Milford Regional Medical Center
Listed in its price file as “UMass Memorial Health - Milford Regional Medical Center, Inc.”.
Milford Regional Medical Center in Milford, MA publishes cash prices for 337 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Massachusetts median for 253 of 335 procedures and below it for 74. By typical cash price it ranks #27 of 33 Massachusetts hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
14 Prospect St, Milford, MA 01757 Collected Sep 23, 2026 Source price file Check a bill from this hospital (508) 473-1190
Acute care hospital Nonprofit hospital Emergency department CMS star rating 4 of 5 CCN 220090 · CMS hospital register NPI 1477527497
The price file shows no self-pay discount
For 1376 of the 1376 prices listed here, the cash price in Milford Regional Medical Center's file equals its full list price (chargemaster), so the file publishes no self-pay discount. That is why it compares as expensive. Many hospitals still reduce bills for uninsured patients or offer financial assistance based on income: before a planned visit, ask the billing office for its self-pay rate and discount policy in writing. Other US hospitals whose cash price is their full list price.
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Milford Regional Medical Center is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 Ct abd wo cntrst flwd cntrst | $2,073.00 | $2,073.00 | $187.96–$10,207.87 | 15% above | — |
| Abdominal CT scan without and with contrast CPT 74170 Ct Abdomen W & W/O Cont | $2,073.00 | $2,073.00 | $2,073.00 | 15% above | — |
| Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Abdomen W & W/O Cont | $2,073.00 | $2,073.00 | $2,073.00 | — | — |
| Abdominal X-ray, 2 views CPT 74019 Kub And Upright 2 Views | $487.00 | $487.00 | $487.00 | 31% above | — |
| Abdominal X-ray, 2 views CPT 74019 Radex abdomen 2 views | $487.00 | $487.00 | $67.97–$438.00 | 31% above | — |
| Abdominal X-ray, 2 views inpatient CPT 74019 Kub And Upright 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray exam of ankle | $505.00 | $505.00 | $72.29–$1,424.24 | 96% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Ankle - Right 3 Views | $498.00 | $498.00 | $498.00 | 93% above | — |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 Left Ankle - 3 Views | $498.00 | $498.00 | $498.00 | 93% above | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Left Ankle - 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| Ankle X-ray, complete, 3 or more views inpatient one side CPT 73610 Ankle - Right 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries both sides CPT 93922 Abi Bilateral | $328.00 | $328.00 | $328.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Toe Brachial Indes | $270.00 | $270.00 | $270.00 | 26% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Upr/l xtremity art 2 levels | $328.00 | $328.00 | $142.58–$1,746.81 | 10% below | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient both sides CPT 93922 Abi Bilateral | $328.00 | $328.00 | $328.00 | — | — |
| Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Toe Brachial Indes | $270.00 | $270.00 | $270.00 | — | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 C/T Upper Extrem W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 84% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct upper extremity w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 84% above | — |
| Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 C/T Upper Extrem W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray xm esophagus 1cntrst | $445.00 | $445.00 | $148.44–$2,563.88 | 17% below | — |
| Barium swallow (esophagus X-ray with contrast) CPT 74220 Barium Swallow w/o air | $445.00 | $445.00 | $445.00 | 17% below | — |
| Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 Barium Swallow w/o air | $445.00 | $445.00 | $445.00 | — | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Bone imaging whole body | $1,413.00 | $1,413.00 | $394.65–$8,110.77 | 8% above | — |
| Bone scan, whole body (nuclear medicine) CPT 78306 Total Body Bone | $1,413.00 | $1,413.00 | $1,413.00 | 8% above | — |
| Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Total Body Bone | $1,413.00 | $1,413.00 | $1,413.00 | — | — |
| Breast ultrasound, complete, one breast CPT 76641 Ultrasound breast complete | $730.00 | $730.00 | $112.03–$589.28 | 75% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Scan For Mass Lt Compl | $622.00 | $622.00 | $622.00 | 49% above | — |
| Breast ultrasound, complete, one breast one side CPT 76641 Breast Scan For Mass Rt Compl | $622.00 | $622.00 | $622.00 | 49% above | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Breast Scan For Mass Lt Compl | $622.00 | $622.00 | $622.00 | — | — |
| Breast ultrasound, complete, one breast inpatient one side CPT 76641 Breast Scan For Mass Rt Compl | $622.00 | $622.00 | $622.00 | — | — |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound breast limited | $365.00 | $365.00 | $93.26–$547.00 | 17% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Left Limited Ultrasound | $197.00 | $197.00 | $197.00 | 55% below | — |
| Breast ultrasound, limited (one breast or one area) one side CPT 76642 Breast Right Limited Ultrasoun | $197.00 | $197.00 | $197.00 | 55% below | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Breast Left Limited Ultrasound | $197.00 | $197.00 | $197.00 | — | — |
| Breast ultrasound, limited (one breast or one area) inpatient one side CPT 76642 Breast Right Limited Ultrasoun | $197.00 | $197.00 | $197.00 | — | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angiography Abdomen &Pelvis | $2,379.00 | $2,379.00 | $2,379.00 | 4% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Angio Aorta Pelvis | $2,379.00 | $2,379.00 | $2,379.00 | 4% above | — |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 Cta abd&plvs w/contrast | $2,379.00 | $2,379.00 | $373.86–$14,957.57 | 4% above | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angio Aorta Pelvis | $2,379.00 | $2,379.00 | $2,379.00 | — | — |
| CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Angiography Abdomen &Pelvis | $2,379.00 | $2,379.00 | $2,379.00 | — | — |
| CT angiography (CTA) of the head CPT 70496 Ct angiography head | $1,927.00 | $1,927.00 | $187.96–$10,514.76 | 12% above | — |
| CT angiography (CTA) of the head CPT 70496 Ct-Angiography Head | $1,927.00 | $1,927.00 | $1,927.00 | 12% above | — |
| CT angiography (CTA) of the head inpatient CPT 70496 Ct-Angiography Head | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT angiography (CTA) of the neck CPT 70498 Ct angiography neck | $1,927.00 | $1,927.00 | $187.96–$10,514.76 | 47% above | — |
| CT angiography (CTA) of the neck CPT 70498 Ct-Angiography Neck | $1,927.00 | $1,927.00 | $1,927.00 | 47% above | — |
| CT angiography (CTA) of the neck inpatient CPT 70498 Ct-Angiography Neck | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct angiography chest | $1,954.00 | $1,954.00 | $1.41–$10,514.76 | 24% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct-Angiography Chest | $1,954.00 | $1,954.00 | $1,954.00 | 24% above | — |
| CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct-Angiography Chest | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Abd&Pelv W/O Contrast (Mcr) | $2,709.00 | $2,709.00 | $2,709.00 | 83% above | — |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct abd & pelvis w/o contrast | $2,709.00 | $2,709.00 | $255.69–$9,486.02 | 83% above | — |
| CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Abd&Pelv W/O Contrast (Mcr) | $2,709.00 | $2,709.00 | $2,709.00 | — | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Abd&Pelv W/Contrast (Mcr) | $2,759.00 | $2,759.00 | $2,759.00 | 13% above | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct abd & pelvis w/contrast | $2,759.00 | $2,759.00 | $373.86–$14,957.57 | 13% above | — |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Abd&Pelv W/Contrast (Mcr) | $2,759.00 | $2,759.00 | $2,759.00 | — | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct abd&plv wo cntr flwd cntr | $2,872.00 | $2,872.00 | $373.86–$14,957.57 | 9% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 Ct Abd&Pelv W&Wo Contr (Mcr) | $2,872.00 | $2,872.00 | $2,872.00 | 9% above | — |
| CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 Ct Abd&Pelv W&Wo Contr (Mcr) | $2,872.00 | $2,872.00 | $2,872.00 | — | — |
| CT scan of the abdomen with contrast CPT 74160 Ct abdomen w/contrast | $1,927.00 | $1,927.00 | $187.96–$9,210.19 | 25% above | — |
| CT scan of the abdomen with contrast CPT 74160 C/T Abdomen W/Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 25% above | — |
| CT scan of the abdomen with contrast inpatient CPT 74160 C/T Abdomen W/Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the abdomen without contrast CPT 74150 Ct abdomen w/o contrast | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 99% above | — |
| CT scan of the abdomen without contrast CPT 74150 C/T Abdomen W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 99% above | — |
| CT scan of the abdomen without contrast inpatient CPT 74150 C/T Abdomen W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 C/T Facial W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 89% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Brain Lab Sinus | $1,927.00 | $1,927.00 | $1,927.00 | 89% above | — |
| CT scan of the face and sinuses, no contrast dye CPT 70486 Ct maxillofacial w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 89% above | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 C/T Facial W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Brain Lab Sinus | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the head or brain, no contrast dye CPT 70450 C/T Head Or Brain W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 84% above | — |
| CT scan of the head or brain, no contrast dye CPT 70450 Ct head/brain w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 84% above | — |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 C/T Head Or Brain W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the head with contrast CPT 70460 Ct head/brain w/dye | $1,954.00 | $1,954.00 | $101.01–$9,210.19 | 62% above | — |
| CT scan of the head with contrast CPT 70460 C/T Head Or Brain W/Contrast | $1,954.00 | $1,954.00 | $1,954.00 | 62% above | — |
| CT scan of the head with contrast inpatient CPT 70460 C/T Head Or Brain W/Contrast | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| CT scan of the head without and with contrast CPT 70470 Ct Head Or Brain W & W/O Cont | $2,008.00 | $2,008.00 | $2,008.00 | 35% above | — |
| CT scan of the head without and with contrast CPT 70470 Ct head/brain w/o & w/dye | $2,008.00 | $2,008.00 | $187.96–$10,207.87 | 35% above | — |
| CT scan of the head without and with contrast inpatient CPT 70470 Ct Head Or Brain W & W/O Cont | $2,008.00 | $2,008.00 | $2,008.00 | — | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 C/T L.S.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 99% above | — |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct lumbar spine w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 99% above | — |
| CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 C/T L.S.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 C/T C.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 40% above | — |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct neck spine w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 40% above | — |
| CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 C/T C.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| CT scan of the pelvis, with contrast dye CPT 72193 C/T Pelvis W/Contrast | $1,954.00 | $1,954.00 | $1,954.00 | 18% above | — |
| CT scan of the pelvis, with contrast dye CPT 72193 Ct pelvis w/dye | $1,954.00 | $1,954.00 | $187.96–$9,210.19 | 18% above | — |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 C/T Pelvis W/Contrast | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 Extracranial bilat study | $894.00 | $894.00 | $255.69–$4,063.41 | — | — |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Carotid Doppler Duplex | $894.00 | $894.00 | $894.00 | 3% below | — |
| Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Carotid Doppler Duplex | $894.00 | $894.00 | $894.00 | — | — |
| Chest CT scan without and with contrast CPT 71270 Ct Chest W & W/O Contrast | $2,236.00 | $2,236.00 | $2,236.00 | 21% above | — |
| Chest CT scan without and with contrast CPT 71270 Ct thorax dx c-/c+ | $2,236.00 | $2,236.00 | $187.96–$10,207.87 | 21% above | — |
| Chest CT scan without and with contrast inpatient CPT 71270 Ct Chest W & W/O Contrast | $2,236.00 | $2,236.00 | $2,236.00 | — | — |
| Chest X-ray, 2 views CPT 71046 X-ray exam chest 2 views | $487.00 | $487.00 | $61.70–$438.00 | 92% above | — |
| Chest X-ray, 2 views CPT 71046 Rad Exam Chest 2 Views | $487.00 | $487.00 | $487.00 | 92% above | — |
| Chest X-ray, 2 views inpatient CPT 71046 Rad Exam Chest 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| Chest X-ray, single view CPT 71045 X-ray exam chest 1 view | $476.00 | $476.00 | $45.54–$438.00 | 77% above | — |
| Chest X-ray, single view CPT 71045 Rad Exam Chest 1 View | $476.00 | $476.00 | $476.00 | 77% above | — |
| Chest X-ray, single view inpatient CPT 71045 Rad Exam Chest 1 View | $476.00 | $476.00 | $476.00 | — | — |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray exam of collar bone | $505.00 | $505.00 | $67.97–$1,424.24 | 91% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Left Clavicle - 2 Views | $487.00 | $487.00 | $487.00 | 84% above | — |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 Clavicle - Right 3 Views Min | $498.00 | $498.00 | $498.00 | 89% above | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Left Clavicle - 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 Clavicle - Right 3 Views Min | $498.00 | $498.00 | $498.00 | — | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Us exam abdo back wall comp | $540.00 | $540.00 | $112.03–$3,078.43 | 15% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Renal | $540.00 | $540.00 | $540.00 | 15% below | — |
| Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Renal | $540.00 | $540.00 | $540.00 | — | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dexa Bone Density Study | $584.00 | $584.00 | $584.00 | 18% above | — |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 Dxa bone density axial | $584.00 | $584.00 | $80.53–$2,289.59 | 18% above | — |
| DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Dexa Bone Density Study | $584.00 | $584.00 | $584.00 | — | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 BD Dexa Appendicular Skeleton | $259.00 | $259.00 | $259.00 | 5% above | — |
| DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 BD Dexa Appendicular Skeleton | $259.00 | $259.00 | $259.00 | — | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 2nd Trimester Ob Scan | $1,047.00 | $1,047.00 | $1,047.00 | 32% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Ob us detailed sngl fetus | $1,047.00 | $1,047.00 | $227.73–$4,796.18 | 32% above | — |
| Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 2nd Trimester Ob Scan | $1,047.00 | $1,047.00 | $1,047.00 | — | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct thorax dx c- | $1,954.00 | $1,954.00 | $112.03–$5,380.12 | 63% above | — |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 C/T Chest W/0 Contrast | $1,954.00 | $1,954.00 | $1,954.00 | 63% above | — |
| Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 C/T Chest W/0 Contrast | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 C/T Chest W/Contrast | $2,008.00 | $2,008.00 | $2,008.00 | 30% above | — |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct thorax dx c+ | $2,008.00 | $2,008.00 | $187.96–$9,210.19 | 30% above | — |
| Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 C/T Chest W/Contrast | $2,008.00 | $2,008.00 | $2,008.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mammogram Diag Bilateral Tomo | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mamogram Diag Bilateral Combo | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Mammogram Diag Bi Digital | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 Dx mammo incl cad bi | $608.00 | $608.00 | $48.52–$591.19 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammogram Diag Bilateral Tomo | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mamogram Diag Bilateral Combo | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 Mammogram Diag Bi Digital | $608.00 | $608.00 | $608.00 | — | — |
| Diagnostic mammogram, one breast CPT 77065 Dx mammo incl cad uni | $491.00 | $491.00 | $39.48–$465.17 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Unil Combo Rt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Unil Tomo Rt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Unil Tomo Lt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Uni Digital Rt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Unil Combo Lt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast one side CPT 77065 Mammogram Diag Uni Digital Lt | $491.00 | $491.00 | $491.00 | 24% above | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Unil Combo Lt | $491.00 | $491.00 | $491.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Uni Digital Lt | $491.00 | $491.00 | $491.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Unil Tomo Rt | $491.00 | $491.00 | $491.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Uni Digital Rt | $491.00 | $491.00 | $491.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Unil Tomo Lt | $491.00 | $491.00 | $491.00 | — | — |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 Mammogram Diag Unil Combo Rt | $491.00 | $491.00 | $491.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Arm Bilateral | $985.00 | $985.00 | $985.00 | — | — |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 Duplex Leg Bilateral | $985.00 | $985.00 | $985.00 | — | — |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Extremity study | $985.00 | $985.00 | $255.69–$4,063.41 | 6% above | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Leg Bilateral | $985.00 | $985.00 | $985.00 | — | — |
| Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 Duplex Arm Bilateral | $985.00 | $985.00 | $985.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocardiogram With Doppler | $2,309.00 | $2,309.00 | $2,309.00 | 31% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Echocard With Doppler&Contrast | $2,309.00 | $2,309.00 | $2,309.00 | 31% above | — |
| Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Tte w/doppler complete | $2,309.00 | $2,309.00 | $3.00–$8,625.45 | 31% above | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocard With Doppler&Contrast | $2,309.00 | $2,309.00 | $2,309.00 | — | — |
| Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Echocardiogram With Doppler | $2,309.00 | $2,309.00 | $2,309.00 | — | — |
| Elbow X-ray, 2 views CPT 73070 X-ray exam of elbow | $487.00 | $487.00 | $57.20–$1,424.24 | 104% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow LT 2V | $487.00 | $487.00 | $487.00 | 104% above | — |
| Elbow X-ray, 2 views one side CPT 73070 XR Elbow RT 2V | $487.00 | $487.00 | $487.00 | 104% above | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow RT 2V | $487.00 | $487.00 | $487.00 | — | — |
