Bluffton Health System LLC
Bluffton Health System LLC in Bluffton, IN publishes cash prices for 71 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
303 South Main St, Bluffton, IN 46714 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis with Rectal W | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 74177 CT-ABD PELVIS W | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abdomen Pelvis W | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Enterography Abdomen Pelvis | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT Trauma Abdomen Pelvis W | $2,243.28 | $9,347.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Enterography Abdomen Pelvis | $5,140.85 | $9,347.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis W Pancreatic Protocol | $5,140.85 | $9,347.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abd Pelvis with Rectal W | $5,140.85 | $9,347.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Trauma Abdomen Pelvis W | $5,140.85 | $9,347.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT Abdomen Pelvis W | $5,140.85 | $9,347.00 | 45% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 74177 CT-ABD PELVIS W | $5,140.85 | $9,347.00 | 45% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head Stroke Alert | $690.96 | $2,879.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Head or Brain WO | $690.96 | $2,879.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT Trauma Head WO | $690.96 | $2,879.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head or Brain WO | $1,583.45 | $2,879.00 | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Trauma Head WO | $1,583.45 | $2,879.00 | 45% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT Head Stroke Alert | $1,583.45 | $2,879.00 | 45% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis with Rectal W | $1,373.76 | $5,724.00 | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Trauma Pelvis W | $1,373.76 | $5,724.00 | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT Pelvis W | $1,373.76 | $5,724.00 | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis W | $3,148.20 | $5,724.00 | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Pelvis with Rectal W | $3,148.20 | $5,724.00 | 45% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT Trauma Pelvis W | $3,148.20 | $5,724.00 | 45% |
| Diagnostic mammogram, both breasts both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $246.00 | $1,025.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $246.00 | $1,025.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 77066 BR-DIG MAMMO BILAT | $563.75 | $1,025.00 | 45% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MG Mammo Diagnostic Bilateral WWO CAD | $563.75 | $1,025.00 | 45% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $193.44 | $806.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $193.44 | $806.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $193.44 | $806.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $193.44 | $806.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - RT | $443.30 | $806.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 77065 BR-DIG MAMMO UNILAT - LT | $443.30 | $806.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Right WWO CAD | $443.30 | $806.00 | 45% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MG Mammo Diagnostic Left WWO CAD | $443.30 | $806.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Left WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Left WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Ankle Right WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Hip Right WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Left WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye one side CPT 73721 MRI Knee Right WO | $1,354.08 | $5,642.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Left WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Right WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Right WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Hip Left WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Knee Right WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient one side CPT 73721 MRI Ankle Left WO | $3,103.10 | $5,642.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Right WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Hip Left WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Right WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Ankle Left WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Right WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye one side CPT 73723 MRI Knee Left WWO | $1,770.72 | $7,378.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Left WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Right WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Ankle Right WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Knee Left WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Left WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient one side CPT 73723 MRI Hip Right WWO | $4,057.90 | $7,378.00 | 45% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO Stroke Alert | $920.64 | $3,836.00 | 76% |
| MRI of the brain, no contrast dye CPT 70551 MRI Brain WO | $920.64 | $3,836.00 | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO Stroke Alert | $2,109.80 | $3,836.00 | 45% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI Brain WO | $2,109.80 | $3,836.00 | 45% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI Brain WWO | $692.16 | $2,884.00 | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI Brain WWO | $1,586.20 | $2,884.00 | 45% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar WO | $664.08 | $2,767.00 | 76% |
