin time (PT/INR) clotting test CPT 85610 HB=PROTHROMBIN TIME (PT) PLASMA	$102.05	$157.00	$15.70–$144.44	117% above	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB PROTHROMBIN TIME SENDOUT	$30.55	$47.00	$7.05–$43.24	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PT MIXING PROTHROMBIN TIME	$44.85	$69.00	$10.35–$63.48	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PROTHROMBIN TIME.	$76.70	$118.00	$17.70–$108.56	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB POCT PT/INR	$100.75	$155.00	$23.25–$142.60	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=CSHB PROTHROMBIN TIME INR	$100.75	$155.00	$23.25–$142.60	—	35%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HB=PROTHROMBIN TIME (PT) PLASMA	$102.05	$157.00	$23.55–$144.44	—	35%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 HB=CSHB POCT US MULTI DRUG TEST	$65.65	$101.00	$10.10–$92.92	at median	35%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 HB=CSHB POCT US MULTI DRUG TEST	$65.65	$101.00	$15.15–$92.92	—	35%
Rapid flu test (influenza antigen) CPT 87804 HB=CSHB C-POCT INFLUENZA B	$59.15	$91.00	$9.10–$83.72	51% below	35%
Rapid flu test (influenza antigen) CPT 87804 HB=CSHB POCT INFLUENZA A&B RPD TST	$59.15	$91.00	$9.10–$83.72	51% below	35%
Rapid flu test (influenza antigen) CPT 87804 HB=CSHB POCT RAPID INFLUENZA.	$59.15	$91.00	$9.10–$83.72	51% below	35%
Rapid flu test (influenza antigen) CPT 87804 HB=CSHB C-POCT INFLUENZA A	$59.15	$91.00	$9.10–$83.72	51% below	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB=CSHB C-POCT INFLUENZA B	$59.15	$91.00	$13.65–$83.72	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB=CSHB POCT RAPID INFLUENZA.	$59.15	$91.00	$13.65–$83.72	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB=CSHB POCT INFLUENZA A&B RPD TST	$59.15	$91.00	$13.65–$83.72	—	35%
Rapid flu test (influenza antigen) inpatient CPT 87804 HB=CSHB C-POCT INFLUENZA A	$59.15	$91.00	$13.65–$83.72	—	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=RAPID STREP POCT	$48.10	$74.00	$7.40–$68.08	66% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=CSHB BETA STREP SCREEN	$83.20	$128.00	$12.80–$117.76	41% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=CSHB POCT BETA STREP SCREEN	$83.20	$128.00	$12.80–$117.76	41% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=CSHB RAPID STREP ANTIGEN	$83.20	$128.00	$12.80–$117.76	41% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=CSHB POCT RAPID STREP	$83.20	$128.00	$12.80–$117.76	41% below	35%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HB=CSHB POCT RAPID STREP SCREEN	$83.20	$128.00	$12.80–$117.76	41% below	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=RAPID STREP POCT	$48.10	$74.00	$11.10–$68.08	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=CSHB RAPID STREP ANTIGEN	$83.20	$128.00	$19.20–$117.76	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=CSHB POCT BETA STREP SCREEN	$83.20	$128.00	$19.20–$117.76	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=CSHB BETA STREP SCREEN	$83.20	$128.00	$19.20–$117.76	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=CSHB POCT RAPID STREP SCREEN	$83.20	$128.00	$19.20–$117.76	—	35%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HB=CSHB POCT RAPID STREP	$83.20	$128.00	$19.20–$117.76	—	35%
Renin blood test CPT 84244 HB=RENIN ACTIVITY PLASM	$122.20	$188.00	$18.80–$172.96	35% below	35%
Renin blood test CPT 84244 HB=CSHB C-RENIN	$128.05	$197.00	$19.70–$181.24	32% below	35%
Renin blood test CPT 84244 HB=CSHB RENIN ACTIVITY PLASMA	$128.05	$197.00	$19.70–$181.24	32% below	35%
Renin blood test inpatient CPT 84244 HB=RENIN ACTIVITY PLASM	$122.20	$188.00	$28.20–$172.96	—	35%
Renin blood test inpatient CPT 84244 HB=CSHB C-RENIN	$128.05	$197.00	$29.55–$181.24	—	35%
Renin blood test inpatient CPT 84244 HB=CSHB RENIN ACTIVITY PLASMA	$128.05	$197.00	$29.55–$181.24	—	35%
Rh blood typing CPT 86901 HB=VITALANT RH(D) TYPING	$9.10	$14.00	$1.40–$12.88	86% below	35%
Rh blood typing CPT 86901 HB=CSHB C-BLOOD TYPING RH (D)	$83.20	$128.00	$12.80–$117.76	25% above	35%
Rh blood typing CPT 86901 HB=CSHB RH TYPE	$83.20	$128.00	$12.80–$117.76	25% above	35%
Rh blood typing CPT 86901 HB=ARC RH(D)TYPE	$89.05	$137.00	$13.70–$126.04	34% above	35%
Rh blood typing CPT 86901 HB=BLOOD TYPING, RH	$100.75	$155.00	$15.50–$142.60	52% above	35%
Rh blood typing CPT 86901 HB=CSHB BLOOD TYPING-RH	$271.70	$418.00	$41.80–$384.56	310% above	35%
Rh blood typing inpatient CPT 86901 HB=VITALANT RH(D) TYPING	$9.10	$14.00	$2.10–$12.88	—	35%
Rh blood typing inpatient CPT 86901 HB=CSHB C-BLOOD TYPING RH (D)	$83.20	$128.00	$19.20–$117.76	—	35%
Rh blood typing inpatient CPT 86901 HB=CSHB RH TYPE	$83.20	$128.00	$19.20–$117.76	—	35%
Rh blood typing inpatient CPT 86901 HB=ARC RH(D)TYPE	$89.05	$137.00	$20.55–$126.04	—	35%
Rh blood typing inpatient CPT 86901 HB=BLOOD TYPING, RH	$100.75	$155.00	$23.25–$142.60	—	35%
Rh blood typing inpatient CPT 86901 HB=CSHB BLOOD TYPING-RH	$271.70	$418.00	$62.70–$384.56	—	35%
Rheumatoid factor (RF) test CPT 86431 HB=RHEUMATOID FACTOR, SERUM	$39.00	$60.00	$6.00–$55.20	26% below	35%
Rheumatoid factor (RF) test CPT 86431 HB=CSHB RHEUMATOID FACTOR,QUANT	$55.90	$86.00	$8.60–$79.12	5% above	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HB=RHEUMATOID FACTOR, SERUM	$39.00	$60.00	$9.00–$55.20	—	35%
Rheumatoid factor (RF) test inpatient CPT 86431 HB=CSHB RHEUMATOID FACTOR,QUANT	$55.90	$86.00	$12.90–$79.12	—	35%
Rubella antibody test (immunity check) CPT 86762 HB=CSHB RUBELLA IGG OR IGM	$23.40	$36.00	$3.60–$33.12	78% below	35%
Rubella antibody test (immunity check) CPT 86762 HB=LIAISON RUBELLA IGG	$40.30	$62.00	$6.20–$57.04	62% below	35%
Rubella antibody test (immunity check) CPT 86762 HB=MMRV IMMUNE STATUS PROFILE S-AB RUBELLA	$48.10	$74.00	$7.40–$68.08	55% below	35%
Rubella antibody test (immunity check) CPT 86762 HB=RUBELLA IGM-ELISA REFLEX TEST	$55.25	$85.00	$8.50–$78.20	48% below	35%
Rubella antibody test (immunity check) CPT 86762 HB=CSHB RUBELLA ANTIBODY	$99.45	$153.00	$15.30–$140.76	7% below	35%
Rubella antibody test (immunity check) CPT 86762 HB=RUBELLA AB, IGG,S	$148.20	$228.00	$22.80–$209.76	38% above	35%
Rubella antibody test (immunity check) CPT 86762 HB=RUBELLA AB IGG S (UCHSC)	$161.85	$249.00	$24.90–$229.08	51% above	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=CSHB RUBELLA IGG OR IGM	$23.40	$36.00	$5.40–$33.12	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=LIAISON RUBELLA IGG	$40.30	$62.00	$9.30–$57.04	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=MMRV IMMUNE STATUS PROFILE S-AB RUBELLA	$48.10	$74.00	$11.10–$68.08	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=RUBELLA IGM-ELISA REFLEX TEST	$55.25	$85.00	$12.75–$78.20	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=CSHB RUBELLA ANTIBODY	$99.45	$153.00	$22.95–$140.76	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=RUBELLA AB, IGG,S	$148.20	$228.00	$34.20–$209.76	—	35%
Rubella antibody test (immunity check) inpatient CPT 86762 HB=RUBELLA AB IGG S (UCHSC)	$161.85	$249.00	$37.35–$229.08	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB=SEDIMENTATION RATE	$59.80	$92.00	$9.20–$84.64	3% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HB=CSHB SEDIMENTATION RATE, AUTOMATED	$59.80	$92.00	$9.20–$84.64	3% above	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB=SEDIMENTATION RATE	$59.80	$92.00	$13.80–$84.64	—	35%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HB=CSHB SEDIMENTATION RATE, AUTOMATED	$59.80	$92.00	$13.80–$84.64	—	35%
Sodium blood test CPT 84295 HB=SODIUM, SERUM	$16.90	$26.00	$2.60–$23.92	72% below	35%
Sodium blood test CPT 84295 HB=SODIUM (ISTAT)	$18.85	$29.00	$2.90–$26.68	68% below	35%
Sodium blood test CPT 84295 HB=CSHB POCT MANUAL SODIUM RALS FAILURE	$89.70	$138.00	$13.80–$126.96	50% above	35%
Sodium blood test CPT 84295 HB=CSHB SODIUM WHOLE BLOOD	$89.70	$138.00	$13.80–$126.96	50% above	35%
Sodium blood test CPT 84295 HB=CSHB SODIUM	$89.70	$138.00	$13.80–$126.96	50% above	35%
Sodium blood test CPT 84295 HB=CSHB POCT SODIUM	$89.70	$138.00	$13.80–$126.96	50% above	35%
Sodium blood test inpatient CPT 84295 HB=SODIUM, SERUM	$16.90	$26.00	$3.90–$23.92	—	35%
Sodium blood test inpatient CPT 84295 HB=SODIUM (ISTAT)	$18.85	$29.00	$4.35–$26.68	—	35%
Sodium blood test inpatient CPT 84295 HB=CSHB SODIUM WHOLE BLOOD	$89.70	$138.00	$20.70–$126.96	—	35%
Sodium blood test inpatient CPT 84295 HB=CSHB POCT SODIUM	$89.70	$138.00	$20.70–$126.96	—	35%
Sodium blood test inpatient CPT 84295 HB=CSHB SODIUM	$89.70	$138.00	$20.70–$126.96	—	35%
Sodium blood test inpatient CPT 84295 HB=CSHB POCT MANUAL SODIUM RALS FAILURE	$89.70	$138.00	$20.70–$126.96	—	35%
Stool ova and parasites exam CPT 87177 HB=OVA AND PARASITE FECAL CONCENTRATION IDENTIFICATION-ARUP	$52.00	$80.00	$8.00–$73.60	42% below	35%
Stool ova and parasites exam CPT 87177 HB=PARASITIC EXAM, FECAL, OAP SMEARS	$64.35	$99.00	$9.90–$91.08	28% below	35%
Stool ova and parasites exam CPT 87177 HB=CSHB OVA AND PARASITE EXAM	$75.40	$116.00	$11.60–$106.72	16% below	35%
Stool ova and parasites exam CPT 87177 HB=CSHB O & P DIRECT CONC ID	$97.50	$150.00	$15.00–$138.00	9% above	35%
Stool ova and parasites exam inpatient CPT 87177 HB=OVA AND PARASITE FECAL CONCENTRATION IDENTIFICATION-ARUP	$52.00	$80.00	$12.00–$73.60	—	35%
Stool ova and parasites exam inpatient CPT 87177 HB=PARASITIC EXAM, FECAL, OAP SMEARS	$64.35	$99.00	$14.85–$91.08	—	35%
Stool ova and parasites exam inpatient CPT 87177 HB=CSHB OVA AND PARASITE EXAM	$75.40	$116.00	$17.40–$106.72	—	35%
Stool ova and parasites exam inpatient CPT 87177 HB=CSHB O & P DIRECT CONC ID	$97.50	$150.00	$22.50–$138.00	—	35%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HB=CSHB POCT BLOOD OCCULT - GUAIAC	$25.35	$39.00	$3.90–$35.88	33% below	35%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HB=CSHB POCT BLOOD OCCULT - GUAIAC	$25.35	$39.00	$5.85–$35.88	—	35%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HB=CSHB BLOOD OCCULT FECAL HGB IMMUNOASSAY	$34.45	$53.00	$5.30–$48.76	64% below	35%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HB=CSHB BLOOD OCCULT FECAL HGB IMMUNOASSAY	$34.45	$53.00	$7.95–$48.76	—	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=CSHB TREPONEMA PALLIDUM ANTIBODY	$39.65	$61.00	$6.10–$56.12	45% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=FTA ABS	$58.50	$90.00	$9.00–$82.80	19% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=MHA-TP MICRO ASSAY/TREP PALLIDUM	$64.35	$99.00	$9.90–$91.08	11% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=SYPHILIS IGG W/REFLEX EIA S	$66.95	$103.00	$10.30–$94.76	8% below	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=CSHB TREPONEMA PALLIDUM ANTOBODY IGM	$82.70	$127.23	$12.72–$117.05	14% above	35%
Syphilis antibody test (Treponema pallidum) CPT 86780 HB=CSHB TREPONEMA PALLIDUM AB	$94.25	$145.00	$14.50–$133.40	30% above	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=CSHB TREPONEMA PALLIDUM ANTIBODY	$39.65	$61.00	$9.15–$56.12	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=FTA ABS	$58.50	$90.00	$13.50–$82.80	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=MHA-TP MICRO ASSAY/TREP PALLIDUM	$64.35	$99.00	$14.85–$91.08	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=SYPHILIS IGG W/REFLEX EIA S	$66.95	$103.00	$15.45–$94.76	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=CSHB TREPONEMA PALLIDUM ANTOBODY IGM	$82.70	$127.23	$19.08–$117.05	—	35%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HB=CSHB TREPONEMA PALLIDUM AB	$94.25	$145.00	$21.75–$133.40	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=CSHB RPR.	$15.60	$24.00	$2.40–$22.08	75% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=CSHB RPR SERUM OR VDRL CSF QUALITATIVE	$15.60	$24.00	$2.40–$22.08	75% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=RAPID PLASMA REAGIN (RPR) REFLEX	$35.10	$54.00	$5.40–$49.68	43% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=SYPHILIS ANTIBODY (R	$52.00	$80.00	$8.00–$73.60	16% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=VDRL, CSF	$53.30	$82.00	$8.20–$75.44	14% below	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HB=CSHB RPR	$63.05	$97.00	$9.70–$89.24	2% above	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=CSHB RPR.	$15.60	$24.00	$3.60–$22.08	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=CSHB RPR SERUM OR VDRL CSF QUALITATIVE	$15.60	$24.00	$3.60–$22.08	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=RAPID PLASMA REAGIN (RPR) REFLEX	$35.10	$54.00	$8.10–$49.68	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=SYPHILIS ANTIBODY (R	$52.00	$80.00	$12.00–$73.60	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=VDRL, CSF	$53.30	$82.00	$12.30–$75.44	—	35%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HB=CSHB RPR	$63.05	$97.00	$14.55–$89.24	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB=CSHB QUANTIFERON TB GOLD	$118.95	$183.00	$18.30–$168.36	55% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB=CSHB QFG GOLD PLUS	$168.22	$258.79	$25.88–$238.09	36% below	35%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HB=QUANTIFERON TB GOLD.	