| Elbow X-ray, 2 views inpatient one side CPT 73070 XR Elbow LT 2V | $487.00 | $487.00 | $487.00 | — | — |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray exam of elbow | $505.00 | $505.00 | $66.17–$1,424.24 | 79% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Right 3 Views | $498.00 | $498.00 | $498.00 | 77% above | — |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 Elbow Left 3 Views Min. | $498.00 | $498.00 | $498.00 | 77% above | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Right 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| Elbow X-ray, complete, 3 or more views inpatient one side CPT 73080 Elbow Left 3 Views Min. | $498.00 | $498.00 | $498.00 | — | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 C/T Orbits Sella Ear W/O Contr | $1,927.00 | $1,927.00 | $1,927.00 | 100% above | — |
| Eye socket (orbit) CT scan without contrast CPT 70480 Ct orbit/ear/fossa w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 100% above | — |
| Eye socket (orbit) CT scan without contrast inpatient CPT 70480 C/T Orbits Sella Ear W/O Contr | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Facial Bones | $476.00 | $476.00 | $476.00 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray exam of facial bones | $476.00 | $476.00 | $72.29–$2,195.70 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views CPT 70150 Zygoma | $476.00 | $476.00 | $476.00 | 20% above | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Zygoma | $476.00 | $476.00 | $476.00 | — | — |
| Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 Facial Bones | $476.00 | $476.00 | $476.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray exam of forearm | $505.00 | $505.00 | $57.20–$1,424.24 | 81% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Right | $476.00 | $476.00 | $476.00 | 71% above | — |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 Forearm Left - Ap & Lat | $487.00 | $487.00 | $487.00 | 75% above | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Right | $476.00 | $476.00 | $476.00 | — | — |
| Forearm X-ray (radius and ulna), 2 views inpatient one side CPT 73090 Forearm Left - Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Gall Bladder (Hida) W/O Pharm | $1,184.00 | $1,184.00 | $1,184.00 | 10% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Hepatobiliary system imaging | $1,184.00 | $1,184.00 | $428.40–$9,744.52 | 10% below | — |
| HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Gall Bladder (Hida) W/O Pharm | $1,184.00 | $1,184.00 | $1,184.00 | — | — |
| Hand X-ray, 2 views CPT 73120 X-ray exam of hand | $487.00 | $487.00 | $62.57–$1,424.24 | 75% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand RT 2V | $487.00 | $487.00 | $487.00 | 75% above | — |
| Hand X-ray, 2 views one side CPT 73120 XR Hand LT 2V | $487.00 | $487.00 | $487.00 | 75% above | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand RT 2V | $487.00 | $487.00 | $487.00 | — | — |
| Hand X-ray, 2 views inpatient one side CPT 73120 XR Hand LT 2V | $487.00 | $487.00 | $487.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray exam of heel | $503.00 | $503.00 | $55.40–$1,424.24 | 91% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Oscalsis Left - Ap & Lat | $487.00 | $487.00 | $487.00 | 85% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 Oscalsis - Right Ap & Lat | $487.00 | $487.00 | $487.00 | 85% above | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Oscalsis Left - Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| Heel bone (calcaneus) X-ray, 2 or more views inpatient one side CPT 73650 Oscalsis - Right Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| Knee X-ray, 3 views CPT 73562 X-ray exam of knee 3 | $498.00 | $498.00 | $72.29–$1,424.24 | 57% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee LT 3V | $498.00 | $498.00 | $498.00 | 57% above | — |
| Knee X-ray, 3 views one side CPT 73562 XR Knee RT 3V | $498.00 | $498.00 | $498.00 | 57% above | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee RT 3V | $498.00 | $498.00 | $498.00 | — | — |
| Knee X-ray, 3 views inpatient one side CPT 73562 XR Knee LT 3V | $498.00 | $498.00 | $498.00 | — | — |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray exam knee 4 or more | $530.00 | $530.00 | $72.29–$2,195.70 | 51% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Patella Left 4 Or More Views | $509.00 | $509.00 | $509.00 | 45% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Patella Right 4 Or More Views | $509.00 | $509.00 | $509.00 | 45% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Right 4 Or More Views | $509.00 | $509.00 | $509.00 | 45% above | — |
| Knee X-ray, complete, 4 or more views one side CPT 73564 Knee Left 4 Or More Views | $509.00 | $509.00 | $509.00 | 45% above | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Patella Left 4 Or More Views | $509.00 | $509.00 | $509.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Patella Right 4 Or More Views | $509.00 | $509.00 | $509.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Right 4 Or More Views | $509.00 | $509.00 | $509.00 | — | — |
| Knee X-ray, complete, 4 or more views inpatient one side CPT 73564 Knee Left 4 Or More Views | $509.00 | $509.00 | $509.00 | — | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 C/T Lower Extrem W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 84% above | — |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct lower extremity w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 84% above | — |
| Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 C/T Lower Extrem W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Appendix | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Liver Scan | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Abdominal limited | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ascites Check/Verification | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Spleen Only | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Pancreas | $540.00 | $540.00 | $540.00 | at median | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US Soft Tissue Abdomen | $692.00 | $692.00 | $692.00 | 28% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Echo exam of abdomen | $692.00 | $692.00 | $112.03–$3,078.43 | 28% above | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Spleen Only | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Liver Scan | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Pancreas | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Appendix | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Abdominal limited | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ascites Check/Verification | $540.00 | $540.00 | $540.00 | — | — |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US Soft Tissue Abdomen | $692.00 | $692.00 | $692.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound Limited Extremity | $340.00 | $340.00 | $340.00 | at median | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US Soft Tissue Extremity | $692.00 | $692.00 | $692.00 | 104% above | — |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Us lmtd jt/fcl evl nvasc xtr | $692.00 | $692.00 | $50.60–$2,001.36 | 104% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Axilla Left | $346.00 | $346.00 | $346.00 | 2% above | — |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 Axilla Right | $346.00 | $346.00 | $346.00 | 2% above | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound Limited Extremity | $340.00 | $340.00 | $340.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US Soft Tissue Extremity | $692.00 | $692.00 | $692.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Axilla Left | $346.00 | $346.00 | $346.00 | — | — |
| Limited ultrasound of an arm or leg (non-vascular) inpatient one side CPT 76882 Axilla Right | $346.00 | $346.00 | $346.00 | — | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Screening Chest Ct - Lo Dose | $1,954.00 | $1,954.00 | $1,954.00 | 315% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Ct thorax lung cancer scr c- | $1,954.00 | $1,954.00 | $112.03–$1,851.22 | 315% above | — |
| Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Screening Chest Ct - Lo Dose | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray exam of lower leg | $505.00 | $505.00 | $63.47–$1,424.24 | 87% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Lower Leg Left | $476.00 | $476.00 | $476.00 | 76% above | — |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 Lower Leg - Right Ap & Lat | $487.00 | $487.00 | $487.00 | 80% above | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Lower Leg Left | $476.00 | $476.00 | $476.00 | — | — |
| Lower leg X-ray (tibia and fibula), 2 views inpatient one side CPT 73590 Lower Leg - Right Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mra Head W/O Contrast | $2,385.00 | $2,385.00 | $2,385.00 | 33% above | — |
| MR angiography (MRA) of the head without contrast CPT 70544 Mr angiography head w/o dye | $2,385.00 | $2,385.00 | $255.69–$10,491.49 | 33% above | — |
| MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Head W/O Contrast | $2,385.00 | $2,385.00 | $2,385.00 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Breast Bilateral W&W/O Con | $2,714.00 | $2,714.00 | $2,714.00 | — | — |
| MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri breast c-+ w/cad bi | $2,714.00 | $2,714.00 | $941.55–$2,306.90 | — | — |
| MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Breast Bilateral W&W/O Con | $2,714.00 | $2,714.00 | $2,714.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri jnt of lwr extre w/o dye | $2,703.00 | $2,703.00 | $255.69–$10,491.49 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Hip Left W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Ankle Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Ankle Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Knee Right Without Cont | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 Mri Hip Right W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | 47% above | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Ankle Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Hip Left W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Ankle Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Knee Right Without Cont | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 Mri Hip Right W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri joint lwr extr w/o&w/dye | $4,807.00 | $4,807.00 | $373.86–$17,030.84 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Right W & W/O Contra | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip Left With&W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Hip Rght With&W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Left With & W/O Cont | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Ankle Right W & W/O Contr | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 Mri Knee Left W & W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | 61% above | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Knee Right W & W/O Contra | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Hip Rght With&W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Hip Left With&W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Knee Left W & W/O Contrast | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Ankle Right W & W/O Contr | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 Mri Ankle Left With & W/O Cont | $4,807.00 | $4,807.00 | $4,807.00 | — | — |
| MRI of the abdomen without contrast CPT 74181 Mri abdomen w/o contrast | $2,703.00 | $2,703.00 | $255.69–$10,491.49 | 76% above | — |
| MRI of the abdomen without contrast CPT 74181 Mri-Abdomen W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | 76% above | — |
| MRI of the abdomen without contrast inpatient CPT 74181 Mri-Abdomen W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri abd w/o cntr flwd cntr | $4,734.00 | $4,734.00 | $373.86–$17,030.84 | 69% above | — |
| MRI of the abdomen, without and then with contrast dye CPT 74183 Mri-Abdomen W & W/O Contrast | $4,734.00 | $4,734.00 | $4,734.00 | 69% above | — |
| MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri-Abdomen W & W/O Contrast | $4,734.00 | $4,734.00 | $4,734.00 | — | — |
| MRI of the brain, no contrast dye CPT 70551 Mri Brain & Brain Stem W/O Dye | $2,703.00 | $2,703.00 | $2,703.00 | 31% above | — |
| MRI of the brain, no contrast dye CPT 70551 Mri brain stem w/o dye | $2,703.00 | $2,703.00 | $255.69–$10,491.49 | 31% above | — |
| MRI of the brain, no contrast dye inpatient CPT 70551 Mri Brain & Brain Stem W/O Dye | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri Brain W/O And W/Contrast | $3,303.00 | $3,303.00 | $3,303.00 | 9% above | — |
| MRI of the brain, with and without contrast dye CPT 70553 Mri brain stem w/o & w/dye | $3,303.00 | $3,303.00 | $373.86–$17,030.84 | 9% above | — |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Brain W/O And W/Contrast | $3,303.00 | $3,303.00 | $3,303.00 | — | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri L.S. Spine W/O Contrast | $2,988.00 | $2,988.00 | $2,988.00 | 66% above | — |
| MRI of the lower back, no contrast dye CPT 72148 Mri lumbar spine w/o dye | $2,988.00 | $2,988.00 | $255.69–$10,491.49 | 66% above | — |
| MRI of the lower back, no contrast dye inpatient CPT 72148 Mri L.S. Spine W/O Contrast | $2,988.00 | $2,988.00 | $2,988.00 | — | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri Lumbar Spine W/O&W/Contras | $3,303.00 | $3,303.00 | $3,303.00 | 20% above | — |
| MRI of the lower back, without and then with contrast dye CPT 72158 Mri lumbar spine w/o & w/dye | $3,303.00 | $3,303.00 | $373.86–$17,030.84 | 20% above | — |
| MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Lumbar Spine W/O&W/Contras | $3,303.00 | $3,303.00 | $3,303.00 | — | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri chest spine w/o dye | $2,988.00 | $2,988.00 | $255.69–$10,491.49 | 63% above | — |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Thoracic Spine W/O Contr | $2,988.00 | $2,988.00 | $2,988.00 | 63% above | — |
| MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Thoracic Spine W/O Contr | $2,988.00 | $2,988.00 | $2,988.00 | — | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri neck spine w/o & w/dye | $3,303.00 | $3,303.00 | $373.86–$17,030.84 | 14% above | — |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Cerv Spine W/O&W/Contrast | $3,303.00 | $3,303.00 | $3,303.00 | 14% above | — |
| MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Cerv Spine W/O&W/Contrast | $3,303.00 | $3,303.00 | $3,303.00 | — | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri C.Spine W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | 48% above | — |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri neck spine w/o dye | $2,703.00 | $2,703.00 | $255.69–$10,491.49 | 48% above | — |
| MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri C.Spine W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri pelvis w/o & w/dye | $4,815.00 | $4,815.00 | $373.86–$17,030.84 | 71% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Prostate W/W/O Contrast | $4,815.00 | $4,815.00 | $4,815.00 | 71% above | — |
| MRI of the pelvis without and with contrast CPT 72197 Mri Pelvis With & W/O Contrast | $4,815.00 | $4,815.00 | $4,815.00 | 71% above | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Prostate W/W/O Contrast | $4,815.00 | $4,815.00 | $4,815.00 | — | — |
| MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Pelvis With & W/O Contrast | $4,815.00 | $4,815.00 | $4,815.00 | — | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri pelvis w/o dye | $2,385.00 | $2,385.00 | $255.69–$10,491.49 | 32% above | — |
| MRI of the pelvis, no contrast dye CPT 72195 Mri Pelvis Without Contrast | $2,385.00 | $2,385.00 | $2,385.00 | 32% above | — |
| MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Pelvis Without Contrast | $2,385.00 | $2,385.00 | $2,385.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri joint upr extrem w/o dye | $2,703.00 | $2,703.00 | $255.69–$10,491.49 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Elbow Left W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Wrist Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder Left Without Cont | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye one side CPT 73221 Mri Shoulder Right W/O Contr | $2,703.00 | $2,703.00 | $2,703.00 | 51% above | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Wrist Left Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Shoulder Right W/O Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Shoulder Left Without Cont | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Elbow Left W/O Contrast | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Elbow Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient one side CPT 73221 Mri Wrist Right Without Contr | $2,703.00 | $2,703.00 | $2,703.00 | — | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray exam neck spine 4/5vws | $509.00 | $509.00 | $112.03–$2,195.70 | 13% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 Cervical Spine - 5 Views | $509.00 | $509.00 | $509.00 | 13% above | — |
| Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 Cervical Spine - 5 Views | $509.00 | $509.00 | $509.00 | — | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct Soft Tissue Neck With Contr | $1,954.00 | $1,954.00 | $1,954.00 | 32% above | — |
| Neck soft tissue CT scan with contrast CPT 70491 Ct soft tissue neck w/dye | $1,954.00 | $1,954.00 | $187.96–$9,210.19 | 32% above | — |
| Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Soft Tissue Neck With Contr | $1,954.00 | $1,954.00 | $1,954.00 | — | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct soft tissue neck w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 61% above | — |
| Neck soft tissue CT scan without contrast CPT 70490 Ct Soft Tissue Neck | $1,927.00 | $1,927.00 | $1,927.00 | 61% above | — |
| Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Soft Tissue Neck | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Neck soft tissue X-ray CPT 70360 X-ray exam of neck | $476.00 | $476.00 | $59.90–$1,424.24 | 64% above | — |
| Neck soft tissue X-ray CPT 70360 Neck Soft Tissue | $476.00 | $476.00 | $476.00 | 64% above | — |
| Neck soft tissue X-ray inpatient CPT 70360 Neck Soft Tissue | $476.00 | $476.00 | $476.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Tech Cardiac 1-Day Spect | $4,496.00 | $4,496.00 | $4,496.00 | 8% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Ht muscle image spect mult | $4,496.00 | $4,496.00 | $947.77–$21,066.67 | 8% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Cardiac Spect Mult Study | $4,496.00 | $4,496.00 | $4,496.00 | 8% above | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Cardiac Spect Mult Study | $4,496.00 | $4,496.00 | $4,496.00 | — | — |
| Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Tech Cardiac 1-Day Spect | $4,496.00 | $4,496.00 | $4,496.00 | — | — |
| PET/CT scan from the base of the skull to mid-thigh CPT 78815 Pet image w/ct skull-thigh | $6,275.00 | $6,275.00 | $1,532.36–$32,734.45 | 13% above | — |
| Pelvic CT scan without contrast CPT 72192 C/T Pelvis W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 84% above | — |
| Pelvic CT scan without contrast CPT 72192 Ct pelvis w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 84% above | — |