| MRI of the lower back, no contrast dye CPT 72148 MRI Spine Lumbar Limited WO | $664.08 | $2,767.00 | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar WO | $1,521.85 | $2,767.00 | 45% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI Spine Lumbar Limited WO | $1,521.85 | $2,767.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 OB US >/= 14 WKS SINGLE FETUS | $85.92 | $358.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 Preg Compl. >14 Wks AMB | $121.92 | $508.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $121.92 | $508.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 76805 US-PELVIS PREG | $574.32 | $2,393.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $574.32 | $2,393.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 OB US >/= 14 WKS SINGLE FETUS | $196.90 | $358.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US Pregnancy After 1st Trimester Transabdomi | $279.40 | $508.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 Preg Compl. >14 Wks AMB | $279.40 | $508.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Pregnancy After 1st Trimester Transabdominal | $1,316.15 | $2,393.00 | 45% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 76805 US-PELVIS PREG | $1,316.15 | $2,393.00 | 45% |
| Screening mammogram, both breasts both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Left WWO CAD | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 MG Mammo Screen Right WWO CAD | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $201.12 | $838.00 | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 MG Mammo Screen Bilateral WWO CAD | $460.90 | $838.00 | 45% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 77067 BR-DIG MAMMO SCRN BI | $460.90 | $838.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Right WWO CAD | $460.90 | $838.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - RT | $460.90 | $838.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 77067 BR-DIG MAMMO SCRN UN - LT | $460.90 | $838.00 | 45% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MG Mammo Screen Left WWO CAD | $460.90 | $838.00 | 45% |
| Sleep study in a lab (polysomnography) CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $353.04 | $1,471.00 | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $1,163.52 | $4,848.00 | 76% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 95810 POLYSOM 6/> YRS 4/> PARAM | $809.05 | $1,471.00 | 45% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 CHRG - POLYSOMNO GT4 GE6YO | $2,666.40 | $4,848.00 | 45% |
| Transvaginal pelvic ultrasound CPT 76830 76830 US Transvaginal Non OB AMB | $68.88 | $287.00 | 76% |
| Transvaginal pelvic ultrasound CPT 76830 76830 Vaginal, Non AMB | $68.88 | $287.00 | 76% |
| Transvaginal pelvic ultrasound CPT 76830 76830 TRANSVAGINAL US NON-OB | $73.44 | $306.00 | 76% |
| Transvaginal pelvic ultrasound CPT 76830 US Transvaginal Non OB | $636.48 | $2,652.00 | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830,26 TRANSVAGINAL US NON-OB | $50.60 | $92.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 Vaginal, Non AMB | $157.85 | $287.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US Transvaginal Non OB AMB | $157.85 | $287.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 76830 TRANSVAGINAL US NON-OB | $168.30 | $306.00 | 45% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US Transvaginal Non OB | $1,458.60 | $2,652.00 | 45% |
| Ultrasound of the abdomen, complete CPT 76700 76700 US Abdomen Complete AMB | $82.56 | $344.00 | 76% |
| Ultrasound of the abdomen, complete CPT 76700 US Abdomen Complete | $915.60 | $3,815.00 | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US Abdomen Complete AMB | $189.20 | $344.00 | 45% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US Abdomen Complete | $2,098.25 | $3,815.00 | 45% |
| X-ray of the lower back, 4 or more views CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $528.00 | $2,200.00 | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 72110 TC XR Spine Lumbosacral Minimum 4 V CR | $55.55 | $101.00 | 45% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR Spine Lumbosacral Minimum 4 V DR | $1,210.00 | $2,200.00 | 45% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel (8) (RL) | $49.44 | $206.00 | 76% |
| Basic metabolic panel (blood test) CPT 80048 BMPWTCA | $49.44 | $206.00 | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 80048 METABOLIC PANEL TOTAL CA | $14.85 | $27.00 | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel (8) (RL) | $113.30 | $206.00 | 45% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BMPWTCA | $113.30 | $206.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 .Lipid Panel POC | $10.80 | $45.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 Lipid Profile POC AMB -BCE | $10.80 | $45.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Profile POC AMB | $10.80 | $45.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L33886 LIPID PANEL 889 | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LipidRfxLDLDMHF | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel (RL) | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 LIPID PANEL | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L235036 LIPID PANEL 889 | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 80061 L806885 LIPID PNL 889 | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LipidRfxLDLDM | $57.60 | $240.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Profile POC AMB | $24.75 | $45.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 Lipid Profile POC AMB -BCE | $24.75 | $45.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 .Lipid Panel POC | $24.75 | $45.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/ Chol/HDL Ratio (LC) | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LipidRfxLDLDMHF | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel With LDL/HDL Ratio (LC) | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 LIPID PANEL | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L806885 LIPID PNL 889 | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L33886 LIPID PANEL 889 | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LipidRfxLDLDM | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel (RL) | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 80061 L235036 LIPID PANEL 889 | $132.00 | $240.00 | 45% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel w/Interpretations Rfx LDL DM | $132.00 | $240.00 | 45% |