$339.95	$523.00	$52.30–$481.16	29% above	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB=CSHB QUANTIFERON TB GOLD	$118.95	$183.00	$27.45–$168.36	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB=CSHB QFG GOLD PLUS	$168.22	$258.79	$38.82–$238.09	—	35%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HB=QUANTIFERON TB GOLD.	$339.95	$523.00	$78.45–$481.16	—	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CSHB TOTAL TESTOSTERONE - SENDOUT	$32.50	$50.00	$5.00–$46.00	84% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TESTOSTERONE TOTAL BY MASS SPEC .	$34.45	$53.00	$5.30–$48.76	83% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CAH1 TESTOSTERONE TOTAL	$35.75	$55.00	$5.50–$50.60	82% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CAH2 TESTOSTERONE TOTAL	$37.70	$58.00	$5.80–$53.36	81% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TESTOSTERONE, SERUM	$80.60	$124.00	$12.40–$114.08	60% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TESTOSTERONE TOTAL (MASS SPEC) - ARUP	$85.15	$131.00	$13.10–$120.52	58% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TEST PANEL TESTOSTERONE TOTAL	$89.05	$137.00	$13.70–$126.04	56% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CAH7 TESTOSTERONE TOTAL	$94.25	$145.00	$14.50–$133.40	53% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TESTOSTERONE TOTAL BY MASS SPEC	$95.88	$147.50	$14.75–$135.70	53% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=HIRSUTISM II TESTOSTERONE TOTAL	$101.40	$156.00	$15.60–$143.52	50% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=TESTOSTERONE TOTAL	$113.75	$175.00	$17.50–$161.00	44% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CAH6 TESTOSTERONE TOTAL	$118.30	$182.00	$18.20–$167.44	42% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CSHB TESTOSTERONE BY LCMS	$118.69	$182.59	$18.26–$167.98	41% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=CSHB TESTOSTERONE BLOOD	$165.75	$255.00	$25.50–$234.60	18% below	35%
Testosterone blood test, total (not free testosterone) CPT 84403 HB=A5R PROFILE TESTOSTERONE TOTAL	$196.95	$303.00	$30.30–$278.76	3% below	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CSHB TOTAL TESTOSTERONE - SENDOUT	$32.50	$50.00	$7.50–$46.00	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TESTOSTERONE TOTAL BY MASS SPEC .	$34.45	$53.00	$7.95–$48.76	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CAH1 TESTOSTERONE TOTAL	$35.75	$55.00	$8.25–$50.60	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CAH2 TESTOSTERONE TOTAL	$37.70	$58.00	$8.70–$53.36	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TESTOSTERONE, SERUM	$80.60	$124.00	$18.60–$114.08	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TESTOSTERONE TOTAL (MASS SPEC) - ARUP	$85.15	$131.00	$19.65–$120.52	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TEST PANEL TESTOSTERONE TOTAL	$89.05	$137.00	$20.55–$126.04	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CAH7 TESTOSTERONE TOTAL	$94.25	$145.00	$21.75–$133.40	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TESTOSTERONE TOTAL BY MASS SPEC	$95.88	$147.50	$22.13–$135.70	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=HIRSUTISM II TESTOSTERONE TOTAL	$101.40	$156.00	$23.40–$143.52	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=TESTOSTERONE TOTAL	$113.75	$175.00	$26.25–$161.00	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CAH6 TESTOSTERONE TOTAL	$118.30	$182.00	$27.30–$167.44	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CSHB TESTOSTERONE BY LCMS	$118.69	$182.59	$27.39–$167.98	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=CSHB TESTOSTERONE BLOOD	$165.75	$255.00	$38.25–$234.60	—	35%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HB=A5R PROFILE TESTOSTERONE TOTAL	$196.95	$303.00	$45.45–$278.76	—	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=CSHB ANTI-LIVER KIDNEY MICROSOME	$31.85	$49.00	$4.90–$45.08	74% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=CSHB THYROID PEROXIDASE AUTOABS	$31.85	$49.00	$4.90–$45.08	74% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=CSHB MICROSOMAL ANTIBODIES	$79.95	$123.00	$12.30–$113.16	34% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=LIVER/KIDNEY MICROSOME T-1 AB	$80.60	$124.00	$12.40–$114.08	33% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=ANTI-THYROID PEROXID	$91.65	$141.00	$14.10–$129.72	24% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=LIVER-KIDNEY MICROSOME-1 (MAYO BACKUP)	$91.65	$141.00	$14.10–$129.72	24% below	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=CU INDEX-MICROSOMAL AB	$157.95	$243.00	$24.30–$223.56	31% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=THYROID AUTO AB PROFILE SERUM MICROSOMAL AB-MAYO	$336.70	$518.00	$51.80–$476.56	179% above	35%
Thyroid peroxidase (TPO) antibody test CPT 86376 HB=THYROID AUTOANTIBODIES PROFILE-MICROSOMAL AB	$351.65	$541.00	$54.10–$497.72	191% above	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=CSHB ANTI-LIVER KIDNEY MICROSOME	$31.85	$49.00	$7.35–$45.08	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=CSHB THYROID PEROXIDASE AUTOABS	$31.85	$49.00	$7.35–$45.08	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=CSHB MICROSOMAL ANTIBODIES	$79.95	$123.00	$18.45–$113.16	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=LIVER/KIDNEY MICROSOME T-1 AB	$80.60	$124.00	$18.60–$114.08	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=ANTI-THYROID PEROXID	$91.65	$141.00	$21.15–$129.72	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=LIVER-KIDNEY MICROSOME-1 (MAYO BACKUP)	$91.65	$141.00	$21.15–$129.72	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=CU INDEX-MICROSOMAL AB	$157.95	$243.00	$36.45–$223.56	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=THYROID AUTO AB PROFILE SERUM MICROSOMAL AB-MAYO	$336.70	$518.00	$77.70–$476.56	—	35%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HB=THYROID AUTOANTIBODIES PROFILE-MICROSOMAL AB	$351.65	$541.00	$81.15–$497.72	—	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=TSH ULTRASENSITIVE	$59.15	$91.00	$9.10–$83.72	59% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=TSH/THYROID STIMULAT	$62.40	$96.00	$9.60–$88.32	57% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=THYROID STIMULATING HORMONE- SENSITIVE	$134.55	$207.00	$20.70–$190.44	7% below	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=CU INDEX-TSH	$157.95	$243.00	$24.30–$223.56	9% above	35%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HB=CSHB TSH HORMONE ULTRASENSITIVE	$180.05	$277.00	$27.70–$254.84	24% above	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=TSH ULTRASENSITIVE	$59.15	$91.00	$13.65–$83.72	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=TSH/THYROID STIMULAT	$62.40	$96.00	$14.40–$88.32	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=THYROID STIMULATING HORMONE- SENSITIVE	$134.55	$207.00	$31.05–$190.44	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=CU INDEX-TSH	$157.95	$243.00	$36.45–$223.56	—	35%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HB=CSHB TSH HORMONE ULTRASENSITIVE	$180.05	$277.00	$41.55–$254.84	—	35%
Total IgE blood test CPT 82785 HB=CSHB IMMUNOGLOBULIN E.	$14.95	$23.00	$2.30–$21.16	87% below	35%
Total IgE blood test CPT 82785 HB=CSHB IMMUNOGLOBULIN E	$81.25	$125.00	$12.50–$115.00	30% below	35%
Total IgE blood test CPT 82785 HB=ALLERGEN IGE TOTAL IGE	$112.45	$173.00	$17.30–$159.16	3% below	35%
Total IgE blood test CPT 82785 HB=IGE	$128.70	$198.00	$19.80–$182.16	11% above	35%
Total IgE blood test inpatient CPT 82785 HB=CSHB IMMUNOGLOBULIN E.	$14.95	$23.00	$3.45–$21.16	—	35%
Total IgE blood test inpatient CPT 82785 HB=CSHB IMMUNOGLOBULIN E	$81.25	$125.00	$18.75–$115.00	—	35%
Total IgE blood test inpatient CPT 82785 HB=ALLERGEN IGE TOTAL IGE	$112.45	$173.00	$25.95–$159.16	—	35%
Total IgE blood test inpatient CPT 82785 HB=IGE	$128.70	$198.00	$29.70–$182.16	—	35%
Total cholesterol blood test CPT 82465 HB=CHOLESTEROL, SERUM	$19.50	$30.00	$3.00–$27.60	68% below	35%
Total cholesterol blood test CPT 82465 HB=CSHB CHOLESTEROL TOTAL	$61.75	$95.00	$9.50–$87.40	3% above	35%
Total cholesterol blood test CPT 82465 HB=CHOLESTEROL FLUID	$89.05	$137.00	$13.70–$126.04	48% above	35%
Total cholesterol blood test CPT 82465 HB=LMPP CHOL TOTAL CDC S	$163.80	$252.00	$25.20–$231.84	173% above	35%
Total cholesterol blood test inpatient CPT 82465 HB=CHOLESTEROL, SERUM	$19.50	$30.00	$4.50–$27.60	—	35%
Total cholesterol blood test inpatient CPT 82465 HB=CSHB CHOLESTEROL TOTAL	$61.75	$95.00	$14.25–$87.40	—	35%
Total cholesterol blood test inpatient CPT 82465 HB=CHOLESTEROL FLUID	$89.05	$137.00	$20.55–$126.04	—	35%
Total cholesterol blood test inpatient CPT 82465 HB=LMPP CHOL TOTAL CDC S	$163.80	$252.00	$37.80–$231.84	—	35%
Total thyroxine (T4) blood test CPT 84436 HB=CSHB ZZ-T4 TOTAL	$20.15	$31.00	$3.10–$28.52	74% below	35%
Total thyroxine (T4) blood test CPT 84436 HB=CSHB T4	$69.55	$107.00	$10.70–$98.44	12% below	35%
Total thyroxine (T4) blood test CPT 84436 HB=T4	$104.65	$161.00	$16.10–$148.12	33% above	35%
Total thyroxine (T4) blood test CPT 84436 HB=FRTUP - THYROXINE, TOTAL	$135.85	$209.00	$20.90–$192.28	72% above	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HB=CSHB ZZ-T4 TOTAL	$20.15	$31.00	$4.65–$28.52	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HB=CSHB T4	$69.55	$107.00	$16.05–$98.44	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HB=T4	$104.65	$161.00	$24.15–$148.12	—	35%
Total thyroxine (T4) blood test inpatient CPT 84436 HB=FRTUP - THYROXINE, TOTAL	$135.85	$209.00	$31.35–$192.28	—	35%
Total triiodothyronine (T3) blood test CPT 84480 HB=CSHB ZZ-T3 TOTAL BY RIA	$15.60	$24.00	$2.40–$22.08	87% below	35%
Total triiodothyronine (T3) blood test CPT 84480 HB=CSHB TRIIODOTHYRONINE	$78.65	$121.00	$12.10–$111.32	36% below	35%
Total triiodothyronine (T3) blood test CPT 84480 HB=TT3	$100.75	$155.00	$15.50–$142.60	17% below	35%
Total triiodothyronine (T3) blood test CPT 84480 HB=T3 BY RIA SERUM	$115.05	$177.00	$17.70–$162.84	6% below	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB=CSHB ZZ-T3 TOTAL BY RIA	$15.60	$24.00	$3.60–$22.08	—	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB=CSHB TRIIODOTHYRONINE	$78.65	$121.00	$18.15–$111.32	—	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB=TT3	$100.75	$155.00	$23.25–$142.60	—	35%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HB=T3 BY RIA SERUM	$115.05	$177.00	$26.55–$162.84	—	35%
Transferrin blood test CPT 84466 HB=TRANSFERRIN SERUM-ARUP	$58.50	$90.00	$9.00–$82.80	56% below	35%
Transferrin blood test CPT 84466 HB=TRANSFERRIN, S	$66.30	$102.00	$10.20–$93.84	51% below	35%
Transferrin blood test CPT 84466 HB=CSHB TRANSFERRIN	$128.05	$197.00	$19.70–$181.24	5% below	35%
Transferrin blood test inpatient CPT 84466 HB=TRANSFERRIN SERUM-ARUP	$58.50	$90.00	$13.50–$82.80	—	35%
Transferrin blood test inpatient CPT 84466 HB=TRANSFERRIN, S	$66.30	$102.00	$15.30–$93.84	—	35%
Transferrin blood test inpatient CPT 84466 HB=CSHB TRANSFERRIN	$128.05	$197.00	$29.55–$181.24	—	35%
Trichomonas test (NAAT) CPT 87661 HB=TRICHOMONAS PCR	$99.45	$153.00	$15.30–$140.76	36% above	35%
Trichomonas test (NAAT) CPT 87661 HB=CSHB TRICHOMONAS GENPROBE	$125.45	$193.00	$19.30–$177.56	71% above	35%
Trichomonas test (NAAT) CPT 87661 HB=CSHB TRICHOMONAS VAGINALIS AMP PROBE	$156.00	$240.00	$24.00–$220.80	113% above	35%
Trichomonas test (NAAT) inpatient CPT 87661 HB=TRICHOMONAS PCR	$99.45	$153.00	$22.95–$140.76	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HB=CSHB TRICHOMONAS GENPROBE	$125.45	$193.00	$28.95–$177.56	—	35%
Trichomonas test (NAAT) inpatient CPT 87661 HB=CSHB TRICHOMONAS VAGINALIS AMP PROBE	$156.00	$240.00	$36.00–$220.80	—	35%
Triglycerides blood test CPT 84478 HB=TRIGLYCERIDES, SERUM	$24.05	$37.00	$3.70–$34.04	65% below	35%
Triglycerides blood test CPT 84478 HB=LMPP TRIGLYCERIDES CDC S	$26.00	$40.00	$4.00–$36.80	62% below	35%
Triglycerides blood test CPT 84478 HB=TRIGLYCERIDES, MISC	$52.00	$80.00	$8.00–$73.60	23% below	35%
Triglycerides blood test CPT 84478 HB=CSHB TRIGLYCERIDES	$66.95	$103.00	$10.30–$94.76	1% below	35%
Triglycerides blood test CPT 84478 HB=CHYLURIA SCREEN RANDOM U-TRIGLYCERIDES	$153.40	$236.00	$23.60–$217.12	126% above	35%
Triglycerides blood test inpatient CPT 84478 HB=TRIGLYCERIDES, SERUM	$24.05	$37.00	$5.55–$34.04	—	35%
Triglycerides blood test inpatient CPT 84478 HB=LMPP TRIGLYCERIDES CDC S	$26.00	$40.00	$6.00–$36.80	—	35%
Triglycerides blood test inpatient CPT 84478 HB=TRIGLYCERIDES, MISC	$52.00	$80.00	$12.00–$73.60	—	35%