| Pelvic CT scan without contrast inpatient CPT 72192 C/T Pelvis W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelvic Lim Transabd | $363.00 | $363.00 | $363.00 | at median | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Pelv Transabd lim | $434.00 | $434.00 | $434.00 | 20% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Urinary Bladder | $540.00 | $540.00 | $540.00 | 49% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Post Void Residuals | $540.00 | $540.00 | $540.00 | 49% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Pelvic Follow-Up | $608.00 | $608.00 | $608.00 | 67% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Buttocks | $608.00 | $608.00 | $608.00 | 67% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US Soft Tissue Pelvis | $692.00 | $692.00 | $692.00 | 91% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Us exam pelvic limited | $692.00 | $692.00 | $98.34–$2,001.36 | 91% above | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelvic Lim Transabd | $363.00 | $363.00 | $363.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Pelv Transabd lim | $434.00 | $434.00 | $434.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Post Void Residuals | $540.00 | $540.00 | $540.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Urinary Bladder | $540.00 | $540.00 | $540.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Buttocks | $608.00 | $608.00 | $608.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Pelvic Follow-Up | $608.00 | $608.00 | $608.00 | — | — |
| Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US Soft Tissue Pelvis | $692.00 | $692.00 | $692.00 | — | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Us exam pelvic complete | $1,074.00 | $1,074.00 | $112.03–$3,078.43 | 68% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Pelvic Non-Obstetrical | $1,074.00 | $1,074.00 | $1,074.00 | 68% above | — |
| Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Pelvic Non-Obstetrical | $1,074.00 | $1,074.00 | $1,074.00 | — | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Ob us < 14 wks single fetus | $1,047.00 | $1,047.00 | $112.03–$3,078.43 | 115% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 1st Trimster Ob Scan | $1,047.00 | $1,047.00 | $1,047.00 | 115% above | — |
| Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 1st Trimster Ob Scan | $1,047.00 | $1,047.00 | $1,047.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 US OB Limited Triplets | $259.00 | $259.00 | $259.00 | 36% below | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ob us limited fetus(s) | $785.00 | $785.00 | $98.34–$2,001.36 | 93% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Fetal Limited | $785.00 | $785.00 | $785.00 | 93% above | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 US OB Limited Triplets | $259.00 | $259.00 | $259.00 | — | — |
| Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Fetal Limited | $785.00 | $785.00 | $785.00 | — | — |
| Rib X-ray, one side, 2 views CPT 71100 X-ray exam ribs uni 2 views | $482.00 | $482.00 | $68.87–$1,424.24 | 59% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs LT 2V | $482.00 | $482.00 | $482.00 | 59% above | — |
| Rib X-ray, one side, 2 views one side CPT 71100 XR Ribs RT 2V | $482.00 | $482.00 | $482.00 | 59% above | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs LT 2V | $482.00 | $482.00 | $482.00 | — | — |
| Rib X-ray, one side, 2 views inpatient one side CPT 71100 XR Ribs RT 2V | $482.00 | $482.00 | $482.00 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Ribs - Right Side | $476.00 | $476.00 | $476.00 | 26% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 Left Ribs W/1 Vw Chest | $476.00 | $476.00 | $476.00 | 26% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 X-ray exam unilat ribs/chest | $476.00 | $476.00 | $72.29–$2,195.70 | 26% above | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Left Ribs W/1 Vw Chest | $476.00 | $476.00 | $476.00 | — | — |
| Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 Ribs - Right Side | $476.00 | $476.00 | $476.00 | — | — |
| Screening mammogram, both breasts both sides CPT 77067 Scr mammo bi incl cad | $518.00 | $518.00 | $36.52–$490.75 | — | — |
| Screening mammogram, both breasts CPT 77067 Mammogram Screening Tomo | $518.00 | $518.00 | $518.00 | 42% above | — |
| Screening mammogram, both breasts CPT 77067 Mammogram Screening Combo | $518.00 | $518.00 | $518.00 | 42% above | — |
| Screening mammogram, both breasts CPT 77067 Mammogram Screening Digital | $518.00 | $518.00 | $518.00 | 42% above | — |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Screening Combo | $518.00 | $518.00 | $518.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Screening Tomo | $518.00 | $518.00 | $518.00 | — | — |
| Screening mammogram, both breasts inpatient CPT 77067 Mammogram Screening Digital | $518.00 | $518.00 | $518.00 | — | — |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray exam of shoulder | $505.00 | $505.00 | $71.55–$1,424.24 | 77% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Left 2 Or More Views | $487.00 | $487.00 | $487.00 | 70% above | — |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 Shoulder Right 2 Or More Views | $487.00 | $487.00 | $487.00 | 70% above | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Left 2 Or More Views | $487.00 | $487.00 | $487.00 | — | — |
| Shoulder X-ray, complete, 2 or more views inpatient one side CPT 73030 Shoulder Right 2 Or More Views | $487.00 | $487.00 | $487.00 | — | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray exam of sinuses | $487.00 | $487.00 | $72.29–$2,195.70 | 33% above | — |
| Sinus X-ray, complete, 3 or more views CPT 70220 Sinuses 3 Views | $487.00 | $487.00 | $487.00 | 33% above | — |
| Sinus X-ray, complete, 3 or more views inpatient CPT 70220 Sinuses 3 Views | $487.00 | $487.00 | $487.00 | — | — |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray exam of skull | $487.00 | $487.00 | $72.29–$1,424.24 | 57% above | — |
| Skull X-ray, fewer than 4 views CPT 70250 Skull-Two Views Ap/Lat | $487.00 | $487.00 | $487.00 | 57% above | — |
| Skull X-ray, fewer than 4 views inpatient CPT 70250 Skull-Two Views Ap/Lat | $487.00 | $487.00 | $487.00 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ech W/Contrst For Stress Test | $396.00 | $396.00 | $396.00 | 77% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Stress tte complete | $1,331.00 | $1,331.00 | $578.18–$12,340.11 | 22% below | — |
| Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Echocardiogram (Str Tst) | $1,331.00 | $1,331.00 | $1,331.00 | 22% below | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ech W/Contrst For Stress Test | $396.00 | $396.00 | $396.00 | — | — |
| Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Echocardiogram (Str Tst) | $1,331.00 | $1,331.00 | $1,331.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified B A Swallow Pedi | $469.00 | $469.00 | $469.00 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 Modified B A Swallow | $469.00 | $469.00 | $469.00 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 X-ray xm swlng funcj c+ | $469.00 | $469.00 | $148.44–$2,563.88 | 16% below | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified B A Swallow Pedi | $469.00 | $469.00 | $469.00 | — | — |
| Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Modified B A Swallow | $469.00 | $469.00 | $469.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray exam of femur 2/> | $505.00 | $505.00 | $72.29–$438.00 | 119% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Lt Ap&Lat - Min 2 Views | $487.00 | $487.00 | $487.00 | 111% above | — |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 Femur Rt Ap&Lat Min 2 Views | $487.00 | $487.00 | $487.00 | 111% above | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Rt Ap&Lat Min 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| Thigh bone (femur) X-ray, 2 or more views inpatient one side CPT 73552 Femur Lt Ap&Lat - Min 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct chest spine w/o dye | $1,927.00 | $1,927.00 | $112.03–$5,380.12 | 54% above | — |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 C/T D.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | 54% above | — |
| Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 C/T D.Spine W/O Contrast | $1,927.00 | $1,927.00 | $1,927.00 | — | — |
| Toe X-ray, 2 or more views CPT 73660 X-ray exam of toe(s) | $498.00 | $498.00 | $59.90–$1,424.24 | 111% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 Left Toe Or Toes - 3 View | $498.00 | $498.00 | $498.00 | 111% above | — |
| Toe X-ray, 2 or more views one side CPT 73660 Toe Or Toes Right 3 Views | $498.00 | $498.00 | $498.00 | 111% above | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Left Toe Or Toes - 3 View | $498.00 | $498.00 | $498.00 | — | — |
| Toe X-ray, 2 or more views inpatient one side CPT 73660 Toe Or Toes Right 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal - Non Ob | $508.00 | $508.00 | $508.00 | 1% below | — |
| Transvaginal pelvic ultrasound CPT 76830 Transvaginal us non-ob | $508.00 | $508.00 | $112.03–$3,078.43 | 1% below | — |
| Transvaginal pelvic ultrasound inpatient CPT 76830 Transvaginal - Non Ob | $508.00 | $508.00 | $508.00 | — | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal us obstetric | $508.00 | $508.00 | $112.03–$2,001.36 | 14% below | — |
| Transvaginal ultrasound during pregnancy CPT 76817 Transvaginal Ob Ultrasound | $508.00 | $508.00 | $508.00 | 14% below | — |
| Transvaginal ultrasound during pregnancy inpatient CPT 76817 Transvaginal Ob Ultrasound | $508.00 | $508.00 | $508.00 | — | — |
| Ultrasound of the abdomen, complete CPT 76700 Total Abdomen | $1,211.00 | $1,211.00 | $1,211.00 | 76% above | — |
| Ultrasound of the abdomen, complete CPT 76700 Us exam abdom complete | $1,211.00 | $1,211.00 | $112.03–$3,078.43 | 76% above | — |
| Ultrasound of the abdomen, complete inpatient CPT 76700 Total Abdomen | $1,211.00 | $1,211.00 | $1,211.00 | — | — |
| Ultrasound of the scrotum and testicles CPT 76870 Scrotum | $745.00 | $745.00 | $745.00 | 29% above | — |
| Ultrasound of the scrotum and testicles CPT 76870 Us exam scrotum | $745.00 | $745.00 | $112.03–$3,078.43 | 29% above | — |
| Ultrasound of the scrotum and testicles inpatient CPT 76870 Scrotum | $745.00 | $745.00 | $745.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Thyroid Ultrasound | $692.00 | $692.00 | $692.00 | 44% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tissue Of Head/Neck-Pedi | $692.00 | $692.00 | $692.00 | 44% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Soft Tiss Of Head Or Neck Area | $692.00 | $692.00 | $692.00 | 44% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Us exam of head and neck | $692.00 | $692.00 | $112.03–$3,078.43 | 44% above | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tissue Of Head/Neck-Pedi | $692.00 | $692.00 | $692.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Soft Tiss Of Head Or Neck Area | $692.00 | $692.00 | $692.00 | — | — |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Thyroid Ultrasound | $692.00 | $692.00 | $692.00 | — | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray xm upr gi trc 1cntrst | $570.00 | $570.00 | $148.44–$3,806.80 | 8% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 Upper Gi Images w/o air | $570.00 | $570.00 | $570.00 | 8% below | — |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 Upper Gi Images w/o air | $570.00 | $570.00 | $570.00 | — | — |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray exam of humerus | $505.00 | $505.00 | $64.37–$1,424.24 | 99% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Humerus - Right Ap & Lat | $487.00 | $487.00 | $487.00 | 92% above | — |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 Left Humerus - Ap & Lat | $487.00 | $487.00 | $487.00 | 92% above | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Humerus - Right Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| Upper arm X-ray (humerus), 2 views inpatient one side CPT 73060 Left Humerus - Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Extremity study | $659.00 | $659.00 | $112.03–$2,608.11 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Duplex Scan Groin Area Vein | $659.00 | $659.00 | $659.00 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Left Arm | $659.00 | $659.00 | $659.00 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Right Arm | $659.00 | $659.00 | $659.00 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Right Leg | $659.00 | $659.00 | $659.00 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 Duplex Left Leg | $659.00 | $659.00 | $659.00 | 13% above | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Duplex Scan Groin Area Vein | $659.00 | $659.00 | $659.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Left Arm | $659.00 | $659.00 | $659.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Right Leg | $659.00 | $659.00 | $659.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Right Arm | $659.00 | $659.00 | $659.00 | — | — |
| Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient one side CPT 93971 Duplex Left Leg | $659.00 | $659.00 | $659.00 | — | — |
| Wrist X-ray, 2 views one side CPT 73100 Navicular - Left Ap& Lat | $226.00 | $226.00 | $226.00 | 14% below | — |
| Wrist X-ray, 2 views one side CPT 73100 Navicular - Right Ap & Lat | $487.00 | $487.00 | $487.00 | 86% above | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Navicular - Left Ap& Lat | $226.00 | $226.00 | $226.00 | — | — |
| Wrist X-ray, 2 views inpatient one side CPT 73100 Navicular - Right Ap & Lat | $487.00 | $487.00 | $487.00 | — | — |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray exam of wrist | $509.00 | $509.00 | $72.29–$1,424.24 | 83% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Left Wrist Min 3 Views | $498.00 | $498.00 | $498.00 | 79% above | — |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 Wrist - Right 5 Views | $509.00 | $509.00 | $509.00 | 83% above | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Left Wrist Min 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| Wrist X-ray, complete, 3 or more views inpatient one side CPT 73110 Wrist - Right 5 Views | $509.00 | $509.00 | $509.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray exam hip uni 2-3 views | $487.00 | $487.00 | $72.29–$438.00 | 80% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Lt Hip W/Pelvis 2-3 Views | $487.00 | $487.00 | $487.00 | 80% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 Rt Hip W/Pelvis - 2-3 Views | $487.00 | $487.00 | $487.00 | 80% above | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Lt Hip W/Pelvis 2-3 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 Rt Hip W/Pelvis - 2-3 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the abdomen, 1 view CPT 74018 Port Abd Exam 1 view | $476.00 | $476.00 | $476.00 | 68% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Radex abdomen 1 view | $476.00 | $476.00 | $56.30–$438.00 | 68% above | — |
| X-ray of the abdomen, 1 view CPT 74018 Rad Exam Abd 1 View | $476.00 | $476.00 | $476.00 | 68% above | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Port Abd Exam 1 view | $476.00 | $476.00 | $476.00 | — | — |
| X-ray of the abdomen, 1 view inpatient CPT 74018 Rad Exam Abd 1 View | $476.00 | $476.00 | $476.00 | — | — |
| X-ray of the ankle, 2 views CPT 73600 X-ray exam of ankle | $487.00 | $487.00 | $65.27–$1,424.24 | 96% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle RT 2V | $487.00 | $487.00 | $487.00 | 96% above | — |
| X-ray of the ankle, 2 views one side CPT 73600 XR Ankle LT 2V | $487.00 | $487.00 | $487.00 | 96% above | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle RT 2V | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the ankle, 2 views inpatient one side CPT 73600 XR Ankle LT 2V | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray exam of finger(s) | $498.00 | $498.00 | $72.29–$1,424.24 | 111% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Finger Or Thumb - Right 3 Vws. | $498.00 | $498.00 | $498.00 | 111% above | — |
| X-ray of the finger(s), 2 or more views one side CPT 73140 Left Thumb Or Finger - 3 View | $498.00 | $498.00 | $498.00 | 111% above | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Left Thumb Or Finger - 3 View | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the finger(s), 2 or more views inpatient one side CPT 73140 Finger Or Thumb - Right 3 Vws. | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the foot, 2 views CPT 73620 X-ray exam of foot | $487.00 | $487.00 | $56.30–$1,424.24 | 103% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot LT 2V | $487.00 | $487.00 | $487.00 | 103% above | — |
| X-ray of the foot, 2 views one side CPT 73620 XR Foot RT 2V | $487.00 | $487.00 | $487.00 | 103% above | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot RT 2V | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the foot, 2 views inpatient one side CPT 73620 XR Foot LT 2V | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray exam of foot | $505.00 | $505.00 | $69.77–$1,424.24 | 92% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Left Foot - 3 Views | $498.00 | $498.00 | $498.00 | 89% above | — |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 Foot - Right 3 Views | $498.00 | $498.00 | $498.00 | 89% above | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Left Foot - 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the foot, complete, 3 or more views inpatient one side CPT 73630 Foot - Right 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the hand, 3 or more views CPT 73130 X-ray exam of hand | $505.00 | $505.00 | $72.29–$1,424.24 | 68% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Left 3 Views | $498.00 | $498.00 | $498.00 | 66% above | — |
| X-ray of the hand, 3 or more views one side CPT 73130 Hand Right 3 Views | $498.00 | $498.00 | $498.00 | 66% above | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Right 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the hand, 3 or more views inpatient one side CPT 73130 Hand Left 3 Views | $498.00 | $498.00 | $498.00 | — | — |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray exam of knee 1 or 2 | $487.00 | $487.00 | $70.65–$1,424.24 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Left 1 Or 2 Views | $487.00 | $487.00 | $487.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views one side CPT 73560 Knee Right 1 Or 2 Views | $487.00 | $487.00 | $487.00 | 60% above | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Right 1 Or 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the knee, 1 or 2 views inpatient one side CPT 73560 Knee Left 1 Or 2 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 Lumbar Spine 2-3 Views | $487.00 | $487.00 | $487.00 | 32% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray exam l-s spine 2/3 vws | $487.00 | $487.00 | $72.29–$1,424.24 | 32% above | — |
| X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 Lumbar Spine 2-3 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray exam l-2 spine 4/>vws | $731.00 | $731.00 | $109.24–$2,195.70 | 46% above | — |