| Complete blood count (CBC) with differential CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $6.24 | $26.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW B | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 CBCWPLTA | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 85025 CBC W-PLT AUTO COMPD | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 Complete Blood Count w/Diff Auto MW | $28.80 | $120.00 | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 COMPLETE CBC W/AUTO DIFF WBC | $14.30 | $26.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW B | $66.00 | $120.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 85025 CBC W-PLT AUTO COMPD | $66.00 | $120.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBCWPLTA | $66.00 | $120.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto | $66.00 | $120.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff Auto MW | $66.00 | $120.00 | 45% |
| Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Count w/Diff + Platelets (RL) | $66.00 | $120.00 | 45% |
| Complete blood count (CBC), no differential CPT 85027 85027 COMPLETE CBC AUTOMATED | $5.76 | $24.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Diff Manual MW A | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 CBC, Platelet, No Differential (LC) | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/o Diff | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Manual | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 Complete Blood Count w/Reflex Differential Auto | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 85027 CBC W-PLT | $60.00 | $250.00 | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 COMPLETE CBC AUTOMATED | $13.20 | $24.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Auto | $137.50 | $250.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 85027 CBC W-PLT | $137.50 | $250.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Diff Manual MW A | $137.50 | $250.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC, Platelet, No Differential (LC) | $137.50 | $250.00 | 45% |
| Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Count w/Reflex Differential Manual | $137.50 | $250.00 | 45% |
| Comprehensive metabolic panel (blood test) CPT 80053 CMP | $130.32 | $543.00 | 76% |
| Comprehensive metabolic panel (blood test) CPT 80053 Complete Metabolic Panel (14) LC | $130.32 | $543.00 | 76% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 80053 COMPREHEN METABOLIC PANEL | $20.90 | $38.00 | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 Complete Metabolic Panel (14) LC | $298.65 | $543.00 | 45% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 CMP | $298.65 | $543.00 | 45% |
| Kidney function blood test panel CPT 80069 RFP | $127.44 | $531.00 | 76% |
| Kidney function blood test panel inpatient CPT 80069 80069 Renal Function Panel | $17.60 | $32.00 | 45% |
| Kidney function blood test panel inpatient CPT 80069 RFP | $292.05 | $531.00 | 45% |
| Liver function blood test panel CPT 80076 Hepatic Function Panel | $104.40 | $435.00 | 76% |
| Liver function blood test panel inpatient CPT 80076 80076 Liver Profile | $14.30 | $26.00 | 45% |
| Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel | $239.25 | $435.00 | 45% |
| Obstetric blood test panel CPT 80055 80055 OB Panel | $48.48 | $202.00 | 76% |
| Obstetric blood test panel CPT 80055 Obstetrics Panel A CS | $255.12 | $1,063.00 | 76% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS | $255.12 | $1,063.00 | 76% |
| Obstetric blood test panel CPT 80055 Obstetric Panel CS INDH | $255.12 | $1,063.00 | 76% |
| Obstetric blood test panel inpatient CPT 80055 80055 OB Panel | $111.10 | $202.00 | 45% |
| Obstetric blood test panel inpatient CPT 80055 Obstetrics Panel A CS | $584.65 | $1,063.00 | 45% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS | $584.65 | $1,063.00 | 45% |
| Obstetric blood test panel inpatient CPT 80055 Obstetric Panel CS INDH | $584.65 | $1,063.00 | 45% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 PSA, FREE | $12.24 | $51.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480780 PSA, FREE 889 | $84.00 | $350.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 %fPSA Reflex (LC) | $84.00 | $350.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 84154 L480947 PSA, FREE | $84.00 | $350.00 | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 PSA, FREE | $28.05 | $51.00 | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480947 PSA, FREE | $192.50 | $350.00 | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 %fPSA Reflex (LC) | $192.50 | $350.00 | 45% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 84154 L480780 PSA, FREE 889 | $192.50 | $350.00 | 45% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 ASSAY OF PSA TOTAL | $14.88 | $62.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480780 PSA, TOTAL 889 | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 L480947 PSA, TOTAL | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate Specific Ag Total | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA Total (Reflex To Free) (LC) | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 84153 PSA, TOTAL | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 Prostate-Specific Ag, Serum RL | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, Serum (Serial Monitor) LC | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (Reflex To Free) (Serial) LC | $122.64 | $511.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 ASSAY OF PSA TOTAL | $34.10 | $62.