Triglycerides blood test inpatient CPT 84478 HB=CSHB TRIGLYCERIDES	$66.95	$103.00	$15.45–$94.76	—	35%
Triglycerides blood test inpatient CPT 84478 HB=CHYLURIA SCREEN RANDOM U-TRIGLYCERIDES	$153.40	$236.00	$35.40–$217.12	—	35%
Troponin test, quantitative CPT 84484 HB=CSHB TROPONIN T	$85.15	$131.00	$13.10–$120.52	46% below	35%
Troponin test, quantitative CPT 84484 HB=CSHB POCT TROPONIN	$150.15	$231.00	$23.10–$212.52	4% below	35%
Troponin test, quantitative CPT 84484 HB=CSHB TROPONIN I	$150.15	$231.00	$23.10–$212.52	4% below	35%
Troponin test, quantitative CPT 84484 HB=TROPONIN QUANT	$165.75	$255.00	$25.50–$234.60	6% above	35%
Troponin test, quantitative inpatient CPT 84484 HB=CSHB TROPONIN T	$85.15	$131.00	$19.65–$120.52	—	35%
Troponin test, quantitative inpatient CPT 84484 HB=CSHB POCT TROPONIN	$150.15	$231.00	$34.65–$212.52	—	35%
Troponin test, quantitative inpatient CPT 84484 HB=CSHB TROPONIN I	$150.15	$231.00	$34.65–$212.52	—	35%
Troponin test, quantitative inpatient CPT 84484 HB=TROPONIN QUANT	$165.75	$255.00	$38.25–$234.60	—	35%
Uric acid blood test CPT 84550 HB=URIC ACID SERUM	$31.85	$49.00	$4.90–$45.08	51% below	35%
Uric acid blood test CPT 84550 HB=CSHB URIC ACID	$59.15	$91.00	$9.10–$83.72	8% below	35%
Uric acid blood test inpatient CPT 84550 HB=URIC ACID SERUM	$31.85	$49.00	$7.35–$45.08	—	35%
Uric acid blood test inpatient CPT 84550 HB=CSHB URIC ACID	$59.15	$91.00	$13.65–$83.72	—	35%
Urinalysis with microscope exam, automated CPT 81001 HB=URINALYSIS ROUTINE &	$124.80	$192.00	$19.20–$176.64	33% above	35%
Urinalysis with microscope exam, automated CPT 81001 HB=CSHB URINALYSIS AUTO W/MICRO	$135.20	$208.00	$20.80–$191.36	44% above	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB=URINALYSIS ROUTINE &	$124.80	$192.00	$28.80–$176.64	—	35%
Urinalysis with microscope exam, automated inpatient CPT 81001 HB=CSHB URINALYSIS AUTO W/MICRO	$135.20	$208.00	$31.20–$191.36	—	35%
Urinalysis without microscope exam, automated CPT 81003 HB=UA DIPSTICK (POC)	$40.30	$62.00	$6.20–$57.04	6% below	35%
Urinalysis without microscope exam, automated CPT 81003 HB=UA DIP STICK	$45.50	$70.00	$7.00–$64.40	6% above	35%
Urinalysis without microscope exam, automated CPT 81003 HB=CSHB URINALYSIS AUTO W/O MISCROSCOPY	$68.90	$106.00	$10.60–$97.52	60% above	35%
Urinalysis without microscope exam, automated CPT 81003 HB=CSHB URINALYSIS CHEM AUTO	$68.90	$106.00	$10.60–$97.52	60% above	35%
Urinalysis without microscope exam, automated CPT 81003 HB=CSHB POCT UA AUTO W/O MICRO	$68.90	$106.00	$10.60–$97.52	60% above	35%
Urinalysis without microscope exam, automated CPT 81003 HB=CSHB POCT UA AUTO WITHOUT MICROSCOPY	$68.90	$106.00	$10.60–$97.52	60% above	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=UA DIPSTICK (POC)	$40.30	$62.00	$9.30–$57.04	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=UA DIP STICK	$45.50	$70.00	$10.50–$64.40	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB POCT UA AUTO WITHOUT MICROSCOPY	$68.90	$106.00	$15.90–$97.52	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB URINALYSIS CHEM AUTO	$68.90	$106.00	$15.90–$97.52	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB URINALYSIS AUTO W/O MISCROSCOPY	$68.90	$106.00	$15.90–$97.52	—	35%
Urinalysis without microscope exam, automated inpatient CPT 81003 HB=CSHB POCT UA AUTO W/O MICRO	$68.90	$106.00	$15.90–$97.52	—	35%
Urinalysis without microscope exam, manual CPT 81002 HB=CSHB URINALYSIS NON AUTO W/O MICROSCOPY	$77.35	$119.00	$11.90–$109.48	43% above	35%
Urinalysis without microscope exam, manual CPT 81002 HB=CSHB POCT URINALYSIS W/O MICROSCOPY	$77.35	$119.00	$11.90–$109.48	43% above	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB=CSHB POCT URINALYSIS W/O MICROSCOPY	$77.35	$119.00	$17.85–$109.48	—	35%
Urinalysis without microscope exam, manual inpatient CPT 81002 HB=CSHB URINALYSIS NON AUTO W/O MICROSCOPY	$77.35	$119.00	$17.85–$109.48	—	35%
Urine culture for bacteria, with colony count CPT 87086 HB=CULTURE, URINE BACT, QUANT	$111.80	$172.00	$17.20–$158.24	10% above	35%
Urine culture for bacteria, with colony count CPT 87086 HB=CSHB CULT BACT URINE	$140.40	$216.00	$21.60–$198.72	38% above	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HB=CULTURE, URINE BACT, QUANT	$111.80	$172.00	$25.80–$158.24	—	35%
Urine culture for bacteria, with colony count inpatient CPT 87086 HB=CSHB CULT BACT URINE	$140.40	$216.00	$32.40–$198.72	—	35%
Urine microalbumin (albumin) test CPT 82043 HB=CSHB MICROALBUMIN URINE	$23.40	$36.00	$3.60–$33.12	75% below	35%
Urine microalbumin (albumin) test CPT 82043 HB=ALBUMIN URINE MICROALBUMIN QN	$91.65	$141.00	$14.10–$129.72	2% below	35%
Urine microalbumin (albumin) test CPT 82043 HB=MICROALBUMIN, URINE	$92.95	$143.00	$14.30–$131.56	at median	35%
Urine microalbumin (albumin) test CPT 82043 HB=CSHB MICROALBUMIN,URINE,RANDOM	$104.65	$161.00	$16.10–$148.12	12% above	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HB=CSHB MICROALBUMIN URINE	$23.40	$36.00	$5.40–$33.12	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HB=ALBUMIN URINE MICROALBUMIN QN	$91.65	$141.00	$21.15–$129.72	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HB=MICROALBUMIN, URINE	$92.95	$143.00	$21.45–$131.56	—	35%
Urine microalbumin (albumin) test inpatient CPT 82043 HB=CSHB MICROALBUMIN,URINE,RANDOM	$104.65	$161.00	$24.15–$148.12	—	35%
Urine pregnancy test, read by color change CPT 81025 HB=RESEARCH POCT URINE PREGNANCY TEST	$18.85	$29.00	$2.90–$26.68	74% below	35%
Urine pregnancy test, read by color change CPT 81025 HB=PREGNANCY UR POCT	$61.75	$95.00	$9.50–$87.40	15% below	35%
Urine pregnancy test, read by color change CPT 81025 HB=URINE PREGNANCY TEST.	$98.15	$151.00	$15.10–$138.92	35% above	35%
Urine pregnancy test, read by color change CPT 81025 HB=CSHB POCT URINE PREGNANCY	$122.85	$189.00	$18.90–$173.88	69% above	35%
Urine pregnancy test, read by color change CPT 81025 HB=CSHB POCT URINE PREGNANCY QUAL	$122.85	$189.00	$18.90–$173.88	69% above	35%
Urine pregnancy test, read by color change CPT 81025 HB=CSHB POCT URINE PREG TEST-VISUAL.	$122.85	$189.00	$18.90–$173.88	69% above	35%
Urine pregnancy test, read by color change CPT 81025 HB=CSHB URINE PREGNANCY, QUAL	$122.85	$189.00	$18.90–$173.88	69% above	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=RESEARCH POCT URINE PREGNANCY TEST	$18.85	$29.00	$4.35–$26.68	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=PREGNANCY UR POCT	$61.75	$95.00	$14.25–$87.40	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=URINE PREGNANCY TEST.	$98.15	$151.00	$22.65–$138.92	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=CSHB URINE PREGNANCY, QUAL	$122.85	$189.00	$28.35–$173.88	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=CSHB POCT URINE PREG TEST-VISUAL.	$122.85	$189.00	$28.35–$173.88	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=CSHB POCT URINE PREGNANCY QUAL	$122.85	$189.00	$28.35–$173.88	—	35%
Urine pregnancy test, read by color change inpatient CPT 81025 HB=CSHB POCT URINE PREGNANCY	$122.85	$189.00	$28.35–$173.88	—	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HB=CSHB VITAMIN B12 SENDOUT	$23.40	$36.00	$3.60–$33.12	82% below	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HB=VITAMIN B12 ASSAY	$81.25	$125.00	$12.50–$115.00	37% below	35%
Vitamin B12 (cobalamin) blood test CPT 82607 HB=CSHB VITAMIN B-12	$140.40	$216.00	$21.60–$198.72	8% above	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB=CSHB VITAMIN B12 SENDOUT	$23.40	$36.00	$5.40–$33.12	—	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB=VITAMIN B12 ASSAY	$81.25	$125.00	$18.75–$115.00	—	35%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HB=CSHB VITAMIN B-12	$140.40	$216.00	$32.40–$198.72	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=CSHB VITAMIN D (25 HYDROXY)	$37.05	$57.00	$5.70–$52.44	80% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=25-HYDROXYVITAMIN D2/D3 SERUM.	$83.20	$128.00	$12.80–$117.76	54% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=25-HYDROXYVITAMIN D2 AND D3 SERUM-ARUP	$85.15	$131.00	$13.10–$120.52	53% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=CALCIFEROL VITAMIN D	$141.70	$218.00	$21.80–$200.56	22% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=VITAMIN D 25OH	$158.60	$244.00	$24.40–$224.48	12% below	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HB=CSHB 25 HYDROXYVITAMIN D	$215.80	$332.00	$33.20–$305.44	19% above	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=CSHB VITAMIN D (25 HYDROXY)	$37.05	$57.00	$8.55–$52.44	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=25-HYDROXYVITAMIN D2/D3 SERUM.	$83.20	$128.00	$19.20–$117.76	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=25-HYDROXYVITAMIN D2 AND D3 SERUM-ARUP	$85.15	$131.00	$19.65–$120.52	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=CALCIFEROL VITAMIN D	$141.70	$218.00	$32.70–$200.56	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=VITAMIN D 25OH	$158.60	$244.00	$36.60–$224.48	—	35%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HB=CSHB 25 HYDROXYVITAMIN D	$215.80	$332.00	$49.80–$305.44	—	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB=CSHB 1.25 DIHYDROXYVITAMIN D	$61.10	$94.00	$9.40–$86.48	78% below	35%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HB=VITAMIN D 1-25 DIHYDROXY	$124.80	$192.00	$19.20–$176.64	54% below	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB=CSHB 1.25 DIHYDROXYVITAMIN D	$61.10	$94.00	$14.10–$86.48	—	35%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HB=VITAMIN D 1-25 DIHYDROXY	$124.80	$192.00	$28.80–$176.64	—	35%
Zinc blood test CPT 84630 HB=CSHB ZINC	$57.20	$88.00	$8.80–$80.96	39% below	35%
Zinc blood test CPT 84630 HB=ZINC SERUM OR PLASMA-ARUP	$57.85	$89.00	$8.90–$81.88	38% below	35%
Zinc blood test CPT 84630 HB=ZINC,S	$61.10	$94.00	$9.40–$86.48	35% below	35%
Zinc blood test CPT 84630 HB=ZNCRU ZINC/CREAT RATIO URINE	$65.65	$101.00	$10.10–$92.92	30% below	35%
Zinc blood test CPT 84630 HB=ZINC RED BLOOD CELLS	$122.85	$189.00	$18.90–$173.88	31% above	35%
Zinc blood test CPT 84630 HB=ZINC, U	$126.75	$195.00	$19.50–$179.40	36% above	35%
Zinc blood test inpatient CPT 84630 HB=CSHB ZINC	$57.20	$88.00	$13.20–$80.96	—	35%
Zinc blood test inpatient CPT 84630 HB=ZINC SERUM OR PLASMA-ARUP	$57.85	$89.00	$13.35–$81.88	—	35%
Zinc blood test inpatient CPT 84630 HB=ZINC,S	$61.10	$94.00	$14.10–$86.48	—	35%
Zinc blood test inpatient CPT 84630 HB=ZNCRU ZINC/CREAT RATIO URINE	$65.65	$101.00	$15.15–$92.92	—	35%
Zinc blood test inpatient CPT 84630 HB=ZINC RED BLOOD CELLS	$122.85	$189.00	$28.35–$173.88	—	35%
Zinc blood test inpatient CPT 84630 HB=ZINC, U	$126.75	$195.00	$29.25–$179.40	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB=CSHB BHCG TUMOR MARKER	$41.60	$64.00	$6.40–$58.88	73% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB=CHORIONIC GONAD B-SUB QN, CSF	$104.65	$161.00	$16.10–$148.12	32% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB=CSHB POCT B-HCG QUANT	$118.95	$183.00	$18.30–$168.36	23% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB=CSHB HCG QUANT/BETA SUBUNIT	$118.95	$183.00	$18.30–$168.36	23% below	35%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HB=B-HCG, QUANT.	$156.65	$241.00	$24.10–$221.72	1% above	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB=CSHB BHCG TUMOR MARKER	$41.60	$64.00	$9.60–$58.88	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB=CHORIONIC GONAD B-SUB QN, CSF	$104.65	$161.00	$24.15–$148.12	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB=CSHB HCG QUANT/BETA SUBUNIT	$118.95	$183.00	$27.45–$168.36	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB=CSHB POCT B-HCG QUANT	$118.95	$183.00	$27.45–$168.36	—	35%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HB=B-HCG, QUANT.	$156.65	$241.00	$36.15–$221.72	—	35%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Botox injections for chronic migraine both sides CPT 64615 HB=CHEMODENERV MUSCLES MIGRAINE BILAT	$617.50	$950.00	$95.00–$874.00	—	35%
Botox injections for chronic migraine inpatient both sides CPT 64615 HB=CHEMODENERV MUSCLES MIGRAINE BILAT	$617.50	$950.00	$142.50–$874.00	—	35%
Cardiac catheterization with coronary angiogram CPT 93458 HB=CATH PLACE CORONARY W/INJ W/LHC	$15,889.25	$24,445.00	$2,444.50–$22,489.40	19% below	35%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HB=CATH PLACE CORONARY W/INJ W/LHC	$15,889.25	$24,445.00	$3,666.75–$22,489.40	—	35%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HB=CARDIOVERSION ELECTIVE	$1,634.10	$2,514.00	$251.40–$2,312.88	3% above	35%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HB=CARDIOVERSION ELECTIVE	$1,634.10	$2,514.00	$377.10–$2,312.88	—	35%