| X-ray of the lower back, 4 or more views CPT 72110 Lumbar With Obliq. | $731.00 | $731.00 | $731.00 | 46% above | — |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 Lumbar With Obliq. | $731.00 | $731.00 | $731.00 | — | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray exam thorac spine 2vws | $476.00 | $476.00 | $62.57–$1,424.24 | 32% above | — |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 XR T-Spine Ap, Lat | $476.00 | $476.00 | $476.00 | 32% above | — |
| X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 XR T-Spine Ap, Lat | $476.00 | $476.00 | $476.00 | — | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray exam of nasal bones | $476.00 | $476.00 | $72.29–$1,424.24 | 51% above | — |
| X-ray of the nasal bones, 3 or more views CPT 70160 Nasal Bones | $476.00 | $476.00 | $476.00 | 51% above | — |
| X-ray of the nasal bones, 3 or more views inpatient CPT 70160 Nasal Bones | $476.00 | $476.00 | $476.00 | — | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray exam neck spine 2-3 vw | $476.00 | $476.00 | $72.29–$1,424.24 | 55% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 Ap Lateral Neck | $476.00 | $476.00 | $476.00 | 55% above | — |
| X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 Ap Lateral Neck | $476.00 | $476.00 | $476.00 | — | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 Pelvis 1-2 Views | $487.00 | $487.00 | $487.00 | 66% above | — |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray exam of pelvis | $487.00 | $487.00 | $52.72–$1,424.24 | 66% above | — |
| X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 Pelvis 1-2 Views | $487.00 | $487.00 | $487.00 | — | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray exam sacrum tailbone | $476.00 | $476.00 | $63.47–$1,424.24 | 61% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 Sacrum Coccyx | $476.00 | $476.00 | $476.00 | 61% above | — |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 Sacrum Coccyx | $476.00 | $476.00 | $476.00 | — | — |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 Assay of acth | $195.00 | $195.00 | $38.62–$643.03 | 6% above | — |
| ACTH blood test CPT 82024 Acth | $195.00 | $195.00 | $195.00 | 6% above | — |
| ACTH blood test inpatient CPT 82024 Acth | $195.00 | $195.00 | $195.00 | — | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Alanine amino (alt) (sgpt) | $75.00 | $75.00 | $5.30–$145.00 | 79% above | — |
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Sgpt-Transaminase | $75.00 | $75.00 | $75.00 | 79% above | — |
| ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Sgpt-Transaminase | $75.00 | $75.00 | $75.00 | — | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Sgot/Transaminase | $70.00 | $70.00 | $70.00 | 100% above | — |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Transferase (ast) (sgot) | $70.00 | $70.00 | $5.18–$145.00 | 100% above | — |
| AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Sgot/Transaminase | $70.00 | $70.00 | $70.00 | — | — |
| Albumin blood test CPT 82040 Assay of serum albumin | $33.00 | $33.00 | $4.95–$145.00 | 22% above | — |
| Albumin blood test CPT 82040 Albumin | $33.00 | $33.00 | $33.00 | 22% above | — |
| Albumin blood test inpatient CPT 82040 Albumin | $33.00 | $33.00 | $33.00 | — | — |
| Aldosterone blood test CPT 82088 Aldosterone | $212.00 | $212.00 | $212.00 | 33% above | — |
| Aldosterone blood test CPT 82088 Assay of aldosterone | $212.00 | $212.00 | $40.75–$678.25 | 33% above | — |
| Aldosterone blood test inpatient CPT 82088 Aldosterone | $212.00 | $212.00 | $212.00 | — | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Alk Phos | $57.00 | $57.00 | $57.00 | 58% above | — |
| Alkaline phosphatase (ALP) blood test CPT 84075 Assay alkaline phosphatase | $57.00 | $57.00 | $5.18–$145.00 | 58% above | — |
| Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alk Phos | $57.00 | $57.00 | $57.00 | — | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allergen Specific Lge | $135.00 | $135.00 | $135.00 | 246% above | — |
| Allergy blood test, specific IgE, per allergen CPT 86003 Allg spec ige crude xtrc ea | $135.00 | $135.00 | $5.22–$145.00 | 246% above | — |
| Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Allergen Specific Lge | $135.00 | $135.00 | $135.00 | — | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-fetoprotein serum | $185.00 | $185.00 | $16.77–$279.22 | 128% above | — |
| Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha Fetoprotein | $185.00 | $185.00 | $185.00 | 128% above | — |
| Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha Fetoprotein | $185.00 | $185.00 | $185.00 | — | — |
| Ammonia blood test CPT 82140 Assay of ammonia | $116.00 | $116.00 | $14.57–$242.54 | 26% above | — |
| Ammonia blood test CPT 82140 Ammonia | $116.00 | $116.00 | $116.00 | 26% above | — |
| Ammonia blood test inpatient CPT 82140 Ammonia | $116.00 | $116.00 | $116.00 | — | — |
| Amylase blood test CPT 82150 Assay of amylase | $77.00 | $77.00 | $6.48–$145.00 | 71% above | — |
| Amylase blood test CPT 82150 Amylase | $77.00 | $77.00 | $77.00 | 71% above | — |
| Amylase blood test inpatient CPT 82150 Amylase | $77.00 | $77.00 | $77.00 | — | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Citrulline Peptide (Igg) Ab | $171.00 | $171.00 | $171.00 | 239% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 Ccp antibody | $171.00 | $171.00 | $12.95–$215.51 | 239% above | — |
| Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 Citrulline Peptide (Igg) Ab | $171.00 | $171.00 | $171.00 | — | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Antinuclear antibodies | $116.00 | $116.00 | $12.09–$201.19 | 132% above | — |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Ana (Mouse Kidney) | $116.00 | $116.00 | $116.00 | 132% above | — |
| Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Ana (Mouse Kidney) | $116.00 | $116.00 | $116.00 | — | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Pro Bnp N-Terminal | $302.00 | $302.00 | $302.00 | 84% above | — |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Assay of natriuretic peptide | $302.00 | $302.00 | $39.26–$565.00 | 84% above | — |
| BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Pro Bnp N-Terminal | $302.00 | $302.00 | $302.00 | — | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture Other Specimen Aerob | $91.00 | $91.00 | $91.00 | 128% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Culture othr specimn aerobic | $91.00 | $91.00 | $8.62–$145.00 | 128% above | — |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Culture Other Specimen Aerob | $91.00 | $91.00 | $91.00 | — | — |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic pnl total ca | $221.00 | $221.00 | $4.00–$140.84 | 185% above | — |
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel | $221.00 | $221.00 | $221.00 | 185% above | — |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel | $221.00 | $221.00 | $221.00 | — | — |
| Bilirubin blood test, total CPT 82247 Bilirubin total | $68.00 | $68.00 | $5.02–$145.00 | 119% above | — |
| Bilirubin blood test, total CPT 82247 Total Bilirubin | $68.00 | $68.00 | $68.00 | 119% above | — |
| Bilirubin blood test, total inpatient CPT 82247 Total Bilirubin | $68.00 | $68.00 | $68.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue Exam By Pathologist | $456.00 | $456.00 | $456.00 | 166% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Level 4-5 Units Or Up Prostate | $675.00 | $675.00 | $675.00 | 294% above | — |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Tissue exam by pathologist | $675.00 | $675.00 | $90.37–$403.68 | 294% above | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Tissue Exam By Pathologist | $456.00 | $456.00 | $456.00 | — | — |
| Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Level 4-5 Units Or Up Prostate | $675.00 | $675.00 | $675.00 | — | — |
| Blood culture for bacteria CPT 87040 Blood culture for bacteria | $111.00 | $111.00 | $10.32–$171.75 | 41% above | — |
| Blood culture for bacteria CPT 87040 Blood Culture | $111.00 | $111.00 | $111.00 | 41% above | — |
| Blood culture for bacteria inpatient CPT 87040 Blood Culture | $111.00 | $111.00 | $111.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Specimen Collection | $22.00 | $22.00 | $22.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venapuncture With Lab | $22.00 | $22.00 | $22.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Blood Drawing By Ivn | $22.00 | $22.00 | $22.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Coll venous bld venipuncture | $22.00 | $22.00 | $4.34–$36.34 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Phlebotomy | $22.00 | $22.00 | $22.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Venipuncture Routine | $22.00 | $22.00 | $22.00 | 47% above | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Blood Drawing By Ivn | $22.00 | $22.00 | $22.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Specimen Collection | $22.00 | $22.00 | $22.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venapuncture With Lab | $22.00 | $22.00 | $22.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Venipuncture Routine | $22.00 | $22.00 | $22.00 | — | — |
| Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Phlebotomy | $22.00 | $22.00 | $22.00 | — | — |
| Blood glucose (sugar) test CPT 82947 Assay glucose blood quant | $65.00 | $65.00 | $3.93–$145.00 | 110% above | — |
| Blood glucose (sugar) test CPT 82947 Glucose | $65.00 | $65.00 | $65.00 | 110% above | — |
| Blood glucose (sugar) test inpatient CPT 82947 Glucose | $65.00 | $65.00 | $65.00 | — | — |
| Blood lead test CPT 83655 Assay of lead | $125.00 | $125.00 | $12.11–$201.54 | 71% above | — |
| Blood lead test CPT 83655 Lead Level | $125.00 | $125.00 | $125.00 | 71% above | — |
| Blood lead test CPT 83655 Lead Zzp Testing | $300.00 | $300.00 | $300.00 | 311% above | — |
| Blood lead test inpatient CPT 83655 Lead Level | $125.00 | $125.00 | $125.00 | — | — |
| Blood lead test inpatient CPT 83655 Lead Zzp Testing | $300.00 | $300.00 | $300.00 | — | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Pregnancy Test - Blood Ql | $81.00 | $81.00 | $81.00 | 78% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Chorionic gonadotropin assay | $81.00 | $81.00 | $7.52–$145.00 | 78% above | — |
| Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Pregnancy Test - Blood Ql | $81.00 | $81.00 | $81.00 | — | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood typing serologic abo | $367.00 | $367.00 | $3.14–$259.81 | 88% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Typing Abo | $367.00 | $367.00 | $367.00 | 88% above | — |
| Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Typing Abo | $367.00 | $367.00 | $367.00 | — | — |
| Blood urea nitrogen (BUN) test CPT 84520 Assay of urea nitrogen | $63.00 | $63.00 | $3.95–$145.00 | 133% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen | $63.00 | $63.00 | $63.00 | 133% above | — |
| Blood urea nitrogen (BUN) test CPT 84520 Bun | $300.00 | $300.00 | $300.00 | 1011% above | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen | $63.00 | $63.00 | $63.00 | — | — |
| Blood urea nitrogen (BUN) test inpatient CPT 84520 Bun | $300.00 | $300.00 | $300.00 | — | — |
| C-peptide blood test CPT 84681 Assay of c-peptide | $197.00 | $197.00 | $20.81–$346.48 | 68% above | — |
| C-peptide blood test CPT 84681 C-Peptide (Serum) | $197.00 | $197.00 | $197.00 | 68% above | — |
| C-peptide blood test inpatient CPT 84681 C-Peptide (Serum) | $197.00 | $197.00 | $197.00 | — | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Crp | $63.00 | $63.00 | $63.00 | 62% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-reactive protein | $63.00 | $63.00 | $5.18–$145.00 | 62% above | — |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Crp | $63.00 | $63.00 | $63.00 | — | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C diff amplified probe | $234.00 | $234.00 | $37.27–$584.18 | 38% above | — |
| C. difficile toxin gene test (stool PCR) CPT 87493 C Diff Amplified Probe | $234.00 | $234.00 | $234.00 | 38% above | — |
| C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C Diff Amplified Probe | $234.00 | $234.00 | $234.00 | — | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Immunoassay tumor ca 19-9 | $192.00 | $192.00 | $20.81–$346.48 | 107% above | — |
| CA 19-9 blood test (tumor marker) CPT 86301 Ca-19-9 | $192.00 | $192.00 | $192.00 | 107% above | — |
| CA 19-9 blood test (tumor marker) inpatient CPT 86301 Ca-19-9 | $192.00 | $192.00 | $192.00 | — | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Cancer Antigen 125 | $198.00 | $198.00 | $198.00 | 73% above | — |
| CA-125 blood test (ovarian cancer marker) CPT 86304 Immunoassay tumor ca 125 | $198.00 | $198.00 | $20.81–$346.48 | 73% above | — |
| CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Cancer Antigen 125 | $198.00 | $198.00 | $198.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 ID Now COVID | $162.00 | $162.00 | $162.00 | 2% below | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Coronavirus | $166.00 | $166.00 | $166.00 | 1% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 COVID-19 Coronovirus Complex | $432.00 | $432.00 | $432.00 | 162% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Sars-cov-2 covid-19 amp prb | $432.00 | $432.00 | $51.31–$413.60 | 162% above | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 ID Now COVID | $162.00 | $162.00 | $162.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Coronavirus | $166.00 | $166.00 | $166.00 | — | — |
| COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 COVID-19 Coronovirus Complex | $432.00 | $432.00 | $432.00 | — | — |
| Calcium blood test, total CPT 82310 Assay of calcium | $68.00 | $68.00 | $5.16–$145.00 | 100% above | — |
| Calcium blood test, total CPT 82310 Calcium | $68.00 | $68.00 | $68.00 | 100% above | — |
| Calcium blood test, total inpatient CPT 82310 Calcium | $68.00 | $68.00 | $68.00 | — | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Cea | $175.00 | $175.00 | $175.00 | 85% above | — |
| Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic antigen | $175.00 | $175.00 | $18.96–$315.74 | 85% above | — |
| Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Cea | $175.00 | $175.00 | $175.00 | — | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella Antibody | $132.00 | $132.00 | $132.00 | 112% above | — |
| Chickenpox (varicella) immunity blood test CPT 86787 Varicella-zoster antibody | $132.00 | $132.00 | $12.88–$214.39 | 112% above | — |
| Chickenpox (varicella) immunity blood test inpatient CPT 86787 Varicella Antibody | $132.00 | $132.00 | $132.00 | — | — |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Chlmyd trach dna amp probe | $383.00 | $383.00 | $35.09–$584.18 | 126% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid panel | $126.00 | $126.00 | $13.39–$216.84 | 24% above | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel | $126.00 | $126.00 | $126.00 | 24% above | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel | $126.00 | $126.00 | $126.00 | — | — |
| Complete blood count (CBC) with differential CPT 85025 Complete cbc w/auto diff wbc | $57.00 | $57.00 | $7.77–$145.00 | 8% above | — |
| Complete blood count (CBC) with differential CPT 85025 Cbc/Diff | $57.00 | $57.00 | $57.00 | 8% above | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 Cbc/Diff | $57.00 | $57.00 | $57.00 | — | — |
| Complete blood count (CBC), no differential CPT 85027 Complete cbc automated | $51.00 | $51.00 | $6.47–$145.00 | 19% above | — |
| Complete blood count (CBC), no differential CPT 85027 Cbc | $51.00 | $51.00 | $51.00 | 19% above | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 Cbc | $51.00 | $51.00 | $51.00 | — | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehen metabolic panel | $365.00 | $365.00 | $10.56–$175.85 | 256% above | — |
| Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel | $365.00 | $365.00 | $365.00 | 256% above | — |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel | $365.00 | $365.00 | $365.00 | — | — |
| Cortisol blood test, total CPT 82533 Cortisol Response(30minp60min) | $162.00 | $162.00 | $162.00 | 106% above | — |
| Cortisol blood test, total CPT 82533 Cortisol Blood | $162.00 | $162.00 | $162.00 | 106% above | — |
| Cortisol blood test, total CPT 82533 Total cortisol | $162.00 | $162.00 | $16.30–$271.42 | 106% above | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Blood | $162.00 | $162.00 | $162.00 | — | — |
| Cortisol blood test, total inpatient CPT 82533 Cortisol Response(30minp60min) | $162.00 | $162.00 | $162.00 | — | — |
| Creatine kinase (CK) blood test, total CPT 82550 Cpk Total With Reflex | $90.00 | $90.00 | $90.00 | 111% above | — |
| Creatine kinase (CK) blood test, total CPT 82550 Assay of ck (cpk) | $90.00 | $90.00 | $6.51–$145.00 | 111% above | — |
| Creatine kinase (CK) blood test, total inpatient CPT 82550 Cpk Total With Reflex | $90.00 | $90.00 | $90.00 | — | — |
| Creatinine blood test CPT 82565 Assay of creatinine | $49.00 | $49.00 | $5.12–$145.00 | 59% above | — |
| Creatinine blood test CPT 82565 Creatinine | $49.00 | $49.00 | $49.00 | 59% above | — |
| Creatinine blood test inpatient CPT 82565 Creatinine | $49.00 | $49.00 | $49.00 | — | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv antibody | $98.00 | $98.00 | $14.39–$239.56 | 41% above | — |
| Cytomegalovirus (CMV) antibody test CPT 86644 Cmv Antibody | $98.00 | $98.00 | $98.00 | 41% above | — |
| Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Cmv Antibody | $98.00 | $98.00 | $98.00 | — | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dhea - Sulfate Serum | $189.00 | $189.00 | $189.00 | 58% above | — |
| DHEA sulfate (DHEA-S) blood test CPT 82627 Dehydroepiandrosterone | $189.00 | $189.00 | $22.23–$369.97 | 58% above | — |
| DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 Dhea - Sulfate Serum | $189.00 | $189.00 | $189.00 | — | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug test prsmv chem anlyzr | $501.00 | $501.00 | $62.14–$451.68 | 203% above | — |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Drug Test Prsmv Chem Anlyzr | $501.00 | $501.00 | $501.00 | 203% above | — |
| Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Drug Test Prsmv Chem Anlyzr | $501.00 | $501.00 | $501.00 | — | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte panel | $119.00 | $119.00 | $7.01–$145.00 | 138% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel | $119.00 | $119.00 | $119.00 | 138% above | — |
| Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel | $119.00 | $119.00 | $119.00 | — | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Epstein-barr capsid vca | $144.00 | $144.00 | $18.14–$301.94 | 62% above | — |
| Epstein-Barr virus (EBV) antibody test CPT 86665 Ebv Antibody | $144.00 | $144.00 | $144.00 | 62% above | — |
| Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Ebv Antibody | $144.00 | $144.00 | $144.00 | — | — |
| Estradiol blood test CPT 82670 Free Estradiol | $254.00 | $254.00 | $254.00 | 45% above | — |
| Estradiol blood test CPT 82670 Assay of total estradiol | $254.00 | $254.00 | $27.94–$465.16 | 45% above | — |
| Estradiol blood test inpatient CPT 82670 Free Estradiol | $254.00 | $254.00 | $254.00 | — | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Assay of gonadotropin (fsh) | $165.00 | $165.00 | $18.58–$309.23 | 36% above | — |
| FSH (follicle-stimulating hormone) test CPT 83001 Follicle Stimulating Hormone | $165.00 | $165.00 | $165.00 | 36% above | — |