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 PSA, TOTAL | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA Total (Reflex To Free) (LC) | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate-Specific Ag, Serum RL | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, Serum (Serial Monitor) LC | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480947 PSA, TOTAL | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA (Reflex To Free) (Serial) LC | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Prostate Specific Ag Total | $281.05 | $511.00 | 45% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 84153 L480780 PSA, TOTAL 889 | $281.05 | $511.00 | 45% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 Thromboplastin Time Partial | $5.28 | $22.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L117079 APTT 889 | $60.00 | $250.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L500070 APTT 889 | $71.04 | $296.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 L503426 APTT 889 | $71.04 | $296.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 85730 THROMBOPLAST TIMEPTT | $71.04 | $296.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 APTT | $71.04 | $296.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 Thromboplastin Time Partial | $12.10 | $22.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L117079 APTT 889 | $137.50 | $250.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L503426 APTT 889 | $162.80 | $296.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 APTT | $162.80 | $296.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 THROMBOPLAST TIMEPTT | $162.80 | $296.00 | 45% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 85730 L500070 APTT 889 | $162.80 | $296.00 | 45% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin and INR POC AMB | $3.60 | $15.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $3.60 | $15.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Coag Clinic POC PT INR | $5.52 | $23.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L117079 PT 889 | $29.76 | $124.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L503426 PT 889 | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 L500070 PT 889 | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .ISTAT PT w/INR POC | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 85610 PROTHROMBIN TIME | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 .Protime w/INR POC | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time w/INR | $35.04 | $146.00 | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin and INR POC AMB | $8.25 | $15.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 Prothrombin and INR POC AMB -BCE | $8.25 | $15.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Coag Clinic POC PT INR | $12.65 | $23.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L117079 PT 889 | $68.20 | $124.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .Protime w/INR POC | $80.30 | $146.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time w/INR | $80.30 | $146.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 .ISTAT PT w/INR POC | $80.30 | $146.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 PROTHROMBIN TIME | $80.30 | $146.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L503426 PT 889 | $80.30 | $146.00 | 45% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 85610 L500070 PT 889 | $80.30 | $146.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 ASSAY THYROID STIM HORMONE | $13.68 | $57.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 NBS THYROID STIM TSH | $24.00 | $100.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $70.08 | $292.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Stimulating Hormone | $70.08 | $292.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (RL) | $70.08 | $292.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 84443 THYROID STIM TSH | $70.08 | $292.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Thyroid Cascade Profile LC | $111.60 | $465.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 ASSAY THYROID STIM HORMONE | $31.35 | $57.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 NBS THYROID STIM TSH | $55.00 | $100.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 84443 THYROID STIM TSH | $160.60 | $292.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (RL) | $160.60 | $292.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone | $160.60 | $292.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Stimulating Hormone w/Reflex to Free T4 | $160.60 | $292.00 | 45% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Thyroid Cascade Profile LC | $255.75 | $465.00 | 45% |
| Urinalysis with microscope exam, automated CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $4.08 | $17.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $4.08 | $17.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 .Bill Only DS Auto/MSc Reqd | $32.16 | $134.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $32.16 | $134.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual | $32.16 | $134.00 | 76% |
| Urinalysis with microscope exam, automated CPT 81001 Reflex Microscopic Type? - Manual Micro | $32.16 | $134.00 | 76% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 81001 Urinalysis Dipstick Auto w MicroSc POC AMB - | $9.35 | $17.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Dipstick Auto w MicroSc POC AMB | $9.35 | $17.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual Micro | $73.70 | $134.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis w/Micro Auto Rfx Culture | $73.70 | $134.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 .Bill Only DS Auto/MSc Reqd | $73.70 | $134.00 | 45% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 Reflex Microscopic Type? - Manual | $73.70 | $134.00 | 45% |
| Urinalysis with microscope exam, manual CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $4.08 | $17.00 | 76% |
| Urinalysis with microscope exam, manual CPT 81000 Urinalysis Dipstick POC AMB | $4.08 | $17.00 | 76% |