Catheter ablation for atrial fibrillation CPT 93656 HB=COMP EP EVAL W ABLATION PULM VEIN ISOLATION	$59,952.75	$92,235.00	$9,223.50–$84,856.20	53% below	35%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HB=COMP EP EVAL W ABLATION PULM VEIN ISOLATION	$59,952.75	$92,235.00	$13,835.25–$84,856.20	—	35%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HB=CIRC/SURG EXCISION OTH THAN CLAMP >28 DAYS OF AGE	$443.30	$682.00	$68.20–$627.44	90% below	35%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HB=CIRC/SURG EXCISION OTH THAN CLAMP >28 DAYS OF AGE	$443.30	$682.00	$102.30–$627.44	—	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HB=CIRCUMCISION W/CLAMP W/REGIONAL BLOCK	$2,215.85	$3,409.00	$340.90–$3,136.28	264% above	35%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HB=CIRCUMCISION W/CLAMP W/REGIONAL BLOCK	$2,215.85	$3,409.00	$511.35–$3,136.28	—	35%
Circumcision, surgical, older than a newborn CPT 54160 HB=CIRC/SURG EXCISION OTH THAN CLAMP <28 DAYS OF AGE	$377.00	$580.00	$58.00–$533.60	7% below	35%
Circumcision, surgical, older than a newborn inpatient CPT 54160 HB=CIRC/SURG EXCISION OTH THAN CLAMP <28 DAYS OF AGE	$377.00	$580.00	$87.00–$533.60	—	35%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC=BX OF CERVIX W/SCOPE LEEP	$1,232.40	$1,896.00	$189.60–$1,744.32	25% below	35%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC=BX OF CERVIX W/SCOPE LEEP	$1,232.40	$1,896.00	$284.40–$1,744.32	—	35%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HB=COLPOSCOPY W/BIOPSY	$622.70	$958.00	$95.80–$881.36	97% above	35%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HB=COLPOSCOPY W/BIOPSY	$622.70	$958.00	$143.70–$881.36	—	35%
Coronary stent placement, one artery CPT 92928 HB=PERC COR STENT W/ANGIO SGL ART/BRANCH	$17,990.70	$27,678.00	$2,767.80–$25,463.76	19% below	35%
Coronary stent placement, one artery inpatient CPT 92928 HB=PERC COR STENT W/ANGIO SGL ART/BRANCH	$17,990.70	$27,678.00	$4,151.70–$25,463.76	—	35%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HB=CYSTOSCOPY	$156.00	$240.00	$24.00–$220.80	89% below	35%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HB=CYSTOSCOPY	$779.35	$1,199.00	$179.85–$1,103.08	—	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HB=TYMPANOSTOMY REQ INS OF VENTILATING TUBES GEN ANES	$3,944.85	$6,069.00	$606.90–$5,583.48	196% above	35%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HB=TYMPANOSTOMY REQ INS OF VENTILATING TUBES GEN ANES	$3,944.85	$6,069.00	$910.35–$5,583.48	—	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HB=TYMPANOSTOMY UNDER LOCAL ANESTHESIA	$962.65	$1,481.00	$148.10–$1,362.52	105% above	35%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HB=TYMPANOSTOMY UNDER LOCAL ANESTHESIA	$962.65	$1,481.00	$222.15–$1,362.52	—	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB=REMOVE CERUMEN IRRIGATION/LAVAGE UNI (UC)	$53.30	$82.00	$8.20–$527.00	56% below	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB=REMOVE CERUMEN IRRIGATION/LAVAGE UNI (ED)	$58.50	$90.00	$13.50–$650.00	52% below	35%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HB=REMOVAL CERUMEN IRRIGATION/LAVAGE UNI	$157.30	$242.00	$24.20–$222.64	29% above	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB=REMOVE CERUMEN IRRIGATION/LAVAGE UNI (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB=REMOVE CERUMEN IRRIGATION/LAVAGE UNI (ED)	$58.50	$90.00	$13.50–$82.80	—	35%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HB=REMOVAL CERUMEN IRRIGATION/LAVAGE UNI	$157.30	$242.00	$36.30–$222.64	—	35%
Earwax removal with instruments, one ear CPT 69210 HB=REMOVE CERUMEN W INSTRUMENT UNI (UC)	$53.30	$82.00	$8.20–$527.00	67% below	35%
Earwax removal with instruments, one ear CPT 69210 HB=REMOVE CERUMEN W INSTRUMENT UNI (ED)	$58.50	$90.00	$13.50–$650.00	63% below	35%
Earwax removal with instruments, one ear CPT 69210 HB=REMOVAL CERUMEN INSTRUMENT UNI	$274.30	$422.00	$42.20–$388.24	72% above	35%
Earwax removal with instruments, one ear inpatient CPT 69210 HB=REMOVE CERUMEN W INSTRUMENT UNI (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Earwax removal with instruments, one ear inpatient CPT 69210 HB=REMOVE CERUMEN W INSTRUMENT UNI (ED)	$58.50	$90.00	$13.50–$82.80	—	35%
Earwax removal with instruments, one ear inpatient CPT 69210 HB=REMOVAL CERUMEN INSTRUMENT UNI	$274.30	$422.00	$63.30–$388.24	—	35%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HB=INJECT CERV/THOR W IMG	$946.40	$1,456.00	$145.60–$1,339.52	41% below	35%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HB=INJECT CERV/THOR W IMG	$946.40	$1,456.00	$218.40–$1,339.52	—	35%
Eye injection into the vitreous (intravitreal injection) CPT 67028 HB=INTRAVITREAL INJECTION PHARM AGENT	$493.35	$759.00	$75.90–$698.28	at median	35%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 HB=INTRAVITREAL INJECTION PHARM AGENT	$493.35	$759.00	$113.85–$698.28	—	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB=INJECT DX/TX PARAVERTEBRAL FACET SGL LEVEL	$1,006.20	$1,548.00	$154.80–$1,424.16	15% below	35%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HB=INJ DX/TX PARAVERT FACET JT L/S SGL LEVEL	$1,047.80	$1,612.00	$161.20–$1,483.04	12% below	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB=INJECT DX/TX PARAVERTEBRAL FACET SGL LEVEL	$1,006.20	$1,548.00	$232.20–$1,424.16	—	35%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HB=INJ DX/TX PARAVERT FACET JT L/S SGL LEVEL	$1,047.80	$1,612.00	$241.80–$1,483.04	—	35%
Hysterectomy through an abdominal incision (total) CPT 58150 HB=TOTAL ABDOMINAL HYSTERECTOMY	$14,179.75	$21,815.00	$2,181.50–$20,069.80	—	35%
Hysterectomy through an abdominal incision (total) inpatient CPT 58150 HB=TOTAL ABDOMINAL HYSTERECTOMY	$14,179.75	$21,815.00	$3,272.25–$20,069.80	—	35%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HB=HYSTEROSCOPY BIOPSY	$427.70	$658.00	$65.80–$605.36	95% below	35%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HB=HYSTEROSCOPY BIOPSY	$427.70	$658.00	$98.70–$605.36	—	35%
IUD insertion (the device itself billed separately) CPT 58300 HB=INSERT INTRAUTERINE DEVICE	$1,342.90	$2,066.00	$206.60–$1,900.72	7% above	35%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HB=INSERT INTRAUTERINE DEVICE	$1,342.90	$2,066.00	$309.90–$1,900.72	—	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HB=I/D ABSCESS SIMPLE (UC)	$98.15	$151.00	$15.10–$527.00	72% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HB=I/D ABSCESS SIMPLE (ED)	$341.25	$525.00	$78.75–$650.00	2% below	35%
Incision and drainage of a simple or single skin abscess CPT 10060 HB=I/D ABSCESS SIMPLE	$344.50	$530.00	$53.00–$487.60	1% below	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB=I/D ABSCESS SIMPLE (UC)	$98.15	$151.00	$22.65–$138.92	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB=I/D ABSCESS SIMPLE (ED)	$341.25	$525.00	$78.75–$483.00	—	35%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HB=I/D ABSCESS SIMPLE	$344.50	$530.00	$79.50–$487.60	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB=INJECT SNGL TENDON SHEATH/LIGAMENT EA	$955.50	$1,470.00	$147.00–$1,352.40	152% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HB=INJECT SGL TENDON SHEATH/LIGAMENT	$1,574.95	$2,423.00	$242.30–$2,229.16	316% above	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB=INJECT SNGL TENDON SHEATH/LIGAMENT EA	$955.50	$1,470.00	$220.50–$1,352.40	—	35%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HB=INJECT SGL TENDON SHEATH/LIGAMENT	$1,574.95	$2,423.00	$363.45–$2,229.16	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB=ARTHRO ASP/INJ MAJ JNT/BURSA WO US	$665.60	$1,024.00	$102.40–$942.08	93% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HB=ARTHRO ASP/INJ MAJOR JNT/BURSA WO US	$2,166.45	$3,333.00	$333.30–$3,066.36	529% above	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB=ARTHRO ASP/INJ MAJ JNT/BURSA WO US	$665.60	$1,024.00	$153.60–$942.08	—	35%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HB=ARTHRO ASP/INJ MAJOR JNT/BURSA WO US	$2,166.45	$3,333.00	$499.95–$3,066.36	—	35%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 HB=INSERT DRUG IMPLANT DEVICE	$5,370.30	$8,262.00	$826.20–$7,601.04	1487% above	35%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 HB=INSERT DRUG IMPLANT DEVICE	$5,370.30	$8,262.00	$1,239.30–$7,601.04	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB=ARTHRO ASP/INJ MED JNT/BURSA WO US	$665.60	$1,024.00	$102.40–$942.08	77% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HB=ARTHRO ASP/INJ INTERMED JNT/BURSA WO US	$768.30	$1,182.00	$118.20–$1,087.44	105% above	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB=ARTHRO ASP/INJ MED JNT/BURSA WO US	$665.60	$1,024.00	$153.60–$942.08	—	35%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HB=ARTHRO ASP/INJ INTERMED JNT/BURSA WO US	$768.30	$1,182.00	$177.30–$1,087.44	—	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB=ARTHRO ASP/INJ SML JNT/BURSA WO US.	$333.45	$513.00	$51.30–$471.96	15% below	35%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HB=DRAIN/INJECT JOINT/BURSA SM JOINT	$473.20	$728.00	$72.80–$669.76	21% above	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB=ARTHRO ASP/INJ SML JNT/BURSA WO US.	$333.45	$513.00	$76.95–$471.96	—	35%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HB=DRAIN/INJECT JOINT/BURSA SM JOINT	$473.20	$728.00	$109.20–$669.76	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L 2.5 CM/< (UC)	$203.45	$313.00	$31.30–$527.00	64% below	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L 2.5 CM/< (ED)	$850.85	$1,309.00	$196.35–$1,204.28	52% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L < 2.5 CM	$1,244.10	$1,914.00	$191.40–$1,760.88	122% above	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L 2.5 CM/< (UC)	$203.45	$313.00	$46.95–$287.96	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L 2.5 CM/< (ED)	$850.85	$1,309.00	$196.35–$1,204.28	—	35%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HB=INTERMED REPAIR S/AX/T/A/L < 2.5 CM	$1,244.10	$1,914.00	$287.10–$1,760.88	—	35%
Left heart catheterization, diagnostic one side CPT 93452 HB=LEFT HEART CATH ONLY	$14,565.85	$22,409.00	$2,240.90–$20,616.28	109% above	35%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HB=LEFT HEART CATH ONLY	$14,565.85	$22,409.00	$3,361.35–$20,616.28	—	35%
Lower-back epidural injection, with imaging guidance CPT 62323 HB=INJECT LUMB/SACR W IMG	$1,606.80	$2,472.00	$247.20–$2,274.24	8% above	35%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HB=INJECT LUMB/SACR W IMG	$1,606.80	$2,472.00	$370.80–$2,274.24	—	35%
Lower-back epidural injection, without imaging guidance CPT 62322 HB=INJECT DX/TX SUBS L/S WO IMAGING	$570.05	$877.00	$87.70–$806.84	53% below	35%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HB=INJECT DX/TX SUBS L/S WO IMAGING	$570.05	$877.00	$131.55–$806.84	—	35%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HB=INJECT ANES LUMB/SACR SGL LEVEL	$1,028.95	$1,583.00	$158.30–$1,456.36	30% below	35%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HB=INJECT ANES LUMB/SACR SGL LEVEL	$1,028.95	$1,583.00	$237.45–$1,456.36	—	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HB=EXCISE BENIGN LES+MARG T/A/L < 0.5 CM	$419.90	$646.00	$64.60–$594.32	46% below	35%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HB=EXCISE BENIGN LES+MARG T/A/L < 0.5 CM	$419.90	$646.00	$96.90–$594.32	—	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HB=EXCISE BENIGN LES+MARG F/E/E/N/L/MM < 0.5 CM	$421.20	$648.00	$64.80–$596.16	44% below	35%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HB=EXCISE BENIGN LES+MARG F/E/E/N/L/MM < 0.5 CM	$421.20	$648.00	$97.20–$596.16	—	35%
Nail removal (partial or complete), one nail CPT 11730 HB=AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE SGL (UC)	$53.30	$82.00	$8.20–$527.00	83% below	35%
Nail removal (partial or complete), one nail CPT 11730 HB=AVULSION NAIL PLATE SIMPLE SINGLE	$102.70	$158.00	$15.80–$145.36	67% below	35%
Nail removal (partial or complete), one nail CPT 11730 HB=AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE SGL (ED)	$191.10	$294.00	$44.10–$650.00	39% below	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HB=AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE SGL (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HB=AVULSION NAIL PLATE SIMPLE SINGLE	$102.70	$158.00	$23.70–$145.36	—	35%
Nail removal (partial or complete), one nail inpatient CPT 11730 HB=AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE SGL (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Occipital nerve block (injection for headaches) CPT 64405 HB=INJ ANES/STEROID GREATER OCCIPITAL NERVE .	$768.95	$1,183.00	$118.30–$1,088.36	9% above	35%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HB=INJ ANES/STEROID GREATER OCCIPITAL NERVE .	$768.95	$1,183.00	$177.45–$1,088.36	—	35%
Pacemaker implant (dual chamber) CPT 33208 HB=INSERT/REPLACE PERM PMKR ATRIAL/VENT	$35,878.05	$55,197.00	$5,519.70–$50,781.24	71% above	35%