| FSH (follicle-stimulating hormone) test inpatient CPT 83001 Follicle Stimulating Hormone | $165.00 | $165.00 | $165.00 | — | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Calprotectin Stool Immuno | $174.00 | $174.00 | $174.00 | 38% above | — |
| Fecal calprotectin (stool inflammation test) CPT 83993 Assay for calprotectin fecal | $174.00 | $174.00 | $19.63–$326.73 | 38% above | — |
| Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Calprotectin Stool Immuno | $174.00 | $174.00 | $174.00 | — | — |
| Ferritin blood test (iron stores) CPT 82728 Ferritin | $116.00 | $116.00 | $116.00 | 42% above | — |
| Ferritin blood test (iron stores) CPT 82728 Assay of ferritin | $116.00 | $116.00 | $13.63–$226.72 | 42% above | — |
| Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin | $116.00 | $116.00 | $116.00 | — | — |
| Folate (folic acid) blood test CPT 82746 Assay of folic acid serum | $136.00 | $136.00 | $14.70–$244.78 | 91% above | — |
| Folate (folic acid) blood test CPT 82746 Folate Serum | $136.00 | $136.00 | $136.00 | 91% above | — |
| Folate (folic acid) blood test inpatient CPT 82746 Folate Serum | $136.00 | $136.00 | $136.00 | — | — |
| Free T3 thyroid hormone test CPT 84481 Free T3 | $165.00 | $165.00 | $165.00 | 62% above | — |
| Free T3 thyroid hormone test CPT 84481 Free assay (ft-3) | $165.00 | $165.00 | $16.94–$282.03 | 62% above | — |
| Free T3 thyroid hormone test inpatient CPT 84481 Free T3 | $165.00 | $165.00 | $165.00 | — | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Assay of free thyroxine | $90.00 | $90.00 | $1.75–$150.15 | 36% above | — |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Free T4 (Acs) | $90.00 | $90.00 | $90.00 | 36% above | — |
| Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Free T4 (Acs) | $90.00 | $90.00 | $90.00 | — | — |
| Free testosterone test CPT 84402 Assay of free testosterone | $240.00 | $240.00 | $25.47–$423.77 | 94% above | — |
| Free testosterone test CPT 84402 Testosterone Free | $240.00 | $240.00 | $240.00 | 94% above | — |
| Free testosterone test inpatient CPT 84402 Testosterone Free | $240.00 | $240.00 | $240.00 | — | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Assay of ggt | $80.00 | $80.00 | $7.20–$145.00 | 63% above | — |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 Gamma Gtp | $80.00 | $80.00 | $80.00 | 63% above | — |
| Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Gamma Gtp | $80.00 | $80.00 | $80.00 | — | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose test | $63.00 | $63.00 | $4.75–$145.00 | 162% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Glucose (Post Dosage) | $63.00 | $63.00 | $63.00 | 162% above | — |
| Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Glucose (Post Dosage) | $63.00 | $63.00 | $63.00 | — | — |
| Glucose tolerance test, 3 samples CPT 82951 Tolerance Fbs | $92.00 | $92.00 | $92.00 | 70% above | — |
| Glucose tolerance test, 3 samples CPT 82951 Glucose tolerance test (gtt) | $92.00 | $92.00 | $12.87–$214.21 | 70% above | — |
| Glucose tolerance test, 3 samples inpatient CPT 82951 Tolerance Fbs | $92.00 | $92.00 | $92.00 | — | — |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N.gonorrhoeae dna amp prob | $383.00 | $383.00 | $35.09–$584.18 | 126% above | — |
| H. pylori antibody blood test CPT 86677 Helicobacter Pylori Antibody | $203.00 | $203.00 | $203.00 | 137% above | — |
| H. pylori antibody blood test inpatient CPT 86677 Helicobacter Pylori Antibody | $203.00 | $203.00 | $203.00 | — | — |
| H. pylori stool antigen test CPT 87338 H. Pylori Antigen (Stool) | $220.00 | $220.00 | $220.00 | 112% above | — |
| H. pylori stool antigen test inpatient CPT 87338 H. Pylori Antigen (Stool) | $220.00 | $220.00 | $220.00 | — | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv-1 quant&revrse trnscrpj | $892.00 | $892.00 | $85.10–$1,416.08 | 136% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Hiv 1bdna 3rd | $892.00 | $892.00 | $892.00 | 136% above | — |
| HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Hiv 1bdna 3rd | $892.00 | $892.00 | $892.00 | — | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv Ag/Ab 4th Generation | $216.00 | $216.00 | $216.00 | 93% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Hiv-1 ag w/hiv-1&-2 ab ag ia | $216.00 | $216.00 | $24.08–$400.88 | 93% above | — |
| HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Hiv Ag/Ab 4th Generation | $216.00 | $216.00 | $216.00 | — | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv Dna (Swab | $238.00 | $238.00 | $238.00 | 73% above | — |
| HPV test for high-risk types, one combined (pooled) result CPT 87624 Hpv hi-risk typ pooled rslt | $238.00 | $238.00 | $35.09–$202.30 | 73% above | — |
| HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Hpv Dna (Swab | $238.00 | $238.00 | $238.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Poc Glycosolated Hgb A1c | $119.00 | $119.00 | $119.00 | 133% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Glycosolated Hgb | $119.00 | $119.00 | $119.00 | 133% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin glycosylated a1c | $119.00 | $119.00 | $9.71–$161.49 | 133% above | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Poc Glycosolated Hgb A1c | $119.00 | $119.00 | $119.00 | — | — |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Glycosolated Hgb | $119.00 | $119.00 | $119.00 | — | — |
| Hemoglobin blood test CPT 85018 Hemoglobin | $23.00 | $23.00 | $2.37–$145.00 | 39% above | — |
| Hemoglobin blood test CPT 85018 Hgb | $23.00 | $23.00 | $23.00 | 39% above | — |
| Hemoglobin blood test inpatient CPT 85018 Hgb | $23.00 | $23.00 | $23.00 | — | — |
| Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Tota | $150.00 | $150.00 | $150.00 | 92% above | — |
| Hepatitis B core antibody test (total) CPT 86704 Hep b core antibody total | $150.00 | $150.00 | $12.05–$200.63 | 92% above | — |
| Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Tota | $150.00 | $150.00 | $150.00 | — | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep B Surface Antibody | $136.00 | $136.00 | $136.00 | 100% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hep b surface antibody | $136.00 | $136.00 | $10.74–$178.65 | 100% above | — |
| Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hep B Surface Antibody | $136.00 | $136.00 | $136.00 | — | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hep B Surface Antigen | $132.00 | $132.00 | $132.00 | 43% above | — |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Hepatitis b surface ag ia | $132.00 | $132.00 | $10.33–$171.92 | 43% above | — |
| Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Hep B Surface Antigen | $132.00 | $132.00 | $132.00 | — | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody | $172.00 | $172.00 | $172.00 | 51% above | — |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis c ab test | $172.00 | $172.00 | $14.27–$237.49 | 51% above | — |
| Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody | $172.00 | $172.00 | $172.00 | — | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hepatitis c revrs trnscrpj | $462.00 | $462.00 | $42.84–$712.87 | 133% above | — |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Hep C Viral Rna By Pcr | $462.00 | $462.00 | $462.00 | 133% above | — |
| Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Hep C Viral Rna By Pcr | $462.00 | $462.00 | $462.00 | — | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes simplex type 1 test | $114.00 | $114.00 | $13.19–$219.43 | 95% above | — |
| Herpes blood test, HSV-1 antibody CPT 86695 Herpes Simplex Antibody | $114.00 | $114.00 | $114.00 | 95% above | — |
| Herpes blood test, HSV-1 antibody inpatient CPT 86695 Herpes Simplex Antibody | $114.00 | $114.00 | $114.00 | — | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes simplex type 2 test | $186.00 | $186.00 | $19.35–$322.07 | 186% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex Ii Ab (Igg) | $186.00 | $186.00 | $186.00 | 186% above | — |
| Herpes blood test, HSV-2 antibody CPT 86696 Herpes Simplex 2 Ab | $186.00 | $186.00 | $186.00 | 186% above | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex Ii Ab (Igg) | $186.00 | $186.00 | $186.00 | — | — |
| Herpes blood test, HSV-2 antibody inpatient CPT 86696 Herpes Simplex 2 Ab | $186.00 | $186.00 | $186.00 | — | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 Crp (High Sensitive | $133.00 | $133.00 | $133.00 | 120% above | — |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-reactive protein hs | $133.00 | $133.00 | $12.95–$215.51 | 120% above | — |
| High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Crp (High Sensitive | $133.00 | $133.00 | $133.00 | — | — |
| Homocysteine blood test CPT 83090 Assay of homocysteine | $267.00 | $267.00 | $17.92–$280.73 | 130% above | — |
| Homocysteine blood test CPT 83090 Homocystine (Blood) | $267.00 | $267.00 | $267.00 | 130% above | — |
| Homocysteine blood test inpatient CPT 83090 Homocystine (Blood) | $267.00 | $267.00 | $267.00 | — | — |
| Insulin blood test CPT 83525 Insulin | $85.00 | $85.00 | $85.00 | 42% above | — |
| Insulin blood test CPT 83525 Assay of insulin | $85.00 | $85.00 | $11.43–$190.20 | 42% above | — |
| Insulin blood test inpatient CPT 83525 Insulin | $85.00 | $85.00 | $85.00 | — | — |
| Iron blood test (serum iron) CPT 83540 Iron | $71.00 | $71.00 | $71.00 | 127% above | — |
| Iron blood test (serum iron) CPT 83540 Assay of iron | $71.00 | $71.00 | $6.47–$145.00 | 127% above | — |
| Iron blood test (serum iron) inpatient CPT 83540 Iron | $71.00 | $71.00 | $71.00 | — | — |
| Iron-binding capacity (TIBC) test CPT 83550 Iron binding test | $82.00 | $82.00 | $8.74–$145.50 | 119% above | — |
| Iron-binding capacity (TIBC) test CPT 83550 Total Iron Binding Capacity | $82.00 | $82.00 | $82.00 | 119% above | — |
| Iron-binding capacity (TIBC) test inpatient CPT 83550 Total Iron Binding Capacity | $82.00 | $82.00 | $82.00 | — | — |
| Kidney function blood test panel CPT 80069 Renal function panel | $272.00 | $272.00 | $8.68–$145.00 | 251% above | — |
| Kidney function blood test panel CPT 80069 Renal Function Panel | $272.00 | $272.00 | $272.00 | 251% above | — |
| Kidney function blood test panel inpatient CPT 80069 Renal Function Panel | $272.00 | $272.00 | $272.00 | — | — |
| LH (luteinizing hormone) test CPT 83002 Luteinizing Hormone | $166.00 | $166.00 | $166.00 | 63% above | — |
| LH (luteinizing hormone) test CPT 83002 Assay of gonadotropin (lh) | $166.00 | $166.00 | $18.52–$308.28 | 63% above | — |
| LH (luteinizing hormone) test inpatient CPT 83002 Luteinizing Hormone | $166.00 | $166.00 | $166.00 | — | — |
| Lactate (lactic acid) blood test CPT 83605 Assay of lactic acid | $113.00 | $113.00 | $11.57–$177.70 | 59% above | — |
| Lactate (lactic acid) blood test CPT 83605 Lactic Acid | $113.00 | $113.00 | $113.00 | 59% above | — |
| Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid | $113.00 | $113.00 | $113.00 | — | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactic Dehydroginasc | $81.00 | $81.00 | $81.00 | 125% above | — |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate (ld) (ldh) enzyme | $81.00 | $81.00 | $6.04–$145.00 | 125% above | — |
| Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactic Dehydroginasc | $81.00 | $81.00 | $81.00 | — | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase | $44.00 | $44.00 | $44.00 | 2% above | — |
| Lipase blood test (pancreas enzyme) CPT 83690 Assay of lipase | $44.00 | $44.00 | $6.89–$145.00 | 2% above | — |
| Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase | $44.00 | $44.00 | $44.00 | — | — |
| Liver function blood test panel CPT 80076 Hepatic function panel | $200.00 | $200.00 | $8.17–$145.00 | 109% above | — |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $200.00 | $200.00 | $200.00 | 109% above | — |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $200.00 | $200.00 | $200.00 | — | — |
| Lyme disease antibody test CPT 86618 Lymes Disease | $95.00 | $95.00 | $95.00 | 17% above | — |
| Lyme disease antibody test CPT 86618 Lyme disease antibody | $95.00 | $95.00 | $17.03–$283.53 | 17% above | — |
| Lyme disease antibody test inpatient CPT 86618 Lymes Disease | $95.00 | $95.00 | $95.00 | — | — |
| Magnesium blood test CPT 83735 Assay of magnesium | $85.00 | $85.00 | $6.70–$145.00 | 124% above | — |
| Magnesium blood test CPT 83735 Magnesium | $85.00 | $85.00 | $85.00 | 124% above | — |
| Magnesium blood test inpatient CPT 83735 Magnesium | $85.00 | $85.00 | $85.00 | — | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola antibody | $110.00 | $110.00 | $12.88–$214.39 | 42% above | — |
| Measles (rubeola) antibody test CPT 86765 Rubeola Igg | $110.00 | $110.00 | $110.00 | 42% above | — |
| Measles (rubeola) antibody test inpatient CPT 86765 Rubeola Igg | $110.00 | $110.00 | $110.00 | — | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile Screen | $45.00 | $45.00 | $45.00 | at median | — |
| Mono test (heterophile antibody, Monospot) CPT 86308 Heterophile antibody screen | $45.00 | $45.00 | $5.18–$145.00 | at median | — |
| Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Heterophile Screen | $45.00 | $45.00 | $45.00 | — | — |
| Mumps immunity blood test CPT 86735 Mumps Antibody | $133.00 | $133.00 | $133.00 | 96% above | — |
| Mumps immunity blood test CPT 86735 Mumps antibody | $133.00 | $133.00 | $13.05–$217.19 | 96% above | — |
| Mumps immunity blood test inpatient CPT 86735 Mumps Antibody | $133.00 | $133.00 | $133.00 | — | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of psa free | $178.00 | $178.00 | $18.39–$306.25 | 82% above | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 Prostatic Specific Ag (Free) | $178.00 | $178.00 | $178.00 | 82% above | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Prostatic Specific Ag (Free) | $178.00 | $178.00 | $178.00 | — | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Screen | $85.00 | $85.00 | $85.00 | 3% below | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostatic Specific Ag (Total) | $175.00 | $175.00 | $175.00 | 100% above | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of psa total | $175.00 | $175.00 | $18.39–$306.25 | 100% above | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Screen | $85.00 | $85.00 | $85.00 | — | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostatic Specific Ag (Total) | $175.00 | $175.00 | $175.00 | — | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Cytopath c/v auto fluid redo | $238.00 | $238.00 | $26.61–$440.93 | 125% above | — |
| Pap test (liquid-based, automated screening with review) CPT 88175 Thin Prep (Auto:Manual Scrn) | $238.00 | $238.00 | $238.00 | 125% above | — |
| Pap test (liquid-based, automated screening with review) inpatient CPT 88175 Thin Prep (Auto:Manual Scrn) | $238.00 | $238.00 | $238.00 | — | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Thin Prep (Gyn) | $80.00 | $80.00 | $80.00 | 13% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Cytopath c/v thin layer | $80.00 | $80.00 | $20.26–$337.16 | 13% below | — |
| Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Thin Prep (Gyn) | $80.00 | $80.00 | $80.00 | — | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Pth N-Terminal | $447.00 | $447.00 | $447.00 | 147% above | — |
| Parathyroid hormone (PTH) blood test CPT 83970 Assay of parathormone | $447.00 | $447.00 | $41.28–$687.00 | 147% above | — |
| Parathyroid hormone (PTH) blood test inpatient CPT 83970 Pth N-Terminal | $447.00 | $447.00 | $447.00 | — | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin time partial | $55.00 | $55.00 | $6.01–$145.00 | 86% above | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 P T T | $55.00 | $55.00 | $55.00 | 86% above | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 P T T | $55.00 | $55.00 | $55.00 | — | — |
| Phosphorus (phosphate) blood test CPT 84100 Phosphorus | $68.00 | $68.00 | $68.00 | 162% above | — |
| Phosphorus (phosphate) blood test CPT 84100 Assay of phosphorus | $68.00 | $68.00 | $4.74–$145.00 | 162% above | — |
| Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphorus | $68.00 | $68.00 | $68.00 | — | — |
| Potassium blood test CPT 84132 Potassium | $73.00 | $73.00 | $73.00 | 135% above | — |
| Potassium blood test CPT 84132 Assay of serum potassium | $73.00 | $73.00 | $4.76–$145.00 | 135% above | — |
| Potassium blood test inpatient CPT 84132 Potassium | $73.00 | $73.00 | $73.00 | — | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 Fetal Chrmoml Aneuploidy | $2,047.00 | $2,047.00 | $2,047.00 | 21% below | — |
| Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 Fetal Chrmoml Aneuploidy | $2,047.00 | $2,047.00 | $2,047.00 | — | — |
| Progesterone blood test CPT 84144 Assay of progesterone | $176.00 | $176.00 | $20.86–$347.21 | 28% above | — |
| Progesterone blood test CPT 84144 Progesterone | $176.00 | $176.00 | $176.00 | 28% above | — |
| Progesterone blood test inpatient CPT 84144 Progesterone | $176.00 | $176.00 | $176.00 | — | — |
| Prolactin blood test CPT 84146 Prolactin | $224.00 | $224.00 | $224.00 | 139% above | — |
| Prolactin blood test CPT 84146 Assay of prolactin | $224.00 | $224.00 | $19.38–$322.64 | 139% above | — |
| Prolactin blood test inpatient CPT 84146 Prolactin | $224.00 | $224.00 | $224.00 | — | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin time | $59.00 | $59.00 | $4.29–$145.00 | 211% above | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 P T | $59.00 | $59.00 | $59.00 | 211% above | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 P T | $59.00 | $59.00 | $59.00 | — | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep a assay w/optic | $149.00 | $149.00 | $16.53–$199.69 | 131% above | — |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 Throat Screen Strep A | $149.00 | $149.00 | $149.00 | 131% above | — |
| Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Throat Screen Strep A | $149.00 | $149.00 | $149.00 | — | — |
| Renin blood test CPT 84244 Renin | $205.00 | $205.00 | $205.00 | 88% above | — |
| Renin blood test CPT 84244 Assay of renin | $205.00 | $205.00 | $21.99–$366.22 | 88% above | — |
| Renin blood test inpatient CPT 84244 Renin | $205.00 | $205.00 | $205.00 | — | — |
| Rh blood typing CPT 86901 Blood Typing Rh (D) | $135.00 | $135.00 | $135.00 | 50% above | — |
| Rh blood typing CPT 86901 Blood typing serologic rh(d) | $216.00 | $216.00 | $3.14–$104.81 | 140% above | — |
| Rh blood typing CPT 86901 Anti Rh Titer | $216.00 | $216.00 | $216.00 | 140% above | — |
| Rh blood typing inpatient CPT 86901 Blood Typing Rh (D) | $135.00 | $135.00 | $135.00 | — | — |
| Rh blood typing inpatient CPT 86901 Anti Rh Titer | $216.00 | $216.00 | $216.00 | — | — |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor quant | $65.00 | $65.00 | $5.67–$145.00 | 122% above | — |
| Rheumatoid factor (RF) test CPT 86431 Ra Quant | $65.00 | $65.00 | $65.00 | 122% above | — |
| Rheumatoid factor (RF) test inpatient CPT 86431 Ra Quant | $65.00 | $65.00 | $65.00 | — | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella antibody | $123.00 | $123.00 | $14.39–$239.56 | 56% above | — |
| Rubella antibody test (immunity check) CPT 86762 Rubella | $123.00 | $123.00 | $123.00 | 56% above | — |
| Rubella antibody test (immunity check) inpatient CPT 86762 Rubella | $123.00 | $123.00 | $123.00 | — | — |
| Semen analysis: volume, sperm count, motility and morphology CPT 89320 Sperm Analysis | $225.00 | $225.00 | $225.00 | 225% above | — |
| Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Sperm Analysis | $225.00 | $225.00 | $225.00 | — | — |
| Sodium blood test CPT 84295 Sodium | $71.00 | $71.00 | $71.00 | 156% above | — |
| Sodium blood test CPT 84295 Assay of serum sodium | $71.00 | $71.00 | $4.81–$145.00 | 156% above | — |
| Sodium blood test inpatient CPT 84295 Sodium | $71.00 | $71.00 | $71.00 | — | — |
| Stool ova and parasites exam CPT 87177 Ova And Parasites | $59.00 | $59.00 | $59.00 | 39% above | — |
| Stool ova and parasites exam CPT 87177 Ova and parasites smears | $59.00 | $59.00 | $8.90–$148.08 | 39% above | — |
| Stool ova and parasites exam inpatient CPT 87177 Ova And Parasites | $59.00 | $59.00 | $59.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Blood Occult Feces | $33.00 | $33.00 | $33.00 | 65% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult Blood-Stool Colrec Neo | $33.00 | $33.00 | $33.00 | 65% above | — |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Occult blood feces | $33.00 | $33.00 | $4.38–$145.00 | 65% above | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Blood Occult Feces | $33.00 | $33.00 | $33.00 | — | — |
| Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Occult Blood-Stool Colrec Neo | $33.00 | $33.00 | $33.00 | — | — |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 Fecal Globin By Immunochem | $145.00 | $145.00 | $145.00 | 116% above | — |
| Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Fecal Globin By Immunochem | $145.00 | $145.00 | $145.00 | — | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Treponema pallidum | $133.00 | $133.00 | $13.24–$220.38 | 116% above | — |
| Syphilis antibody test (Treponema pallidum) CPT 86780 Fta Antibody | $133.00 | $133.00 | $133.00 | 116% above | — |
| Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Fta Antibody | $133.00 | $133.00 | $133.00 | — | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis test non-trep qual | $31.00 | $31.00 | $4.27–$145.00 | 27% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Rpr | $31.00 | $31.00 | $31.00 | 27% above | — |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Rpr | $31.00 | $31.00 | $31.00 | — | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 T-Spot Lab Input | $541.00 | $541.00 | $541.00 | 161% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tb test cell immun measure | $541.00 | $541.00 | $61.98–$1,031.62 | 161% above | — |
| TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 T-Spot Lab Input | $541.00 | $541.00 | $541.00 | — | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Assay of total testosterone | $234.00 | $234.00 | $25.81–$429.76 | 71% above | — |
| Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone Total | $234.00 | $234.00 | $234.00 | 71% above | — |
| Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone Total | $234.00 | $234.00 | $234.00 | — | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibody each | $177.00 | $177.00 | $14.55–$241.98 | 146% above | — |
| Thyroid peroxidase (TPO) antibody test CPT 86376 Liver Cytosol Autoantibodies | $177.00 | $177.00 | $177.00 | 146% above | — |
| Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Liver Cytosol Autoantibodies | $177.00 | $177.00 | $177.00 | — | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Tsh | $187.00 | $187.00 | $187.00 | 156% above | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay thyroid stim hormone | $187.00 | $187.00 | $16.80–$279.78 | 156% above | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Tsh | $187.00 | $187.00 | $187.00 | — | — |
| Total IgE blood test CPT 82785 Assay of ige | $161.00 | $161.00 | $16.46–$274.22 | 79% above | — |
| Total IgE blood test CPT 82785 Ige | $161.00 | $161.00 | $161.00 | 79% above | — |
| Total IgE blood test inpatient CPT 82785 Ige | $161.00 | $161.00 | $161.00 | — | — |
| Total cholesterol blood test CPT 82465 Assay bld/serum cholesterol | $69.00 | $69.00 | $4.35–$145.00 | 138% above | — |
| Total cholesterol blood test CPT 82465 Cholesterol | $69.00 | $69.00 | $69.00 | 138% above | — |
| Total cholesterol blood test inpatient CPT 82465 Cholesterol | $69.00 | $69.00 | $69.00 | — | — |
| Total thyroxine (T4) blood test CPT 84436 T4 Thyroxine | $77.00 | $77.00 | $77.00 | 132% above | — |
| Total thyroxine (T4) blood test CPT 84436 Assay of total thyroxine | $77.00 | $77.00 | $6.87–$145.00 | 132% above | — |
| Total thyroxine (T4) blood test inpatient CPT 84436 T4 Thyroxine | $77.00 | $77.00 | $77.00 | — | — |
| Total triiodothyronine (T3) blood test CPT 84480 Assay triiodothyronine (t3) | $143.00 | $143.00 | $14.18–$236.03 | 66% above | — |
| Total triiodothyronine (T3) blood test CPT 84480 Total T3 | $143.00 | $143.00 | $143.00 | 66% above | — |
| Total triiodothyronine (T3) blood test inpatient CPT 84480 Total T3 | $143.00 | $143.00 | $143.00 | — | — |
| Transferrin blood test CPT 84466 Transferrin | $131.00 | $131.00 | $131.00 | 112% above | — |
| Transferrin blood test CPT 84466 Assay of transferrin | $131.00 | $131.00 | $12.76–$212.53 | 112% above | — |
| Transferrin blood test inpatient CPT 84466 Transferrin | $131.00 | $131.00 | $131.00 | — | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas Vaginalis Rna | $273.00 | $273.00 | $273.00 | 162% above | — |
| Trichomonas test (NAAT) CPT 87661 Trichomonas vaginalis amplif | $273.00 | $273.00 | $35.09–$258.64 | 162% above | — |
| Trichomonas test (NAAT) inpatient CPT 87661 Trichomonas Vaginalis Rna | $273.00 | $273.00 | $273.00 | — | — |
| Triglycerides blood test CPT 84478 Triglyceride | $73.00 | $73.00 | $73.00 | 163% above | — |
| Triglycerides blood test CPT 84478 Assay of triglycerides | $73.00 | $73.00 | $5.74–$145.00 | 163% above | — |
| Triglycerides blood test inpatient CPT 84478 Triglyceride | $73.00 | $73.00 | $73.00 | — | — |
| Troponin test, quantitative CPT 84484 Assay of troponin quant | $133.00 | $133.00 | $12.47–$163.73 | 85% above | — |
| Troponin test, quantitative CPT 84484 Troponin T | $133.00 | $133.00 | $133.00 | 85% above | — |
| Troponin test, quantitative inpatient CPT 84484 Troponin T | $133.00 | $133.00 | $133.00 | — | — |
| Uric acid blood test CPT 84550 Assay of blood/uric acid | $72.00 | $72.00 | $4.52–$145.00 | 140% above | — |
| Uric acid blood test CPT 84550 Uric Acid | $72.00 | $72.00 | $72.00 | 140% above | — |
| Uric acid blood test inpatient CPT 84550 Uric Acid | $72.00 | $72.00 | $72.00 | — | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Routine | $54.00 | $54.00 | $54.00 | 59% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis auto w/scope | $54.00 | $54.00 | $3.17–$145.00 | 59% above | — |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Micro | $300.00 | $300.00 | $300.00 | 782% above | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Routine | $54.00 | $54.00 | $54.00 | — | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Micro | $300.00 | $300.00 | $300.00 | — | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis auto w/o scope | $21.00 | $21.00 | $2.25–$145.00 | at median | — |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis | $21.00 | $21.00 | $21.00 | at median | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis | $21.00 | $21.00 | $21.00 | — | — |
| Urine microalbumin (albumin) test CPT 82043 Ur albumin quantitative | $159.00 | $159.00 | $5.78–$145.00 | 279% above | — |
| Urine microalbumin (albumin) test CPT 82043 Microalbumin Quant | $159.00 | $159.00 | $159.00 | 279% above | — |
| Urine microalbumin (albumin) test inpatient CPT 82043 Microalbumin Quant | $159.00 | $159.00 | $159.00 | — | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin B12 | $133.00 | $133.00 | $133.00 | 75% above | — |
| Vitamin B12 (cobalamin) blood test CPT 82607 Vitamin b-12 | $133.00 | $133.00 | $15.08–$250.90 | 75% above | — |
| Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Vitamin B12 | $133.00 | $133.00 | $133.00 | — | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin d 25 hydroxy | $262.00 | $262.00 | $29.60–$492.88 | 76% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D 25 Hydroxy | $262.00 | $262.00 | $262.00 | 76% above | — |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D 25 Hydroxy | $262.00 | $262.00 | $262.00 | — | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vit d 1 25-dihydroxy | $356.00 | $356.00 | $38.50–$640.79 | 98% above | — |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 Vitamin D (1.25 Dihydroxy) | $356.00 | $356.00 | $356.00 | 98% above | — |
| Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 Vitamin D (1.25 Dihydroxy) | $356.00 | $356.00 | $356.00 | — | — |
| Zinc blood test CPT 84630 Assay Of Zinc | $116.00 | $116.00 | $116.00 | 55% above | — |
| Zinc blood test CPT 84630 Assay of zinc | $116.00 | $116.00 | $11.39–$189.43 | 55% above | — |
| Zinc blood test inpatient CPT 84630 Assay Of Zinc | $116.00 | $116.00 | $116.00 | — | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Chorionic gonadotropin test | $149.00 | $149.00 | $15.05–$250.73 | 48% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Hcg | $149.00 | $149.00 | $149.00 | 48% above | — |
| hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Hcg | $149.00 | $149.00 | $149.00 | — | — |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Clsd Tx Lat Malleolus W/O Mnip | $405.00 | $405.00 | $405.00 | 58% below | — |
| Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Clsd Tx Lat Malleolus W/O Mnip | $405.00 | $405.00 | $405.00 | — | — |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed Tx Metatarsal W/O Manip | $405.00 | $405.00 | $405.00 | 42% below | — |
| Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Closed Tx Metatarsal W/O Manip | $405.00 | $405.00 | $405.00 | — | — |
| Cardiac catheterization with coronary angiogram CPT 93458 L hrt artery/ventricle angio | $5,909.00 | $5,909.00 | $2,622.96–$5,994.61 | 28% below | — |
| Cardiac catheterization with coronary angiogram CPT 93458 Lft Heart Cath With Coronaries | $5,909.00 | $5,909.00 | $5,909.00 | 28% below | — |
| Cardiac catheterization with coronary angiogram inpatient CPT 93458 Lft Heart Cath With Coronaries | $5,909.00 | $5,909.00 | $5,909.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion electric ext | $1,550.00 | $1,550.00 | $447.64–$8,828.67 | 22% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion (Elective) | $1,550.00 | $1,550.00 | $1,550.00 | 22% above | — |
| Cardioversion, elective (restoring heart rhythm) CPT 92960 Cardioversion Exterral | $1,550.00 | $1,550.00 | $1,550.00 | 22% above | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion Exterral | $1,550.00 | $1,550.00 | $1,550.00 | — | — |
| Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Cardioversion (Elective) | $1,550.00 | $1,550.00 | $1,550.00 | — | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed Tx Colles Fx W/O Manip | $405.00 | $405.00 | $405.00 | 35% below | — |
| Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Closed Tx Colles Fx W/O Manip | $405.00 | $405.00 | $405.00 | — | — |
| Earwax removal with instruments, one ear CPT 69210 Remove impacted ear wax uni | $198.00 | $198.00 | $63.22–$136.40 | 28% below | — |
| Earwax removal with instruments, one ear CPT 69210 Cerumen Removall | $198.00 | $198.00 | $198.00 | 28% below | — |
| Earwax removal with instruments, one ear inpatient CPT 69210 Cerumen Removall | $198.00 | $198.00 | $198.00 | — | — |
| Hemorrhoid banding (rubber band ligation) CPT 46221 Simple Ligation Hermorrhoid | $1,053.00 | $1,053.00 | $1,053.00 | 46% below | — |
| Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Simple Ligation Hermorrhoid | $1,053.00 | $1,053.00 | $1,053.00 | — | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&D Simple Skin Abscess | $467.00 | $467.00 | $467.00 | 6% below | — |
| Incision and drainage of a simple or single skin abscess CPT 10060 I&d abscess simple/single | $467.00 | $467.00 | $215.00–$418.19 | 6% below | — |
| Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D Simple Skin Abscess | $467.00 | $467.00 | $467.00 | — | — |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Tendon Sheath/Ligament Injecti | $459.00 | $459.00 | $459.00 | at median | — |
| Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Tendon Sheath/Ligament Injecti | $459.00 | $459.00 | $459.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthrocentesis Major Joint | $459.00 | $459.00 | $459.00 | 19% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Drain/inj joint/bursa w/o us | $467.00 | $467.00 | $220.90–$3,290.17 | 18% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ASP or Inj Major Joint | $467.00 | $467.00 | $467.00 | 18% below | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthrocentesis Major Joint | $459.00 | $459.00 | $459.00 | — | — |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ASP or Inj Major Joint | $467.00 | $467.00 | $467.00 | — | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Arthrocent Intermediate Joint | $459.00 | $459.00 | $459.00 | 15% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Drain/inj joint/bursa w/o us | $459.00 | $459.00 | $137.41–$3,290.17 | 15% below | — |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Arthrocent Intermediate Joint | $459.00 | $459.00 | $459.00 | — | — |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Arthrocentesis Small Joint | $459.00 | $459.00 | $459.00 | 15% below | — |
| Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Arthrocentesis Small Joint | $459.00 | $459.00 | $459.00 | — | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Scalp/Trunk/Ext <2.5cm | $459.00 | $459.00 | $459.00 | 42% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intmd rpr s/a/t/ext 2.5 cm/< | $459.00 | $459.00 | $383.18–$1,771.90 | 42% below | — |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Scalp/Trunk/Ext <2.5cm | $459.00 | $459.00 | $459.00 | — | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Les Exc Truk/Arm/Leg 0.5mm Or< | $729.00 | $729.00 | $729.00 | 22% below | — |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Les Exc Truk/Arm/Leg 0.5mm Or< | $729.00 | $729.00 | $729.00 | — | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Lesion Exc Face 0.5cm Or< | $729.00 | $729.00 | $729.00 | 18% below | — |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Lesion Exc Face 0.5cm Or< | $729.00 | $729.00 | $729.00 | — | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion Of Single Nail Plate | $351.00 | $351.00 | $351.00 | 11% below | — |
| Nail removal (partial or complete), one nail CPT 11730 Avulsion nail plate simple 1 | $351.00 | $351.00 | $215.00–$287.74 | 11% below | — |
| Nail removal (partial or complete), one nail inpatient CPT 11730 Avulsion Of Single Nail Plate | $351.00 | $351.00 | $351.00 | — | — |
| Pacemaker implant (dual chamber) CPT 33208 Insrt heart pm atrial & vent | $15,171.00 | $15,171.00 | $2,378.20–$16,110.36 | 4% below | — |
| Pacemaker implant (dual chamber) CPT 33208 PM Insert/Repl Gen w/Dual Lds | $15,171.00 | $15,171.00 | $15,171.00 | 4% below | — |
| Pacemaker implant (dual chamber) inpatient CPT 33208 PM Insert/Repl Gen w/Dual Lds | $15,171.00 | $15,171.00 | $15,171.00 | — | — |
| Paracentesis with imaging guidance CPT 49083 Abd paracentesis w/imaging | $1,173.00 | $1,173.00 | $517.83–$3,290.17 | 34% below | — |
| Paracentesis with imaging guidance CPT 49083 Paracentesis | $1,173.00 | $1,173.00 | $1,173.00 | 34% below | — |
| Paracentesis with imaging guidance CPT 49083 CT Para with guidance | $1,173.00 | $1,173.00 | $1,173.00 | 34% below | — |
| Paracentesis with imaging guidance inpatient CPT 49083 CT Para with guidance | $1,173.00 | $1,173.00 | $1,173.00 | — | — |
| Paracentesis with imaging guidance inpatient CPT 49083 Paracentesis | $1,173.00 | $1,173.00 | $1,173.00 | — | — |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Nailbed And Matrix | $702.00 | $702.00 | $702.00 | 30% below | — |
| Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Nailbed And Matrix | $702.00 | $702.00 | $702.00 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Neuro Agent Lum/Sac added jnt | $319.00 | $319.00 | $319.00 | 90% below | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Dest Neurolytic Agent Lum/Sac | $4,644.00 | $4,644.00 | $4,644.00 | 49% above | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Neuro Agent Lum/Sac added jnt | $319.00 | $319.00 | $319.00 | — | — |
| Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Dest Neurolytic Agent Lum/Sac | $4,644.00 | $4,644.00 | $4,644.00 | — | — |
| Removal of a foreign object under the skin, simple CPT 10120 Inc&rmvl fb subq tiss smpl | $621.00 | $621.00 | $220.90–$549.00 | 13% above | — |
| Removal of a foreign object under the skin, simple CPT 10120 Foreign Body Removal Tiss Simp | $621.00 | $621.00 | $621.00 | 13% above | — |
| Removal of a foreign object under the skin, simple inpatient CPT 10120 Foreign Body Removal Tiss Simp | $621.00 | $621.00 | $621.00 | — | — |
| Short arm cast (elbow to hand) CPT 29075 Short Arm Cast | $324.00 | $324.00 | $324.00 | 50% below | — |
| Short arm cast (elbow to hand) inpatient CPT 29075 Short Arm Cast | $324.00 | $324.00 | $324.00 | — | — |
| Short arm splint (forearm and hand) CPT 29125 Appl short arm splint static | $243.00 | $243.00 | $78.58–$259.81 | 27% below | — |
| Short arm splint (forearm and hand) CPT 29125 Short Arm Splint | $243.00 | $243.00 | $243.00 | 27% below | — |
| Short arm splint (forearm and hand) inpatient CPT 29125 Short Arm Splint | $243.00 | $243.00 | $243.00 | — | — |
| Short leg cast (below the knee) CPT 29405 Short Leg Cast | $351.00 | $351.00 | $351.00 | 43% below | — |
| Short leg cast (below the knee) inpatient CPT 29405 Short Leg Cast | $351.00 | $351.00 | $351.00 | — | — |
| Short leg splint (calf to foot) CPT 29515 Short Leg Splint | $243.00 | $243.00 | $243.00 | 30% below | — |
| Short leg splint (calf to foot) CPT 29515 Application short leg splint | $243.00 | $243.00 | $174.14–$549.00 | 30% below | — |
| Short leg splint (calf to foot) inpatient CPT 29515 Short Leg Splint | $243.00 | $243.00 | $243.00 | — | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple Repair Scalp Etc <2.5cm | $467.00 | $467.00 | $467.00 | 1% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Rpr s/n/ax/gen/trnk 2.5cm/< | $467.00 | $467.00 | $215.00–$287.74 | 1% above | — |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Simple Repair Scalp Etc <2.5cm | $467.00 | $467.00 | $467.00 | — | — |
| Skin tag removal, up to 15 tags CPT 11200 Skin Tag Removal 1-15 | $216.00 | $216.00 | $216.00 | 43% below | — |
| Skin tag removal, up to 15 tags inpatient CPT 11200 Skin Tag Removal 1-15 | $216.00 | $216.00 | $216.00 | — | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Lumbar Puncture Diagnostic | $810.00 | $810.00 | $810.00 | 45% below | — |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Dx lmbr spi pnxr | $810.00 | $810.00 | $246.40–$3,290.17 | 45% below | — |
| Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Lumbar Puncture Diagnostic | $810.00 | $810.00 | $810.00 | — | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Sple Repair Sclp Etc 2.6-7.5cm | $561.00 | $561.00 | $561.00 | 18% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm | $561.00 | $561.00 | $215.00–$549.00 | 18% above | — |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 Sple Repair Sclp Etc 2.6-7.5cm | $561.00 | $561.00 | $561.00 | — | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple Repair Face <2.5cm | $467.00 | $467.00 | $467.00 | 46% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Rpr f/e/e/n/l/m 2.5 cm/< | $467.00 | $467.00 | $215.00–$7,366.50 | 46% below | — |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 Simple Repair Face <2.5cm | $467.00 | $467.00 | $467.00 | — | — |
