SelfPayRates
Hospital San Diego-Chula Vista-Carlsbad, CA

UC San Diego Medical Center

UC San Diego Medical Center in San Diego, CA publishes cash prices for 518 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 below the California median for 285 of 517 procedures and above it for 228. By typical cash price it ranks #98 of 226 California hospitals and #8 of 18 hospitals in the San Diego, CA area, cheapest first. Select a procedure to compare it with other hospitals nearby.

200 West Arbor Dr, San Diego, CA 92103, 9300 Campus Point Drive, San Diego, CA 92037, 3855 Health Sciences Drive, San Diego, CA 92037 ,9434 Medical Center Drive, San Diego, CA 92037,6655 Alvarado Road, San Diego, CA 92120 Collected Sep 23, 2026 Source price file Check a bill from this hospital (619) 543-6222

Acute care hospital Nonprofit hospital Emergency department CMS star rating 5 of 5 CCN 050025 · CMS hospital register NPI 1184722779

Financial assistance

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

UC San Diego 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.

State law

This state limits hospital bills for lower-income patients

California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.

Scans and imaging

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Abdominal CT scan without and with contrast CPT 74170 Ct Scan Abdomen Before And After Contrast $2,294.60 $4,172.00 $201.74–$5,632.20 19% below 45%
Abdominal CT scan without and with contrast inpatient CPT 74170 Ct Scan Abdomen Before And After Contrast $2,294.60 $4,172.00 $201.74–$5,632.20 — 45%
Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views $279.40 $508.00 $29.78–$685.80 35% below 45%
Abdominal X-ray, 2 views inpatient CPT 74019 X-ray of abdomen, 2 views $279.40 $508.00 $29.78–$685.80 — 45%
Ankle X-ray, complete, 3 or more views CPT 73610 X-Ray Of Ankle, Minimum Of 3 Views $398.20 $724.00 $28.24–$977.40 23% below 45%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 X-Ray Of Ankle, Minimum Of 3 Views $398.20 $724.00 $28.24–$977.40 — 45%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Ultrasound Study Of Arteries Of Legs $248.05 $451.00 $74.73–$225.50 56% below 45%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Ultrasound Study Of Arteries Of Legs $248.05 $451.00 $74.73–$225.50 — 45%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 Ct Scan Of Arm $3,735.60 $6,792.00 $112.51–$9,169.20 64% above 45%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 Ct Scan Of Arm $3,735.60 $6,792.00 $112.51–$9,169.20 — 45%
Barium swallow (esophagus X-ray with contrast) CPT 74220 X-ray of esophagus with single contrast $491.70 $894.00 $54.64–$1,206.90 19% below 45%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 X-ray of esophagus with single contrast $491.70 $894.00 $54.64–$1,206.90 — 45%
Bone scan, whole body (nuclear medicine) CPT 78306 Bone And Joint Imaging, Whole Body $2,644.40 $4,808.00 $202.29–$6,490.80 25% above 45%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 Bone And Joint Imaging, Whole Body $2,644.40 $4,808.00 $202.29–$6,490.80 — 45%
Breast ultrasound, complete, one breast CPT 76641 Ultrasound of one breast $983.95 $1,789.00 $83.32–$2,415.15 39% above 45%
Breast ultrasound, complete, one breast inpatient CPT 76641 Ultrasound of one breast $983.95 $1,789.00 $83.32–$2,415.15 — 45%
Breast ultrasound, limited (one breast or one area) CPT 76642 Ultrasound of one breast $569.80 $1,036.00 $62.30–$1,398.60 7% above 45%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 Ultrasound of one breast $569.80 $1,036.00 $62.30–$1,398.60 — 45%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 Ct Scan Of Abdominal And Pelvic Blood Vessels $3,708.10 $6,742.00 $351.78–$9,101.70 31% below 45%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 Ct Scan Of Abdominal And Pelvic Blood Vessels $3,708.10 $6,742.00 $351.78–$9,101.70 — 45%
CT angiography (CTA) of the head CPT 70496 Ct Scan Of Blood Vessel Of Head $2,135.65 $3,883.00 $201.74–$5,242.05 28% below 45%
CT angiography (CTA) of the head inpatient CPT 70496 Ct Scan Of Blood Vessel Of Head $2,135.65 $3,883.00 $201.74–$5,242.05 — 45%
CT angiography (CTA) of the neck CPT 70498 Ct Scan Of Neck Blood Vessels $2,139.50 $3,890.00 $201.74–$5,251.50 28% below 45%
CT angiography (CTA) of the neck inpatient CPT 70498 Ct Scan Of Neck Blood Vessels $2,139.50 $3,890.00 $201.74–$5,251.50 — 45%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 Ct Scan Arteriogram Of Chest $2,539.90 $4,618.00 $201.74–$6,234.30 26% below 45%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 Ct Scan Arteriogram Of Chest $2,539.90 $4,618.00 $201.74–$6,234.30 — 45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 Ct Scan Of Heart Blood Vessels And Grafts With Contrast Dye $1,628.00 $2,960.00 $201.74–$3,996.00 40% below 45%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 Ct Scan Of Heart Blood Vessels And Grafts With Contrast Dye $1,628.00 $2,960.00 $201.74–$3,996.00 — 45%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 Ct Scan Of Heart With Evaluation Of Blood Vessel Calcium $519.20 $944.00 $62.30–$1,274.40 38% above 45%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 Ct Scan Of Heart With Evaluation Of Blood Vessel Calcium $519.20 $944.00 $62.30–$1,274.40 — 45%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 Ct Scan Of Abdomen And Pelvis $1,702.25 $3,095.00 $131.26–$4,178.25 47% below 45%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 Ct Scan Of Abdomen And Pelvis $1,702.25 $3,095.00 $131.26–$4,178.25 — 45%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 Ct Scan Of Abdomen And Pelvis With Contrast $2,797.85 $5,087.00 $281.80–$6,867.45 32% below 45%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 Ct Scan Of Abdomen And Pelvis With Contrast $2,797.85 $5,087.00 $281.80–$6,867.45 — 45%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT Scan Of Abdomen And Pelvis Before And After Contrast $3,310.45 $6,019.00 $319.24–$8,125.65 30% below 45%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT Scan Of Abdomen And Pelvis Before And After Contrast $3,310.45 $6,019.00 $319.24–$8,125.65 — 45%
CT scan of the abdomen with contrast CPT 74160 Ct Scan Abdomen With Contrast $2,082.85 $3,787.00 $201.74–$5,112.45 17% below 45%
CT scan of the abdomen with contrast inpatient CPT 74160 Ct Scan Abdomen With Contrast $2,082.85 $3,787.00 $201.74–$5,112.45 — 45%
CT scan of the abdomen without contrast CPT 74150 Ct Scan Abdomen $1,150.60 $2,092.00 $104.89–$2,824.20 40% below 45%
CT scan of the abdomen without contrast inpatient CPT 74150 Ct Scan Abdomen $1,150.60 $2,092.00 $104.89–$2,824.20 — 45%
CT scan of the face and sinuses, no contrast dye CPT 70486 Ct Scan Of Face $2,159.85 $3,927.00 $112.51–$5,301.45 1% below 45%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 Ct Scan Of Face $2,159.85 $3,927.00 $112.51–$5,301.45 — 45%
CT scan of the head or brain, no contrast dye CPT 70450 Ct Scan Head Or Brain $1,558.70 $2,834.00 $84.91–$3,825.90 32% below 45%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 Ct Scan Head Or Brain $1,558.70 $2,834.00 $84.91–$3,825.90 — 45%
CT scan of the head with contrast CPT 70460 Ct Scan Head Or Brain With Contrast $1,725.90 $3,138.00 $123.27–$4,236.30 36% below 45%
CT scan of the head with contrast inpatient CPT 70460 Ct Scan Head Or Brain With Contrast $1,725.90 $3,138.00 $123.27–$4,236.30 — 45%
CT scan of the head without and with contrast CPT 70470 Ct Scan Head Or Brain Before And After Contrast $1,941.50 $3,530.00 $148.44–$4,765.50 37% below 45%
CT scan of the head without and with contrast inpatient CPT 70470 Ct Scan Head Or Brain Before And After Contrast $1,941.50 $3,530.00 $148.44–$4,765.50 — 45%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 Ct Scan Of Lower Spine $1,672.55 $3,041.00 $106.49–$4,105.35 42% below 45%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 Ct Scan Of Lower Spine $1,672.55 $3,041.00 $106.49–$4,105.35 — 45%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 Ct Scan Of Upper Spine $2,043.80 $3,716.00 $107.29–$5,016.60 30% below 45%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 Ct Scan Of Upper Spine $2,043.80 $3,716.00 $107.29–$5,016.60 — 45%
CT scan of the pelvis, with contrast dye CPT 72193 Ct Scan Pelvis With Contrast $1,383.80 $2,516.00 $201.74–$3,396.60 46% below 45%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 Ct Scan Pelvis With Contrast $1,383.80 $2,516.00 $201.74–$3,396.60 — 45%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound Scanning Of Head And Neck Vessel Blood Flow (Outside The Brain) $650.10 $1,182.00 $179.75–$591.00 47% below 45%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 Ultrasound Scanning Of Head And Neck Vessel Blood Flow (Outside The Brain) $650.10 $1,182.00 $179.75–$591.00 — 45%
Chest CT scan without and with contrast CPT 71270 Ct Scan Chest Before And After Contrast $4,177.80 $7,596.00 $180.40–$10,254.60 28% above 45%
Chest CT scan without and with contrast inpatient CPT 71270 Ct Scan Chest Before And After Contrast $4,177.80 $7,596.00 $180.40–$10,254.60 — 45%
Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views $425.15 $773.00 $26.58–$1,043.55 4% above 45%
Chest X-ray, 2 views inpatient CPT 71046 X-ray of chest, 2 views $425.15 $773.00 $26.58–$1,043.55 — 45%
Chest X-ray, single view CPT 71045 X-ray of chest, 1 view $405.90 $738.00 $17.65–$996.30 12% above 45%
Chest X-ray, single view inpatient CPT 71045 X-ray of chest, 1 view $405.90 $738.00 $17.65–$996.30 — 45%
Collarbone (clavicle) X-ray, complete CPT 73000 X-Ray Of Collar Bone $519.75 $945.00 $23.44–$1,275.75 7% above 45%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 X-Ray Of Collar Bone $519.75 $945.00 $23.44–$1,275.75 — 45%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Ultrasound Behind Abdominal Cavity $535.15 $973.00 $90.11–$1,313.55 37% below 45%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 Ultrasound Behind Abdominal Cavity $535.15 $973.00 $90.11–$1,313.55 — 45%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 Bone Density Measurement Spine Or Hips Using Dedicated X-Ray Machine $721.05 $1,311.00 $32.98–$1,769.85 43% above 45%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 Bone Density Measurement Spine Or Hips Using Dedicated X-Ray Machine $721.05 $1,311.00 $32.98–$1,769.85 — 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 Bone Density Measurement Forearm/ Wrist Using Dedicated X-Ray Machine $197.45 $359.00 $24.99–$484.65 29% below 45%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 Bone Density Measurement Forearm/ Wrist Using Dedicated X-Ray Machine $197.45 $359.00 $24.99–$484.65 — 45%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 Abdominal Ultrasound Of Pregnant Uterus Single Or First Fetus $953.15 $1,733.00 $98.31–$2,339.55 6% above 45%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 Abdominal Ultrasound Of Pregnant Uterus Single Or First Fetus $953.15 $1,733.00 $98.31–$2,339.55 — 45%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 Ct Scan Chest $1,450.35 $2,637.00 $106.09–$3,559.95 29% below 45%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 Ct Scan Chest $1,450.35 $2,637.00 $106.09–$3,559.95 — 45%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 Ct Scan Chest With Contrast $3,797.75 $6,905.00 $145.64–$9,321.75 32% above 45%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 Ct Scan Chest With Contrast $3,797.75 $6,905.00 $145.64–$9,321.75 — 45%
Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts $445.50 $810.00 $97.20–$1,093.50 9% below 45%
Diagnostic mammogram, both breasts inpatient CPT 77066 Mammography of both breasts $445.50 $810.00 $97.20–$1,093.50 — 45%
Diagnostic mammogram, one breast CPT 77065 Mammography of one breast $326.15 $593.00 $71.16–$800.55 13% below 45%
Diagnostic mammogram, one breast inpatient CPT 77065 Mammography of one breast $326.15 $593.00 $71.16–$800.55 — 45%
Duplex ultrasound of the leg arteries, both legs CPT 93925 Ultrasound Study Of Arteries And Arterial Grafts Of Legs $789.25 $1,435.00 $111.16–$717.50 25% below 45%
Duplex ultrasound of the leg arteries, both legs inpatient CPT 93925 Ultrasound Study Of Arteries And Arterial Grafts Of Legs $789.25 $1,435.00 $111.16–$717.50 — 45%
Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound Scan Of Veins Of Arms Or Legs Including Assessment Of Compression And Functional Maneuvers $2,061.95 $3,749.00 $193.06–$1,874.50 74% above 45%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 Ultrasound Scan Of Veins Of Arms Or Legs Including Assessment Of Compression And Functional Maneuvers $2,061.95 $3,749.00 $193.06–$1,874.50 — 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Examination Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function $2,003.10 $3,642.00 $156.65–$4,916.70 25% below 45%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 Ultrasound Examination Of Heart Including Color-Depcited Blood Flow Rate, Direction And Valve Function With Contrast $2,203.30 $4,006.00 $335.66–$5,408.10 18% below 45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound Examination Of Heart Including Color-Depicted Blood Flow Rate, Direction, And Valve Function $2,003.10 $3,642.00 $156.65–$4,916.70 — 45%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 Ultrasound Examination Of Heart Including Color-Depcited Blood Flow Rate, Direction And Valve Function With Contrast $2,203.30 $4,006.00 $335.66–$5,408.10 — 45%
Elbow X-ray, 2 views CPT 73070 X-Ray Of Elbow, 2 Views $466.95 $849.00 $23.44–$1,146.15 17% above 45%
Elbow X-ray, 2 views inpatient CPT 73070 X-Ray Of Elbow, 2 Views $466.95 $849.00 $23.44–$1,146.15 — 45%
Elbow X-ray, complete, 3 or more views CPT 73080 X-Ray Of Elbow, Minimum Of 3 Views $622.60 $1,132.00 $27.38–$1,528.20 29% above 45%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 X-Ray Of Elbow, Minimum Of 3 Views $622.60 $1,132.00 $27.38–$1,528.20 — 45%
Eye socket (orbit) CT scan without contrast CPT 70480 Ct Scan Of Cranial Cavity $2,825.90 $5,138.00 $112.51–$6,936.30 24% above 45%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 Ct Scan Of Cranial Cavity $2,825.90 $5,138.00 $112.51–$6,936.30 — 45%
Facial bones X-ray, complete, 3 or more views CPT 70150 X-Ray Of Bones Of Face, Minimum Of 3 Views $468.05 $851.00 $40.17–$1,148.85 5% below 45%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 X-Ray Of Bones Of Face, Minimum Of 3 Views $468.05 $851.00 $40.17–$1,148.85 — 45%
Forearm X-ray (radius and ulna), 2 views CPT 73090 X-Ray Of Forearm, 2 Views $548.35 $997.00 $24.59–$1,345.95 28% above 45%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 X-Ray Of Forearm, 2 Views $548.35 $997.00 $24.59–$1,345.95 — 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 Imaging Of Liver And Bile Duct System $1,376.10 $2,502.00 $291.01–$3,377.70 23% below 45%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 Imaging Of Liver And Bile Duct System $1,376.10 $2,502.00 $291.01–$3,377.70 — 45%
Hand X-ray, 2 views CPT 73120 X-Ray Of Hand, 2 Views $559.35 $1,017.00 $24.82–$1,372.95 37% above 45%
Hand X-ray, 2 views inpatient CPT 73120 X-Ray Of Hand, 2 Views $559.35 $1,017.00 $24.82–$1,372.95 — 45%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-Ray Of Heel, Minimum Of 2 Views $307.45 $559.00 $24.19–$754.65 13% below 45%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 X-Ray Of Heel, Minimum Of 2 Views $307.45 $559.00 $24.19–$754.65 — 45%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 Unattended Sleep Study With Recording Of Heart Rate, Oxygen, Respiratory Airflow And Effort $460.35 $837.00 $118.65–$418.50 40% below 45%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 Unattended Sleep Study With Recording Of Heart Rate, Oxygen, Respiratory Airflow And Effort $460.35 $837.00 $118.65–$418.50 — 45%
Knee X-ray, 3 views CPT 73562 X-Ray Of Knee, 3 Views $356.40 $648.00 $33.54–$874.80 22% below 45%
Knee X-ray, 3 views inpatient CPT 73562 X-Ray Of Knee, 3 Views $356.40 $648.00 $33.54–$874.80 — 45%
Knee X-ray, complete, 4 or more views CPT 73564 X-Ray Of Knee, 4 Or More Views $547.25 $995.00 $36.36–$1,343.25 7% below 45%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 X-Ray Of Knee, 4 Or More Views $547.25 $995.00 $36.36–$1,343.25 — 45%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 Ct Scan Leg $1,355.20 $2,464.00 $106.49–$3,326.40 36% below 45%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 Ct Scan Leg $1,355.20 $2,464.00 $106.49–$3,326.40 — 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Ultrasound Of Abdomen Limited $451.55 $821.00 $72.93–$1,108.35 46% below 45%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 Ultrasound Of Abdomen Limited $451.55 $821.00 $72.93–$1,108.35 — 45%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Ultrasound of arm or leg $832.15 $1,513.00 $12.37–$2,042.55 53% above 45%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 Ultrasound of arm or leg $832.15 $1,513.00 $12.37–$2,042.55 — 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 Low-dose computed tomography for lung cancer screening $1,450.35 $2,637.00 $111.68–$3,559.95 307% above 45%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 Low-dose computed tomography for lung cancer screening $1,450.35 $2,637.00 $111.68–$3,559.95 — 45%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-Ray Of Lower Leg, 2 Views $345.95 $629.00 $21.60–$849.15 20% below 45%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 X-Ray Of Lower Leg, 2 Views $345.95 $629.00 $21.60–$849.15 — 45%
MR angiography (MRA) of the head without contrast CPT 70544 Mra Scan Of Head Blood Vessels $1,974.50 $3,590.00 $210.94–$4,846.50 32% below 45%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 Mra Scan Of Head Blood Vessels $1,974.50 $3,590.00 $210.94–$4,846.50 — 45%
MRI of both breasts, without and then with contrast dye both sides CPT 77049 Mri Scan Of Breasts Bilateral Before And After Contrast $4,844.95 $8,809.00 $337.84–$11,892.15 — 45%
MRI of both breasts, without and then with contrast dye CPT 77049 MRI Scan of Both Breasts Before and After Contrast $4,844.95 $8,809.00 $337.84–$4,404.50 46% above 45%