| Urinalysis with microscope exam, manual CPT 81000 .Bill Only DS Man/MSc Reqd | $5.04 | $21.00 | 76% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 81000 Urinalysis Dipstick POC AMB -BCE | $9.35 | $17.00 | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 Urinalysis Dipstick POC AMB | $9.35 | $17.00 | 45% |
| Urinalysis with microscope exam, manual inpatient CPT 81000 .Bill Only DS Man/MSc Reqd | $11.55 | $21.00 | 45% |
| Urinalysis without microscope exam, automated CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $2.88 | $12.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $2.88 | $12.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Protein Urine Dipstick Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Specific Gravity Urine Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Urine Color Urine Dipstick | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 81003 L306266 UA AUTO WO S | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Indicated | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Dipstick Type? - Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Reflex Microscopic Type? - Not Required | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Ketones Urine Dipstk Qual Automated | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 .Bill Only DS Auto/No MSc | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Glucose Urine Dipstick Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Bilirubin Urine Dipstick Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 Blood Urine Dipstick Auto | $26.40 | $110.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $6.60 | $12.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urinalysis Dipstick Auto w/o MicroSc POC AMB | $6.60 | $12.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Urine Color Urine Dipstick | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Dipstick Type? - Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Required | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 .Bill Only DS Auto/No MSc | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Reflex Microscopic Type? - Not Indicated | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 81003 L306266 UA AUTO WO S | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Specific Gravity Urine Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Blood Urine Dipstick Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Bilirubin Urine Dipstick Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Glucose Urine Dipstick Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Protein Urine Dipstick Auto | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 Ketones Urine Dipstk Qual Automated | $60.50 | $110.00 | 45% |
| Urinalysis without microscope exam, manual CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $3.36 | $14.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $3.36 | $14.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Dipstick Type? - Manual | $61.68 | $257.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 .Urinalysis Manual w/o MicroSc POC | $61.68 | $257.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 .Bill Only DS Man/No MSc | $61.68 | $257.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Ketones Ur Ql | $61.68 | $257.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 Specific Gravity Urine Manual | $61.68 | $257.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 81002 Urinalysis Manual w/o MicroSc POC AMB -BCE | $7.70 | $14.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis Manual w/o MicroSc POC AMB | $7.70 | $14.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Bill Only DS Man/No MSc | $141.35 | $257.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Specific Gravity Urine Manual | $141.35 | $257.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 .Urinalysis Manual w/o MicroSc POC | $141.35 | $257.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Ketones Ur Ql | $141.35 | $257.00 | 45% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 Dipstick Type? - Manual | $141.35 | $257.00 | 45% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | 76% |
| Cataract surgery with lens implant CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $444.96 | $1,854.00 | 76% |
| Cataract surgery with lens implant CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | 76% |
| Cataract surgery with lens implant CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $444.96 | $1,854.00 | 76% |
| Cataract surgery with lens implant CPT 66984 REMOVE CATARACT/INSERT LENS | $5,937.84 | $24,741.00 | 76% |
| Cataract surgery with lens implant inpatient CPT 66984 66984 CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,RT CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,52,55,LT CATARACT SURG W/IOL 1 STAGE,POSTOP | $1,019.70 | $1,854.00 | 45% |
| Cataract surgery with lens implant inpatient CPT 66984 66984,LT CATARACT SURG W/IOL 1 STAGE | $1,019.70 | $1,854.00 | 45% |
| Cesarean delivery, including prenatal and postpartum care CPT 59510 59510 CESAREAN DELIVERY | $1,282.08 | $5,342.00 | 76% |
| Cesarean delivery, including prenatal and postpartum care inpatient CPT 59510 59510 CESAREAN DELIVERY | $2,938.10 | $5,342.00 | 45% |
| Colonoscopy with endoscopic ultrasound CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $180.96 | $754.00 | 76% |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 45391 COLONOSCOPY W/ENDOSCOPE US | $414.70 | $754.00 | 45% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY - SNARE | $209.04 | $871.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52 COLONOSCOPY - SNARE | $209.04 | $871.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385 COLONOSCOPY - SNARE | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $281.76 | $1,174.00 | 76% |