| Trigger point injections, 1 or 2 muscles CPT 20552 Sgl Or Mtpl Trg Pts Inj 1-2 Mu | $715.00 | $715.00 | $715.00 | 36% above | — |
| Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Sgl Or Mtpl Trg Pts Inj 1-2 Mu | $715.00 | $715.00 | $715.00 | — | — |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement Sq Tissue | $832.00 | $832.00 | $832.00 | 10% below | — |
| Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement Sq Tissue | $832.00 | $832.00 | $832.00 | — | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Cryo Administration | $86.00 | $86.00 | $86.00 | 91% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion <3 Hours | $302.00 | $302.00 | $302.00 | 67% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 3-6 Hrs | $474.00 | $474.00 | $474.00 | 48% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Transfusion 6-9 Hrs | $662.00 | $662.00 | $662.00 | 28% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Blood Administration | $837.00 | $837.00 | $837.00 | 9% below | — |
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion bld/bld compnt | $837.00 | $837.00 | $472.77–$3,290.17 | 9% below | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Cryo Administration | $86.00 | $86.00 | $86.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion <3 Hours | $302.00 | $302.00 | $302.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion 3-6 Hrs | $474.00 | $474.00 | $474.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Transfusion 6-9 Hrs | $662.00 | $662.00 | $662.00 | — | — |
| Blood transfusion (giving blood or blood components) inpatient CPT 36430 Blood Administration | $837.00 | $837.00 | $837.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Aerosol/Hhn Ippb Or Md1>1/Day | $518.00 | $518.00 | $518.00 | 77% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Treatment Acut Airway Obs-Diag | $518.00 | $518.00 | $518.00 | 77% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Airway inhalation treatment | $518.00 | $518.00 | $39.10–$2,040.00 | 77% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Ippb Treatment Subsequent | $518.00 | $518.00 | $518.00 | 77% above | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Ippb Treatment Subsequent | $518.00 | $518.00 | $518.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Aerosol/Hhn Ippb Or Md1>1/Day | $518.00 | $518.00 | $518.00 | — | — |
| Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Treatment Acut Airway Obs-Diag | $518.00 | $518.00 | $518.00 | — | — |
| Chemotherapy IV infusion, first hour CPT 96413 Chemotherapy 1st Hour | $888.00 | $888.00 | $888.00 | 1% above | — |
| Chemotherapy IV infusion, first hour inpatient CPT 96413 Chemotherapy 1st Hour | $888.00 | $888.00 | $888.00 | — | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical Care Level 6 30-74min | $2,754.00 | $2,754.00 | $2,754.00 | 3% above | — |
| Critical care, first 30 to 74 minutes CPT 99291 Critical care first hour | $2,754.00 | $2,754.00 | $393.78–$3,144.34 | 3% above | — |
| Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical Care Level 6 30-74min | $2,754.00 | $2,754.00 | $2,754.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Portable Std Eeg Awake &Drowsy | $1,084.00 | $1,084.00 | $1,084.00 | 25% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg Awake And Drowsy | $1,084.00 | $1,084.00 | $1,084.00 | 25% above | — |
| EEG (brain wave test), awake and drowsy, routine CPT 95816 Eeg awake and drowsy | $1,084.00 | $1,084.00 | $231.39–$3,812.73 | 25% above | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Portable Std Eeg Awake &Drowsy | $1,084.00 | $1,084.00 | $1,084.00 | — | — |
| EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Eeg Awake And Drowsy | $1,084.00 | $1,084.00 | $1,084.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg | $176.00 | $176.00 | $176.00 | 3% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 12 Lead Ecg | $176.00 | $176.00 | $176.00 | 3% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Ekg For 1 Hour | $176.00 | $176.00 | $176.00 | 3% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Electrocardiogram tracing | $176.00 | $176.00 | $47.27–$589.10 | 3% below | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg For 1 Hour | $176.00 | $176.00 | $176.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 12 Lead Ecg | $176.00 | $176.00 | $176.00 | — | — |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Ekg | $176.00 | $176.00 | $176.00 | — | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency Service Level 1 | $599.00 | $599.00 | $599.00 | 44% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emr dpt vst mayx req phy/qhp | $599.00 | $599.00 | $90.36–$549.00 | 44% above | — |
| Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency Service Level 1 | $599.00 | $599.00 | $599.00 | — | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency Service Level 2 | $648.00 | $648.00 | $648.00 | 18% above | — |
| Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency dept visit sf mdm | $648.00 | $648.00 | $116.13–$549.00 | 18% above | — |
| Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency Service Level 2 | $648.00 | $648.00 | $648.00 | — | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency Service Level 3 | $734.00 | $734.00 | $734.00 | 11% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency dept visit low mdm | $734.00 | $734.00 | $205.15–$616.56 | 11% below | — |
| Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency Service Level 3 | $734.00 | $734.00 | $734.00 | — | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency dept visit mod mdm | $950.00 | $950.00 | $278.15–$927.45 | 25% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency Service Level 4 | $950.00 | $950.00 | $950.00 | 25% below | — |
| Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency Service Level 4 | $950.00 | $950.00 | $950.00 | — | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency Service Level 5 | $1,296.00 | $1,296.00 | $1,296.00 | 23% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency dept visit hi mdm | $1,296.00 | $1,296.00 | $352.73–$927.45 | 23% below | — |
| Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency Service Level 5 | $1,296.00 | $1,296.00 | $1,296.00 | — | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Cv stress test tracing only | $756.00 | $756.00 | $231.39–$3,905.72 | 17% below | — |
| Exercise stress test, tracing only, the hospital charge CPT 93017 Stress Test | $756.00 | $756.00 | $756.00 | 17% below | — |
| Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Stress Test | $756.00 | $756.00 | $756.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Only 1st Hour | $562.00 | $562.00 | $562.00 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Iv Hydration - 1st Hour | $562.00 | $562.00 | $562.00 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration iv infusion init | $562.00 | $562.00 | $132.85–$1,649.82 | 10% above | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Iv Hydration - 1st Hour | $562.00 | $562.00 | $562.00 | — | — |
| IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Only 1st Hour | $562.00 | $562.00 | $562.00 | — | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Of Non-Chemo Drug | $562.00 | $562.00 | $562.00 | 2% below | — |
| IV infusion of a medicine, first hour CPT 96365 Ther/proph/diag iv inf init | $562.00 | $562.00 | $222.53–$3,230.28 | 2% below | — |
| IV infusion of a medicine, first hour CPT 96365 Med Infusion - 1st Hour | $562.00 | $562.00 | $562.00 | 2% below | — |
| IV infusion of a medicine, first hour CPT 96365 Infusion Therapy 1st Hour | $562.00 | $562.00 | $562.00 | 2% below | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Of Non-Chemo Drug | $562.00 | $562.00 | $562.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Therapy 1st Hour | $562.00 | $562.00 | $562.00 | — | — |
| IV infusion of a medicine, first hour inpatient CPT 96365 Med Infusion - 1st Hour | $562.00 | $562.00 | $562.00 | — | — |
| IV push of a medicine, first drug CPT 96374 Iv Push Inject-Sgl Or Initial | $548.00 | $548.00 | $548.00 | 50% above | — |
| IV push of a medicine, first drug CPT 96374 Injection-Push Sgl Or Initial | $548.00 | $548.00 | $548.00 | 50% above | — |
| IV push of a medicine, first drug CPT 96374 Ther/proph/diag inj iv push | $548.00 | $548.00 | $65.72–$864.36 | 50% above | — |
| IV push of a medicine, first drug inpatient CPT 96374 Iv Push Inject-Sgl Or Initial | $548.00 | $548.00 | $548.00 | — | — |
| IV push of a medicine, first drug inpatient CPT 96374 Injection-Push Sgl Or Initial | $548.00 | $548.00 | $548.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection-Im/Sc | $198.00 | $198.00 | $198.00 | 10% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection- Im Antibiotic | $198.00 | $198.00 | $198.00 | 10% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Theraputic Or Diagnotic Inject | $198.00 | $198.00 | $198.00 | 10% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im Sc Injection | $198.00 | $198.00 | $198.00 | 10% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Im/Sq Injection | $632.00 | $632.00 | $632.00 | 250% above | — |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Ther/proph/diag inj sc/im | $632.00 | $632.00 | $45.07–$864.36 | 250% above | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im Sc Injection | $198.00 | $198.00 | $198.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection-Im/Sc | $198.00 | $198.00 | $198.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Theraputic Or Diagnotic Inject | $198.00 | $198.00 | $198.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection- Im Antibiotic | $198.00 | $198.00 | $198.00 | — | — |
| Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Im/Sq Injection | $632.00 | $632.00 | $632.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych Diagnostic Assessment | $211.00 | $211.00 | $211.00 | 30% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Psych diagnostic evaluation | $211.00 | $211.00 | $190.21–$525.20 | 30% below | — |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 Adult Diagnostic Assessment | $211.00 | $211.00 | $211.00 | 30% below | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Psych Diagnostic Assessment | $211.00 | $211.00 | $211.00 | — | — |
| Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Adult Diagnostic Assessment | $211.00 | $211.00 | $211.00 | — | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nrv cndj test 7-8 studies | $1,115.00 | $1,115.00 | $282.57–$952.26 | 41% above | — |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Conduction-7or8 Studies | $1,115.00 | $1,115.00 | $1,115.00 | 41% above | — |
| Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Conduction-7or8 Studies | $1,115.00 | $1,115.00 | $1,115.00 | — | — |
| Neuromuscular re-education, 15 minutes CPT 97112 Neuromuscular reeducation | $94.00 | $94.00 | $27.69–$378.51 | 22% below | — |
| New patient office visit, about 30 minutes CPT 99203 Pediatrics Clinic | $23.00 | $23.00 | $23.00 | 89% below | — |
| New patient office visit, about 30 minutes CPT 99203 Level 1 New | $92.00 | $92.00 | $92.00 | 57% below | — |
| New patient office visit, about 30 minutes CPT 99203 Level 3 New | $94.00 | $94.00 | $94.00 | 57% below | — |
| New patient office visit, about 30 minutes CPT 99203 Level 3-New Pt Eval | $109.00 | $109.00 | $109.00 | 50% below | — |
| New patient office visit, about 30 minutes CPT 99203 Office o/p new low 30 min | $259.00 | $259.00 | $84.43–$240.00 | 20% above | — |
| New patient office visit, about 30 minutes CPT 99203 Evaluation New Pt Comprehensiv | $259.00 | $259.00 | $259.00 | 20% above | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Pediatrics Clinic | $23.00 | $23.00 | $23.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Level 1 New | $92.00 | $92.00 | $92.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Level 3 New | $94.00 | $94.00 | $94.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Level 3-New Pt Eval | $109.00 | $109.00 | $109.00 | — | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 Evaluation New Pt Comprehensiv | $259.00 | $259.00 | $259.00 | — | — |
| New patient office visit, about 45 minutes CPT 99204 Level 4 New | $153.00 | $153.00 | $153.00 | 57% below | — |
| New patient office visit, about 45 minutes CPT 99204 Initial Evaluation | $163.00 | $163.00 | $163.00 | 54% below | — |
| New patient office visit, about 45 minutes CPT 99204 Level 4-New Pt Eval | $163.00 | $163.00 | $163.00 | 54% below | — |
| New patient office visit, about 45 minutes CPT 99204 Office o/p new mod 45 min | $204.00 | $204.00 | $119.83–$303.77 | 42% below | — |
| New patient office visit, about 45 minutes CPT 99204 Initial Visit Extended | $204.00 | $204.00 | $204.00 | 42% below | — |
| New patient office visit, about 45 minutes CPT 99204 Independant Medical Evaluation | $270.00 | $270.00 | $270.00 | 23% below | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Level 4 New | $153.00 | $153.00 | $153.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Level 4-New Pt Eval | $163.00 | $163.00 | $163.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Initial Evaluation | $163.00 | $163.00 | $163.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Initial Visit Extended | $204.00 | $204.00 | $204.00 | — | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 Independant Medical Evaluation | $270.00 | $270.00 | $270.00 | — | — |
| New patient office visit, about 60 minutes CPT 99205 Level 5 New | $153.00 | $153.00 | $153.00 | 60% below | — |
| New patient office visit, about 60 minutes CPT 99205 Level 5-New Pt Eval | $204.00 | $204.00 | $204.00 | 47% below | — |
| New patient office visit, about 60 minutes CPT 99205 Cardiac Rehab Evaluation | $232.00 | $232.00 | $232.00 | 40% below | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Level 5 New | $153.00 | $153.00 | $153.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Level 5-New Pt Eval | $204.00 | $204.00 | $204.00 | — | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 Cardiac Rehab Evaluation | $232.00 | $232.00 | $232.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2-New Pt Eval | $75.00 | $75.00 | $75.00 | 55% below | — |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 Level 2 New | $92.00 | $92.00 | $92.00 | 44% below | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2-New Pt Eval | $75.00 | $75.00 | $75.00 | — | — |
| New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 Level 2 New | $92.00 | $92.00 | $92.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Intial Visit 46-60 Min General | $118.00 | $118.00 | $118.00 | 18% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 46-60 SWL | $118.00 | $118.00 | $118.00 | 18% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 0-15 SWL | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 16-30 SWL | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 0-15 Min General | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Intial Visit 16-30 Min General | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Intial Visit 31-45 Min General | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 31-45 SWL | $139.00 | $139.00 | $139.00 | 39% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Nutrition Assessment | $140.00 | $140.00 | $140.00 | 40% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical nutrition indiv in | $140.00 | $140.00 | $26.99–$107.11 | 40% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 61-75 SWL | $144.00 | $144.00 | $144.00 | 44% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Intial Visit 61-75 Min General | $144.00 | $144.00 | $144.00 | 44% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Intial Visit 76-90 Min General | $170.00 | $170.00 | $170.00 | 70% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Initial Visit 76-90 SWL | $170.00 | $170.00 | $170.00 | 70% above | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 46-60 SWL | $118.00 | $118.00 | $118.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Intial Visit 46-60 Min General | $118.00 | $118.00 | $118.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Intial Visit 31-45 Min General | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 0-15 Min General | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Intial Visit 16-30 Min General | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 16-30 SWL | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 31-45 SWL | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 0-15 SWL | $139.00 | $139.00 | $139.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Nutrition Assessment | $140.00 | $140.00 | $140.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 61-75 SWL | $144.00 | $144.00 | $144.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Intial Visit 61-75 Min General | $144.00 | $144.00 | $144.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Initial Visit 76-90 SWL | $170.00 | $170.00 | $170.00 | — | — |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Intial Visit 76-90 Min General | $170.00 | $170.00 | $170.00 | — | — |
| Occupational therapy evaluation, low complexity CPT 97165 Low Compl Eval 60 Minutes | $356.00 | $356.00 | $356.00 | 6% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Ot eval low complex 30 min | $375.00 | $375.00 | $102.47–$331.48 | 12% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Low Compl Eval 15 Minutes | $375.00 | $375.00 | $375.00 | 12% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Low Compl Eval 45 Minutes | $375.00 | $375.00 | $375.00 | 12% above | — |
| Occupational therapy evaluation, low complexity CPT 97165 Low Compl Eval 30 Minutes | $375.00 | $375.00 | $375.00 | 12% above | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Low Compl Eval 60 Minutes | $356.00 | $356.00 | $356.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Low Compl Eval 15 Minutes | $375.00 | $375.00 | $375.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Low Compl Eval 45 Minutes | $375.00 | $375.00 | $375.00 | — | — |
| Occupational therapy evaluation, low complexity inpatient CPT 97165 Low Compl Eval 30 Minutes | $375.00 | $375.00 | $375.00 | — | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 High Compl Eval 120 Minutes | $589.00 | $589.00 | $589.00 | 61% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Pt eval high complex 45 min | $621.00 | $621.00 | $99.73–$428.19 | 70% above | — |
| Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 High Compl Eval 120 Minutes | $589.00 | $589.00 | $589.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 15 Minutes | $308.00 | $308.00 | $308.00 | 12% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 30 Minutes | $324.00 | $324.00 | $324.00 | 7% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 45 Minutes | $340.00 | $340.00 | $340.00 | 3% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Re-Evaluation 45 Minutes | $340.00 | $340.00 | $340.00 | 3% below | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 60 Minutes | $356.00 | $356.00 | $356.00 | 2% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Re-Evaluation 60 Minutes | $356.00 | $356.00 | $356.00 | 2% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 75 Minutes | $373.00 | $373.00 | $373.00 | 7% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 90 Minutes | $389.00 | $389.00 | $389.00 | 11% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 105 Minutes | $405.00 | $405.00 | $405.00 | 16% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 120 Minutes | $421.00 | $421.00 | $421.00 | 21% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 150 Minutes | $437.00 | $437.00 | $437.00 | 25% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Pt eval low complex 20 min | $454.00 | $454.00 | $99.73–$289.82 | 30% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Low Compl Eval 180 Minutes | $454.00 | $454.00 | $454.00 | 30% above | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 15 Minutes | $308.00 | $308.00 | $308.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 30 Minutes | $324.00 | $324.00 | $324.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 45 Minutes | $340.00 | $340.00 | $340.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Re-Evaluation 45 Minutes | $340.00 | $340.00 | $340.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 60 Minutes | $356.00 | $356.00 | $356.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Re-Evaluation 60 Minutes | $356.00 | $356.00 | $356.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 75 Minutes | $373.00 | $373.00 | $373.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 90 Minutes | $389.00 | $389.00 | $389.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 105 Minutes | $405.00 | $405.00 | $405.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 120 Minutes | $421.00 | $421.00 | $421.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 150 Minutes | $437.00 | $437.00 | $437.00 | — | — |
| Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Low Compl Eval 180 Minutes | $454.00 | $454.00 | $454.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 15 Minutes | $329.00 | $329.00 | $329.00 | 7% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 15 Minutes | $346.00 | $346.00 | $346.00 | 2% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 30 Minutes | $346.00 | $346.00 | $346.00 | 2% below | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 60 Minutes | $362.00 | $362.00 | $362.00 | 2% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 45 Minutes | $362.00 | $362.00 | $362.00 | 2% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 60 Minutes | $378.00 | $378.00 | $378.00 | 7% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 75 Minutes | $378.00 | $378.00 | $378.00 | 7% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 90 Minutes | $394.00 | $394.00 | $394.00 | 11% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 75 Minutes | $394.00 | $394.00 | $394.00 | 11% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 105 Minute | $410.00 | $410.00 | $410.00 | 16% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 90 Minutes | $410.00 | $410.00 | $410.00 | 16% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 120 Minute | $427.00 | $427.00 | $427.00 | 20% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 105 Minutes | $427.00 | $427.00 | $427.00 | 20% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Comp Eval 120 Minutes | $443.00 | $443.00 | $443.00 | 25% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 150 Minute | $459.00 | $459.00 | $459.00 | 29% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Moderate Compl Eval 180 Minute | $475.00 | $475.00 | $475.00 | 34% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Pt eval mod complex 30 min | $475.00 | $475.00 | $76.57–$305.66 | 34% above | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 15 Minutes | $329.00 | $329.00 | $329.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 15 Minutes | $346.00 | $346.00 | $346.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 30 Minutes | $346.00 | $346.00 | $346.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 45 Minutes | $362.00 | $362.00 | $362.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 60 Minutes | $362.00 | $362.00 | $362.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 60 Minutes | $378.00 | $378.00 | $378.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 75 Minutes | $378.00 | $378.00 | $378.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 75 Minutes | $394.00 | $394.00 | $394.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 90 Minutes | $394.00 | $394.00 | $394.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 105 Minute | $410.00 | $410.00 | $410.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 90 Minutes | $410.00 | $410.00 | $410.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 120 Minute | $427.00 | $427.00 | $427.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 105 Minutes | $427.00 | $427.00 | $427.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Comp Eval 120 Minutes | $443.00 | $443.00 | $443.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 150 Minute | $459.00 | $459.00 | $459.00 | — | — |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Moderate Compl Eval 180 Minute | $475.00 | $475.00 | $475.00 | — | — |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual therapy 1/> regions | $300.00 | $300.00 | $21.27–$335.78 | 150% above | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic exercises | $94.00 | $94.00 | $26.13–$359.84 | 16% below | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 Physical Ages 18-39 | $300.00 | $300.00 | $300.00 | 64% above | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Physical Ages 18-39 | $300.00 | $300.00 | $300.00 | — | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 Physical Ages 40-64 | $300.00 | $300.00 | $300.00 | 64% above | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Physical Ages 40-64 | $300.00 | $300.00 | $300.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5-Est Pt Eval | $144.00 | $144.00 | $144.00 | 52% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Level 5 Established | $153.00 | $153.00 | $153.00 | 49% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Individ. Training 46-60 M | $167.00 | $167.00 | $167.00 | 44% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Grp Training Diabetes 60-90min | $167.00 | $167.00 | $167.00 | 44% below | — |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Grp Training Diabetes >90 Min | $187.00 | $187.00 | $187.00 | 37% below | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5-Est Pt Eval | $144.00 | $144.00 | $144.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Level 5 Established | $153.00 | $153.00 | $153.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Individ. Training 46-60 M | $167.00 | $167.00 | $167.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Grp Training Diabetes 60-90min | $167.00 | $167.00 | $167.00 | — | — |
| Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Grp Training Diabetes >90 Min | $187.00 | $187.00 | $187.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 Est Pt Eval | $71.00 | $71.00 | $71.00 | 62% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Diabetes Ind. Training Per 30m | $87.00 | $87.00 | $87.00 | 54% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 Established | $94.00 | $94.00 | $94.00 | 50% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 31-45 Min Ind Assessme | $127.00 | $127.00 | $127.00 | 32% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Level 3 Visit (15 Min) | $127.00 | $127.00 | $127.00 | 32% below | — |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 Endo Peg Tube Removal | $351.00 | $351.00 | $351.00 | 87% above | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 Est Pt Eval | $71.00 | $71.00 | $71.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Diabetes Ind. Training Per 30m | $87.00 | $87.00 | $87.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 Established | $94.00 | $94.00 | $94.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 31-45 Min Ind Assessme | $127.00 | $127.00 | $127.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Level 3 Visit (15 Min) | $127.00 | $127.00 | $127.00 | — | — |
| Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Endo Peg Tube Removal | $351.00 | $351.00 | $351.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4-Est Pt Eval | $107.00 | $107.00 | $107.00 | 52% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Inf. Therapy Extend Visit -E/M | $143.00 | $143.00 | $143.00 | 36% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 Established | $153.00 | $153.00 | $153.00 | 31% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Office o/p est mod 30 min | $167.00 | $167.00 | $119.83–$185.32 | 25% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Lvl 4 Vst (Greater Than 15 Min | $167.00 | $167.00 | $167.00 | 25% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Level 4 45 Min Ind Assessment | $167.00 | $167.00 | $167.00 | 25% below | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4-Est Pt Eval | $107.00 | $107.00 | $107.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Inf. Therapy Extend Visit -E/M | $143.00 | $143.00 | $143.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 Established | $153.00 | $153.00 | $153.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Lvl 4 Vst (Greater Than 15 Min | $167.00 | $167.00 | $167.00 | — | — |
| Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Level 4 45 Min Ind Assessment | $167.00 | $167.00 | $167.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2-Est Pt Eval | $45.00 | $45.00 | $45.00 | 65% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Individ.Training 0-15 M | $48.00 | $48.00 | $48.00 | 63% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Return Visit Without Infusion | $59.00 | $59.00 | $59.00 | 54% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Vst For Monit Vital Signs>1 Hr | $71.00 | $71.00 | $71.00 | 45% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Return Limited With Infusion | $71.00 | $71.00 | $71.00 | 45% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 Visit (10 Min) | $87.00 | $87.00 | $87.00 | 33% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 16-30 Min Ind Assessme | $87.00 | $87.00 | $87.00 | 33% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Level 2 Established | $92.00 | $92.00 | $92.00 | 29% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Office o/p est sf 10 min | $92.00 | $92.00 | $60.11–$77.44 | 29% below | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2-Est Pt Eval | $45.00 | $45.00 | $45.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Individ.Training 0-15 M | $48.00 | $48.00 | $48.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Return Visit Without Infusion | $59.00 | $59.00 | $59.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Return Limited With Infusion | $71.00 | $71.00 | $71.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Vst For Monit Vital Signs>1 Hr | $71.00 | $71.00 | $71.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 Visit (10 Min) | $87.00 | $87.00 | $87.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 16-30 Min Ind Assessme | $87.00 | $87.00 | $87.00 | — | — |
| Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Level 2 Established | $92.00 | $92.00 | $92.00 | — | — |
| Speech and language evaluation CPT 92523 Speech sound lang comprehen | $562.00 | $562.00 | $230.26–$472.18 | 4% below | — |
| Speech and language evaluation CPT 92523 Eval Of Sp-Sound Prod/W Expr | $562.00 | $562.00 | $562.00 | 4% below | — |
| Speech and language evaluation inpatient CPT 92523 Eval Of Sp-Sound Prod/W Expr | $562.00 | $562.00 | $562.00 | — | — |
| Speech therapy session, individual CPT 92507 Tx sp lang voice comm indiv | $494.00 | $494.00 | $56.34–$744.51 | 65% above | — |
| Spirometry (breathing test) CPT 94010 Breathing capacity test | $405.00 | $405.00 | $117.36–$1,388.70 | at median | — |
| Spirometry (breathing test) CPT 94010 Pft Before Loop | $405.00 | $405.00 | $405.00 | at median | — |
| Spirometry (breathing test) CPT 94010 Pft Survey | $405.00 | $405.00 | $405.00 | at median | — |
| Spirometry (breathing test) inpatient CPT 94010 Pft Before Loop | $405.00 | $405.00 | $405.00 | — | — |
| Spirometry (breathing test) inpatient CPT 94010 Pft Survey | $405.00 | $405.00 | $405.00 | — | — |
| Spirometry before and after a bronchodilator CPT 94060 Pft Survey W/Bronchodilator | $779.00 | $779.00 | $779.00 | 10% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Evaluation of wheezing | $779.00 | $779.00 | $117.36–$2,229.65 | 10% above | — |
| Spirometry before and after a bronchodilator CPT 94060 Pft Basic B/A | $779.00 | $779.00 | $779.00 | 10% above | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft Survey W/Bronchodilator | $779.00 | $779.00 | $779.00 | — | — |
| Spirometry before and after a bronchodilator inpatient CPT 94060 Pft Basic B/A | $779.00 | $779.00 | $779.00 | — | — |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic activities | $300.00 | $300.00 | $35.97–$462.83 | 110% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Phlebotomy | $302.00 | $302.00 | $302.00 | 7% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Phlebotomy | $302.00 | $302.00 | $141.69–$1,085.21 | 7% above | — |
| Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Theraputic Plebotomy | $302.00 | $302.00 | $302.00 | 7% above | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Theraputic Plebotomy | $302.00 | $302.00 | $302.00 | — | — |
| Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Phlebotomy | $302.00 | $302.00 | $302.00 | — | — |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Massachusetts | Off list |
|---|---|---|---|---|---|
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varicella Virus Vaccine | $264.00 | $264.00 | $264.00 | 32% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Varivax 0.5ml Inj. | $360.61 | $360.61 | $360.61 | 7% below | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varicella Virus Vaccine | $264.00 | $264.00 | $264.00 | — | — |
| Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 Varivax 0.5ml Inj. | $360.61 | $360.61 | $360.61 | — | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Influenza VACCINE,TRIVALENT 0. | $30.67 | $30.67 | $30.67 | 41% below | — |
| Flu shot, standard dose, preservative-free, for age 6 months and older inpatient CPT 90656 Influenza VACCINE,TRIVALENT 0. | $30.67 | $30.67 | $30.67 | — | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Hep B Vaccine Single | $300.00 | $300.00 | $300.00 | 124% above | — |
| Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 Hep B Vaccine Single | $300.00 | $300.00 | $300.00 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Engerix-B 10 Mcg/0.5ml Syringe | $59.10 | $59.10 | $59.10 | at median | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Hepatitis B | $63.00 | $63.00 | $63.00 | 7% above | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Engerix-B 10 Mcg/0.5ml Syringe | $59.10 | $59.10 | $59.10 | — | — |
| Hepatitis B vaccine, child and teen dose (3-dose schedule) inpatient CPT 90744 Hepatitis B | $63.00 | $63.00 | $63.00 | — | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Influenza HIGH-DOSE VACCINE 0. | $123.19 | $123.19 | $123.19 | 44% below | — |
| High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 Influenza HIGH-DOSE VACCINE 0. | $123.19 | $123.19 | $123.19 | — | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Mmr | $139.00 | $139.00 | $139.00 | 25% below | — |
| MMR vaccine (measles, mumps and rubella), live CPT 90707 Measles Mumps Rubella Vaccine | $181.73 | $181.73 | $181.73 | 2% below | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Mmr | $139.00 | $139.00 | $139.00 | — | — |
| MMR vaccine (measles, mumps and rubella), live inpatient CPT 90707 Measles Mumps Rubella Vaccine | $181.73 | $181.73 | $181.73 | — | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal Vaccine 0.5ml Syr | $229.23 | $229.23 | $229.23 | 17% below | — |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 Pneumococcal Vaccine 0.5ml Syr | $229.23 | $229.23 | $229.23 | — | — |
| Rabies vaccine, one dose CPT 90675 Rabies Vaccine 2.5 Iu Syringe | $579.80 | $579.80 | $579.80 | 36% below | — |
| Rabies vaccine, one dose CPT 90675 Rabies Vacc Series | $972.00 | $972.00 | $972.00 | 8% above | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vaccine 2.5 Iu Syringe | $579.80 | $579.80 | $579.80 | — | — |
| Rabies vaccine, one dose inpatient CPT 90675 Rabies Vacc Series | $972.00 | $972.00 | $972.00 | — | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Tetanous Toxoid .5ml | $53.00 | $53.00 | $53.00 | 39% below | — |
| Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 Tetanous Toxoid .5ml | $53.00 | $53.00 | $53.00 | — | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Adacel 0.5ml Inj | $80.47 | $80.47 | $80.47 | 17% below | — |
| Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 Adacel 0.5ml Inj | $80.47 | $80.47 | $80.47 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization Admin Single | $24.00 | $24.00 | $24.00 | 78% below | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Hepatitis B Vaccine Administra | $135.00 | $135.00 | $135.00 | 23% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Pneumococal Vaccine Administra | $135.00 | $135.00 | $135.00 | 23% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Flu Vaccine Administration | $135.00 | $135.00 | $135.00 | 23% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Tetanus Toxoid Admin | $198.00 | $198.00 | $198.00 | 80% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Vaccine Admin Rabies | $198.00 | $198.00 | $198.00 | 80% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Immunization admin | $632.00 | $632.00 | $72.39–$145.79 | 476% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Rabies Vaccine Administration | $632.00 | $632.00 | $632.00 | 476% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Td Vaccine Administration | $632.00 | $632.00 | $632.00 | 476% above | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Immunization Admin Single | $24.00 | $24.00 | $24.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Flu Vaccine Administration | $135.00 | $135.00 | $135.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Pneumococal Vaccine Administra | $135.00 | $135.00 | $135.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Hepatitis B Vaccine Administra | $135.00 | $135.00 | $135.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Vaccine Admin Rabies | $198.00 | $198.00 | $198.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Tetanus Toxoid Admin | $198.00 | $198.00 | $198.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Td Vaccine Administration | $632.00 | $632.00 | $632.00 | — | — |
| Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Rabies Vaccine Administration | $632.00 | $632.00 | $632.00 | — | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization Admin. Each Add'L | $24.00 | $24.00 | $24.00 | 51% below | — |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Immunization admin each add | $24.00 | $24.00 | $25.17–$549.00 | 51% below | — |
| Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Immunization Admin. Each Add'L | $24.00 | $24.00 | $24.00 | — | — |
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.