MRI of both breasts, without and then with contrast dye inpatient both sides CPT 77049 Mri Scan Of Breasts Bilateral Before And After Contrast $4,844.95 $8,809.00 $337.84–$11,892.15 — 45%
MRI of both breasts, without and then with contrast dye inpatient CPT 77049 MRI Scan of Both Breasts Before and After Contrast $4,844.95 $8,809.00 $337.84–$4,404.50 — 45%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 Mri Scan Of Leg Joint $2,604.80 $4,736.00 $282.46–$2,368.00 14% below 45%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 Mri Scan Of Leg Joint $2,604.80 $4,736.00 $282.46–$2,368.00 — 45%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 Mri Scan Of Leg Joint Before And After Contrast $3,214.75 $5,845.00 $384.87–$2,922.50 30% below 45%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 Mri Scan Of Leg Joint Before And After Contrast $3,214.75 $5,845.00 $384.87–$2,922.50 — 45%
MRI of the abdomen without contrast CPT 74181 Mri Scan Of Abdomen $2,025.65 $3,683.00 $273.91–$1,841.50 28% below 45%
MRI of the abdomen without contrast inpatient CPT 74181 Mri Scan Of Abdomen $2,025.65 $3,683.00 $273.91–$1,841.50 — 45%
MRI of the abdomen, without and then with contrast dye CPT 74183 Mri Scan Of Abdomen Before And After Contrast $6,070.35 $11,037.00 $333.52–$5,518.50 39% above 45%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 Mri Scan Of Abdomen Before And After Contrast $6,070.35 $11,037.00 $333.52–$5,518.50 — 45%
MRI of the brain, no contrast dye CPT 70551 Mri Scan Brain $1,773.75 $3,225.00 $169.43–$4,353.75 39% below 45%
MRI of the brain, no contrast dye inpatient CPT 70551 Mri Scan Brain $1,773.75 $3,225.00 $169.43–$4,353.75 — 45%
MRI of the brain, with and without contrast dye CPT 70553 Mri Scan Of Brain Before And After Contrast $4,959.35 $9,017.00 $285.69–$12,172.95 15% above 45%
MRI of the brain, with and without contrast dye inpatient CPT 70553 Mri Scan Of Brain Before And After Contrast $4,959.35 $9,017.00 $285.69–$12,172.95 — 45%
MRI of the lower back, no contrast dye CPT 72148 Mri Scan Of Lower Spinal Canal $2,231.90 $4,058.00 $164.02–$5,478.30 27% below 45%
MRI of the lower back, no contrast dye inpatient CPT 72148 Mri Scan Of Lower Spinal Canal $2,231.90 $4,058.00 $164.02–$5,478.30 — 45%
MRI of the lower back, without and then with contrast dye CPT 72158 Mri Scan Of Lower Spinal Canal Before And After Contrast $3,046.45 $5,539.00 $288.89–$7,477.65 33% below 45%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 Mri Scan Of Lower Spinal Canal Before And After Contrast $3,046.45 $5,539.00 $288.89–$7,477.65 — 45%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 Mri Scan Of Middle Spinal Canal $2,326.50 $4,230.00 $163.62–$5,710.50 20% below 45%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 Mri Scan Of Middle Spinal Canal $2,326.50 $4,230.00 $163.62–$5,710.50 — 45%
MRI of the neck (cervical spine) without and with contrast CPT 72156 Mri Scan Of Upper Spinal Canal Before And After Contrast $3,876.95 $7,049.00 $289.69–$9,516.15 13% below 45%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 Mri Scan Of Upper Spinal Canal Before And After Contrast $3,876.95 $7,049.00 $289.69–$9,516.15 — 45%
MRI of the neck (cervical spine), no contrast dye CPT 72141 Mri Scan Of Upper Spinal Canal $2,739.00 $4,980.00 $163.62–$6,723.00 9% below 45%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 Mri Scan Of Upper Spinal Canal $2,739.00 $4,980.00 $163.62–$6,723.00 — 45%
MRI of the pelvis without and with contrast CPT 72197 Mri Scan Of Pelvis Before And After Contrast $6,164.95 $11,209.00 $332.91–$5,604.50 49% above 45%
MRI of the pelvis without and with contrast inpatient CPT 72197 Mri Scan Of Pelvis Before And After Contrast $6,164.95 $11,209.00 $332.91–$5,604.50 — 45%
MRI of the pelvis, no contrast dye CPT 72195 Mri Scan Of Pelvis $3,641.55 $6,621.00 $226.34–$3,310.50 42% above 45%
MRI of the pelvis, no contrast dye inpatient CPT 72195 Mri Scan Of Pelvis $3,641.55 $6,621.00 $226.34–$3,310.50 — 45%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 Mri Scan Of Arm Joint Arm Joint $4,831.75 $8,785.00 $282.95–$4,392.50 84% above 45%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 Mri Scan Of Arm Joint Arm Joint $4,831.75 $8,785.00 $282.95–$4,392.50 — 45%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-Ray Of Upper Spine, 4 Or 5 Views $953.70 $1,734.00 $36.73–$2,340.90 48% above 45%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 X-Ray Of Upper Spine, 4 Or 5 Views $953.70 $1,734.00 $36.73–$2,340.90 — 45%
Neck soft tissue CT scan with contrast CPT 70491 Ct Scan Of Neck With Contract $1,937.10 $3,522.00 $156.43–$4,754.70 29% below 45%
Neck soft tissue CT scan with contrast inpatient CPT 70491 Ct Scan Of Neck With Contract $1,937.10 $3,522.00 $156.43–$4,754.70 — 45%
Neck soft tissue CT scan without contrast CPT 70490 Ct Scan Of Neck $1,180.30 $2,146.00 $112.51–$2,897.10 44% below 45%
Neck soft tissue CT scan without contrast inpatient CPT 70490 Ct Scan Of Neck $1,180.30 $2,146.00 $112.51–$2,897.10 — 45%
Neck soft tissue X-ray CPT 70360 X-Ray Of Soft Tissue Of Neck $218.90 $398.00 $24.82–$537.30 33% below 45%
Neck soft tissue X-ray inpatient CPT 70360 X-Ray Of Soft Tissue Of Neck $218.90 $398.00 $24.82–$537.30 — 45%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 Nuclear Medicine Study Of Vessels Of Heart Using Drugs Or Exercise Multiple Studies $2,901.80 $5,276.00 $348.12–$7,122.60 29% below 45%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 Nuclear Medicine Study Of Vessels Of Heart Using Drugs Or Exercise Multiple Studies $2,901.80 $5,276.00 $348.12–$7,122.60 — 45%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Opical Coherence Tomography Imaging Retina $175.45 $319.00 $32.25–$159.50 42% above 45%
OCT scan of the retina (optical coherence tomography) CPT 92134 Computerized Opical Coherence Tomography Imaging Retina $808.50 $1,470.00 $18.19–$5,480.00 554% above 45%
OCT scan of the retina (optical coherence tomography) inpatient CPT 92134 Computerized Opical Coherence Tomography Imaging Retina $175.45 $319.00 $32.25–$159.50 — 45%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 Nuclear Medicine Study With Ct Imaging Skull Base To Mid-Thigh $9,915.40 $18,028.00 $1,375.54–$24,337.80 37% above 45%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 Nuclear Medicine Study With Ct Imaging Skull Base To Mid-Thigh $9,915.40 $18,028.00 $1,375.54–$24,337.80 — 45%
Pelvic CT scan without contrast CPT 72192 Ct Scan Pelvis $1,353.55 $2,461.00 $106.09–$3,322.35 31% below 45%
Pelvic CT scan without contrast inpatient CPT 72192 Ct Scan Pelvis $1,353.55 $2,461.00 $106.09–$3,322.35 — 45%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Ultrasound Of Pelvis Limited $798.05 $1,451.00 $28.18–$1,958.85 48% above 45%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 Ultrasound Of Pelvis Limited $798.05 $1,451.00 $28.18–$1,958.85 — 45%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Ultrasound Of Pelvis Complete $1,327.15 $2,413.00 $89.31–$3,257.55 41% above 45%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 Ultrasound Of Pelvis Complete $1,327.15 $2,413.00 $89.31–$3,257.55 — 45%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 Abdominal Ultrasound Of Pregnant Uterus (Greater Or Equal To 14 Weeks 0 Days) Single Or First Fetus $862.95 $1,569.00 $107.69–$2,118.15 at median 45%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 Abdominal Ultrasound Of Pregnant Uterus (Greater Or Equal To 14 Weeks 0 Days) Single Or First Fetus $862.95 $1,569.00 $107.69–$2,118.15 — 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 Abdominal Ultrasound Of Pregnant Uterus (Less Than 14 Weeks 0 Days) Single Or First Fetus $1,025.75 $1,865.00 $78.42–$2,517.75 32% above 45%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 Abdominal Ultrasound Of Pregnant Uterus (Less Than 14 Weeks 0 Days) Single Or First Fetus $1,025.75 $1,865.00 $78.42–$2,517.75 — 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 Ultrasound Of Pregnant Uterus, 1 Or More Fetus(Es) $947.65 $1,723.00 $61.34–$2,326.05 57% above 45%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 Ultrasound Of Pregnant Uterus, 1 Or More Fetus(Es) $947.65 $1,723.00 $61.34–$2,326.05 — 45%
Rib X-ray, one side, 2 views CPT 71100 X-Ray Of Ribs 2 Views $355.30 $646.00 $29.78–$872.10 23% below 45%
Rib X-ray, one side, 2 views inpatient CPT 71100 X-Ray Of Ribs 2 Views $355.30 $646.00 $29.78–$872.10 — 45%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-Ray Of Ribs With Chest Minimum Of 3 Views $400.95 $729.00 $33.78–$984.15 35% below 45%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 X-Ray Of Ribs With Chest Minimum Of 3 Views $400.95 $729.00 $33.78–$984.15 — 45%
Screening mammogram, both breasts CPT 77067 Mammography of both breasts $363.55 $661.00 $79.32–$892.35 16% above 45%
Screening mammogram, both breasts inpatient CPT 77067 Mammography of both breasts $363.55 $661.00 $79.32–$892.35 — 45%
Shoulder X-ray, complete, 2 or more views CPT 73030 X-Ray Of Shoulder, Minimum Of 2 Views $400.40 $728.00 $23.81–$982.80 27% below 45%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 X-Ray Of Shoulder, Minimum Of 2 Views $400.40 $728.00 $23.81–$982.80 — 45%
Sinus X-ray, complete, 3 or more views CPT 70220 X-Ray Of Paranasal Sinus, Complete, Minimum Of 3 Views $361.35 $657.00 $31.38–$886.95 21% below 45%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 X-Ray Of Paranasal Sinus, Complete, Minimum Of 3 Views $361.35 $657.00 $31.38–$886.95 — 45%
Skull X-ray, fewer than 4 views CPT 70250 X-Ray Of Skull, Less Than 4 Views $333.30 $606.00 $30.98–$818.10 18% below 45%
Skull X-ray, fewer than 4 views inpatient CPT 70250 X-Ray Of Skull, Less Than 4 Views $333.30 $606.00 $30.98–$818.10 — 45%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound Examination Of The Heart Performed During Rest, Exercise, Or Drug-Induced Stress $3,207.05 $5,831.00 $181.05–$7,871.85 1% above 45%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 Ultrasound Examination Of The Heart Performed During Rest, Exercise, Or Drug-Induced Stress With Contrast $3,527.70 $6,414.00 $346.21–$8,658.90 11% above 45%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound Examination Of The Heart Performed During Rest, Exercise, Or Drug-Induced Stress $3,207.05 $5,831.00 $181.05–$7,871.85 — 45%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 Ultrasound Examination Of The Heart Performed During Rest, Exercise, Or Drug-Induced Stress With Contrast $3,527.70 $6,414.00 $346.21–$8,658.90 — 45%
Swallow study (modified barium swallow, video X-ray) CPT 74230 Imaging for evaluation of swallowing function $482.35 $877.00 $74.46–$1,183.95 27% below 45%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 Imaging for evaluation of swallowing function $482.35 $877.00 $74.46–$1,183.95 — 45%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of femur, minimum 2 views $270.60 $492.00 $29.15–$664.20 34% below 45%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 X-ray of femur, minimum 2 views $270.60 $492.00 $29.15–$664.20 — 45%
Thoracic spine (mid back) CT scan without contrast CPT 72128 Ct Scan Of Middle Spine $1,641.20 $2,984.00 $106.89–$4,028.40 42% below 45%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 Ct Scan Of Middle Spine $1,641.20 $2,984.00 $106.89–$4,028.40 — 45%
Toe X-ray, 2 or more views CPT 73660 X-Ray Of Toes, Minimum Of 2 Views $210.10 $382.00 $22.36–$515.70 36% below 45%
Toe X-ray, 2 or more views inpatient CPT 73660 X-Ray Of Toes, Minimum Of 2 Views $210.10 $382.00 $22.36–$515.70 — 45%
Transvaginal pelvic ultrasound CPT 76830 Ultrasound Pelvis Through Vagina $968.55 $1,761.00 $97.04–$2,377.35 35% above 45%
Transvaginal pelvic ultrasound inpatient CPT 76830 Ultrasound Pelvis Through Vagina $968.55 $1,761.00 $97.04–$2,377.35 — 45%
Transvaginal ultrasound during pregnancy CPT 76817 Vaginal Ultrasound Of Pregnant Uterus $1,033.45 $1,879.00 $69.73–$2,536.65 55% above 45%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 Vaginal Ultrasound Of Pregnant Uterus $1,033.45 $1,879.00 $69.73–$2,536.65 — 45%
Ultrasound of the abdomen, complete CPT 76700 Ultrasound Of Abdomen Complete $1,225.40 $2,228.00 $96.90–$3,007.80 12% above 45%
Ultrasound of the abdomen, complete inpatient CPT 76700 Ultrasound Of Abdomen Complete $1,225.40 $2,228.00 $96.90–$3,007.80 — 45%
Ultrasound of the scrotum and testicles CPT 76870 Ultrasound Of Scrotum $1,331.00 $2,420.00 $85.75–$3,267.00 49% above 45%
Ultrasound of the scrotum and testicles inpatient CPT 76870 Ultrasound Of Scrotum $1,331.00 $2,420.00 $85.75–$3,267.00 — 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound Of Head And Neck $1,119.80 $2,036.00 $85.69–$2,748.60 35% above 45%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 Ultrasound Of Head And Neck $1,119.80 $2,036.00 $85.69–$2,748.60 — 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 X-ray of upper digestive tract with single contrast $574.20 $1,044.00 $101.30–$1,409.40 7% below 45%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 X-ray of upper digestive tract with single contrast $574.20 $1,044.00 $101.30–$1,409.40 — 45%
Upper arm X-ray (humerus), 2 views CPT 73060 X-Ray Of Upper Arm, Minimum Of 2 Views $274.45 $499.00 $23.07–$673.65 36% below 45%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 X-Ray Of Upper Arm, Minimum Of 2 Views $274.45 $499.00 $23.07–$673.65 — 45%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound Scan Limited Study Of Arm Or Leg Veins Including Assessment Of Compression And Functional Maneuvers $746.90 $1,358.00 $97.03–$679.00 17% below 45%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 Ultrasound Scan Limited Study Of Arm Or Leg Veins Including Assessment Of Compression And Functional Maneuvers $746.90 $1,358.00 $97.03–$679.00 — 45%
Wrist X-ray, 2 views CPT 73100 X-Ray Of Wrist, 2 Views $279.40 $508.00 $24.82–$685.80 28% below 45%
Wrist X-ray, 2 views inpatient CPT 73100 X-Ray Of Wrist, 2 Views $279.40 $508.00 $24.82–$685.80 — 45%
Wrist X-ray, complete, 3 or more views CPT 73110 X-Ray Of Wrist, Minimum Of 3 Views $565.95 $1,029.00 $33.04–$1,389.15 13% above 45%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 X-Ray Of Wrist, Minimum Of 3 Views $565.95 $1,029.00 $33.04–$1,389.15 — 45%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip with pelvis, 2-3 views $283.25 $515.00 $37.28–$695.25 30% below 45%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 X-ray of hip with pelvis, 2-3 views $283.25 $515.00 $37.28–$695.25 — 45%
X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view $243.10 $442.00 $24.19–$596.70 20% below 45%
X-ray of the abdomen, 1 view inpatient CPT 74018 X-ray of abdomen, 1 view $243.10 $442.00 $24.19–$596.70 — 45%
X-ray of the ankle, 2 views CPT 73600 X-Ray Of Ankle, 2 Views $288.20 $524.00 $23.44–$707.40 27% below 45%
X-ray of the ankle, 2 views inpatient CPT 73600 X-Ray Of Ankle, 2 Views $288.20 $524.00 $23.44–$707.40 — 45%
X-ray of the finger(s), 2 or more views CPT 73140 X-Ray Of Fingers, Minimum Of 2 Views $564.30 $1,026.00 $22.36–$1,385.10 55% above 45%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 X-Ray Of Fingers, Minimum Of 2 Views $564.30 $1,026.00 $22.36–$1,385.10 — 45%
X-ray of the foot, 2 views CPT 73620 X-Ray Of Foot, 2 Views $479.60 $872.00 $22.70–$1,177.20 18% above 45%
X-ray of the foot, 2 views inpatient CPT 73620 X-Ray Of Foot, 2 Views $479.60 $872.00 $22.70–$1,177.20 — 45%
X-ray of the foot, complete, 3 or more views CPT 73630 X-Ray Of Foot, Minimum Of 3 Views $580.80 $1,056.00 $26.40–$1,425.60 18% above 45%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 X-Ray Of Foot, Minimum Of 3 Views $580.80 $1,056.00 $26.40–$1,425.60 — 45%
X-ray of the hand, 3 or more views CPT 73130 X-Ray Of Hand, Minimum Of 3 Views $591.25 $1,075.00 $27.13–$1,451.25 16% above 45%
X-ray of the hand, 3 or more views inpatient CPT 73130 X-Ray Of Hand, Minimum Of 3 Views $591.25 $1,075.00 $27.13–$1,451.25 — 45%
X-ray of the knee, 1 or 2 views CPT 73560 X-Ray Of Knee, 1 Or 2 Views $271.15 $493.00 $24.55–$665.55 32% below 45%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 X-Ray Of Knee, 1 Or 2 Views $271.15 $493.00 $24.55–$665.55 — 45%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-Ray Of Lower And Sacral Spine, 2 Or 3 Views $243.10 $442.00 $27.50–$596.70 48% below 45%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 X-Ray Of Lower And Sacral Spine, 2 Or 3 Views $243.10 $442.00 $27.50–$596.70 — 45%
X-ray of the lower back, 4 or more views CPT 72110 X-Ray Of Lower And Sacral Spine, Minimum Of 4 Views $660.00 $1,200.00 $37.47–$1,620.00 1% above 45%
X-ray of the lower back, 4 or more views inpatient CPT 72110 X-Ray Of Lower And Sacral Spine, Minimum Of 4 Views $660.00 $1,200.00 $37.47–$1,620.00 — 45%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-Ray Of Middle Spine, 2 Views $303.60 $552.00 $26.18–$745.20 34% below 45%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 X-Ray Of Middle Spine, 2 Views $303.60 $552.00 $26.18–$745.20 — 45%
X-ray of the nasal bones, 3 or more views CPT 70160 X-Ray Of Bones Of Nose, Minimum Of 3 Views $391.60 $712.00 $34.17–$961.20 9% below 45%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 X-Ray Of Bones Of Nose, Minimum Of 3 Views $391.60 $712.00 $34.17–$961.20 — 45%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-Ray Of Spine, 3 Views Or Less $418.55 $761.00 $27.13–$1,027.35 7% below 45%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 X-Ray Of Spine, 3 Views Or Less $418.55 $761.00 $27.13–$1,027.35 — 45%
X-ray of the pelvis, 1 or 2 views CPT 72170 X-Ray Of Pelvis, 1 Or 2 Views $351.45 $639.00 $22.19–$862.65 9% below 45%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 X-Ray Of Pelvis, 1 Or 2 Views $351.45 $639.00 $22.19–$862.65 — 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-Ray Of Pelvis, Minimum Of 2 Views $405.35 $737.00 $27.38–$994.95 14% below 45%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 X-Ray Of Pelvis, Minimum Of 2 Views $405.35 $737.00 $27.38–$994.95 — 45%