| Colonoscopy with polyp removal CPT 45385 LESION REMOVAL COLONOSCOPY | $4,742.95 | $19,762.31 | 76% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY - SNARE | $479.05 | $871.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 COLONOSCOPY - SNARE | $479.05 | $871.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53 COLONOSCOPY W/LESION REMOVAL | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,PT COLONOSCOPY W/LESION REMOVAL,SCREENIN | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,PT LESION REMOVAL COLONOSCOPY,SCREENING | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52 LESION REMOVAL COLONOSCOPY | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,52,33 LESION REMOVAL COLONOSCOPY,PREVENTIVE | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385 COLONOSCOPY - SNARE | $645.70 | $1,174.00 | 45% |
| Colonoscopy with polyp removal inpatient CPT 45385 45385,53,33 COLONOSCOPY W/LESION REMOVAL,PREVENTI | $645.70 | $1,174.00 | 45% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380 COLONOSCOPY AND BIOPSY | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $237.36 | $989.00 | 76% |
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $3,887.82 | $16,199.24 | 76% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59,PT COLONOSCOPY AND BIOPSY,DISTINCT PR | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,33 COLONOSCOPY AND BIOPSY,PREVENTIVE SER | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,PT COLONOSCOPY AND BIOPSY,SCREENING TEST | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53,59 COLONOSCOPY AND BIOPSY,DISTINCT PROCE | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,53 COLONOSCOPY AND BIOPSY | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380,52 COLONOSCOPY AND BIOPSY | $543.95 | $989.00 | 45% |
| Colonoscopy with tissue sample inpatient CPT 45380 45380 COLONOSCOPY AND BIOPSY | $543.95 | $989.00 | 45% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $198.72 | $828.00 | 76% |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY | $2,024.97 | $8,437.37 | 76% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,79 DIAGNOSTIC COLONOSCOPY,UNRELATED PROC | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,59 DIAGNOSTIC COLONOSCOPY,DISTINCT PROCE | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,58 DIAGNOSTIC COLONOSCOPY,STAGED OR RELA | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,33 DIAGNOSTIC COLONOSCOPY,PREVENTIVE SER | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53 DIAGNOSTIC COLONOSCOPY | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,51 DIAGNOSTIC COLONOSCOPY,MULTIPLE PROCE | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52 DIAGNOSTIC COLONOSCOPY | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GA DIAGNOSTIC COLONOSCOPY,WAIVER OF LIAB | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,AQ DIAGNOSTIC COLONOSCOPY,PHYSICIAN SERV | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GY DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378 DIAGNOSTIC COLONOSCOPY | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,52,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,PT DIAGNOSTIC COLONOSCOPY,SCREENING TEST | $455.40 | $828.00 | 45% |
| Colonoscopy, diagnostic inpatient CPT 45378 45378,53,GZ DIAGNOSTIC COLONOSCOPY,ITEM OR SERVIC | $455.40 | $828.00 | 45% |
| Gallbladder removal, laparoscopic CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $591.60 | $2,465.00 | 76% |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $11,209.01 | $46,704.19 | 76% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562,AS LAPAROSCOPIC CHOLECYSTECTOMY | $458.70 | $834.00 | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562,80 LAPAROSCOPIC CHOLECYSTECTOMY | $678.15 | $1,233.00 | 45% |
| Gallbladder removal, laparoscopic inpatient CPT 47562 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $1,355.75 | $2,465.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $468.96 | $1,954.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $703.44 | $2,931.00 | 76% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,RT PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505,LT PRP I/HERN INIT REDUC>5 YR | $1,074.70 | $1,954.00 | 45% |
| Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 49505 50 PRP I/HERN INIT REDUC>5 YR | $1,612.05 | $2,931.00 | 45% |
| Knee arthroscopy with meniscus trim CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | 76% |
| Knee arthroscopy with meniscus trim CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $492.48 | $2,052.00 | 76% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,LT KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881 KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | 45% |
| Knee arthroscopy with meniscus trim inpatient CPT 29881 29881,RT KNEE ARTHROSCOPY/SURGERY | $1,128.60 | $2,052.00 | 45% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $188.88 | $787.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $299.52 | $1,248.00 | 76% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,RT AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821,LT AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 AFTER CATARACT LASER SURGERY | $432.85 | $787.00 | 45% |
| Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 66821 50 AFTER CATARACT LASER SURGERY | $686.40 | $1,248.00 | 45% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 93452 LEFT HEART CATH W/LEFT VENT | $1,162.70 | $2,114.00 | 45% |
| Lower-back epidural injection, with imaging guidance CPT 62323 62323 Lumbar Interlaminar/Caudal | $141.84 | $591.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 Lumbar Interlaminar/Caudal | $325.05 | $591.00 | 45% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $164.64 | $686.00 | 76% |
| Lower-back epidural injection, without imaging guidance CPT 62322 62322 INJECTION INTERLAMINAR | $164.64 | $686.00 | 76% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 INJECTION INTERLAMINAR | $377.30 | $686.00 | 45% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 62322 NJX INTERLAMINAR LMBR/SAC | $377.30 | $686.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483, 50 Lumbar Transforaminal, First level | $203.04 | $846.00 | 76% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 Lumbar Transforaminal, First level | $310.20 | $564.00 | 45% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483, 50 Lumbar Transforaminal, First level | $465.30 | $846.00 | 45% |