Pacemaker implant (dual chamber) inpatient CPT 33208 HB=INSERT/REPLACE PERM PMKR ATRIAL/VENT	$35,878.05	$55,197.00	$8,279.55–$50,781.24	—	35%
Paracentesis with imaging guidance CPT 49083 HB=ABD PARACENTESIS W IMAGING GUIDE	$1,532.70	$2,358.00	$235.80–$2,169.36	at median	35%
Paracentesis with imaging guidance inpatient CPT 49083 HB=ABD PARACENTESIS W IMAGING GUIDE	$1,532.70	$2,358.00	$353.70–$2,169.36	—	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE (UC)	$98.15	$151.00	$15.10–$527.00	86% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE (ED)	$341.25	$525.00	$78.75–$650.00	52% below	35%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE	$465.40	$716.00	$71.60–$658.72	35% below	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE (UC)	$98.15	$151.00	$22.65–$138.92	—	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE (ED)	$341.25	$525.00	$78.75–$483.00	—	35%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HB=EXCISE NAIL/NAIL MATRIX PERM PARTIAL/COMPLETE	$465.40	$716.00	$107.40–$658.72	—	35%
Removal of a foreign object under the skin, simple CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE (UC)	$98.15	$151.00	$15.10–$527.00	84% below	35%
Removal of a foreign object under the skin, simple CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE	$288.60	$444.00	$44.40–$408.48	53% below	35%
Removal of a foreign object under the skin, simple CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE (ED)	$341.25	$525.00	$78.75–$650.00	44% below	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE (UC)	$98.15	$151.00	$22.65–$138.92	—	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE	$288.60	$444.00	$66.60–$408.48	—	35%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HB=INCISE/REMOVE FB SUBQ SIMPLE (ED)	$341.25	$525.00	$78.75–$483.00	—	35%
Short arm cast (elbow to hand) CPT 29075 HB=SHORT ARM CAST APPLICATION (UC)	$53.30	$82.00	$8.20–$527.00	82% below	35%
Short arm cast (elbow to hand) CPT 29075 HB=SHORT ARM CAST APPLICATION (ED)	$191.10	$294.00	$44.10–$650.00	34% below	35%
Short arm cast (elbow to hand) CPT 29075 HB=SHORT ARM CAST APPLICATION	$1,079.65	$1,661.00	$166.10–$1,528.12	271% above	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HB=SHORT ARM CAST APPLICATION (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HB=SHORT ARM CAST APPLICATION (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Short arm cast (elbow to hand) inpatient CPT 29075 HB=SHORT ARM CAST APPLICATION	$1,079.65	$1,661.00	$249.15–$1,528.12	—	35%
Short arm splint (forearm and hand) CPT 29125 HB=SHORT ARM SPLINT APPLICATION (UC)	$53.30	$82.00	$8.20–$527.00	81% below	35%
Short arm splint (forearm and hand) CPT 29125 HB=SHORT ARM SPLINT APPLICATION (ED)	$58.50	$90.00	$13.50–$650.00	79% below	35%
Short arm splint (forearm and hand) CPT 29125 HB=SHORT ARM SPLINT APPLICATION	$508.30	$782.00	$78.20–$719.44	84% above	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HB=SHORT ARM SPLINT APPLICATION (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HB=SHORT ARM SPLINT APPLICATION (ED)	$58.50	$90.00	$13.50–$82.80	—	35%
Short arm splint (forearm and hand) inpatient CPT 29125 HB=SHORT ARM SPLINT APPLICATION	$508.30	$782.00	$117.30–$719.44	—	35%
Short leg cast (below the knee) CPT 29405 HB=SHORT LEG CAST APPLICATION (UC)	$53.30	$82.00	$8.20–$527.00	85% below	35%
Short leg cast (below the knee) CPT 29405 HB=SHORT LEG CAST APPLICATION (ED)	$191.10	$294.00	$44.10–$650.00	45% below	35%
Short leg cast (below the knee) CPT 29405 HB=SHORT LEG CAST APPLICATION	$293.15	$451.00	$45.10–$414.92	16% below	35%
Short leg cast (below the knee) inpatient CPT 29405 HB=SHORT LEG CAST APPLICATION (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Short leg cast (below the knee) inpatient CPT 29405 HB=SHORT LEG CAST APPLICATION (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Short leg cast (below the knee) inpatient CPT 29405 HB=SHORT LEG CAST APPLICATION	$293.15	$451.00	$67.65–$414.92	—	35%
Short leg splint (calf to foot) CPT 29515 HB=SHORT LEG SPLINT APPLICATION (UC)	$53.30	$82.00	$8.20–$527.00	75% below	35%
Short leg splint (calf to foot) CPT 29515 HB=SHORT LEG SPLINT APPLICATION (ED)	$191.10	$294.00	$44.10–$650.00	11% below	35%
Short leg splint (calf to foot) CPT 29515 HB=SHORT LEG SPLINT APPLICATION	$593.45	$913.00	$91.30–$839.96	175% above	35%
Short leg splint (calf to foot) inpatient CPT 29515 HB=SHORT LEG SPLINT APPLICATION (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 HB=SHORT LEG SPLINT APPLICATION (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Short leg splint (calf to foot) inpatient CPT 29515 HB=SHORT LEG SPLINT APPLICATION	$593.45	$913.00	$136.95–$839.96	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.5 CM/< (UC)	$53.30	$82.00	$8.20–$527.00	87% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.5 CM/< (ED)	$58.50	$90.00	$13.50–$650.00	86% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L < 2.5 CM	$351.65	$541.00	$54.10–$497.72	15% below	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.5 CM/< (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.5 CM/< (ED)	$58.50	$90.00	$13.50–$82.80	—	35%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HB=SIMPLE REPAIR S/N/AX/G/T/A/L < 2.5 CM	$351.65	$541.00	$81.15–$497.72	—	35%
Skin biopsy, punch, one lesion CPT 11104 HB=PUNCH BIOPSY SKIN 1ST LESION	$728.00	$1,120.00	$112.00–$1,030.40	35% above	35%
Skin biopsy, punch, one lesion inpatient CPT 11104 HB=PUNCH BIOPSY SKIN 1ST LESION	$728.00	$1,120.00	$168.00–$1,030.40	—	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 HB=EXCISE MALIG LES+MARG T/A/L < 0.5 CM	$421.20	$648.00	$64.80–$596.16	79% below	35%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 HB=EXCISE MALIG LES+MARG T/A/L < 0.5 CM	$421.20	$648.00	$97.20–$596.16	—	35%
Skin tag removal, up to 15 tags CPT 11200 HB=REM SKIN TAGS 15 LESIONS<	$436.15	$671.00	$67.10–$617.32	52% above	35%
Skin tag removal, up to 15 tags inpatient CPT 11200 HB=REM SKIN TAGS 15 LESIONS<	$436.15	$671.00	$100.65–$617.32	—	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB=LUMBAR PUNCTURE DX (ED)	$191.10	$294.00	$44.10–$650.00	79% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB=LUMBAR PUNCTURE DIAG	$896.35	$1,379.00	$137.90–$1,268.68	1% below	35%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HB=LUMBAR PUNCTURE	$2,044.25	$3,145.00	$314.50–$2,893.40	126% above	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB=LUMBAR PUNCTURE DX (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB=LUMBAR PUNCTURE DIAG	$896.35	$1,379.00	$206.85–$1,268.68	—	35%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HB=LUMBAR PUNCTURE	$2,044.25	$3,145.00	$471.75–$2,893.40	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM (UC)	$53.30	$82.00	$8.20–$527.00	86% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM (ED)	$191.10	$294.00	$44.10–$650.00	51% below	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM	$458.90	$706.00	$70.60–$649.52	19% above	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HB=SIMPLE REPAIR S/N/AX/G/T/A/L 2.6-7.5 CM	$458.90	$706.00	$105.90–$649.52	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB=SIMPLE REPAIR F/E/E/N/L/MM 2.5 CM/< (UC)	$53.30	$82.00	$8.20–$527.00	85% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HB=SIMPLE REPAIR F/E/E/N/L/MM 2.5 CM/< (ED)	$191.10	$294.00	$44.10–$650.00	47% below	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB=SIMPLE REPAIR F/E/E/N/L/MM 2.5 CM/< (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HB=SIMPLE REPAIR F/E/E/N/L/MM 2.5 CM/< (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HB=TANGENTIAL BIOPSY SKIN 1ST LESION	$562.90	$866.00	$86.60–$796.72	34% above	35%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HB=TANGENTIAL BIOPSY SKIN 1ST LESION	$562.90	$866.00	$129.90–$796.72	—	35%
Thoracentesis with imaging guidance CPT 32555 HB=THORACENTESIS WITH GUIDANCE	$1,060.15	$1,631.00	$163.10–$1,500.52	15% below	35%
Thoracentesis with imaging guidance CPT 32555 HB=ASPIRATE PLEURA W/IMAGING	$1,668.55	$2,567.00	$256.70–$2,361.64	33% above	35%
Thoracentesis with imaging guidance CPT 32555 HB=THORACENTESIS NDL/CATH W/IMAGING	$2,061.15	$3,171.00	$317.10–$2,917.32	65% above	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HB=THORACENTESIS WITH GUIDANCE	$1,060.15	$1,631.00	$244.65–$1,500.52	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HB=ASPIRATE PLEURA W/IMAGING	$1,668.55	$2,567.00	$385.05–$2,361.64	—	35%
Thoracentesis with imaging guidance inpatient CPT 32555 HB=THORACENTESIS NDL/CATH W/IMAGING	$2,061.15	$3,171.00	$475.65–$2,917.32	—	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HB=INJECT SNGL/MULTI TRIGGER POINTS 1/2 MUSC	$1,156.35	$1,779.00	$177.90–$1,636.68	140% above	35%
Trigger point injections, 1 or 2 muscles CPT 20552 HB=INJECT SGL/MULTI TRIGGER POINTS 1/2 MUSCLES	$1,225.90	$1,886.00	$188.60–$1,735.12	155% above	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB=INJECT SNGL/MULTI TRIGGER POINTS 1/2 MUSC	$1,156.35	$1,779.00	$266.85–$1,636.68	—	35%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HB=INJECT SGL/MULTI TRIGGER POINTS 1/2 MUSCLES	$1,225.90	$1,886.00	$282.90–$1,735.12	—	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HB=BIOPSY BREAST PERC 1ST LESION	$1,532.70	$2,358.00	$235.80–$2,169.36	29% below	35%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HB=BIOPSY BREAST PERC 1ST LESION	$1,532.70	$2,358.00	$353.70–$2,169.36	—	35%
Upper endoscopy (EGD), diagnostic CPT 43235 HB=ENDO UPPER GI DX BRUSH/WASH	$2,307.50	$3,550.00	$355.00–$3,266.00	19% above	35%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HB=ENDO UPPER GI DX BRUSH/WASH	$2,307.50	$3,550.00	$532.50–$3,266.00	—	35%
Wart removal, up to 14 warts CPT 17110 HB=DEST BENIGN LESIONS 1-14	$705.25	$1,085.00	$108.50–$998.20	158% above	35%
Wart removal, up to 14 warts inpatient CPT 17110 HB=DEST BENIGN LESIONS 1-14	$705.25	$1,085.00	$162.75–$998.20	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB=DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM (UC)	$53.30	$82.00	$8.20–$527.00	91% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB=DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM (ED)	$191.10	$294.00	$44.10–$650.00	68% below	35%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HB=DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE	$684.45	$1,053.00	$105.30–$968.76	16% above	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB=DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM (UC)	$53.30	$82.00	$12.30–$75.44	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB=DEBRIDE SKIN/SUBQ TISSUE 1ST 20 SQ CM (ED)	$191.10	$294.00	$44.10–$270.48	—	35%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HB=DEBRIDEMENT SKIN/SUBCUTANEOUS TISSUE	$684.45	$1,053.00	$157.95–$968.76	—	35%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HB=BLOOD TRANSFUSION	$2,055.30	$3,162.00	$316.20–$2,909.04	82% above	35%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HB=BLOOD TRANSFUSION	$2,055.30	$3,162.00	$474.30–$2,909.04	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB=POSITIVE PRESSURE THERAPY	$286.00	$440.00	$44.00–$404.80	at median	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB=AIRWAY INHALATION TX	$376.35	$579.00	$57.90–$532.68	31% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HB=POSITIVE PRESS THERAPY W/AIRWAY INH TX	$481.00	$740.00	$74.00–$680.80	68% above	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB=POSITIVE PRESSURE THERAPY	$286.00	$440.00	$66.00–$404.80	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB=AIRWAY INHALATION TX	$376.35	$579.00	$86.85–$532.68	—	35%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HB=POSITIVE PRESS THERAPY W/AIRWAY INH TX	$481.00	$740.00	$111.00–$680.80	—	35%
Chemotherapy IV infusion, first hour CPT 96413 HB=CHEMO IV INFUSION 1ST HR	$2,691.65	$4,141.00	$414.10–$3,809.72	159% above	35%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HB=CHEMO IV INFUSION 1ST HR	$2,691.65	$4,141.00	$621.15–$3,809.72	—	35%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 HB=COMPREHENSIVE EYE EXAM NEW PT	$178.10	$274.00	$27.40–$252.08	—	35%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 HB=COMPREHENSIVE EYE EXAM NEW PT	$178.10	$274.00	$41.10–$252.08	—	35%
Comprehensive eye exam, returning patient CPT 92014 HB=COMPREHENSIVE EYE EXAM EST PT	$170.95	$263.00	$26.30–$241.96	—	35%
Comprehensive eye exam, returning patient inpatient CPT 92014 HB=COMPREHENSIVE EYE EXAM EST PT	$170.95	$263.00	$39.45–$241.96	—	35%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HB=COMP AUDIOMETRY THRESHOLD EVAL W/SPEECH	$258.70	$398.00	$39.80–$366.16	50% below	35%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 HB=COMP AUDIOMETRY THRESHOLD EVAL W/SPEECH	$258.70	$398.00	$59.70–$366.16	—	35%