Lab tests

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver Enzyme (Sgpt), Level $30.25 $55.00 $5.30–$74.25 30% below 45%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 Liver Enzyme (Sgpt), Level $30.25 $55.00 $5.30–$74.25 — 45%
AST (aspartate aminotransferase) enzyme test CPT 84450 Liver Enzyme (Sgot), Level $33.55 $61.00 $5.18–$82.35 26% below 45%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 Liver Enzyme (Sgot), Level $33.55 $61.00 $5.18–$82.35 — 45%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel $182.60 $332.00 $39.84–$448.20 33% below 45%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel $182.60 $332.00 $39.84–$448.20 — 45%
Albumin blood test CPT 82040 Albumin (protein) level $7.85 $14.28 $1.71–$19.28 69% below 45%
Albumin blood test CPT 82040 Albumin (Protein) Level $16.50 $30.00 $3.60–$40.50 34% below 45%
Albumin blood test inpatient CPT 82040 Albumin (protein) level $7.85 $14.28 $1.71–$19.28 — 45%
Albumin blood test inpatient CPT 82040 Albumin (Protein) Level $16.50 $30.00 $3.60–$40.50 — 45%
Aldosterone blood test CPT 82088 Aldosterone (hormone) level (urine) $10.63 $19.32 $2.32–$129.89 65% below 45%
Aldosterone blood test inpatient CPT 82088 Aldosterone (hormone) level (urine) $10.63 $19.32 $2.32–$129.89 — 45%
Alkaline phosphatase (ALP) blood test CPT 84075 Alkaline phosphatase measurement total $3.91 $7.10 $0.85–$14.81 89% below 45%
Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (Enzyme) Level $8.25 $15.00 $1.80–$20.25 78% below 45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Alkaline phosphatase measurement total $3.91 $7.10 $0.85–$14.81 — 45%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 Phosphatase (Enzyme) Level $8.25 $15.00 $1.80–$20.25 — 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance food nuts each $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance occupational latex $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance food cereal profile $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance inhalant $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance food adult profile $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance food cereal each $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen CPT 86003 Measurement of antibody (IgE) to allergic substance food seafood each $2.34 $4.25 $0.51–$16.64 53% below 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance occupational latex $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance food adult profile $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance food seafood each $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance food cereal each $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance food nuts each $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance food cereal profile $2.34 $4.25 $0.51–$16.64 — 45%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Measurement of antibody (IgE) to allergic substance inhalant $2.34 $4.25 $0.51–$16.64 — 45%
Alpha-fetoprotein (AFP) blood test CPT 82105 Alpha-Fetoprotein (Afp) Level, Serum $112.20 $204.00 $16.77–$304.81 46% above 45%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 Alpha-Fetoprotein (Afp) Level, Serum $112.20 $204.00 $16.77–$304.81 — 45%
Ammonia blood test CPT 82140 Ammonia Level $64.35 $117.00 $14.04–$157.95 64% below 45%
Ammonia blood test inpatient CPT 82140 Ammonia Level $64.35 $117.00 $14.04–$157.95 — 45%
Amylase blood test CPT 82150 Amylase (Enzyme) Level $47.30 $86.00 $6.48–$116.10 7% below 45%
Amylase blood test inpatient CPT 82150 Amylase (Enzyme) Level $47.30 $86.00 $6.48–$116.10 — 45%
Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening Test For Autoimmune Disorder $126.50 $230.00 $12.09–$310.50 292% above 45%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 Screening Test For Autoimmune Disorder $126.50 $230.00 $12.09–$310.50 — 45%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 Natriuretic Peptide (Heart And Blood Vessel Protein) Level $116.60 $212.00 $25.44–$286.20 37% below 45%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 Natriuretic Peptide (Heart And Blood Vessel Protein) Level $116.60 $212.00 $25.44–$286.20 — 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Sterility Culture Testing $34.10 $62.00 $7.44–$83.70 72% below 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial Culture $37.95 $69.00 $8.28–$93.15 69% below 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Sterility Culture Testing $34.10 $62.00 $7.44–$83.70 — 45%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 Bacterial Culture $37.95 $69.00 $8.28–$93.15 — 45%
Basic metabolic panel (blood test) CPT 80048 Blood Test, Basic Group Of Blood Chemicals $124.30 $226.00 $8.46–$305.10 37% below 45%
Basic metabolic panel (blood test) inpatient CPT 80048 Blood Test, Basic Group Of Blood Chemicals $124.30 $226.00 $8.46–$305.10 — 45%
Bilirubin blood test, total CPT 82247 Bilirubin Level $15.40 $28.00 $3.36–$37.80 66% below 45%
Bilirubin blood test, total inpatient CPT 82247 Bilirubin Level $15.40 $28.00 $3.36–$37.80 — 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $22.00 $40.00 $4.80–$146.99 83% below 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination Of Tissue Using A Microscope, Prostate Needle Biopsy $41.80 $76.00 $38.00–$146.99 68% below 45%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity $215.60 $392.00 $58.80–$196.00 66% above 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity $22.00 $40.00 $4.80–$146.99 — 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Examination Of Tissue Using A Microscope, Prostate Needle Biopsy $41.80 $76.00 $38.00–$146.99 — 45%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 Pathology Examination Of Tissue Using A Microscope, Intermediate Complexity $215.60 $392.00 $58.80–$196.00 — 45%
Blood culture for bacteria CPT 87040 Bacterial Blood Culture $112.20 $204.00 $10.32–$275.40 59% below 45%
Blood culture for bacteria inpatient CPT 87040 Bacterial Blood Culture $112.20 $204.00 $10.32–$275.40 — 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion Of Needle Into Vein For Collection Of Blood Sample $16.50 $30.00 $3.00–$40.50 22% below 45%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion Of Needle Into Vein For Collection Of Blood Sample $493.35 $897.00 $9.34–$49.97 2246% above 45%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 Insertion Of Needle Into Vein For Collection Of Blood Sample $16.50 $30.00 $3.00–$40.50 — 45%
Blood glucose (sugar) test CPT 82947 Blood Glucose (Sugar) Level $17.60 $32.00 $3.84–$43.20 53% below 45%
Blood glucose (sugar) test inpatient CPT 82947 Blood Glucose (Sugar) Level $17.60 $32.00 $3.84–$43.20 — 45%
Blood lead test CPT 83655 Lead level $4.82 $8.76 $1.05–$38.12 53% below 45%
Blood lead test inpatient CPT 83655 Lead level $4.82 $8.76 $1.05–$38.12 — 45%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis $10.34 $18.80 $2.26–$25.38 94% below 45%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 Gonadotropin (reproductive hormone) analysis $10.34 $18.80 $2.26–$25.38 — 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) $9.54 $17.35 $2.08–$106.48 91% below 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (ABO) $10.45 $19.00 $2.28–$106.48 90% below 45%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood Group Typing (Abo) $135.30 $246.00 $2.99–$332.10 31% above 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood group typing (ABO) $9.54 $17.35 $2.08–$106.48 — 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Typing (ABO) $10.45 $19.00 $2.28–$106.48 — 45%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 Blood Group Typing (Abo) $135.30 $246.00 $2.99–$332.10 — 45%
Blood urea nitrogen (BUN) test CPT 84520 Urea Nitrogen Level To Assess Kidney Function $19.25 $35.00 $3.95–$47.25 42% below 45%
Blood urea nitrogen (BUN) test inpatient CPT 84520 Urea Nitrogen Level To Assess Kidney Function $19.25 $35.00 $3.95–$47.25 — 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-Reactive Protein For Detection Of Infection Or Inflammation $16.50 $30.00 $3.60–$40.50 69% below 45%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 Measurement C-Reactive Protein For Detection Of Infection Or Inflammation $16.50 $30.00 $3.60–$40.50 — 45%
C. difficile toxin gene test (stool PCR) CPT 87493 Detection Test For Clostridium Difficile $77.00 $140.00 $16.80–$189.00 50% below 45%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 Detection Test For Clostridium Difficile $77.00 $140.00 $16.80–$189.00 — 45%
CA 19-9 blood test (tumor marker) CPT 86301 Immunologic Analysis For Detection Of Tumor Antigen $127.05 $231.00 $18.50–$311.85 154% above 45%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 Immunologic Analysis For Detection Of Tumor Antigen $127.05 $231.00 $18.50–$311.85 — 45%
CA-125 blood test (ovarian cancer marker) CPT 86304 Immunologic Analysis For Detection Of Tumor Antigen $200.75 $365.00 $18.50–$492.75 46% above 45%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 Immunologic Analysis For Detection Of Tumor Antigen $200.75 $365.00 $18.50–$492.75 — 45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq (POCT) $110.00 $200.00 $24.00–$270.00 16% above 45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Testing for corona virus 19 by PCR-based amplified probe technique $133.10 $242.00 $29.04–$326.70 41% above 45%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Testing for COVID19 by PCR-based amplified probe technique using high throughput technologies $133.10 $242.00 $29.04–$326.70 41% above 45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Iadna Sars-Cov-2 Covid-19 Amplified Probe Tq (POCT) $110.00 $200.00 $24.00–$270.00 — 45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Testing for COVID19 by PCR-based amplified probe technique using high throughput technologies $133.10 $242.00 $29.04–$326.70 — 45%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 Testing for corona virus 19 by PCR-based amplified probe technique $133.10 $242.00 $29.04–$326.70 — 45%
Calcium blood test, total CPT 82310 Calcium Level $89.65 $163.00 $5.16–$220.05 45% above 45%
Calcium blood test, total inpatient CPT 82310 Calcium Level $89.65 $163.00 $5.16–$220.05 — 45%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen (Cea) Protein Level $177.10 $322.00 $18.96–$434.70 112% above 45%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen (Cea) Protein Level $177.10 $322.00 $18.96–$434.70 — 45%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox) $5.09 $9.25 $1.11–$40.81 85% below 45%
Chickenpox (varicella) immunity blood test CPT 86787 Analysis For Antibody To Varicella-Zoster Virus (Chicken Pox) $68.75 $125.00 $12.88–$168.75 102% above 45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis for antibody to varicella-zoster virus (chicken pox) $5.09 $9.25 $1.11–$40.81 — 45%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 Analysis For Antibody To Varicella-Zoster Virus (Chicken Pox) $68.75 $125.00 $12.88–$168.75 — 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection Test For Chlamydia $198.55 $361.00 $35.09–$487.35 264% above 45%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 Detection Test For Chlamydia $198.55 $361.00 $35.09–$487.35 — 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test lipids (cholesterol and triglycerides) $13.75 $25.00 $3.00–$41.38 86% below 45%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood Test, Lipids (Cholesterol And Triglycerides) $102.30 $186.00 $13.39–$251.10 1% above 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood test lipids (cholesterol and triglycerides) $13.75 $25.00 $3.00–$41.38 — 45%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Blood Test, Lipids (Cholesterol And Triglycerides) $102.30 $186.00 $13.39–$251.10 — 45%
Complete blood count (CBC) with differential CPT 85025 Complete Blood Cell Count (Red Cells, White Blood Cell, Platelets), Automated Test $64.35 $117.00 $7.77–$157.95 42% below 45%
Complete blood count (CBC) with differential inpatient CPT 85025 Complete Blood Cell Count (Red Cells, White Blood Cell, Platelets), Automated Test $64.35 $117.00 $7.77–$157.95 — 45%
Complete blood count (CBC), no differential CPT 85027 Complete Blood Cell Count (Red Cells, White Blood Cell, Platelets), Automated Test $47.30 $86.00 $6.47–$116.10 46% below 45%
Complete blood count (CBC), no differential inpatient CPT 85027 Complete Blood Cell Count (Red Cells, White Blood Cell, Platelets), Automated Test $47.30 $86.00 $6.47–$116.10 — 45%
Comprehensive metabolic panel (blood test) CPT 80053 Blood Test, Comprehensive Group Of Blood Chemicals $173.80 $316.00 $10.56–$426.60 32% below 45%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Blood Test, Comprehensive Group Of Blood Chemicals $173.80 $316.00 $10.56–$426.60 — 45%
Cortisol blood test, total CPT 82533 Cortisol (Hormone) Measurement $138.05 $251.00 $16.30–$338.85 44% above 45%
Cortisol blood test, total inpatient CPT 82533 Cortisol (Hormone) Measurement $138.05 $251.00 $16.30–$338.85 — 45%
Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level $5.13 $9.32 $1.12–$20.76 94% below 45%
Creatine kinase (CK) blood test, total CPT 82550 Creatine Kinase (Cardiac Enzyme) Level $34.65 $63.00 $6.51–$85.05 60% below 45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine kinase (cardiac enzyme) level $5.13 $9.32 $1.12–$20.76 — 45%
Creatine kinase (CK) blood test, total inpatient CPT 82550 Creatine Kinase (Cardiac Enzyme) Level $34.65 $63.00 $6.51–$85.05 — 45%
Creatinine blood test CPT 82565 Blood Creatinine Level $30.25 $55.00 $5.12–$74.25 35% below 45%
Creatinine blood test inpatient CPT 82565 Blood Creatinine Level $30.25 $55.00 $5.12–$74.25 — 45%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) $22.00 $40.00 $4.80–$54.00 20% below 45%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) bone marow serology package $62.01 $112.75 $13.53–$152.21 125% above 45%
Cytomegalovirus (CMV) antibody test CPT 86644 Analysis For Antibody To Cytomegalovirus (Cmv) $88.55 $161.00 $14.39–$217.35 222% above 45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) $22.00 $40.00 $4.80–$54.00 — 45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis for antibody to Cytomegalovirus (CMV) bone marow serology package $62.01 $112.75 $13.53–$152.21 — 45%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 Analysis For Antibody To Cytomegalovirus (Cmv) $88.55 $161.00 $14.39–$217.35 — 45%
D-dimer blood test (blood clot marker) CPT 85379 Coagulation Function Measurement $78.10 $142.00 $10.18–$191.70 46% below 45%
D-dimer blood test (blood clot marker) inpatient CPT 85379 Coagulation Function Measurement $78.10 $142.00 $10.18–$191.70 — 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of meconium $50.74 $92.25 $11.07–$124.54 18% below 45%
Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug $118.25 $215.00 $25.80–$290.25 91% above 45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of meconium $50.74 $92.25 $11.07–$124.54 — 45%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 Testing for presence of drug $118.25 $215.00 $25.80–$290.25 — 45%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood Test Panel For Electrolytes (Sodium Potassium, Chloride, Carbon Dioxide) $39.60 $72.00 $7.01–$97.20 53% below 45%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Blood Test Panel For Electrolytes (Sodium Potassium, Chloride, Carbon Dioxide) $39.60 $72.00 $7.01–$97.20 — 45%
Epstein-Barr virus (EBV) antibody test CPT 86665 Analysis For Antibody To Epstein-Barr Virus (Mononucleosis Virus) $89.65 $163.00 $18.14–$220.05 239% above 45%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 Analysis For Antibody To Epstein-Barr Virus (Mononucleosis Virus) $89.65 $163.00 $18.14–$220.05 — 45%
Estradiol blood test CPT 82670 Estradiol (Hormone) Level $136.95 $249.00 $27.94–$336.15 56% above 45%
Estradiol blood test inpatient CPT 82670 Estradiol (Hormone) Level $136.95 $249.00 $27.94–$336.15 — 45%
FSH (follicle-stimulating hormone) test CPT 83001 Gonadotropin, Follicle Stimulating (Reproductive Hormone) Level $99.55 $181.00 $18.58–$244.35 2% below 45%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 Gonadotropin, Follicle Stimulating (Reproductive Hormone) Level $99.55 $181.00 $18.58–$244.35 — 45%
Fecal calprotectin (stool inflammation test) CPT 83993 Stool calprotectin (protein) level $33.00 $60.00 $7.20–$81.00 55% below 45%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 Stool calprotectin (protein) level $33.00 $60.00 $7.20–$81.00 — 45%
Ferritin blood test (iron stores) CPT 82728 Ferritin (Blood Protein) Level $153.45 $279.00 $13.63–$376.65 44% above 45%
Ferritin blood test (iron stores) inpatient CPT 82728 Ferritin (Blood Protein) Level $153.45 $279.00 $13.63–$376.65 — 45%
Fibrinogen blood test CPT 85384 Fibrinogen (Factor 1) Activity Measurement $73.70 $134.00 $9.72–$180.90 45% below 45%
Fibrinogen blood test inpatient CPT 85384 Fibrinogen (Factor 1) Activity Measurement $73.70 $134.00 $9.72–$180.90 — 45%
Folate (folic acid) blood test CPT 82746 Folic Acid Level $90.20 $164.00 $14.70–$221.40 17% below 45%
Folate (folic acid) blood test inpatient CPT 82746 Folic Acid Level $90.20 $164.00 $14.70–$221.40 — 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical) measurement $13.20 $24.00 $2.88–$32.40 81% below 45%
Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (Thyroid Chemical) Measurement $99.00 $180.00 $9.02–$243.00 45% above 45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (thyroid chemical) measurement $13.20 $24.00 $2.88–$32.40 — 45%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 Thyroxine (Thyroid Chemical) Measurement $99.00 $180.00 $9.02–$243.00 — 45%
Free testosterone test CPT 84402 Testosterone (hormone) level female or child $20.19 $36.70 $4.40–$81.19 26% below 45%
Free testosterone test CPT 84402 Testosterone (hormone) level free $27.43 $49.88 $5.99–$81.19 at median 45%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level female or child $20.19 $36.70 $4.40–$81.19 — 45%
Free testosterone test inpatient CPT 84402 Testosterone (hormone) level free $27.43 $49.88 $5.99–$81.19 — 45%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 Glutamyltransferase (Liver Enzyme) Level $83.05 $151.00 $7.20–$203.85 83% above 45%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 Glutamyltransferase (Liver Enzyme) Level $83.05 $151.00 $7.20–$203.85 — 45%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose Of Glucose $42.90 $78.00 $4.75–$105.30 18% below 45%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 Blood Glucose (Sugar) Level After Receiving Dose Of Glucose $42.90 $78.00 $4.75–$105.30 — 45%
Glucose tolerance test, 3 samples CPT 82951 Blood Glucose (Sugar) Tolerance Test $169.40 $308.00 $12.87–$415.80 23% above 45%
Glucose tolerance test, 3 samples inpatient CPT 82951 Blood Glucose (Sugar) Tolerance Test $169.40 $308.00 $12.87–$415.80 — 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 Detection Test For Neisseria Gonorrhoeae (Gonorrhoeae Bacteria) $171.05 $311.00 $35.09–$419.85 186% above 45%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 Detection Test For Neisseria Gonorrhoeae (Gonorrhoeae Bacteria) $171.05 $311.00 $35.09–$419.85 — 45%
H. pylori antibody blood test CPT 86677 Analysis For Antibody To Helicobacter Pylori (Gastrointestinal Bacteria) $86.90 $158.00 $16.85–$213.30 24% below 45%
H. pylori antibody blood test inpatient CPT 86677 Analysis For Antibody To Helicobacter Pylori (Gastrointestinal Bacteria) $86.90 $158.00 $16.85–$213.30 — 45%
H. pylori stool antigen test CPT 87338 Qualitative or semiquantitative detection test for helicobacter pylori in stool, multiple-step method $62.70 $114.00 $12.79–$153.90 21% below 45%
H. pylori stool antigen test inpatient CPT 87338 Qualitative or semiquantitative detection test for helicobacter pylori in stool, multiple-step method $62.70 $114.00 $12.79–$153.90 — 45%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 Detection Test For Hiv-1 Virus $390.50 $710.00 $85.10–$958.50 287% above 45%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 Detection Test For Hiv-1 Virus $390.50 $710.00 $85.10–$958.50 — 45%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $6.18 $11.24 $1.35–$42.89 89% below 45%
HIV-1 and HIV-2 antibody test CPT 86703 Analysis For Antibody To Hiv-1 And Hiv-2 Virus $44.55 $81.00 $9.72–$109.35 24% below 45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus $6.18 $11.24 $1.35–$42.89 — 45%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 Analysis For Antibody To Hiv-1 And Hiv-2 Virus $44.55 $81.00 $9.72–$109.35 — 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 Detection test for HIV-1 and HIV-2 $160.05 $291.00 $20.26–$392.85 83% above 45%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 Detection test for HIV-1 and HIV-2 $160.05 $291.00 $20.26–$392.85 — 45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection Test For Human Papillomavirus (HPV) $32.73 $59.50 $7.14–$80.33 76% below 45%
HPV test for high-risk types, one combined (pooled) result CPT 87624 Detection Test For Human Papillomavirus (Hpv) $175.45 $319.00 $31.19–$430.65 30% above 45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection Test For Human Papillomavirus (HPV) $32.73 $59.50 $7.14–$80.33 — 45%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 Detection Test For Human Papillomavirus (Hpv) $175.45 $319.00 $31.19–$430.65 — 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C Level $99.00 $180.00 $9.71–$243.00 52% above 45%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 Hemoglobin A1C Level $99.00 $180.00 $9.71–$243.00 — 45%