| Prostate biopsy inpatient CPT 55700 55700 BIOPSY OF PROSTATE | $198.55 | $361.00 | 45% |
| Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 55866 LAPARO RADICAL PROSTATECTOMY | $1,927.20 | $3,504.00 | 45% |
| Removal of a breast lump, open surgery CPT 19120 19120,RT REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120,LT REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120 REMOVAL OF BREAST LESION | $371.52 | $1,548.00 | 76% |
| Removal of a breast lump, open surgery CPT 19120 19120 50 REMOVAL OF BREAST LESION | $418.08 | $1,742.00 | 76% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,AS REMOVAL OF BREAST LESION | $286.00 | $520.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,LT REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120,RT REMOVAL OF BREAST LESION | $851.40 | $1,548.00 | 45% |
| Removal of a breast lump, open surgery inpatient CPT 19120 19120 50 REMOVAL OF BREAST LESION | $958.10 | $1,742.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,RT SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826 SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | 45% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 29826,LT SHOULDER ARTHROSCOPY/SURGERY | $361.90 | $658.00 | 45% |
| Tonsil and adenoid removal, child under 12 inpatient CPT 42820 42820 REMOVE TONSILS AND ADENOIDS | $618.75 | $1,125.00 | 45% |
| Total hip replacement CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | 76% |
| Total hip replacement CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | 76% |
| Total hip replacement CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $1,300.08 | $5,417.00 | 76% |
| Total hip replacement inpatient CPT 27130 27130,AS TOTAL HIP ARTHROPLASTY | $744.70 | $1,354.00 | 45% |
| Total hip replacement inpatient CPT 27130 27130,80 TOTAL HIP ARTHROPLASTY | $744.70 | $1,354.00 | 45% |
| Total hip replacement inpatient CPT 27130 27130 TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | 45% |
| Total hip replacement inpatient CPT 27130 27130,LT TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | 45% |
| Total hip replacement inpatient CPT 27130 27130,RT TOTAL HIP ARTHROPLASTY | $2,979.35 | $5,417.00 | 45% |
| Total knee replacement CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | 76% |
| Total knee replacement CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | 76% |
| Total knee replacement CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $780.48 | $3,252.00 | 76% |
| Total knee replacement CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $1,170.72 | $4,878.00 | 76% |
| Total knee replacement inpatient CPT 27447 27447,RT TOTAL KNEE ARTHROPLASTY | $1,788.60 | $3,252.00 | 45% |
| Total knee replacement inpatient CPT 27447 27447 TOTAL KNEE ARTHROPLASTY | $1,788.60 | $3,252.00 | 45% |
| Total knee replacement inpatient CPT 27447 27447,LT TOTAL KNEE ARTHROPLASTY | $1,788.60 | $3,252.00 | 45% |
| Total knee replacement inpatient CPT 27447 27447 50 TOTAL KNEE ARTHROPLASTY | $2,682.90 | $4,878.00 | 45% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $157.68 | $657.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $157.68 | $657.00 | 76% |
| Upper endoscopy (EGD) with biopsy CPT 43239 UPPER GI ENDOSCOPY, BIOPSY | $3,887.84 | $16,199.35 | 76% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,53 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52,58 EGD BIOPSY SINGLE/MULTIPLE,STAGED OR | $361.35 | $657.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239,52 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | 45% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 43239 53 EGD BIOPSY SINGLE/MULTIPLE | $361.35 | $657.00 | 45% |
| Upper endoscopy (EGD), diagnostic CPT 43235 UPPR GI ENDOSCOPY, DIAGNOSIS | $1,971.17 | $8,213.20 | 76% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,52 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235,53,59 EGD DIAGNOSTIC BRUSH WASH,DISTINCT PR | $305.80 | $556.00 | 45% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 43235 EGD DIAGNOSTIC BRUSH WASH | $305.80 | $556.00 | 45% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care CPT 59610 59610 VBAC DELIVERY | $1,329.12 | $5,538.00 | 76% |
| Vaginal birth after cesarean (VBAC), including prenatal and postpartum care inpatient CPT 59610 59610 VBAC DELIVERY | $3,045.90 | $5,538.00 | 45% |
| Vaginal delivery, including prenatal and postpartum care CPT 59400 59400 Obstetric Care Routine | $1,161.12 | $4,838.00 | 76% |
| Vaginal delivery, including prenatal and postpartum care inpatient CPT 59400 59400 Obstetric Care Routine | $2,660.90 | $4,838.00 | 45% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 EKG POC AMB | $16.56 | $69.00 | 76% |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 93000 EKG POC AMB -BCE | $16.56 | $69.00 | 76% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 EKG POC AMB | $37.95 | $69.00 | 45% |
| Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 93000 EKG POC AMB -BCE | $37.95 | $69.00 | 45% |
| Family therapy without the patient, 50 minutes CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $63.60 | $265.00 | 76% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 90846 FAMILY PSYTX W/O PATIENT | $145.75 | $265.00 | 45% |
| New patient office visit, about 30 minutes CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $38.16 | $159.00 | 76% |
| New patient office visit, about 30 minutes CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $38.16 | $159.00 | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203,25 OFFICE/OUTPATIENT VISIT NEW | $87.45 | $159.00 | 45% |