Critical care, first 30 to 74 minutes CPT 99291 HB=CRIT CARE 1ST 30 74 MIN	$6,449.30	$9,922.00	$650.00–$9,128.24	83% above	35%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HB=CRIT CARE 1ST 30 74 MIN	$6,449.30	$9,922.00	$1,488.30–$9,128.24	—	35%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HB=EEG AWAKE AND DROWSY	$1,077.05	$1,657.00	$165.70–$1,524.44	70% below	35%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HB=EEG AWAKE AND DROWSY	$1,077.05	$1,657.00	$248.55–$1,524.44	—	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HB=EKG	$223.60	$344.00	$34.40–$316.48	9% below	35%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HB=EKG	$223.60	$344.00	$51.60–$316.48	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB=ER VISIT LVL I	$364.00	$560.00	$84.00–$650.00	43% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 QPSYED=ER VISIT LVL I	$447.20	$688.00	$103.20–$650.00	76% above	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB=ER VISIT LVL I	$364.00	$560.00	$84.00–$515.20	—	35%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 QPSYED=ER VISIT LVL I	$447.20	$688.00	$103.20–$632.96	—	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB=ER VISIT LVL II	$798.85	$1,229.00	$184.35–$1,130.68	44% above	35%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 QPSYED=ER VISIT LVL II	$1,127.75	$1,735.00	$260.25–$1,596.20	103% above	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB=ER VISIT LVL II	$798.85	$1,229.00	$184.35–$1,130.68	—	35%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 QPSYED=ER VISIT LVL II	$1,127.75	$1,735.00	$260.25–$1,596.20	—	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HB=ER VISIT LVL III	$1,657.50	$2,550.00	$382.50–$2,697.00	72% above	35%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 QPSYED=ER VISIT LVL III	$2,541.50	$3,910.00	$586.50–$3,597.20	163% above	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HB=ER VISIT LVL III	$1,657.50	$2,550.00	$382.50–$2,346.00	—	35%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 QPSYED=ER VISIT LVL III	$2,541.50	$3,910.00	$586.50–$3,597.20	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB=ER VISIT LVL IV	$3,147.95	$4,843.00	$650.00–$5,121.00	87% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 QPSYED=ER VISIT LVL IV	$4,017.00	$6,180.00	$650.00–$5,685.60	139% above	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB=ER VISIT LVL IV	$3,147.95	$4,843.00	$726.45–$4,455.56	—	35%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 QPSYED=ER VISIT LVL IV	$4,017.00	$6,180.00	$927.00–$5,685.60	—	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HB=ER VISIT LVL V	$6,693.05	$10,297.00	$650.00–$9,473.24	163% above	35%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 QPSYED=ER VISIT LVL V	$9,621.30	$14,802.00	$650.00–$13,617.84	279% above	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HB=ER VISIT LVL V	$6,693.05	$10,297.00	$1,544.55–$9,473.24	—	35%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 QPSYED=ER VISIT LVL V	$9,621.30	$14,802.00	$2,220.30–$13,617.84	—	35%
Exercise stress test, tracing only, the hospital charge CPT 93017 HB=CARDIOVASCULAR STRESS TEST	$847.60	$1,304.00	$130.40–$1,199.68	23% below	35%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HB=CARDIOVASCULAR STRESS TEST	$847.60	$1,304.00	$195.60–$1,199.68	—	35%
Eye exam, returning patient, intermediate CPT 92012 HB=INTERMEDIATE EYE EXAM EST PT	$142.35	$219.00	$21.90–$201.48	—	35%
Eye exam, returning patient, intermediate inpatient CPT 92012 HB=INTERMEDIATE EYE EXAM EST PT	$142.35	$219.00	$32.85–$201.48	—	35%
Family therapy with the patient, 50 minutes CPT 90847 HB=FAMILY PSYTX W/PATIENT NONGLOBAL	$405.60	$624.00	$93.60–$574.08	21% below	35%
Family therapy with the patient, 50 minutes CPT 90847 HB=FAMILY PSYTX W/PT GLOBAL	$661.70	$1,018.00	$152.70–$936.56	28% above	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HB=FAMILY PSYTX W/PATIENT NONGLOBAL	$405.60	$624.00	$93.60–$574.08	—	35%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HB=FAMILY PSYTX W/PT GLOBAL	$661.70	$1,018.00	$152.70–$936.56	—	35%
Family therapy without the patient, 50 minutes CPT 90846 HB=FAMILY PSYTX W/O PT NONGLOBAL	$354.25	$545.00	$81.75–$501.40	48% below	35%
Family therapy without the patient, 50 minutes CPT 90846 HB=FAMILY PSYTX W/O PT GLOBAL	$508.30	$782.00	$117.30–$719.44	25% below	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HB=FAMILY PSYTX W/O PT NONGLOBAL	$354.25	$545.00	$81.75–$501.40	—	35%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HB=FAMILY PSYTX W/O PT GLOBAL	$508.30	$782.00	$117.30–$719.44	—	35%
Group psychotherapy session CPT 90853 HB=GROUP PSYCHOTHERAPY NONGLOBAL	$222.95	$343.00	$50.00–$315.56	25% below	35%
Group psychotherapy session CPT 90853 HB=GROUP PSYCHOTHERAPY GLOBAL	$352.30	$542.00	$50.00–$498.64	19% above	35%
Group psychotherapy session inpatient CPT 90853 HB=GROUP PSYCHOTHERAPY NONGLOBAL	$222.95	$343.00	$51.45–$315.56	—	35%
Group psychotherapy session inpatient CPT 90853 HB=GROUP PSYCHOTHERAPY GLOBAL	$352.30	$542.00	$81.30–$498.64	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB=IV HYDRATION INITIAL HR .	$317.20	$488.00	$48.80–$448.96	23% below	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB=IV HYDRATION INITIAL HR.	$540.80	$832.00	$83.20–$765.44	31% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HB=IV HYDRATION INITIAL HR	$560.30	$862.00	$86.20–$793.04	36% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 QPSYED=IV INFUS HYDR INIT 1 HR<	$878.15	$1,351.00	$202.65–$1,242.92	113% above	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB=IV HYDRATION INITIAL HR .	$317.20	$488.00	$73.20–$448.96	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB=IV HYDRATION INITIAL HR.	$540.80	$832.00	$124.80–$765.44	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HB=IV HYDRATION INITIAL HR	$560.30	$862.00	$129.30–$793.04	—	35%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 QPSYED=IV INFUS HYDR INIT 1 HR<	$878.15	$1,351.00	$202.65–$1,242.92	—	35%
IV infusion of a medicine, first hour CPT 96365 HB=IV INFUSION MEDS INITIAL HR .	$469.95	$723.00	$72.30–$665.16	12% below	35%
IV infusion of a medicine, first hour CPT 96365 HB=IV INFUSION MEDS INITIAL HR.	$676.00	$1,040.00	$104.00–$956.80	27% above	35%
IV infusion of a medicine, first hour CPT 96365 QPSYED=IV INF THER/PROPH/DIAG 1ST HR	$971.75	$1,495.00	$224.25–$1,375.40	82% above	35%
IV infusion of a medicine, first hour CPT 96365 HB=IV INFUSION MEDS INITIAL HR	$1,034.80	$1,592.00	$159.20–$1,464.64	94% above	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HB=IV INFUSION MEDS INITIAL HR .	$469.95	$723.00	$108.45–$665.16	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HB=IV INFUSION MEDS INITIAL HR.	$676.00	$1,040.00	$156.00–$956.80	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 QPSYED=IV INF THER/PROPH/DIAG 1ST HR	$971.75	$1,495.00	$224.25–$1,375.40	—	35%
IV infusion of a medicine, first hour inpatient CPT 96365 HB=IV INFUSION MEDS INITIAL HR	$1,034.80	$1,592.00	$238.80–$1,464.64	—	35%
IV push of a medicine, first drug CPT 96374 HB=IV PUSH INITIAL MED .	$426.40	$656.00	$65.60–$603.52	31% above	35%
IV push of a medicine, first drug CPT 96374 HB=IV PUSH INITIAL MED.	$470.60	$724.00	$72.40–$666.08	45% above	35%
IV push of a medicine, first drug CPT 96374 QPSYED=THER/PROPH/DIAG INJ IVP	$705.90	$1,086.00	$162.90–$999.12	117% above	35%
IV push of a medicine, first drug CPT 96374 HB=IV PUSH INITIAL MED	$985.40	$1,516.00	$151.60–$1,394.72	203% above	35%
IV push of a medicine, first drug inpatient CPT 96374 HB=IV PUSH INITIAL MED .	$426.40	$656.00	$98.40–$603.52	—	35%
IV push of a medicine, first drug inpatient CPT 96374 HB=IV PUSH INITIAL MED.	$470.60	$724.00	$108.60–$666.08	—	35%
IV push of a medicine, first drug inpatient CPT 96374 QPSYED=THER/PROPH/DIAG INJ IVP	$705.90	$1,086.00	$162.90–$999.12	—	35%
IV push of a medicine, first drug inpatient CPT 96374 HB=IV PUSH INITIAL MED	$985.40	$1,516.00	$227.40–$1,394.72	—	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB=INJECTION SUBQ/IM.	$148.85	$229.00	$22.90–$210.68	1% below	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB=INJECTION SUBQ/IM .	$151.45	$233.00	$23.30–$214.36	1% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 QPSYED=THER/PROPH/DIAG INJ SC/IM	$241.15	$371.00	$55.65–$650.00	61% above	35%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HB=INJECTION SUBQ/IM	$709.15	$1,091.00	$109.10–$1,003.72	372% above	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB=INJECTION SUBQ/IM.	$148.85	$229.00	$34.35–$210.68	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB=INJECTION SUBQ/IM .	$151.45	$233.00	$34.95–$214.36	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 QPSYED=THER/PROPH/DIAG INJ SC/IM	$241.15	$371.00	$55.65–$341.32	—	35%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HB=INJECTION SUBQ/IM	$709.15	$1,091.00	$163.65–$1,003.72	—	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB=PSYCH EVAL UC NONMD GLOBAL	$436.80	$672.00	$67.20–$618.24	44% below	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB=PSYCH EVAL ED NONMD NONGLOBAL	$501.80	$772.00	$115.80–$710.24	36% below	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB=PSYCH EVAL CLINIC NON MD NONGLOBAL	$502.45	$773.00	$115.95–$711.16	35% below	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB=PSYCH EVAL CLINIC NON MD GLOBAL	$830.70	$1,278.00	$160.00–$1,175.76	7% above	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psychiatric Evaluation	$830.70	$1,278.00	$160.00–$1,175.76	7% above	35%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HB=PSYCH EVAL ED NONMD GLOBAL	$1,729.65	$2,661.00	$399.15–$2,448.12	122% above	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB=PSYCH EVAL UC NONMD GLOBAL	$436.80	$672.00	$100.80–$618.24	—	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB=PSYCH EVAL ED NONMD NONGLOBAL	$501.80	$772.00	$115.80–$710.24	—	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB=PSYCH EVAL CLINIC NON MD NONGLOBAL	$502.45	$773.00	$115.95–$711.16	—	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB=PSYCH EVAL CLINIC NON MD GLOBAL	$830.70	$1,278.00	$191.70–$1,175.76	—	35%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 HB=PSYCH EVAL ED NONMD GLOBAL	$1,729.65	$2,661.00	$399.15–$2,448.12	—	35%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HB=NERVE CONDUCTION STUDIES 7-8 STUDIES	$436.80	$672.00	$67.20–$618.24	65% below	35%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HB=NERVE CONDUCTION STUDIES 7-8 STUDIES	$436.80	$672.00	$100.80–$618.24	—	35%
Neuromuscular re-education, 15 minutes CPT 97112 HB=OT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$88.40	$136.00	$13.60–$125.12	25% below	35%
Neuromuscular re-education, 15 minutes CPT 97112 HB=PT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$88.40	$136.00	$13.60–$125.12	25% below	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB=OT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HB=PT NEUROMUSCULAR RE-EDUCATION EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
New patient office visit, about 30 minutes CPT 99203 HB=E&M LEVEL III NEW GLOBAL	$220.35	$339.00	$50.85–$311.88	7% below	35%
New patient office visit, about 30 minutes CPT 99203 HB=E&M LEVEL III NEW NONGLOBAL	$235.95	$363.00	$54.45–$333.96	1% below	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HB=E&M LEVEL III NEW GLOBAL	$220.35	$339.00	$50.85–$311.88	—	35%
New patient office visit, about 30 minutes inpatient CPT 99203 HB=E&M LEVEL III NEW NONGLOBAL	$235.95	$363.00	$54.45–$333.96	—	35%
New patient office visit, about 45 minutes CPT 99204 HB=E&M LEVEL IV NEW NONGLOBAL	$408.85	$629.00	$94.35–$578.68	12% above	35%
New patient office visit, about 45 minutes CPT 99204 HB=E&M LEVEL IV NEW GLOBAL	$493.35	$759.00	$113.85–$698.28	35% above	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HB=E&M LEVEL IV NEW NONGLOBAL	$408.85	$629.00	$94.35–$578.68	—	35%
New patient office visit, about 45 minutes inpatient CPT 99204 HB=E&M LEVEL IV NEW GLOBAL	$493.35	$759.00	$113.85–$698.28	—	35%
New patient office visit, about 60 minutes CPT 99205 HB=E&M LEVEL V NEW NONGLOBAL	$589.55	$907.00	$136.05–$834.44	15% above	35%
New patient office visit, about 60 minutes CPT 99205 HB=E&M LEVEL V NEW GLOBAL	$817.05	$1,257.00	$188.55–$1,156.44	59% above	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HB=E&M LEVEL V NEW NONGLOBAL	$589.55	$907.00	$136.05–$834.44	—	35%
New patient office visit, about 60 minutes inpatient CPT 99205 HB=E&M LEVEL V NEW GLOBAL	$817.05	$1,257.00	$188.55–$1,156.44	—	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB=E&M LEVEL II NEW NONGLOBAL	$161.20	$248.00	$37.20–$228.16	4% above	35%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HB=E&M LEVEL II NEW GLOBAL	$215.80	$332.00	$49.80–$305.44	39% above	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB=E&M LEVEL II NEW NONGLOBAL	$161.20	$248.00	$37.20–$228.16	—	35%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HB=E&M LEVEL II NEW GLOBAL	$215.80	$332.00	$49.80–$305.44	—	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HB=MNT INITIAL ASSESSMENT INDIV EA 15 MIN	$206.05	$317.00	$31.70–$291.64	268% above	35%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HB=MNT INITIAL ASSESSMENT INDIV EA 15 MIN	$206.05	$317.00	$47.55–$291.64	—	35%