Hemoglobin blood test CPT 85018 Hemoglobin Measurement $18.70 $34.00 $2.37–$45.90 54% below 45%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin Measurement $18.70 $34.00 $2.37–$45.90 — 45%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B core antibody measurement $9.54 $17.35 $2.08–$38.41 73% below 45%
Hepatitis B core antibody test (total) CPT 86704 Hepatitis B Core Antibody Measurement $155.65 $283.00 $12.05–$382.05 343% above 45%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B core antibody measurement $9.54 $17.35 $2.08–$38.41 — 45%
Hepatitis B core antibody test (total) inpatient CPT 86704 Hepatitis B Core Antibody Measurement $155.65 $283.00 $12.05–$382.05 — 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B Surface Antibody Measurement $126.50 $230.00 $10.74–$310.50 196% above 45%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 Hepatitis B Surface Antibody Measurement $126.50 $230.00 $10.74–$310.50 — 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test for Hepatitis B surface antigen $9.54 $17.35 $2.08–$32.70 87% below 45%
Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection Test For Hepatitis B Surface Antigen $132.00 $240.00 $10.33–$324.00 84% above 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection test for Hepatitis B surface antigen $9.54 $17.35 $2.08–$32.70 — 45%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 Detection Test For Hepatitis B Surface Antigen $132.00 $240.00 $10.33–$324.00 — 45%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement $9.54 $17.35 $2.08–$45.08 83% below 45%
Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C Antibody Measurement $110.00 $200.00 $14.27–$270.00 101% above 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C antibody measurement $9.54 $17.35 $2.08–$45.08 — 45%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 Hepatitis C Antibody Measurement $110.00 $200.00 $14.27–$270.00 — 45%
Hepatitis C viral load (HCV RNA) test CPT 87522 Detection Test For; Hepatitis C Virus $59.40 $108.00 $12.96–$145.80 32% below 45%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 Detection Test For; Hepatitis C Virus $59.40 $108.00 $12.96–$145.80 — 45%
Herpes blood test, HSV-1 antibody CPT 86695 Analysis For Antibody To Herpes Simplex Virus, Type 1 $103.95 $189.00 $13.19–$255.15 436% above 45%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 Analysis For Antibody To Herpes Simplex Virus, Type 1 $103.95 $189.00 $13.19–$255.15 — 45%
Herpes blood test, HSV-2 antibody CPT 86696 Analysis For Antibody To Herpes Simplex Virus, Type 2 $94.60 $172.00 $17.20–$232.20 303% above 45%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 Analysis For Antibody To Herpes Simplex Virus, Type 2 $94.60 $172.00 $17.20–$232.20 — 45%
High-sensitivity CRP (hs-CRP) test CPT 86141 Measurement C-Reactive Protein For Detection Of Infection Or Inflammation $120.45 $219.00 $11.06–$295.65 97% above 45%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 Measurement C-Reactive Protein For Detection Of Infection Or Inflammation $120.45 $219.00 $11.06–$295.65 — 45%
Insulin blood test CPT 83525 Insulin level (total) $5.31 $9.65 $1.16–$28.69 86% below 45%
Insulin blood test CPT 83525 Insulin measurement $47.85 $87.00 $10.44–$117.45 24% above 45%
Insulin blood test inpatient CPT 83525 Insulin level (total) $5.31 $9.65 $1.16–$28.69 — 45%
Insulin blood test inpatient CPT 83525 Insulin measurement $47.85 $87.00 $10.44–$117.45 — 45%
Iron blood test (serum iron) CPT 83540 Iron level liver $48.62 $88.40 $6.47–$119.34 16% below 45%
Iron blood test (serum iron) CPT 83540 Iron Level $86.35 $157.00 $6.47–$211.95 49% above 45%
Iron blood test (serum iron) CPT 83540 Iron level urine $92.58 $168.32 $6.47–$227.23 59% above 45%
Iron blood test (serum iron) inpatient CPT 83540 Iron level liver $48.62 $88.40 $6.47–$119.34 — 45%
Iron blood test (serum iron) inpatient CPT 83540 Iron Level $86.35 $157.00 $6.47–$211.95 — 45%
Iron blood test (serum iron) inpatient CPT 83540 Iron level urine $92.58 $168.32 $6.47–$227.23 — 45%
Iron-binding capacity (TIBC) test CPT 83550 Iron Binding Capacity $94.60 $172.00 $8.74–$232.20 30% above 45%
Iron-binding capacity (TIBC) test inpatient CPT 83550 Iron Binding Capacity $94.60 $172.00 $8.74–$232.20 — 45%
Kidney function blood test panel CPT 80069 Kidney Function Blood Test Panel $113.85 $207.00 $8.68–$279.45 20% below 45%
Kidney function blood test panel inpatient CPT 80069 Kidney Function Blood Test Panel $113.85 $207.00 $8.68–$279.45 — 45%
LH (luteinizing hormone) test CPT 83002 Gonadotropin, Luteinizing (Reproductive Hormone) Level $104.50 $190.00 $18.52–$256.50 at median 45%
LH (luteinizing hormone) test inpatient CPT 83002 Gonadotropin, Luteinizing (Reproductive Hormone) Level $104.50 $190.00 $18.52–$256.50 — 45%
Lactate (lactic acid) blood test CPT 83605 Lactic Acid Level $103.40 $188.00 $11.57–$253.80 23% below 45%
Lactate (lactic acid) blood test inpatient CPT 83605 Lactic Acid Level $103.40 $188.00 $11.57–$253.80 — 45%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level $4.84 $8.80 $1.06–$19.26 87% below 45%
Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate Dehydrogenase (Enzyme) Level $31.35 $57.00 $6.04–$76.95 13% below 45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate dehydrogenase (enzyme) level $4.84 $8.80 $1.06–$19.26 — 45%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 Lactate Dehydrogenase (Enzyme) Level $31.35 $57.00 $6.04–$76.95 — 45%
Lipase blood test (pancreas enzyme) CPT 83690 Lipase (Fat Enzyme) Level $63.80 $116.00 $6.89–$156.60 34% below 45%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 Lipase (Fat Enzyme) Level $63.80 $116.00 $6.89–$156.60 — 45%
Liver function blood test panel CPT 80076 Liver Function Blood Test Panel $123.20 $224.00 $8.17–$302.40 19% below 45%
Liver function blood test panel inpatient CPT 80076 Liver Function Blood Test Panel $123.20 $224.00 $8.17–$302.40 — 45%
Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $51.15 $93.00 $11.16–$125.55 142% above 45%
Lyme disease antibody test inpatient CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) $51.15 $93.00 $11.16–$125.55 — 45%
Magnesium blood test CPT 83735 Magnesium level red blood cells $17.24 $31.35 $3.76–$42.32 73% below 45%
Magnesium blood test CPT 83735 Magnesium Level $132.55 $241.00 $6.70–$325.35 109% above 45%
Magnesium blood test inpatient CPT 83735 Magnesium level red blood cells $17.24 $31.35 $3.76–$42.32 — 45%
Magnesium blood test inpatient CPT 83735 Magnesium Level $132.55 $241.00 $6.70–$325.35 — 45%
Measles (rubeola) antibody test CPT 86765 Analysis for antibody to Rubeola (measles virus) $6.41 $11.65 $1.40–$41.06 80% below 45%
Measles (rubeola) antibody test CPT 86765 Analysis For Antibody To Rubeola (Measles Virus) $67.65 $123.00 $12.88–$166.05 116% above 45%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis for antibody to Rubeola (measles virus) $6.41 $11.65 $1.40–$41.06 — 45%
Measles (rubeola) antibody test inpatient CPT 86765 Analysis For Antibody To Rubeola (Measles Virus) $67.65 $123.00 $12.88–$166.05 — 45%
Mono test (heterophile antibody, Monospot) CPT 86308 Screening Test For Mononucleosis (Mono) $125.40 $228.00 $5.18–$307.80 22% above 45%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 Screening Test For Mononucleosis (Mono) $125.40 $228.00 $5.18–$307.80 — 45%
Mumps immunity blood test CPT 86735 Analysis for antibody to mumps virus IGM $5.87 $10.67 $1.28–$41.56 63% below 45%
Mumps immunity blood test CPT 86735 Analysis For Antibody To Mumps Virus $18.70 $34.00 $4.08–$45.90 17% above 45%
Mumps immunity blood test inpatient CPT 86735 Analysis for antibody to mumps virus IGM $5.87 $10.67 $1.28–$41.56 — 45%
Mumps immunity blood test inpatient CPT 86735 Analysis For Antibody To Mumps Virus $18.70 $34.00 $4.08–$45.90 — 45%
Obstetric blood test panel CPT 80055 Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b, rubella, syphilis, antibody screening, rbc, blood typing) $162.25 $295.00 $35.40–$398.25 29% below 45%
Obstetric blood test panel inpatient CPT 80055 Blood test panel for obstetrics ( cbc, differential wbc count, hepatitis b, rubella, syphilis, antibody screening, rbc, blood typing) $162.25 $295.00 $35.40–$398.25 — 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement Screening $102.30 $186.00 $18.60–$251.10 71% above 45%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa (Prostate Specific Antigen) Measurement Diagnostic $102.30 $186.00 $18.39–$251.10 71% above 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostate Specific Antigen) Measurement Screening $102.30 $186.00 $18.60–$251.10 — 45%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa (Prostate Specific Antigen) Measurement Diagnostic $102.30 $186.00 $18.39–$251.10 — 45%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 Pap Test (Pap Smear) $124.85 $227.00 $18.00–$306.45 37% above 45%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 Pap Test (Pap Smear) $124.85 $227.00 $18.00–$306.45 — 45%
Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (Parathyroid Hormone) Level $62.70 $114.00 $13.68–$153.90 43% below 45%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 Parathormone (Parathyroid Hormone) Level $62.70 $114.00 $13.68–$153.90 — 45%
Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation Assessment Blood Test $62.15 $113.00 $6.01–$152.55 1% below 45%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Coagulation Assessment Blood Test $62.15 $113.00 $6.01–$152.55 — 45%
Phosphorus (phosphate) blood test CPT 84100 Phosphate Level $19.25 $35.00 $4.20–$47.25 75% below 45%
Phosphorus (phosphate) blood test inpatient CPT 84100 Phosphate Level $19.25 $35.00 $4.20–$47.25 — 45%
Potassium blood test CPT 84132 Blood Potassium Level $26.40 $48.00 $4.76–$64.80 64% below 45%
Potassium blood test inpatient CPT 84132 Blood Potassium Level $26.40 $48.00 $4.76–$64.80 — 45%
Progesterone blood test CPT 84144 Progesterone (reproductive hormone) level $12.74 $23.16 $2.78–$65.62 85% below 45%
Progesterone blood test inpatient CPT 84144 Progesterone (reproductive hormone) level $12.74 $23.16 $2.78–$65.62 — 45%
Prolactin blood test CPT 84146 Prolactin (Milk Producing Hormone) Level $133.65 $243.00 $19.38–$328.05 25% above 45%
Prolactin blood test inpatient CPT 84146 Prolactin (Milk Producing Hormone) Level $133.65 $243.00 $19.38–$328.05 — 45%
Prothrombin time (PT/INR) clotting test CPT 85610 Blood Test, Clotting Time $50.60 $92.00 $4.29–$124.20 8% below 45%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Blood Test, Clotting Time $50.60 $92.00 $4.29–$124.20 — 45%
Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug $58.35 $106.09 $10.08–$143.22 31% below 45%
Rapid drug screen read by eye (cup, dipstick or card), per day inpatient CPT 80305 Testing for presence of drug $58.35 $106.09 $10.08–$143.22 — 45%
Rapid flu test (influenza antigen) CPT 87804 Detection Test For Influenza Virus $35.20 $64.00 $7.68–$86.40 53% below 45%
Rapid flu test (influenza antigen) inpatient CPT 87804 Detection Test For Influenza Virus $35.20 $64.00 $7.68–$86.40 — 45%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 Strep Test (Streptococcus, Group A) $50.60 $92.00 $10.03–$124.20 53% below 45%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 Strep Test (Streptococcus, Group A) $50.60 $92.00 $10.03–$124.20 — 45%
Rh blood typing CPT 86901 Blood typing for Rh (D) antigen $9.54 $17.35 $2.08–$32.12 83% below 45%
Rh blood typing CPT 86901 Blood Typing For Rh (D) Antigen $75.35 $137.00 $2.99–$184.95 35% above 45%
Rh blood typing inpatient CPT 86901 Blood typing for Rh (D) antigen $9.54 $17.35 $2.08–$32.12 — 45%
Rh blood typing inpatient CPT 86901 Blood Typing For Rh (D) Antigen $75.35 $137.00 $2.99–$184.95 — 45%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level $7.43 $13.50 $1.62–$18.23 44% below 45%
Rheumatoid factor (RF) test CPT 86431 Rheumatoid Factor Level $89.65 $163.00 $5.67–$220.05 579% above 45%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid factor level $7.43 $13.50 $1.62–$18.23 — 45%
Rheumatoid factor (RF) test inpatient CPT 86431 Rheumatoid Factor Level $89.65 $163.00 $5.67–$220.05 — 45%
Rubella antibody test (immunity check) CPT 86762 Analysis For Antibody To Rubella (German Measles Virus) $67.65 $123.00 $14.39–$166.05 33% above 45%
Rubella antibody test (immunity check) inpatient CPT 86762 Analysis For Antibody To Rubella (German Measles Virus) $67.65 $123.00 $14.39–$166.05 — 45%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 Red Blood Cell Sedimentation Rate, To Detect Inflammation $30.80 $56.00 $2.70–$75.60 45% below 45%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 Red Blood Cell Sedimentation Rate, To Detect Inflammation $30.80 $56.00 $2.70–$75.60 — 45%
Semen analysis: volume, sperm count, motility and morphology CPT 89320 Semen Evaluation Volume, Sperm Count, Motility And Analysis $144.65 $263.00 $12.31–$355.05 4% above 45%
Semen analysis: volume, sperm count, motility and morphology inpatient CPT 89320 Semen Evaluation Volume, Sperm Count, Motility And Analysis $144.65 $263.00 $12.31–$355.05 — 45%
Sodium blood test CPT 84295 Blood Sodium Level $25.85 $47.00 $4.81–$63.45 61% below 45%
Sodium blood test inpatient CPT 84295 Blood Sodium Level $25.85 $47.00 $4.81–$63.45 — 45%
Stool ova and parasites exam CPT 87177 Smear For Parasites $12.65 $23.00 $2.76–$31.05 39% below 45%
Stool ova and parasites exam inpatient CPT 87177 Smear For Parasites $12.65 $23.00 $2.76–$31.05 — 45%
Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors $22.94 $41.70 $4.19–$56.30 41% below 45%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 Stool analysis for blood to screen for colon tumors $22.94 $41.70 $4.19–$56.30 — 45%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 Stool Analysis For Blood $48.95 $89.00 $10.68–$120.15 at median 45%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 Stool Analysis For Blood $48.95 $89.00 $10.68–$120.15 — 45%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody, Treponema pallidum $7.15 $13.00 $1.56–$28.50 56% below 45%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis for antibody to treponema pallidum $9.54 $17.35 $2.08–$28.50 41% below 45%
Syphilis antibody test (Treponema pallidum) CPT 86780 Analysis For Antibody, Treponema Pallidum $65.45 $119.00 $11.40–$160.65 304% above 45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody, Treponema pallidum $7.15 $13.00 $1.56–$28.50 — 45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis for antibody to treponema pallidum $9.54 $17.35 $2.08–$28.50 — 45%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 Analysis For Antibody, Treponema Pallidum $65.45 $119.00 $11.40–$160.65 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis Detection Test $7.15 $13.00 $1.56–$17.55 47% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 Syphilis detection test $8.25 $15.00 $1.80–$20.25 39% below 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis Detection Test $7.15 $13.00 $1.56–$17.55 — 45%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 Syphilis detection test $8.25 $15.00 $1.80–$20.25 — 45%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 Tuberculosis Test $124.85 $227.00 $27.24–$306.45 47% above 45%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 Tuberculosis Test $124.85 $227.00 $27.24–$306.45 — 45%
Testosterone blood test, total (not free testosterone) CPT 84403 Testosterone (Hormone) Level $138.05 $251.00 $25.81–$338.85 245% above 45%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 Testosterone (Hormone) Level $138.05 $251.00 $25.81–$338.85 — 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies(autoantibody) measurement liver-kidney microsomal $7.34 $13.35 $1.60–$46.37 68% below 45%
Thyroid peroxidase (TPO) antibody test CPT 86376 Microsomal antibodies (autoantibody) measurement $80.30 $146.00 $14.55–$197.10 251% above 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies(autoantibody) measurement liver-kidney microsomal $7.34 $13.35 $1.60–$46.37 — 45%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 Microsomal antibodies (autoantibody) measurement $80.30 $146.00 $14.55–$197.10 — 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) $13.84 $25.17 $3.02–$52.93 85% below 45%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) $107.25 $195.00 $16.80–$263.25 16% above 45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood test, thyroid stimulating hormone (TSH) $13.84 $25.17 $3.02–$52.93 — 45%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Blood Test, Thyroid Stimulating Hormone (Tsh) $107.25 $195.00 $16.80–$263.25 — 45%
Total IgE blood test CPT 82785 Ige (Immune System Protein) Level $61.60 $112.00 $13.44–$151.20 2% below 45%
Total IgE blood test inpatient CPT 82785 Ige (Immune System Protein) Level $61.60 $112.00 $13.44–$151.20 — 45%
Total cholesterol blood test CPT 82465 Cholesterol Level $16.50 $30.00 $3.60–$40.50 61% below 45%
Total cholesterol blood test inpatient CPT 82465 Cholesterol Level $16.50 $30.00 $3.60–$40.50 — 45%
Total thyroxine (T4) blood test CPT 84436 Thyroxine (Thyroid Chemical) Measurement $99.00 $180.00 $6.87–$243.00 153% above 45%
Total thyroxine (T4) blood test inpatient CPT 84436 Thyroxine (Thyroid Chemical) Measurement $99.00 $180.00 $6.87–$243.00 — 45%
Total triiodothyronine (T3) blood test CPT 84480 Thyroid Hormone, T3 Measurement $97.90 $178.00 $14.18–$240.30 26% above 45%
Total triiodothyronine (T3) blood test inpatient CPT 84480 Thyroid Hormone, T3 Measurement $97.90 $178.00 $14.18–$240.30 — 45%
Transferrin blood test CPT 84466 Transferrin (Iron Binding Protein) Level $116.05 $211.00 $12.76–$284.85 115% above 45%
Transferrin blood test inpatient CPT 84466 Transferrin (Iron Binding Protein) Level $116.05 $211.00 $12.76–$284.85 — 45%
Trichomonas test (NAAT) CPT 87661 Detection test for Trichomonas vaginalis (genital parasite) $97.35 $177.00 $21.24–$238.95 1% below 45%
Trichomonas test (NAAT) inpatient CPT 87661 Detection test for Trichomonas vaginalis (genital parasite) $97.35 $177.00 $21.24–$238.95 — 45%
Triglycerides blood test CPT 84478 Triglycerides Level $20.35 $37.00 $4.44–$49.95 50% below 45%
Triglycerides blood test inpatient CPT 84478 Triglycerides Level $20.35 $37.00 $4.44–$49.95 — 45%
Troponin test, quantitative CPT 84484 Troponin (Protein) Analysis $103.95 $189.00 $12.15–$255.15 42% below 45%
Troponin test, quantitative inpatient CPT 84484 Troponin (Protein) Analysis $103.95 $189.00 $12.15–$255.15 — 45%
Uric acid blood test CPT 84550 Uric Acid Level, Blood $13.20 $24.00 $2.88–$32.40 80% below 45%
Uric acid blood test inpatient CPT 84550 Uric Acid Level, Blood $13.20 $24.00 $2.88–$32.40 — 45%
Urinalysis with microscope exam, automated CPT 81001 Automated Urinalysis Test With Examination Using Microscope $64.90 $118.00 $3.17–$159.30 22% below 45%
Urinalysis with microscope exam, automated inpatient CPT 81001 Automated Urinalysis Test With Examination Using Microscope $64.90 $118.00 $3.17–$159.30 — 45%
Urinalysis with microscope exam, manual CPT 81000 Manual Urinalysis Test With Examination Using Microscope $17.60 $32.00 $3.70–$43.20 45% below 45%
Urinalysis with microscope exam, manual inpatient CPT 81000 Manual Urinalysis Test With Examination Using Microscope $17.60 $32.00 $3.70–$43.20 — 45%
Urinalysis without microscope exam, automated CPT 81003 Automated Urinalysis Test $18.70 $34.00 $2.25–$45.90 67% below 45%
Urinalysis without microscope exam, automated inpatient CPT 81003 Automated Urinalysis Test $18.70 $34.00 $2.25–$45.90 — 45%
Urinalysis without microscope exam, manual CPT 81002 Urinalysis, Manual Test $11.55 $21.00 $2.52–$28.35 66% below 45%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urinalysis, Manual Test $11.55 $21.00 $2.52–$28.35 — 45%
Urine culture for bacteria, with colony count CPT 87086 Bacterial Colony Count, Urine $112.75 $205.00 $8.07–$276.75 19% below 45%
Urine culture for bacteria, with colony count inpatient CPT 87086 Bacterial Colony Count, Urine $112.75 $205.00 $8.07–$276.75 — 45%
Urine microalbumin (albumin) test CPT 82043 Urine Microalbumin (Protein) Level $64.35 $117.00 $5.78–$157.95 75% above 45%
Urine microalbumin (albumin) test inpatient CPT 82043 Urine Microalbumin (Protein) Level $64.35 $117.00 $5.78–$157.95 — 45%
Urine pregnancy test, read by color change CPT 81025 Urine Pregnancy Test $25.85 $47.00 $4.02–$31.49 71% below 45%
Urine pregnancy test, read by color change inpatient CPT 81025 Urine Pregnancy Test $25.85 $47.00 $4.02–$31.49 — 45%
Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (Vitamin B-12) Level $86.90 $158.00 $15.08–$213.30 8% below 45%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 Cyanocobalamin (Vitamin B-12) Level $86.90 $158.00 $15.08–$213.30 — 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D Level $141.35 $257.00 $29.60–$346.95 121% above 45%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 Vitamin D Level $141.35 $257.00 $29.60–$346.95 — 45%
Zinc blood test CPT 84630 Zinc level heavy metal $6.31 $11.48 $1.38–$36.29 43% below 45%
Zinc blood test CPT 84630 Zinc level whole blood $9.68 $17.60 $2.11–$36.29 12% below 45%
Zinc blood test CPT 84630 Zinc level $9.68 $17.60 $2.11–$36.29 12% below 45%
Zinc blood test inpatient CPT 84630 Zinc level heavy metal $6.31 $11.48 $1.38–$36.29 — 45%
Zinc blood test inpatient CPT 84630 Zinc level whole blood $9.68 $17.60 $2.11–$36.29 — 45%
Zinc blood test inpatient CPT 84630 Zinc level $9.68 $17.60 $2.11–$36.29 — 45%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level $279.95 $509.00 $15.05–$687.15 57% above 45%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 Gonadotropin, Chorionic (Reproductive Hormone) Level $279.95 $509.00 $15.05–$687.15 — 45%