| New patient office visit, about 30 minutes inpatient CPT 99203 99203 OFFICE/OUTPATIENT VISIT NEW | $87.45 | $159.00 | 45% |
| New patient office visit, about 45 minutes CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $64.32 | $268.00 | 76% |
| New patient office visit, about 45 minutes CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $64.32 | $268.00 | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204,25 OFFICE/OUTPATIENT VISIT NEW | $147.40 | $268.00 | 45% |
| New patient office visit, about 45 minutes inpatient CPT 99204 99204 OFFICE/OUTPATIENT VISIT NEW | $147.40 | $268.00 | 45% |
| New patient office visit, about 60 minutes CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $82.80 | $345.00 | 76% |
| New patient office visit, about 60 minutes CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $82.80 | $345.00 | 76% |
| New patient office visit, about 60 minutes CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $82.80 | $345.00 | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,LT OFFICE/OUTPATIENT VISIT NEW | $189.75 | $345.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205,25 OFFICE/OUTPATIENT VISIT NEW | $189.75 | $345.00 | 45% |
| New patient office visit, about 60 minutes inpatient CPT 99205 99205 OFFICE/OUTPATIENT VISIT NEW | $189.75 | $345.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 97110 THERAPEUTIC EXERCISES | $19.92 | $83.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $43.44 | $181.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $43.44 | $181.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $76.80 | $320.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $76.80 | $320.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Charges | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Units | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Assistant Charge | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Assistant Charge | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT Therapeutic Exercise Charges | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT Therapeutic Exercise Units | $80.64 | $336.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 97110 THERAPEUTIC EXERCISES | $45.65 | $83.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 186 | $99.55 | $181.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 186 | $99.55 | $181.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 182 | $176.00 | $320.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 182 | $176.00 | $320.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN PTA - Redoc 181 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 185 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - UDS 181 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 185 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAP EXERCS-15 MIN - REDOC 181 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Charges | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Charges | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Units | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Units | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXERCISES EA 15 MIN COTA - Redoc 185 | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT Therapeutic Exercise Assistant Charge | $184.80 | $336.00 | 45% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT Therapeutic Exercise Assistant Charge | $184.80 | $336.00 | 45% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $40.08 | $167.00 | 76% |
| Preventive checkup, new patient aged 18–39 CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $40.08 | $167.00 | 76% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385,25 PREV VISIT NEW AGE 18-39 | $91.85 | $167.00 | 45% |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 99385 PREV VISIT NEW AGE 18-39 | $91.85 | $167.00 | 45% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $48.96 | $204.00 | 76% |
| Preventive checkup, new patient aged 40–64 CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $48.96 | $204.00 | 76% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386,25 PREV VISIT NEW AGE 40-64 | $112.20 | $204.00 | 45% |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 99386 PREV VISIT NEW AGE 40-64 | $112.20 | $204.00 | 45% |
| Psychotherapy session, 30 minutes CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $21.36 | $89.00 | 76% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 90832 PSYTX PT&/FAMILY 30 MINUTES | $48.95 | $89.00 | 45% |
| Psychotherapy session, 45 minutes CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $31.92 | $133.00 | 76% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 90834 PSYTX PT&/FAMILY 45 MINUTES | $73.15 | $133.00 | 45% |
| Psychotherapy session, 60 minutes CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $48.24 | $201.00 | 76% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 90837 PSYTX PT&/FAMILY 60 MINUTES | $110.55 | $201.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243 OFFICE CONSULTATION | $57.60 | $240.00 | 76% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,RT OFFICE CONSULTATION | $57.60 | $240.00 | 76% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 99243,25 OFFICE CONSULTATION | $57.60 | $240.00 | 76% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243 OFFICE CONSULTATION | $132.00 | $240.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,25 OFFICE CONSULTATION | $132.00 | $240.00 | 45% |
| Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 99243,RT OFFICE CONSULTATION | $132.00 | $240.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244 OFFICE CONSULTATION | $76.32 | $318.00 | 76% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 99244,25 OFFICE CONSULTATION | $76.32 | $318.00 | 76% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244 OFFICE CONSULTATION | $174.90 | $318.00 | 45% |
| Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 99244,25 OFFICE CONSULTATION | $174.90 | $318.00 | 45% |