Occupational therapy evaluation, low complexity CPT 97165 HB=OT EVAL LOW COMPLEXITY	$334.75	$515.00	$51.50–$473.80	2% above	35%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HB=OT EVAL LOW COMPLEXITY	$334.75	$515.00	$77.25–$473.80	—	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HB=PT EVAL HIGH COMPLEXITY	$337.35	$519.00	$51.90–$477.48	5% above	35%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HB=PT EVAL HIGH COMPLEXITY	$337.35	$519.00	$77.85–$477.48	—	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HB=PT EVAL LOW COMPLEXITY	$280.15	$431.00	$43.10–$396.52	1% below	35%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HB=PT EVAL LOW COMPLEXITY	$280.15	$431.00	$64.65–$396.52	—	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HB=PT EVAL MODERATE COMPLEXITY	$306.80	$472.00	$47.20–$434.24	4% above	35%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HB=PT EVAL MODERATE COMPLEXITY	$306.80	$472.00	$70.80–$434.24	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB=OT MANUAL THERAPY EA 15 MIN	$88.40	$136.00	$13.60–$125.12	17% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HB=PT MANUAL THERAPY EA 15 MIN	$88.40	$136.00	$13.60–$125.12	17% below	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB=PT MANUAL THERAPY EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HB=OT MANUAL THERAPY EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB=PT THERAPEUTIC PROCEDURE EA 15 MIN	$88.40	$136.00	$13.60–$125.12	21% below	35%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HB=OT THERAPEUTIC PROCEDURE EA 15 MIN	$88.40	$136.00	$13.60–$125.12	21% below	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB=OT THERAPEUTIC PROCEDURE EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HB=PT THERAPEUTIC PROCEDURE EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Psychiatric evaluation with medical services CPT 90792 HB=PSYCH EVAL CLINIC MD NONGLOBAL	$644.15	$991.00	$148.65–$911.72	17% below	35%
Psychiatric evaluation with medical services CPT 90792 Psychiatric Evaluation w/Medical	$967.85	$1,489.00	$160.00–$1,369.88	24% above	35%
Psychiatric evaluation with medical services CPT 90792 HB=PSYCH EVAL CLINIC MD GLOBAL	$967.85	$1,489.00	$160.00–$1,369.88	24% above	35%
Psychiatric evaluation with medical services CPT 90792 HB=PSYCH EVAL ED W/MED SVC MD NONGLOBAL	$1,012.05	$1,557.00	$233.55–$1,432.44	30% above	35%
Psychiatric evaluation with medical services CPT 90792 HB=PSYCH EVAL ED W/MED SVC MD GLOBAL	$1,718.60	$2,644.00	$396.60–$2,432.48	121% above	35%
Psychiatric evaluation with medical services inpatient CPT 90792 HB=PSYCH EVAL CLINIC MD NONGLOBAL	$644.15	$991.00	$148.65–$911.72	—	35%
Psychiatric evaluation with medical services inpatient CPT 90792 HB=PSYCH EVAL CLINIC MD GLOBAL	$967.85	$1,489.00	$223.35–$1,369.88	—	35%
Psychiatric evaluation with medical services inpatient CPT 90792 HB=PSYCH EVAL ED W/MED SVC MD NONGLOBAL	$1,012.05	$1,557.00	$233.55–$1,432.44	—	35%
Psychiatric evaluation with medical services inpatient CPT 90792 HB=PSYCH EVAL ED W/MED SVC MD GLOBAL	$1,718.60	$2,644.00	$396.60–$2,432.48	—	35%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB=PSYCH TESTING EVAL SERVICE 1ST HR NONGLOBAL	$633.75	$975.00	$97.50–$897.00	46% above	35%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HB=PSYCH TESTING EVAL SERVICE 1ST HR GLOBAL	$951.60	$1,464.00	$146.40–$1,346.88	119% above	35%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HB=PSYCH TESTING EVAL SERVICE 1ST HR NONGLOBAL	$633.75	$975.00	$146.25–$897.00	—	35%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 HB=PSYCH TESTING EVAL SERVICE 1ST HR GLOBAL	$951.60	$1,464.00	$219.60–$1,346.88	—	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB=PSYTX CRISIS INITIAL 60 MIN NONGLOBAL	$544.70	$838.00	$125.70–$770.96	at median	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB=PSYTX CRISIS INITIAL 60 MIN GLOBAL	$915.20	$1,408.00	$211.00–$1,295.36	68% above	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB=PSYTX CRISIS ED INITIAL 60 MIN NONGLOBAL	$2,192.45	$3,373.00	$419.00–$3,103.16	303% above	35%
Psychotherapy for crisis, first 60 minutes CPT 90839 HB=PSYTX CRISIS ED INITIAL 60 MIN GLOBAL	$4,059.90	$6,246.00	$419.00–$5,746.32	645% above	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB=PSYTX CRISIS INITIAL 60 MIN NONGLOBAL	$544.70	$838.00	$125.70–$770.96	—	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB=PSYTX CRISIS INITIAL 60 MIN GLOBAL	$915.20	$1,408.00	$211.20–$1,295.36	—	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB=PSYTX CRISIS ED INITIAL 60 MIN NONGLOBAL	$2,192.45	$3,373.00	$505.95–$3,103.16	—	35%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 HB=PSYTX CRISIS ED INITIAL 60 MIN GLOBAL	$4,059.90	$6,246.00	$936.90–$5,746.32	—	35%
Psychotherapy session, 30 minutes CPT 90832 HB=PSYTX PT 30 MIN NONMD NONGLOBAL	$231.40	$356.00	$53.40–$327.52	9% above	35%
Psychotherapy session, 30 minutes CPT 90832 HB=PSYTX PT 30 MIN NONMD GLOBAL	$397.15	$611.00	$91.65–$562.12	86% above	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 HB=PSYTX PT 30 MIN NONMD NONGLOBAL	$231.40	$356.00	$53.40–$327.52	—	35%
Psychotherapy session, 30 minutes inpatient CPT 90832 HB=PSYTX PT 30 MIN NONMD GLOBAL	$397.15	$611.00	$91.65–$562.12	—	35%
Psychotherapy session, 45 minutes CPT 90834 HB=PSYTX PT 45 MIN NONMD NONGLOBAL	$227.50	$350.00	$52.50–$322.00	19% below	35%
Psychotherapy session, 45 minutes CPT 90834 HB=PSYTX PT 45 MIN NONMD GLOBAL	$490.10	$754.00	$113.10–$693.68	75% above	35%
Psychotherapy session, 45 minutes inpatient CPT 90834 HB=PSYTX PT 45 MIN NONMD NONGLOBAL	$227.50	$350.00	$52.50–$322.00	—	35%
Psychotherapy session, 45 minutes inpatient CPT 90834 HB=PSYTX PT 45 MIN NONMD GLOBAL	$490.10	$754.00	$113.10–$693.68	—	35%
Psychotherapy session, 60 minutes CPT 90837 HB=PSYTX PT 60 MINUTES NONGLOBAL	$370.50	$570.00	$85.50–$524.40	7% above	35%
Psychotherapy session, 60 minutes CPT 90837 HB=PSYTX PT 60 MINUTES GLOBAL	$539.50	$830.00	$124.50–$763.60	56% above	35%
Psychotherapy session, 60 minutes inpatient CPT 90837 HB=PSYTX PT 60 MINUTES NONGLOBAL	$370.50	$570.00	$85.50–$524.40	—	35%
Psychotherapy session, 60 minutes inpatient CPT 90837 HB=PSYTX PT 60 MINUTES GLOBAL	$539.50	$830.00	$124.50–$763.60	—	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB=CLINIC VISIT COMPLEX LEVEL	$212.55	$327.00	$32.70–$300.84	38% below	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB=E&M LEVEL V EST NONGLOBAL	$434.85	$669.00	$100.35–$615.48	28% above	35%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HB=E&M LEVEL V EST GLOBAL	$606.45	$933.00	$139.95–$858.36	78% above	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB=CLINIC VISIT COMPLEX LEVEL	$212.55	$327.00	$49.05–$300.84	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB=E&M LEVEL V EST NONGLOBAL	$434.85	$669.00	$100.35–$615.48	—	35%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HB=E&M LEVEL V EST GLOBAL	$606.45	$933.00	$139.95–$858.36	—	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB=CLINIC VISIT INTERMEDIATE LEVEL	$154.70	$238.00	$23.80–$218.96	23% below	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB=E&M LEVEL III EST NONGLOBAL	$208.65	$321.00	$48.15–$295.32	4% above	35%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HB=E&M LEVEL III EST GLOBAL	$313.95	$483.00	$72.45–$444.36	57% above	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB=CLINIC VISIT INTERMEDIATE LEVEL	$154.70	$238.00	$35.70–$218.96	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB=E&M LEVEL III EST NONGLOBAL	$208.65	$321.00	$48.15–$295.32	—	35%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HB=E&M LEVEL III EST GLOBAL	$313.95	$483.00	$72.45–$444.36	—	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB=E&M LEVEL IV EST NONGLOBAL	$417.95	$643.00	$96.45–$591.56	40% above	35%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HB=E&M LEVEL IV EST GLOBAL	$468.65	$721.00	$108.15–$663.32	57% above	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB=E&M LEVEL IV EST NONGLOBAL	$417.95	$643.00	$96.45–$591.56	—	35%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HB=E&M LEVEL IV EST GLOBAL	$468.65	$721.00	$108.15–$663.32	—	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB=E&M LEVEL II EST NONGLOBAL	$163.80	$252.00	$37.80–$231.84	6% above	35%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HB=E&M LEVEL II EST GLOBAL	$196.30	$302.00	$45.30–$277.84	27% above	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB=E&M LEVEL II EST NONGLOBAL	$163.80	$252.00	$37.80–$231.84	—	35%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HB=E&M LEVEL II EST GLOBAL	$196.30	$302.00	$45.30–$277.84	—	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 HB=PSYCH CONSULT OP 30-39 MIN	$235.95	$363.00	$36.30–$333.96	145% above	35%
Specialist consultation, low complexity or 30+ minutes CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$243.75	$375.00	$37.50–$345.00	153% above	35%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 HB=PSYCH CONSULT OP 30-39 MIN	$235.95	$363.00	$54.45–$333.96	—	35%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 PR OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES	$243.75	$375.00	$56.25–$345.00	—	35%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 HB=PSYCH CONSULT OP 40-54 MIN	$302.90	$466.00	$46.60–$428.72	110% above	35%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 HB=PSYCH CONSULT OP 40-54 MIN	$302.90	$466.00	$69.90–$428.72	—	35%
Speech and language evaluation CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 1 HR	$325.65	$501.00	$50.10–$460.92	30% below	35%
Speech and language evaluation CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 2 HRS	$436.80	$672.00	$67.20–$618.24	6% below	35%
Speech and language evaluation CPT 92523 HB=SPEECH SOUND LANG COMPREHEN (2 HRS)	$568.75	$875.00	$87.50–$805.00	22% above	35%
Speech and language evaluation CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 3 HRS	$568.75	$875.00	$87.50–$805.00	22% above	35%
Speech and language evaluation CPT 92523 HB=LANGUAGE LEARNING EVALUATION	$718.25	$1,105.00	$110.50–$1,016.60	54% above	35%
Speech and language evaluation inpatient CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 1 HR	$325.65	$501.00	$75.15–$460.92	—	35%
Speech and language evaluation inpatient CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 2 HRS	$436.80	$672.00	$100.80–$618.24	—	35%
Speech and language evaluation inpatient CPT 92523 HB=EVAL SPEECH LANGUAGE COMP 3 HRS	$568.75	$875.00	$131.25–$805.00	—	35%
Speech and language evaluation inpatient CPT 92523 HB=SPEECH SOUND LANG COMPREHEN (2 HRS)	$568.75	$875.00	$131.25–$805.00	—	35%
Speech and language evaluation inpatient CPT 92523 HB=LANGUAGE LEARNING EVALUATION	$718.25	$1,105.00	$165.75–$1,016.60	—	35%
Speech therapy session, individual CPT 92507 HB=SLP INDIVIDUAL THERAPY	$299.65	$461.00	$46.10–$424.12	17% below	35%
Speech therapy session, individual inpatient CPT 92507 HB=SLP INDIVIDUAL THERAPY	$299.65	$461.00	$69.15–$424.12	—	35%
Spirometry (breathing test) CPT 94010 HB=SPIROMETRY	$325.00	$500.00	$50.00–$460.00	at median	35%
Spirometry (breathing test) inpatient CPT 94010 HB=SPIROMETRY	$325.00	$500.00	$75.00–$460.00	—	35%
Spirometry before and after a bronchodilator CPT 94060 HB=BRONCH RESP PRE/POST	$666.90	$1,026.00	$102.60–$943.92	35% above	35%
Spirometry before and after a bronchodilator inpatient CPT 94060 HB=BRONCH RESP PRE/POST	$666.90	$1,026.00	$153.90–$943.92	—	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB=PT THERAPEUTIC ACTIVITY EA 15 MIN	$88.40	$136.00	$13.60–$125.12	32% below	35%
Therapeutic activities (functional training), 15 minutes CPT 97530 HB=OT THERAPEUTIC ACTIVITY EA 15 MIN	$88.40	$136.00	$13.60–$125.12	32% below	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB=PT THERAPEUTIC ACTIVITY EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HB=OT THERAPEUTIC ACTIVITY EA 15 MIN	$88.40	$136.00	$20.40–$125.12	—	35%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HB=PHLEBOTOMY	$1,261.00	$1,940.00	$194.00–$1,784.80	340% above	35%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HB=PHLEBOTOMY	$1,261.00	$1,940.00	$291.00–$1,784.80	—	35%
Visual field test, extended CPT 92083 HB=VISUAL FIELD EXAM UNI/BIL EXTENDED	$187.85	$289.00	$28.90–$265.88	67% below	35%