Surgery and procedures

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 Fusion of spine bones with removal of disc at upper spinal column, anterior approach $88,776.59 $161,411.98 $60.67–$24,246.00 792% above 45%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 Repair of anterior cruciate ligament of knee with assistance of an endoscope $33,927.57 $61,686.49 $90.00–$18,241.00 265% above 45%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 Repair of shoulder rotator cuff using an endoscope $30,793.97 $55,989.03 $90.00–$16,679.67 308% above 45%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 Dilation of opening from sinus above teeth (maxillary sinus) into cavity of nose using endoscope $26,622.40 $48,404.36 $70.00–$14,671.72 460% above 45%
Botox injections for chronic migraine CPT 64615 Injection Of Chemical For Destruction Of Facial And Neck Nerve Muscles $348.15 $633.00 $75.96–$7,757.98 60% below 45%
Botox injections for chronic migraine CPT 64615 Injection Of Chemical For Destruction Of Facial And Neck Nerve Muscles $3,145.31 $5,718.74 $15.00–$7,757.98 258% above 45%
Botox injections for chronic migraine inpatient CPT 64615 Injection Of Chemical For Destruction Of Facial And Neck Nerve Muscles $348.15 $633.00 $75.96–$7,757.98 — 45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast accessed throught the skin with stereotactic guidance $5,944.95 $10,809.00 $632.17–$14,592.15 37% above 45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 Biopsy of breast accessed throught the skin with stereotactic guidance $6,702.30 $12,186.00 $632.17–$10,382.01 54% above 45%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 Biopsy of breast accessed throught the skin with stereotactic guidance $5,944.95 $10,809.00 $632.17–$14,592.15 — 45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Broken Ankle $442.20 $804.00 $96.48–$7,757.98 17% below 45%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Treatment Of Broken Ankle $956.45 $1,739.00 $5.00–$5,480.00 79% above 45%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 Treatment Of Broken Ankle $442.20 $804.00 $96.48–$7,757.98 — 45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Treatment Of Broken Foot Bone $455.40 $828.00 $99.36–$5,480.00 15% below 45%
Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken foot bone $26,545.91 $48,265.29 $10.00–$11,865.15 4836% above 45%
Broken foot (metatarsal) treatment without surgery or setting inpatient CPT 28470 Treatment Of Broken Foot Bone $455.40 $828.00 $99.36–$5,480.00 — 45%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 Correction of bunion $27,876.54 $50,684.62 $70.00–$11,865.15 566% above 45%
Bunion correction with removal of part of the big toe joint CPT 28292 Correction of bunion $17,641.00 $32,074.55 $65.00–$14,671.72 252% above 45%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion Of Catheter In Left Heart For Imaging Of Blood Vessels Or Grafts And Left Lower Heart $7,498.70 $13,634.00 $950.01–$24,246.00 42% below 45%
Cardiac catheterization with coronary angiogram one side CPT 93458 Insertion Of Catheter In Left Heart For Imaging Of Blood Vessels Or Grafts And Left Lower Heart $9,759.89 $17,745.26 $60.67–$24,246.00 25% below 45%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 Insertion Of Catheter In Left Heart For Imaging Of Blood Vessels Or Grafts And Left Lower Heart $7,498.70 $13,634.00 $950.01–$24,246.00 — 45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 Programming device evaluation of heart monitoring system with reprogrmming, analysis, review and report $1,360.15 $2,473.00 $174.93–$5,480.00 29% below 45%
Cardioversion, elective (restoring heart rhythm) CPT 92960 External Shock To Heart To Regulate Heart Beat $1,360.15 $2,473.00 $174.93–$5,480.00 29% below 45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 External Shock To Heart To Regulate Heart Beat $1,360.15 $2,473.00 $174.93–$5,480.00 — 45%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 Programming device evaluation of heart monitoring system with reprogrmming, analysis, review and report $1,360.15 $2,473.00 $174.93–$5,480.00 — 45%
Carpal tunnel release, open surgery CPT 64721 Release and/or relocation of median nerve of hand $9,432.22 $17,149.49 $60.00–$10,382.01 161% above 45%
Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens $37,598.58 $68,361.06 $140.00–$22,566.61 645% above 45%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Abnormal Heart Rhythm $42,446.80 $77,176.00 $880.47–$104,187.60 27% above 45%
Catheter ablation for atrial fibrillation CPT 93656 Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Abnormal Heart Rhythm $80,377.52 $146,140.95 $880.47–$31,170.74 140% above 45%
Catheter ablation for atrial fibrillation inpatient CPT 93656 Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Abnormal Heart Rhythm $42,446.80 $77,176.00 $880.47–$104,187.60 — 45%
Cervical biopsy CPT 57500 Biopsy Of Cervix Or Excision Of Local Growths $2,356.20 $4,284.00 $46.52–$7,757.98 21% above 45%
Cervical biopsy CPT 57500 Biopsy Of Cervix Or Excision Of Local Growths $4,617.25 $8,395.00 $25.00–$7,757.98 137% above 45%
Cervical biopsy inpatient CPT 57500 Biopsy Of Cervix Or Excision Of Local Growths $2,356.20 $4,284.00 $46.52–$7,757.98 — 45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal Of Penile Foreskin Of Using Other Than Clamp, Device, Or Slitting Patient Older Than 28 Days Of Age $2,197.25 $3,995.00 $181.57–$10,382.01 53% below 45%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 Removal Of Penile Foreskin Of Using Other Than Clamp, Device, Or Slitting Patient Older Than 28 Days Of Age $15,139.69 $27,526.70 $55.00–$10,382.01 226% above 45%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 Removal Of Penile Foreskin Of Using Other Than Clamp, Device, Or Slitting Patient Older Than 28 Days Of Age $2,197.25 $3,995.00 $181.57–$10,382.01 — 45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 Removal of foreskin of using clamp or device $2,763.20 $5,024.00 $167.48–$6,782.40 65% above 45%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 Removal of foreskin of using clamp or device $2,763.20 $5,024.00 $167.48–$6,782.40 — 45%
Circumcision, surgical, older than a newborn CPT 54160 Removal of foreskin, neonate (28 days of age or less) $1,525.15 $2,773.00 $247.21–$5,480.00 181% above 45%
Circumcision, surgical, older than a newborn inpatient CPT 54160 Removal of foreskin, neonate (28 days of age or less) $1,525.15 $2,773.00 $247.21–$5,480.00 — 45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment Of Broken Forearm Bones $512.60 $932.00 $111.84–$7,505.00 8% below 45%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Treatment Of Broken Forearm Bones $1,278.75 $2,325.00 $12.00–$7,505.00 129% above 45%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 Treatment Of Broken Forearm Bones $512.60 $932.00 $111.84–$7,505.00 — 45%
Colonoscopy with endoscopic ultrasound CPT 45391 Examination Of Large Bowel Using An Endoscope $2,981.55 $5,421.00 $169.77–$7,757.98 30% above 45%
Colonoscopy with endoscopic ultrasound CPT 45391 Examination Of Large Bowel Using An Endoscope $10,558.81 $19,197.83 $30.00–$10,382.01 361% above 45%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 Examination Of Large Bowel Using An Endoscope $2,981.55 $5,421.00 $169.77–$7,757.98 — 45%
Colonoscopy with polyp removal CPT 45385 Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope $2,732.40 $4,968.00 $520.40–$10,382.01 19% above 45%
Colonoscopy with polyp removal CPT 45385 Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope $7,832.40 $14,240.73 $30.00–$10,382.01 242% above 45%
Colonoscopy with polyp removal inpatient CPT 45385 Removal Of Polyps Or Growths Of Large Bowel Using An Endoscope $2,732.40 $4,968.00 $520.40–$10,382.01 — 45%
Colonoscopy with tissue sample CPT 45380 Biopsy Of Large Bowel Using An Endoscope $2,325.95 $4,229.00 $473.68–$10,382.01 at median 45%
Colonoscopy with tissue sample CPT 45380 Biopsy Of Large Bowel Using An Endoscope $7,989.00 $14,525.46 $30.00–$10,382.01 243% above 45%
Colonoscopy with tissue sample inpatient CPT 45380 Biopsy Of Large Bowel Using An Endoscope $2,325.95 $4,229.00 $473.68–$10,382.01 — 45%
Colonoscopy, diagnostic CPT 45378 Diagnostic Examination Of Large Bowel Using An Endoscope $2,141.15 $3,893.00 $388.63–$10,382.01 3% above 45%
Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening Colonoscopy On Individual Not Meeting Criteria Forhigh Risk $2,141.15 $3,893.00 $388.85–$10,382.01 3% above 45%
Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening Colonoscopy On Individual At High Risk $2,141.15 $3,893.00 $388.63–$10,382.01 3% above 45%
Colonoscopy, diagnostic CPT 45378 Colorectal Cancer Screening Colonoscopy On Individual Not Meeting Criteria Forhigh Risk $4,408.10 $8,014.73 $50.00–$10,382.01 112% above 45%
Colonoscopy, diagnostic inpatient CPT 45378 Colorectal Cancer Screening Colonoscopy On Individual Not Meeting Criteria Forhigh Risk $2,141.15 $3,893.00 $388.85–$10,382.01 — 45%
Colonoscopy, diagnostic inpatient CPT 45378 Colorectal Cancer Screening Colonoscopy On Individual At High Risk $2,141.15 $3,893.00 $388.63–$10,382.01 — 45%
Colonoscopy, diagnostic inpatient CPT 45378 Diagnostic Examination Of Large Bowel Using An Endoscope $2,141.15 $3,893.00 $388.63–$10,382.01 — 45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy Of The Cervix And Vagina Using An Endoscope $3,259.85 $5,927.00 $214.55–$10,382.01 30% below 45%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 Biopsy of cervix using an endoscope $16,526.35 $30,047.91 $55.00–$11,865.15 255% above 45%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 Biopsy Of The Cervix And Vagina Using An Endoscope $3,259.85 $5,927.00 $214.55–$10,382.01 — 45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy And Scraping Of The Cervix And Vagina Using An Endoscope $1,740.20 $3,164.00 $98.85–$7,757.98 84% above 45%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 Biopsy And Scraping Of The Cervix And Vagina Using An Endoscope $2,524.50 $4,590.00 $25.00–$7,505.00 167% above 45%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 Biopsy And Scraping Of The Cervix And Vagina Using An Endoscope $1,740.20 $3,164.00 $98.85–$7,757.98 — 45%
Complex cataract surgery with lens implant CPT 66982 Complex removal of cataract with insertion of lens $11,714.29 $21,298.70 $140.00–$22,566.61 192% above 45%
Coronary stent placement, one artery CPT 92928 Catheter insertion of stents in major coronary artery or branch, accessed through the skin $24,676.45 $44,866.28 $483.05–$24,246.00 65% above 45%
Cystoscopy with ureteral stent placement CPT 52332 Insertion Of Stent In Urinary Duct (Ureter) Using An Endoscope $3,333.55 $6,061.00 $506.06–$10,382.01 55% below 45%
Cystoscopy with ureteral stent placement CPT 52332 Insertion of stent in urinary duct (ureter) using an endoscope $22,186.63 $40,339.32 $60.00–$11,865.15 198% above 45%
Cystoscopy with ureteral stent placement inpatient CPT 52332 Insertion Of Stent In Urinary Duct (Ureter) Using An Endoscope $3,333.55 $6,061.00 $506.06–$10,382.01 — 45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic Examination Of The Bladder And Bladder Canal (Urethra) Using An Endoscope $902.00 $1,640.00 $99.55–$7,757.98 44% below 45%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Diagnostic Examination Of The Bladder And Bladder Canal (Urethra) Using An Endoscope $1,094.50 $1,990.00 $30.00–$7,505.00 32% below 45%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Diagnostic Examination Of The Bladder And Bladder Canal (Urethra) Using An Endoscope $902.00 $1,640.00 $99.55–$7,757.98 — 45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C For Diagnosis And/Or Therapy (Non-Obstetrical) $3,382.50 $6,150.00 $255.84–$10,382.01 20% below 45%
D&C (dilation and curettage), not related to pregnancy CPT 58120 D&C For Diagnosis And/Or Therapy (Non-Obstetrical) $16,936.35 $30,793.37 $39.00–$10,382.01 300% above 45%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 D&C For Diagnosis And/Or Therapy (Non-Obstetrical) $3,382.50 $6,150.00 $255.84–$10,382.01 — 45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Of Skin Growth $209.00 $380.00 $45.60–$5,480.00 35% below 45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction Of Skin Growth $607.75 $1,105.00 $3.00–$5,480.00 90% above 45%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 Destruction Of Skin Growth $209.00 $380.00 $45.60–$5,480.00 — 45%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 Incision of eardrum with insertion of eardrum tube under general anesthesia $8,056.66 $14,648.48 $59.00–$11,865.15 39% above 45%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision Of Eardrum With Insertion Of Eardrum Tube Under Local Or Topical Anesthesia $803.00 $1,460.00 $85.98–$7,757.98 22% below 45%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 Incision Of Eardrum With Insertion Of Eardrum Tube Under Local Or Topical Anesthesia $916.30 $1,666.00 $45.00–$5,480.00 11% below 45%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 Incision Of Eardrum With Insertion Of Eardrum Tube Under Local Or Topical Anesthesia $803.00 $1,460.00 $85.98–$7,757.98 — 45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $111.10 $202.00 $9.23–$272.70 37% below 45%
Earwax removal by irrigation (rinsing), one ear CPT 69209 Removal of impacted ear wax by washing $224.40 $408.00 $9.23–$75.47 26% above 45%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 Removal of impacted ear wax by washing $111.10 $202.00 $9.23–$272.70 — 45%
Earwax removal with instruments, one ear CPT 69210 Removal Of Impact Ear Wax $244.75 $445.00 $35.03–$5,480.00 29% above 45%
Earwax removal with instruments, one ear CPT 69210 Removal Of Impact Ear Wax $360.80 $656.00 $35.03–$5,480.00 91% above 45%
Earwax removal with instruments, one ear inpatient CPT 69210 Removal Of Impact Ear Wax $244.75 $445.00 $35.03–$5,480.00 — 45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterine Lining $944.90 $1,718.00 $47.09–$5,480.00 73% above 45%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 Biopsy Of Uterine Lining $1,294.70 $2,354.00 $25.00–$5,480.00 137% above 45%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 Biopsy Of Uterine Lining $944.90 $1,718.00 $47.09–$5,480.00 — 45%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 Complete removal of nasal sinus using an endoscope $46,984.53 $85,426.42 $35.00–$23,159.86 332% above 45%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 Exploration of nasal sinus using an endoscope $56,512.29 $102,749.61 $394.41–$16,679.67 526% above 45%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 Incision of nasal sinus using an endoscope $50,795.70 $92,355.81 $35.00–$16,679.67 663% above 45%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 Removal of nasal sinus tissue using an endoscope $51,997.69 $94,541.26 $277.06–$16,679.67 476% above 45%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into spinal canal of upper or middle back using imaging guidance $1,914.00 $3,480.00 $223.38–$7,757.98 21% below 45%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into spinal canal of upper or middle back using imaging guidance $1,915.62 $3,482.94 $18.00–$7,757.98 21% below 45%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 Injection of substance into spinal canal of upper or middle back using imaging guidance $1,914.00 $3,480.00 $223.38–$7,757.98 — 45%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Of Drug Into Eye $900.90 $1,638.00 $124.29–$7,757.98 2% above 45%
Eye injection into the vitreous (intravitreal injection) CPT 67028 Injection Of Drug Into Eye $5,366.98 $9,758.14 $40.00–$7,757.98 507% above 45%
Eye injection into the vitreous (intravitreal injection) inpatient CPT 67028 Injection Of Drug Into Eye $900.90 $1,638.00 $124.29–$7,757.98 — 45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection Of Lower Spine Facet Joint Using Imaging Guidance $1,558.70 $2,834.00 $144.45–$7,757.98 24% below 45%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection Of Lower Spine Facet Joint Using Imaging Guidance $3,988.58 $7,251.97 $144.45–$7,757.98 94% above 45%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 Injection Of Lower Spine Facet Joint Using Imaging Guidance $1,558.70 $2,834.00 $144.45–$7,757.98 — 45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Examination Of Large Bowel Using An Endoscope $1,419.00 $2,580.00 $62.80–$7,757.98 22% below 45%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 Diagnostic Examination Of Large Bowel Using An Endoscope $5,044.48 $9,171.79 $50.00–$7,757.98 176% above 45%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 Diagnostic Examination Of Large Bowel Using An Endoscope $1,419.00 $2,580.00 $62.80–$7,757.98 — 45%
Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope $28,559.37 $51,926.13 $155.00–$24,246.00 116% above 45%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 Removal of gallbladder with X-ray study of bile ducts using endoscope $24,635.34 $44,791.53 $155.00–$24,246.00 165% above 45%
Gallbladder removal, open surgery through a larger incision CPT 47600 Removal of gallbladder $61,930.85 $112,601.55 $60.00–$31,168.84 2193% above 45%
Hammertoe correction surgery CPT 28285 Correction of toe joint deformity $38,788.50 $70,524.55 $75.00–$11,865.15 826% above 45%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal Of Hemorrhoid By Rubber Banding $954.80 $1,736.00 $88.44–$7,757.98 49% below 45%
Hemorrhoid banding (rubber band ligation) CPT 46221 Removal Of Hemorrhoid By Rubber Banding $954.80 $1,736.00 $15.00–$7,757.98 49% below 45%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 Removal Of Hemorrhoid By Rubber Banding $954.80 $1,736.00 $88.44–$7,757.98 — 45%
Hemorrhoidectomy (internal and external), one area CPT 46255 Removal of internal and external hemorrhoids $11,482.75 $20,877.72 $60.00–$11,865.15 152% above 45%
Hip replacement after an earlier hip surgery (conversion to total hip) CPT 27132 Replacement of thigh bone and hip joint prosthesis $57,872.95 $105,223.55 $22.34–$14,736.00 252% above 45%
Hysterectomy through an abdominal incision (total) CPT 58150 Abdominal removal of uterus and cervix $51,101.02 $92,910.94 $65.00–$18,241.00 1416% above 45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 Introduction Of Saline Or X-Ray Contrast Material For X-Ray Imaging Of The Uterus And Tubes $767.25 $1,395.00 $167.40–$5,480.00 22% above 45%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 Introduction Of Saline Or X-Ray Contrast Material For X-Ray Imaging Of The Uterus And Tubes $767.25 $1,395.00 $167.40–$5,480.00 — 45%
Hysteroscopy with endometrial ablation CPT 58563 Examination of uterus with destruction of uterine lining using an endoscope $18,872.78 $34,314.15 $60.00–$14,671.72 195% above 45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy and/or removal of polyp of the uterus using an endoscope $3,353.35 $6,097.00 $251.48–$11,865.15 53% below 45%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 Biopsy and/or removal of polyp of the uterus using an endoscope $15,439.39 $28,071.62 $60.00–$11,865.15 118% above 45%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 Biopsy and/or removal of polyp of the uterus using an endoscope $3,353.35 $6,097.00 $251.48–$11,865.15 — 45%
IUD insertion (the device itself billed separately) CPT 58300 Placement Of Intra-Uterine Device (Iud) For Pregnancy Prevention $602.25 $1,095.00 $131.40–$2,395.85 2% above 45%
IUD insertion (the device itself billed separately) CPT 58300 Placement Of Intra-Uterine Device (Iud) For Pregnancy Prevention $2,954.60 $5,372.00 $5.00–$5,480.00 403% above 45%
IUD insertion (the device itself billed separately) inpatient CPT 58300 Placement Of Intra-Uterine Device (Iud) For Pregnancy Prevention $602.25 $1,095.00 $131.40–$2,395.85 — 45%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Abscess $289.30 $526.00 $48.70–$7,505.00 38% below 45%
Incision and drainage of a simple or single skin abscess CPT 10060 Drainage Of Abscess $1,416.45 $2,575.36 $15.00–$9,732.00 203% above 45%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 Drainage Of Abscess $289.30 $526.00 $48.70–$7,505.00 — 45%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older $21,732.33 $39,513.32 $65.00–$14,671.72 194% above 45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Of Tendon Sheath, Ligament, Or Muscle Membrane $382.25 $695.00 $52.54–$5,480.00 42% below 45%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection Of Tendon Sheath, Ligament, Or Muscle Membrane $937.57 $1,704.68 $6.00–$5,480.00 42% above 45%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 Injection Of Tendon Sheath, Ligament, Or Muscle Membrane $382.25 $695.00 $52.54–$5,480.00 — 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration Or Injection Of Large Joint Or Joint Capsule $443.30 $806.00 $52.54–$9,732.00 53% below 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration Or Injection Of Large Joint Or Joint Capsule $913.20 $1,660.36 $52.54–$9,732.00 4% below 45%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Aspiration Or Injection Of Large Joint Or Joint Capsule $443.30 $806.00 $52.54–$9,732.00 — 45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Of Drug Delivery Implant Into Tissue $466.95 $849.00 $101.88–$2,395.85 64% above 45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion of drug delivery implants into tissue for treatment of opioid addiction $466.95 $849.00 $84.90–$2,395.85 64% above 45%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 Insertion Of Drug Delivery Implant Into Tissue $19,624.46 $35,680.83 $40.00–$16,679.67 6804% above 45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion Of Drug Delivery Implant Into Tissue $466.95 $849.00 $101.88–$2,395.85 — 45%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 Insertion of drug delivery implants into tissue for treatment of opioid addiction $466.95 $849.00 $84.90–$2,395.85 — 45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration Or Injection Of Medium Joint Or Joint Capsule $363.55 $661.00 $43.57–$7,505.00 40% below 45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration Or Injection Of Medium Joint Or Joint Capsule $869.55 $1,581.00 $14.00–$7,505.00 43% above 45%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 Aspiration Or Injection Of Medium Joint Or Joint Capsule $363.55 $661.00 $43.57–$7,505.00 — 45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration Or Injection Of Small Joint Or Joint Capsule $347.05 $631.00 $37.17–$5,480.00 52% below 45%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration Or Injection Of Small Joint Or Joint Capsule $863.95 $1,570.82 $14.00–$5,480.00 19% above 45%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 Aspiration Or Injection Of Small Joint Or Joint Capsule $347.05 $631.00 $37.17–$5,480.00 — 45%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 Repair of knee joint using an endoscope $33,557.85 $61,014.27 $90.00–$18,241.00 701% above 45%
Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope $17,055.23 $31,009.50 $95.00–$14,671.72 231% above 45%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 Removal of both knee cartilages using an endoscope $24,557.37 $44,649.77 $90.00–$14,671.72 487% above 45%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 Removal or shaving of knee joint cartilage using an endoscope $16,047.49 $29,177.26 $90.00–$14,671.72 70% above 45%
Laparoscopic Roux-en-Y gastric bypass, standard limb length CPT 43644 Bypass operation of stomach using an endoscope $25,521.96 $46,403.56 $155.00–$10,382.01 — 45%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 Removal of appendix using an endoscope $28,335.18 $51,518.50 $155.00–$19,166.78 247% above 45%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 Repair of muscle at esophagus and stomach using an endoscope $63,959.25 $116,289.54 $65.00–$31,168.84 329% above 45%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 Abdominal removal of uterus (250 grams or less) using an endoscope $64,884.13 $117,971.14 $155.00–$18,241.00 283% above 45%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope $64,894.25 $117,989.55 $155.00–$18,241.00 359% above 45%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 Repair of groin hernia using an endoscope $30,735.54 $55,882.80 $155.00–$14,671.72 93% above 45%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 Repositioning of recurrent groin hernia using an endoscope $38,987.52 $70,886.40 $155.00–$23,159.86 184% above 45%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 Removal of stomach reduction device and port beneath the skin using an endoscope $24,625.34 $44,773.34 $155.00–$30,150.00 251% above 45%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 Removal of ovaries and/or tubes using an endoscope $26,696.70 $48,539.45 $690.33–$16,679.67 99% above 45%
Laparoscopic sleeve gastrectomy for weight loss CPT 43775 Stomach reduction procedure with partial removal of stomach using an endoscope $37,690.68 $68,528.50 $90.00–$30,150.00 487% above 45%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal Of Recurring Cataract In Lens Capsule Using Laser $624.25 $1,135.00 $267.01–$10,382.01 61% below 45%
Laser treatment of clouding after cataract surgery (YAG) CPT 66821 Removal Of Recurring Cataract In Lens Capsule Using Laser $749.65 $1,363.00 $163.56–$10,382.01 54% below 45%
Laser treatment of clouding after cataract surgery (YAG) inpatient CPT 66821 Removal Of Recurring Cataract In Lens Capsule Using Laser $749.65 $1,363.00 $163.56–$10,382.01 — 45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Underarms, Trunk, Arms, Or Legs $583.55 $1,061.00 $96.98–$7,757.98 33% below 45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Underarms, Trunk, Arms, Or Legs $11,019.81 $20,036.02 $35.00–$7,757.98 1169% above 45%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Underarms, Trunk, Arms, Or Legs $583.55 $1,061.00 $96.98–$7,757.98 — 45%
Left heart catheterization, diagnostic one side CPT 93452 Insertion Of Catheter Into Left Heart For Diagnosis $5,778.30 $10,506.00 $762.86–$18,241.00 42% below 45%
Left heart catheterization, diagnostic one side CPT 93452 Insertion Of Catheter Into Left Heart For Diagnosis $13,109.10 $23,834.73 $160.00–$23,159.86 32% above 45%
Left heart catheterization, diagnostic inpatient one side CPT 93452 Insertion Of Catheter Into Left Heart For Diagnosis $5,778.30 $10,506.00 $762.86–$18,241.00 — 45%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $1,607.65 $2,923.00 $220.03–$7,757.98 28% below 45%
Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $1,609.27 $2,925.94 $18.00–$7,757.98 28% below 45%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $1,607.65 $2,923.00 $220.03–$7,757.98 — 45%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $930.60 $1,692.00 $138.50–$7,757.98 48% below 45%
Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $67,591.58 $122,893.78 $138.50–$14,736.00 3676% above 45%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance $930.60 $1,692.00 $138.50–$7,757.98 — 45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Of Lower Or Sacral Spine Nerve Root Using Imaging Guidance $2,047.65 $3,723.00 $205.61–$7,757.98 at median 45%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection Of Lower Or Sacral Spine Nerve Root Using Imaging Guidance $3,074.70 $5,590.37 $205.61–$7,757.98 51% above 45%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Injection Of Lower Or Sacral Spine Nerve Root Using Imaging Guidance $2,047.65 $3,723.00 $205.61–$7,757.98 — 45%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Partial Removal Of Bone With Release Of Spinal Cord Or Spinal Nerves Of 1 Interspace In Lower Spine $7,975.55 $14,501.00 $1,027.35–$23,159.86 14% below 45%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine $46,402.54 $84,368.25 $70.00–$23,159.86 400% above 45%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 Partial Removal Of Bone With Release Of Spinal Cord Or Spinal Nerves Of 1 Interspace In Lower Spine $7,975.55 $14,501.00 $1,027.35–$23,159.86 — 45%
Lumbar fusion with interbody cage and posterolateral graft (TLIF), one level CPT 22633 Fusion of lower spine bone at side or back of bone with partial removal of spine bone and disc through back, 1 disc $126,196.76 $229,448.65 $100.00–$23,366.40 721% above 45%
Lumbar interbody fusion (PLIF or TLIF), one level CPT 22630 Fusion of lower spine bones with removal of disc, posterior approach $143,927.11 $261,685.66 $100.00–$23,366.40 313% above 45%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Partial Removal Of Middle Spine Bone With Release Of Spinal Cord Or Nerves $7,374.95 $13,409.00 $912.88–$23,159.86 66% below 45%
Lumbar laminectomy (spinal decompression), one level CPT 63047 Partial removal of middle spine bone with release of spinal cord and/or nerves $54,366.85 $98,848.81 $70.00–$23,159.86 147% above 45%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 Partial Removal Of Middle Spine Bone With Release Of Spinal Cord Or Nerves $7,374.95 $13,409.00 $912.88–$23,159.86 — 45%
Lumbar spinal fusion (posterior), one level CPT 22612 Fusion of lower spine bones, posterior or posterolateral approach $118,739.02 $215,889.13 $100.00–$23,366.40 573% above 45%
Lumpectomy (partial mastectomy) CPT 19301 Partial removal of breast $29,773.10 $54,132.91 $70.00–$11,865.15 345% above 45%
Mastectomy (total removal of the breast) CPT 19303 Total removal of breast $43,401.50 $78,911.81 $70.00–$14,671.72 390% above 45%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment Of First Trimester Missed Abortion $3,242.25 $5,895.00 $241.91–$16,679.67 36% below 45%
Miscarriage treatment with D&C, first trimester CPT 59820 Treatment Of First Trimester Missed Abortion $10,904.84 $19,826.99 $20.00–$16,679.67 115% above 45%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 Treatment Of First Trimester Missed Abortion $3,242.25 $5,895.00 $241.91–$16,679.67 — 45%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals CPT 17311 Removal And Microscopic Examination Of Growth Of The Head, Neck, Hands, Feet, Or Genitals (First Stage, Up To 5 Tissue $641.85 $1,167.00 $140.04–$7,757.98 61% below 45%
Mohs surgery for skin cancer, first stage, head, neck, hands, feet or genitals inpatient CPT 17311 Removal And Microscopic Examination Of Growth Of The Head, Neck, Hands, Feet, Or Genitals (First Stage, Up To 5 Tissue $641.85 $1,167.00 $140.04–$7,757.98 — 45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal Of Growth (0.5 Centimeters Or Less) Of The Trunk, Arms Or Legs $779.90 $1,418.00 $66.65–$7,757.98 41% below 45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs $26,713.68 $48,570.32 $28.00–$11,865.15 1915% above 45%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 Removal Of Growth (0.5 Centimeters Or Less) Of The Trunk, Arms Or Legs $779.90 $1,418.00 $66.65–$7,757.98 — 45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal Of Growth (0.5 Centimeters Or Less) Of The Face, Ears, Eyelids, Nose, Lips, Or Mouth $677.05 $1,231.00 $73.91–$7,757.98 54% below 45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of growth (0.5 centimeters or less) of the face, ears, eyelids, nose, lips, or mouth $17,485.06 $31,791.02 $36.00–$7,757.98 1084% above 45%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 Removal Of Growth (0.5 Centimeters Or Less) Of The Face, Ears, Eyelids, Nose, Lips, Or Mouth $677.05 $1,231.00 $73.91–$7,757.98 — 45%
Nail removal (partial or complete), one nail CPT 11730 Separation Of Nail Plate From Nail Bed $258.50 $470.00 $36.74–$5,480.00 49% below 45%
Nail removal (partial or complete), one nail CPT 11730 Separation Of Nail Plate From Nail Bed $15,356.35 $27,920.63 $30.00–$14,671.72 2951% above 45%
Nail removal (partial or complete), one nail inpatient CPT 11730 Separation Of Nail Plate From Nail Bed $258.50 $470.00 $36.74–$5,480.00 — 45%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head $695.75 $1,265.00 $72.20–$5,480.00 21% below 45%
Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head $2,856.15 $5,193.00 $72.20–$7,757.98 225% above 45%
Occipital nerve block (injection for headaches) inpatient CPT 64405 Injection of anesthetic agent and/or steroid into greater occipital nerve of upper neck and back of head $695.75 $1,265.00 $72.20–$5,480.00 — 45%
Pacemaker implant (dual chamber) CPT 33208 Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower Chamber Electrodes $13,518.45 $24,579.00 $543.72–$33,181.65 28% below 45%
Pacemaker implant (dual chamber) CPT 33208 Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower Chamber Electrodes $35,018.81 $63,670.56 $120.00–$31,168.84 87% above 45%
Pacemaker implant (dual chamber) inpatient CPT 33208 Insertion Of New Or Replacement Of Permanent Pacemaker Including Upper And Lower Chamber Electrodes $13,518.45 $24,579.00 $543.72–$33,181.65 — 45%
Paracentesis with imaging guidance CPT 49083 Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance $1,221.55 $2,221.00 $89.72–$7,757.98 33% below 45%
Paracentesis with imaging guidance CPT 49083 Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance $1,343.74 $2,443.17 $30.00–$7,757.98 27% below 45%
Paracentesis with imaging guidance inpatient CPT 49083 Drainage Of Fluid From Abdominal Cavity Using Imaging Guidance $1,221.55 $2,221.00 $89.72–$7,757.98 — 45%
Partial knee replacement (one compartment) CPT 27446 Repair of knee joint $37,313.17 $67,842.12 $24.55–$31,168.84 86% above 45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail $784.30 $1,426.00 $96.98–$7,757.98 39% below 45%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 Removal Of Nail $11,200.29 $20,364.16 $39.00–$11,865.15 764% above 45%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 Removal Of Nail $784.30 $1,426.00 $96.98–$7,757.98 — 45%
Prostate biopsy CPT 55700 Biopsy Of Prostate Gland $4,411.78 $8,021.41 $20.00–$10,382.01 27% below 45%
Prostate removal (prostatectomy), laparoscopic CPT 55866 Surgical removal of prostate and surrounding lymph nodes using an endoscope $82,256.47 $149,557.22 $155.00–$31,168.84 115% above 45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Injection Of Lower Or Sacral Spinal Facet Joint Nerve Using Imaging Guidance $3,088.25 $5,615.00 $195.46–$11,865.15 35% below 45%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Injection Of Lower Or Sacral Spinal Facet Joint Nerve Using Imaging Guidance $6,790.10 $12,345.64 $15.00–$11,865.15 43% above 45%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 Injection Of Lower Or Sacral Spinal Facet Joint Nerve Using Imaging Guidance $3,088.25 $5,615.00 $195.46–$11,865.15 — 45%
Removal of a breast lump, open surgery CPT 19120 Removal Of 1 Or More Breast Growth $3,950.65 $7,183.00 $302.26–$11,865.15 21% below 45%
Removal of a breast lump, open surgery CPT 19120 Removal of 1 or more breast growth, open procedure $20,192.80 $36,714.18 $65.00–$11,865.15 303% above 45%
Removal of a breast lump, open surgery inpatient CPT 19120 Removal Of 1 Or More Breast Growth $3,950.65 $7,183.00 $302.26–$11,865.15 — 45%
Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body From Tissue $547.25 $995.00 $59.38–$5,480.00 44% below 45%
Removal of a foreign object under the skin, simple CPT 10120 Removal Of Foreign Body From Tissue $11,205.78 $20,374.14 $34.00–$5,480.00 1039% above 45%
Removal of a foreign object under the skin, simple inpatient CPT 10120 Removal Of Foreign Body From Tissue $547.25 $995.00 $59.38–$5,480.00 — 45%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 Total removal of thyroid lobe on one side of the neck $28,738.62 $52,252.03 $60.00–$23,159.86 271% above 45%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 Misc Services $4,209.39 $7,653.44 $50.00–$10,382.01 78% above 45%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 Misc Services $4,309.66 $7,835.74 $50.00–$10,382.01 79% above 45%
Septoplasty to straighten the nasal septum CPT 30520 Reshaping of nasal cartilage $45,169.00 $82,125.46 $55.00–$31,168.84 817% above 45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock wave crushing of kidney stones $7,706.60 $14,012.00 $818.02–$31,168.84 2% below 45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 Shock wave crushing of kidney stones $13,213.98 $24,025.42 $50.00–$31,168.84 68% above 45%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 Shock wave crushing of kidney stones $7,706.60 $14,012.00 $818.02–$31,168.84 — 45%
Short arm cast (elbow to hand) CPT 29075 Application Of Cast, Elbow To Finger (Short Arm) $395.45 $719.00 $86.28–$5,480.00 21% below 45%
Short arm cast (elbow to hand) CPT 29075 Application Of Cast, Elbow To Finger (Short Arm) $1,075.25 $1,955.00 $5.00–$5,480.00 115% above 45%
Short arm cast (elbow to hand) inpatient CPT 29075 Application Of Cast, Elbow To Finger (Short Arm) $395.45 $719.00 $86.28–$5,480.00 — 45%
Short arm splint (forearm and hand) CPT 29125 Application Of Non-Moveable, Short Arm Splint (Forearm To Hand) $321.20 $584.00 $60.67–$5,480.00 23% below 45%
Short arm splint (forearm and hand) CPT 29125 Application Of Non-Moveable, Short Arm Splint (Forearm To Hand) $1,613.70 $2,934.00 $5.00–$5,480.00 285% above 45%
Short arm splint (forearm and hand) inpatient CPT 29125 Application Of Non-Moveable, Short Arm Splint (Forearm To Hand) $321.20 $584.00 $60.67–$5,480.00 — 45%
Short leg cast (below the knee) CPT 29405 Application Of Short Leg Cast (Below Knee To Toes) $385.00 $700.00 $84.00–$5,480.00 23% below 45%
Short leg cast (below the knee) CPT 29405 Application Of Short Leg Cast (Below Knee To Toes) $896.50 $1,630.00 $11.00–$5,480.00 80% above 45%
Short leg cast (below the knee) inpatient CPT 29405 Application Of Short Leg Cast (Below Knee To Toes) $385.00 $700.00 $84.00–$5,480.00 — 45%
Short leg splint (calf to foot) CPT 29515 Application Of Short Leg Splint (Calf To Foot) $520.85 $947.00 $64.94–$5,480.00 5% above 45%
Short leg splint (calf to foot) CPT 29515 Application Of Short Leg Splint (Calf To Foot) $1,745.70 $3,174.00 $6.00–$5,480.00 253% above 45%
Short leg splint (calf to foot) inpatient CPT 29515 Application Of Short Leg Splint (Calf To Foot) $520.85 $947.00 $64.94–$5,480.00 — 45%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 Partial removal of collar bone at shoulder using an endoscope $34,898.39 $63,451.61 $90.00–$16,679.67 733% above 45%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using an endoscope $32,611.97 $59,294.49 $90.00–$16,679.67 522% above 45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Neck, Underarms, Trunk, Arms And/Or Legs $431.75 $785.00 $80.31–$7,505.00 22% below 45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Neck, Underarms, Trunk, Arms And/Or Legs $555.50 $1,010.00 $12.00–$7,505.00 1% above 45%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 Repair Of Wound (2.5 Centimeters Or Less) Of The Scalp, Neck, Underarms, Trunk, Arms And/Or Legs $431.75 $785.00 $80.31–$7,505.00 — 45%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of single skin lesion $419.10 $762.00 $89.65–$10,382.01 42% below 45%
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy of single skin lesion $841.50 $1,530.00 $12.00–$10,382.01 16% above 45%
Skin biopsy, punch, one lesion inpatient CPT 11104 Punch biopsy of single skin lesion $419.10 $762.00 $89.65–$10,382.01 — 45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal Of Malignant Growth (0.5 Centimeters Or Less) Of The Trunk, Arms, Or Legs $832.70 $1,514.00 $79.47–$7,757.98 58% below 45%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 Removal Of Malignant Growth (0.5 Centimeters Or Less) Of The Trunk, Arms, Or Legs $832.70 $1,514.00 $79.47–$7,757.98 — 45%
Skin tag removal, up to 15 tags CPT 11200 Removal Of Up To 15 Skin Tags $209.00 $380.00 $36.32–$5,480.00 47% below 45%
Skin tag removal, up to 15 tags CPT 11200 Removal Of Up To 15 Skin Tags $531.30 $966.00 $8.00–$5,480.00 34% above 45%
Skin tag removal, up to 15 tags inpatient CPT 11200 Removal Of Up To 15 Skin Tags $209.00 $380.00 $36.32–$5,480.00 — 45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap For Diagnosis $1,166.55 $2,121.00 $93.99–$7,757.98 12% below 45%
Spinal tap (lumbar puncture), diagnostic CPT 62270 Spinal Tap For Diagnosis $2,057.25 $3,740.45 $18.00–$5,480.00 56% above 45%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 Spinal Tap For Diagnosis $1,166.55 $2,121.00 $93.99–$7,757.98 — 45%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Repair Of Wound (2.5 Centimeters Or Less) Of The Face, Ears, Eyelids, Nose, Lips, Or Mouth $14,256.20 $25,920.37 $38.00–$7,505.00 2059% above 45%
TURP (transurethral resection of the prostate) CPT 52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope $26,383.39 $47,969.80 $60.00–$14,671.72 148% above 45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of single skin lesion $399.85 $727.00 $71.48–$10,382.01 28% below 45%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Tangential biopsy of single skin lesion $733.70 $1,334.00 $12.00–$10,382.01 33% above 45%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 Tangential biopsy of single skin lesion $399.85 $727.00 $71.48–$10,382.01 — 45%
Thoracentesis with imaging guidance CPT 32555 Removal Of Fluid From Chest Cavity With Imaging Guidance $2,984.30 $5,426.00 $92.33–$7,757.98 47% above 45%
Thoracentesis with imaging guidance CPT 32555 Removal Of Fluid From Chest Cavity With Imaging Guidance $3,918.92 $7,125.30 $12.00–$7,757.98 93% above 45%
Thoracentesis with imaging guidance inpatient CPT 32555 Removal Of Fluid From Chest Cavity With Imaging Guidance $2,984.30 $5,426.00 $92.33–$7,757.98 — 45%
Tonsil and adenoid removal, age 12 or older CPT 42821 Removal of tonsils and adenoid glands patient age 12 or over $16,939.41 $30,798.93 $50.00–$16,679.67 299% above 45%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 Removal of tonsils patient age 12 or over $17,275.40 $31,409.81 $50.00–$14,671.72 206% above 45%
Total hip replacement CPT 27130 Replacement of thigh bone and hip joint prosthesis $50,861.44 $92,475.35 $22.34–$16,348.58 455% above 45%
Total knee replacement CPT 27447 Repair of knee joint $46,531.44 $84,602.61 $24.55–$24,246.00 81% above 45%
Total shoulder replacement CPT 23472 Prosthetic repair of shoulder joint $44,528.21 $80,960.38 $70.00–$23,366.40 293% above 45%
Total thyroid removal (thyroidectomy) CPT 60240 Removal of thyroid $32,519.43 $59,126.23 $65.00–$23,159.86 3% below 45%
Trigger finger release surgery CPT 26055 Incision of tendon covering $9,393.94 $17,079.89 $70.00–$10,382.01 206% above 45%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Of Trigger Points In 1 Or 2 Muscles $400.95 $729.00 $52.49–$5,480.00 37% below 45%
Trigger point injections, 1 or 2 muscles CPT 20552 Injection Of Trigger Points In 1 Or 2 Muscles $1,036.31 $1,884.20 $3.00–$5,480.00 62% above 45%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 Injection Of Trigger Points In 1 Or 2 Muscles $400.95 $729.00 $52.49–$5,480.00 — 45%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 Destruction of ovaries using an endoscope $36,344.55 $66,081.00 $155.00–$16,679.67 741% above 45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast accessed throught the skin with ultrasound guidance $2,396.90 $4,358.00 $522.96–$10,382.01 25% below 45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 Biopsy of breast accessed throught the skin with ultrasound guidance $3,236.20 $5,884.00 $613.92–$10,382.01 1% above 45%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 Biopsy of breast accessed throught the skin with ultrasound guidance $2,396.90 $4,358.00 $522.96–$10,382.01 — 45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon Dilation Of Esophagus Using An Endoscope $2,310.55 $4,201.00 $319.89–$10,382.01 6% below 45%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 Balloon Dilation Of Esophagus Using An Endoscope $7,574.00 $13,770.90 $35.00–$10,382.01 209% above 45%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 Balloon Dilation Of Esophagus Using An Endoscope $2,310.55 $4,201.00 $319.89–$10,382.01 — 45%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy Of The Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $2,081.75 $3,785.00 $335.91–$10,382.01 18% above 45%
Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy Of The Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $7,707.30 $14,013.27 $35.00–$11,865.15 336% above 45%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Biopsy Of The Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $2,081.75 $3,785.00 $335.91–$10,382.01 — 45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection Of Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $2,081.75 $3,785.00 $243.11–$10,382.01 11% above 45%
Upper endoscopy (EGD) with injection into the lining CPT 43236 Injection Of Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $9,113.92 $16,570.76 $35.00–$10,382.01 387% above 45%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 Injection Of Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $2,081.75 $3,785.00 $243.11–$10,382.01 — 45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal Of Polyps Or Growths Of Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $2,945.25 $5,355.00 $535.50–$10,382.01 10% below 45%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 Removal Of Polyps Or Growths Of Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $11,098.85 $20,179.73 $35.00–$11,865.15 239% above 45%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 Removal Of Polyps Or Growths Of Esophagus, Stomach, Or Upper Small Bowel Using An Endoscope $2,945.25 $5,355.00 $535.50–$10,382.01 — 45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion Of Guide Wire With Dilation Of Esophagus Using An Endoscope $2,498.65 $4,543.00 $212.00–$10,382.01 33% above 45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 Insertion Of Guide Wire With Dilation Of Esophagus Using An Endoscope $7,918.08 $14,396.51 $35.00–$10,382.01 323% above 45%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 Insertion Of Guide Wire With Dilation Of Esophagus Using An Endoscope $2,498.65 $4,543.00 $212.00–$10,382.01 — 45%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Examination Of Stomach And Upper Upper Small Bowel Using An Endoscope $1,853.50 $3,370.00 $321.48–$7,757.98 1% below 45%
Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic Examination Of Stomach And Upper Upper Small Bowel Using An Endoscope $4,174.03 $7,589.14 $35.00–$7,757.98 123% above 45%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Diagnostic Examination Of Stomach And Upper Upper Small Bowel Using An Endoscope $1,853.50 $3,370.00 $321.48–$7,757.98 — 45%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage Of Cyst Of The Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $5,860.25 $10,655.00 $349.96–$14,384.25 18% below 45%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 Drainage Of Cyst Of The Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $22,284.32 $40,516.94 $35.00–$10,382.01 211% above 45%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 Drainage Of Cyst Of The Esophagus, Stomach, And Upper Small Bowel Using An Endoscope $5,860.25 $10,655.00 $349.96–$14,384.25 — 45%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 Crushing of stone in urinary duct (ureter) using an endoscope $24,540.83 $44,619.69 $60.00–$14,671.72 207% above 45%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 Crushing of stone in urinary duct (ureter) with stent using an endoscope $30,804.41 $56,008.01 $60.00–$14,671.72 154% above 45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct $2,488.20 $4,524.00 $299.06–$10,382.01 11% below 45%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 Removal Of Sperm Duct $4,088.15 $7,433.00 $25.00–$7,505.00 47% above 45%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 Removal Of Sperm Duct $2,488.20 $4,524.00 $299.06–$10,382.01 — 45%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction Of Insufficient Vein Of Arm Or Leg $4,309.25 $7,835.00 $940.20–$16,679.67 50% below 45%
Vein ablation, radiofrequency, first vein CPT 36475 Destruction Of Insufficient Vein Of Arm Or Leg $21,334.35 $38,789.72 $25.00–$16,679.67 149% above 45%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 Destruction Of Insufficient Vein Of Arm Or Leg $4,309.25 $7,835.00 $940.20–$16,679.67 — 45%
Wart removal, up to 14 warts CPT 17110 Destruction Of Up To 14 Skin Growths $209.00 $380.00 $45.60–$5,480.00 42% below 45%
Wart removal, up to 14 warts CPT 17110 Destruction Of Up To 14 Skin Growths $531.30 $966.00 $3.00–$5,480.00 48% above 45%
Wart removal, up to 14 warts inpatient CPT 17110 Destruction Of Up To 14 Skin Growths $209.00 $380.00 $45.60–$5,480.00 — 45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal Of Skin And Tissue First 20 Sq Cm Or Less $1,196.25 $2,175.00 $83.10–$10,382.01 76% above 45%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal Of Skin And Tissue First 20 Sq Cm Or Less $1,196.25 $2,175.00 $6.00–$7,505.00 76% above 45%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Removal Of Skin And Tissue First 20 Sq Cm Or Less $1,196.25 $2,175.00 $83.10–$10,382.01 — 45%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 Open treatment of broken of lower forearm bone or growth plate separation with insertion of hardware $27,863.84 $50,661.53 $50.00–$16,679.67 357% above 45%