Visual field test, extended inpatient CPT 92083 HB=VISUAL FIELD EXAM UNI/BIL EXTENDED	$187.85	$289.00	$43.35–$265.88	—	35%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID-19 MRNA VACC (12 Y+) (MODERNA) 50 MCG/0.5ML IM SUS PFIL SYR	$448.92	$690.64	$69.06–$635.39	114% above	35%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 COVID VACC (12Y+) MOD 50MCG/0.5ML IM	$448.92	$690.64	$69.06–$635.39	114% above	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID-19 MRNA VACC (12 Y+) (MODERNA) 50 MCG/0.5ML IM SUS PFIL SYR	$448.92	$690.64	$103.60–$635.39	—	35%
COVID-19 vaccine (Moderna), age 12 and older inpatient CPT 91322 COVID VACC (12Y+) MOD 50MCG/0.5ML IM	$448.92	$690.64	$103.60–$635.39	—	35%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJ RECON SUSP	$605.51	$931.55	$93.16–$857.03	1% below	35%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML INJ RECON SUSP	$605.51	$931.55	$139.73–$857.03	—	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 DTAP-IPV VACCINE IM SUSPENSION	$200.95	$309.14	$30.91–$284.41	41% above	35%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) inpatient CPT 90696 DTAP-IPV VACCINE IM SUSPENSION	$200.95	$309.14	$46.37–$284.41	—	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$126.14	$194.06	$19.41–$178.54	at median	35%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 DIPHTH-ACELL PERTUSSIS-TETANUS 25-58-10 LF-MCG/0.5 IM SUSP	$126.14	$194.06	$29.11–$178.54	—	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUS PFIL SYR	$327.85	$504.38	$50.44–$464.03	117% above	35%
DTaP, hepatitis B and polio combination vaccine (Pediarix) inpatient CPT 90723 DTAP-HEPATITIS B RECOMB-IPV IM SUS PFIL SYR	$327.85	$504.38	$75.66–$464.03	—	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS TRI-VALENT 0.5 ML SUS PFIL SYR	$26.00	$40.00	$4.00–$36.80	60% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML INTRADERMAL INJECTION	$26.00	$40.00	$4.00–$36.80	60% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUS PFIL SYR (SKIN TEST)	$26.00	$40.00	$4.00–$36.80	60% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUS PFIL SYR	$26.00	$40.00	$4.00–$36.80	60% below	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML INTRADERMAL INJECTION	$26.00	$40.00	$6.00–$36.80	—	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS TRI-VALENT 0.5 ML SUS PFIL SYR	$26.00	$40.00	$6.00–$36.80	—	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUS PFIL SYR	$26.00	$40.00	$6.00–$36.80	—	35%
Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUS PFIL SYR (SKIN TEST)	$26.00	$40.00	$6.00–$36.80	—	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT VACCINE IM SUSP WRAPPER	$1,032.87	$1,589.03	$158.90–$1,461.91	21% above	35%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUS PFIL SYR	$1,036.12	$1,594.03	$159.40–$1,466.51	21% above	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT VACCINE IM SUSP WRAPPER	$1,032.87	$1,589.03	$238.35–$1,461.91	—	35%
HPV vaccine, 9-valent (Gardasil 9) inpatient CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUS PFIL SYR	$1,036.12	$1,594.03	$239.10–$1,466.51	—	35%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUS PFIL SYR	$278.15	$427.92	$42.79–$393.69	49% below	35%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUS PFIL SYR	$278.15	$427.92	$64.19–$393.69	—	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP	$166.22	$255.71	$25.57–$235.25	15% above	35%
Hepatitis A vaccine, child and teen dose (2-dose schedule) inpatient CPT 90633 HEPATITIS A VACCINE 720 EL U/0.5ML IM SUSP	$166.22	$255.71	$38.36–$235.25	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUS PFIL SYR	$125.78	$193.50	$19.35–$178.02	16% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJ SUSP	$129.08	$198.58	$19.86–$182.69	19% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJ SUSP	$141.47	$217.64	$21.76–$200.23	30% above	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/0.5ML INJ SUS PFIL SYR	$125.78	$193.50	$29.03–$178.02	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 5 MCG/0.5ML INJ SUSP	$129.08	$198.58	$29.79–$182.69	—	35%
Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 HEPATITIS B VAC RECOMBINANT 10 MCG/ML INJ SUSP	$141.47	$217.64	$32.65–$200.23	—	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$138.13	$212.50	$21.25–$195.50	18% below	35%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP	$138.13	$212.50	$31.88–$195.50	—	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN	$62.96	$96.86	$9.69–$89.11	14% above	35%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) inpatient CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC IM RECON SOLN	$62.96	$96.86	$14.53–$89.11	—	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC (PRIORIX) INJ RECON SUSP	$302.36	$465.16	$46.52–$427.95	6% below	35%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC (MMR-II) INJ RECON SOLN	$311.06	$478.55	$47.86–$440.27	3% below	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC (PRIORIX) INJ RECON SUSP	$302.36	$465.16	$69.77–$427.95	—	35%
MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 MEASLES, MUMPS & RUBELLA VAC (MMR-II) INJ RECON SOLN	$311.06	$478.55	$71.78–$440.27	—	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC RECON SUSP	$907.15	$1,395.61	$139.56–$1,283.96	129% above	35%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) inpatient CPT 90710 MEASLES-MUMPS-RUBELLA-VARICELL SC RECON SUSP	$907.15	$1,395.61	$209.34–$1,283.96	—	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM RECON SOLN	$372.46	$573.01	$57.30–$527.17	44% below	35%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLUTION	$526.36	$809.78	$80.98–$745.00	21% below	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM RECON SOLN	$372.46	$573.01	$85.95–$527.17	—	35%
Meningococcal ACWY (MenACWY) vaccine inpatient CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLUTION	$526.36	$809.78	$121.47–$745.00	—	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUS PFIL SYR	$745.94	$1,147.60	$114.76–$1,055.79	8% above	35%
Meningococcal B vaccine (Bexsero), 2-dose schedule inpatient CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUS PFIL SYR	$745.94	$1,147.60	$172.14–$1,055.79	—	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUS PFIL SYR	$859.62	$1,322.48	$132.25–$1,216.68	at median	35%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUS PFIL SYR	$859.62	$1,322.48	$198.37–$1,216.68	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ WRAPPER	$371.80	$572.00	$57.20–$526.24	5% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOL PFIL SYR	$375.05	$577.00	$57.70–$530.84	6% above	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ WRAPPER	$371.80	$572.00	$85.80–$526.24	—	35%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCCAL VAC POLYVALENT 25 MCG/0.5ML INJ SOL PFIL SYR	$375.05	$577.00	$86.55–$530.84	—	35%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP	$155.28	$238.89	$23.89–$219.78	32% below	35%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS VACCINE INACTIVATED INJ SUSP	$155.28	$238.89	$35.83–$219.78	—	35%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOL PFIL SYR	$1,741.64	$2,679.44	$267.94–$2,465.08	2% below	35%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) inpatient CPT 90381 NIRSEVIMAB-ALIP 100 MG/ML IM SOL PFIL SYR	$1,741.64	$2,679.44	$401.92–$2,465.08	—	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOL PFIL SYR	$1,741.63	$2,679.43	$267.94–$2,465.08	2% below	35%
RSV antibody shot for infants, seasonal dose (0.5 mL) inpatient CPT 90380 NIRSEVIMAB-ALIP 50 MG/0.5ML IM SOL PFIL SYR	$1,741.63	$2,679.43	$401.91–$2,465.08	—	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM RECON SOLN	$963.72	$1,482.64	$148.26–$1,364.03	at median	35%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy inpatient CPT 90678 RSV PRE-FUSION F A&B VAC RCMB 120 MCG/0.5ML IM RECON SOLN	$963.72	$1,482.64	$222.40–$1,364.03	—	35%
Rabies vaccine, one dose CPT 90675 RABIES VACCINE, PCEC IM RECON SUSP	$361.11	$555.55	$55.56–$511.11	72% below	35%
Rabies vaccine, one dose inpatient CPT 90675 RABIES VACCINE, PCEC IM RECON SUSP	$361.11	$555.55	$83.33–$511.11	—	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO RECON SUSP	$348.51	$536.16	$53.62–$493.27	113% above	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP	$464.82	$715.10	$71.51–$657.89	184% above	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO RECON SUSP	$348.51	$536.16	$80.42–$493.27	—	35%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) inpatient CPT 90681 ROTAVIRUS VACCINE LIVE ORAL PO SUSP	$464.82	$715.10	$107.27–$657.89	—	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLUTION	$426.72	$656.49	$65.65–$603.97	135% above	35%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) inpatient CPT 90680 ROTAVIRUS VAC LIVE PENTAVALENT PO SOLUTION	$426.72	$656.49	$98.47–$603.97	—	35%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM RECON SUSP	$675.64	$1,039.44	$103.94–$956.28	111% above	35%
Shingles vaccine (Shingrix), recombinant, one dose inpatient CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM RECON SUSP	$675.64	$1,039.44	$155.92–$956.28	—	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$145.72	$224.18	$22.42–$206.25	50% below	35%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 TETANUS-DIPHTHERIA TOXOIDS TD 5-2 LF/0.5ML IM SUSP	$145.72	$224.18	$33.63–$206.25	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUS PFIL SYR	$154.17	$237.18	$23.72–$218.21	26% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP WRAPPER	$154.17	$237.18	$23.72–$218.21	26% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$161.45	$248.38	$24.84–$228.51	22% below	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUSP WRAPPER	$154.17	$237.18	$35.58–$218.21	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM SUS PFIL SYR	$154.17	$237.18	$35.58–$218.21	—	35%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2-15.5 LF-MCG/0.5 IM SUSP	$161.45	$248.38	$37.26–$228.51	—	35%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOL PFIL SYR	$513.95	$790.68	$79.07–$727.43	365% above	35%
Typhoid vaccine, injectable (Vi polysaccharide) inpatient CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM SOL PFIL SYR	$513.95	$790.68	$118.60–$727.43	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB=IMMUNIZATION ADMIN INITIAL VACCINE	$50.05	$77.00	$7.70–$70.84	28% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HB=IMMUNIZATION ADMIN INITIAL FLU VACCINE	$52.00	$80.00	$8.00–$73.60	25% below	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB=IMMUNIZATION ADMIN INITIAL VACCINE	$50.05	$77.00	$11.55–$70.84	—	35%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HB=IMMUNIZATION ADMIN INITIAL FLU VACCINE	$52.00	$80.00	$12.00–$73.60	—	35%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HB=IMMUNIZATION ADMIN EA ADDL VACCINE	$52.00	$80.00	$8.00–$73.60	35% below	35%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HB=IMMUNIZATION ADMIN EA ADDL VACCINE	$52.00	$80.00	$12.00–$73.60	—	35%
Yellow fever vaccine, live CPT 90717 YELLOW FEVER VACCINE SC RECON SUSP	$806.25	$1,240.38	$124.04–$1,141.15	—	35%
Yellow fever vaccine, live inpatient CPT 90717 YELLOW FEVER VACCINE SC RECON SUSP	$806.25	$1,240.38	$186.06–$1,141.15	—	35%

Dental

Procedure	Cash price	List price	Insurers pay	vs Colorado	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT	$198.90	$306.00	$30.60–$281.52	—	35%
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 PERIODONTAL SCALING AND ROOT PLANING - FOUR OR MORE TEETH PER QUADRANT	$198.90	$306.00	$45.90–$281.52	—	35%
Dental implant, surgical placement CDT D6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT	$1,431.95	$2,203.00	$220.30–$2,026.76	—	35%
Dental implant, surgical placement inpatient CDT D6010 SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT	$1,431.95	$2,203.00	$330.45–$2,026.76	—	35%
Porcelain crown CDT D2740 CROWN - PORCELAIN/CERAMIC	$772.20	$1,188.00	$118.80–$1,092.96	—	35%
Porcelain crown inpatient CDT D2740 CROWN - PORCELAIN/CERAMIC	$772.20	$1,188.00	$178.20–$1,092.96	—	35%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY	$252.85	$389.00	$38.90–$357.88	—	35%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY	$252.85	$389.00	$58.35–$357.88	—	35%
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 ENDODONTIC THERAPY, MOLAR TOOTH (EXCLUDING FINAL RESTORATION)	$793.00	$1,220.00	$122.00–$1,122.40	—	35%
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 ENDODONTIC THERAPY, MOLAR TOOTH (EXCLUDING FINAL RESTORATION)	$793.00	$1,220.00	$183.00–$1,122.40	—	35%
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 PROPHY 13-20 Y.O. OR 12-20 Y.O. MC	$69.55	$107.00	$10.70–$98.44	—	35%
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 PROPHY 13-20 Y.O. OR 12-20 Y.O. MC	$69.55	$107.00	$16.05–$98.44	—	35%

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/8432/840166760-1336245828_childrens-hospital-colorado_standardcharges.csv