Doctor visits and therapy

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Blood transfusion (giving blood or blood components) CPT 36430 Cell Saver Service $2,233.55 $4,061.00 $42.78–$5,482.35 156% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Of Blood Or Blood Products $2,233.55 $4,061.00 $42.78–$5,482.35 156% above 45%
Blood transfusion (giving blood or blood components) CPT 36430 Transfusion Of Blood Or Blood Products $3,472.88 $6,314.32 $20.00–$624.66 298% above 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Cell Saver Service $2,233.55 $4,061.00 $42.78–$5,482.35 — 45%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 Transfusion Of Blood Or Blood Products $2,233.55 $4,061.00 $42.78–$5,482.35 — 45%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen $496.10 $902.00 $16.20–$1,217.70 54% above 45%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 Respiratory Inhaled Pressure Or Nonpressure Treatment To Relieve Airway Obstruction Or For Sputum Specimen $496.10 $902.00 $16.20–$1,217.70 — 45%
Chemotherapy IV infusion, first hour CPT 96413 Infusion Of Chemotherapy Into A Vein Up To 1 Hour $1,547.15 $2,813.00 $28.59–$3,797.55 77% above 45%
Chemotherapy IV infusion, first hour inpatient CPT 96413 Infusion Of Chemotherapy Into A Vein Up To 1 Hour $1,547.15 $2,813.00 $28.59–$3,797.55 — 45%
Comprehensive eye exam by an eye doctor, new patient CPT 92004 Eye And Medical Examination For Diagnosis And Treatment, New Patient, 1 Or More Visits $229.90 $418.00 $57.12–$209.00 6% below 45%
Comprehensive eye exam by an eye doctor, new patient inpatient CPT 92004 Eye And Medical Examination For Diagnosis And Treatment, New Patient, 1 Or More Visits $229.90 $418.00 $57.12–$209.00 — 45%
Comprehensive eye exam, returning patient CPT 92014 Eye And Medical Examination For Diagnosis And Treatment, Established Patient, 1 Or More Visits $186.45 $339.00 $44.10–$169.50 10% below 45%
Comprehensive eye exam, returning patient inpatient CPT 92014 Eye And Medical Examination For Diagnosis And Treatment, Established Patient, 1 Or More Visits $186.45 $339.00 $44.10–$169.50 — 45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition $418.55 $761.00 $41.71–$1,027.35 24% below 45%
Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition, Severely Handicapped Age 7+ $418.55 $761.00 $41.71–$1,027.35 24% below 45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition $418.55 $761.00 $41.71–$1,027.35 — 45%
Comprehensive hearing test: tone and speech audiometry, both ears inpatient CPT 92557 Air And Bone Conduction Assessment Of Hearing Loss And Speech Recognition, Severely Handicapped Age 7+ $418.55 $761.00 $41.71–$1,027.35 — 45%
Critical care, first 30 to 74 minutes CPT 99291 Critical care delivery critically ill or injured patient, first 30-74 minutes $8,493.10 $15,442.00 $49.60–$20,846.70 55% above 45%
Critical care, first 30 to 74 minutes CPT 99291 Trauma Suite Critical Care 30-74 Min $12,652.75 $23,005.00 $49.60–$31,056.75 131% above 45%
Critical care, first 30 to 74 minutes CPT 99291 Critical care delivery critically ill or injured patient, first 30-74 minutes $13,010.02 $23,654.58 $91.61–$1,070.62 137% above 45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Critical care delivery critically ill or injured patient, first 30-74 minutes $8,493.10 $15,442.00 $49.60–$20,846.70 — 45%
Critical care, first 30 to 74 minutes inpatient CPT 99291 Trauma Suite Critical Care 30-74 Min $12,652.75 $23,005.00 $49.60–$31,056.75 — 45%
EEG (brain wave test), awake and drowsy, routine CPT 95816 Measurement And Recording Of Brain Wave (Eeg) Activity, Awake And Drowsy $798.60 $1,452.00 $86.73–$1,960.20 22% below 45%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 Measurement And Recording Of Brain Wave (Eeg) Activity, Awake And Drowsy $798.60 $1,452.00 $86.73–$1,960.20 — 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine Electrocardiogram (Ekg) With Tracing Using At Least 12 Leads $214.50 $390.00 $7.41–$526.50 37% below 45%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Routine Electrocardiogram (Ekg) With Tracing Using At Least 12 Leads $214.50 $390.00 $7.41–$526.50 — 45%
Electroconvulsive therapy (ECT), one session CPT 90870 Shock Treatment And Monitoring $1,372.25 $2,495.00 $108.68–$3,368.25 43% below 45%
Electroconvulsive therapy (ECT), one session inpatient CPT 90870 Shock Treatment And Monitoring $1,372.25 $2,495.00 $108.68–$3,368.25 — 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit, self limited or minor problem $613.25 $1,115.00 $21.77–$1,505.25 46% above 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 Emergency department visit, self limited or minor problem $613.25 $1,115.00 $21.77–$124.00 46% above 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HB Trauma Suite Care Level 1 $3,048.10 $5,542.00 $21.77–$7,481.70 625% above 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 Emergency department visit, self limited or minor problem $613.25 $1,115.00 $21.77–$1,505.25 — 45%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HB Trauma Suite Care Level 1 $3,048.10 $5,542.00 $21.77–$7,481.70 — 45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately severe problem $1,092.30 $1,986.00 $34.97–$201.21 25% above 45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 Emergency department visit, low to moderately severe problem $1,092.30 $1,986.00 $34.97–$2,681.10 25% above 45%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HB Trauma Suite Care Level 2 $3,586.00 $6,520.00 $34.97–$8,802.00 311% above 45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 Emergency department visit, low to moderately severe problem $1,092.30 $1,986.00 $34.97–$2,681.10 — 45%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HB Trauma Suite Care Level 2 $3,586.00 $6,520.00 $34.97–$8,802.00 — 45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe problem $1,668.15 $3,033.00 $49.60–$4,094.55 11% above 45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Emergency department visit, moderately severe problem $2,093.30 $3,806.00 $49.60–$351.82 40% above 45%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 Trauma Suite Level 3 $4,218.50 $7,670.00 $49.60–$10,354.50 181% above 45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Emergency department visit, moderately severe problem $1,668.15 $3,033.00 $49.60–$4,094.55 — 45%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 Trauma Suite Level 3 $4,218.50 $7,670.00 $49.60–$10,354.50 — 45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severity $2,982.10 $5,422.00 $49.60–$7,319.70 10% above 45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 Emergency department visit, problem of high severity $4,597.63 $8,359.32 $43.26–$541.05 69% above 45%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HB Trauma Suite Care Level 4 $6,657.75 $12,105.00 $98.04–$16,341.75 145% above 45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 Emergency department visit, problem of high severity $2,982.10 $5,422.00 $49.60–$7,319.70 — 45%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HB Trauma Suite Care Level 4 $6,657.75 $12,105.00 $98.04–$16,341.75 — 45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significant threat to life or function $4,420.35 $8,037.00 $49.60–$10,849.95 24% above 45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Emergency department visit, problem with significant threat to life or function $8,103.87 $14,734.30 $16.83–$779.00 128% above 45%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 Trauma Suite Level 5 $9,097.00 $16,540.00 $49.60–$22,329.00 156% above 45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Emergency department visit, problem with significant threat to life or function $4,420.35 $8,037.00 $49.60–$10,849.95 — 45%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 Trauma Suite Level 5 $9,097.00 $16,540.00 $49.60–$22,329.00 — 45%
Exercise stress test, tracing only, the hospital charge CPT 93017 Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Tracing And Monitoring $673.20 $1,224.00 $39.98–$1,652.40 52% below 45%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 Exercise Or Drug-Induced Heart And Blood Vessel Stress Test With Ekg Tracing And Monitoring $673.20 $1,224.00 $39.98–$1,652.40 — 45%
Eye exam, returning patient, intermediate CPT 92012 Eye And Medical Examination For Diagnosis And Treatment, Established Patient $178.20 $324.00 $42.63–$162.00 10% above 45%
Eye exam, returning patient, intermediate inpatient CPT 92012 Eye And Medical Examination For Diagnosis And Treatment, Established Patient $178.20 $324.00 $42.63–$162.00 — 45%
Family therapy with the patient, 50 minutes CPT 90847 Family therapy including patient, 50 minutes $193.60 $352.00 $42.24–$475.20 43% below 45%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family therapy including patient, 50 minutes $193.60 $352.00 $42.24–$475.20 — 45%
Family therapy without the patient, 50 minutes CPT 90846 Family therapy, 50 minutes $168.85 $307.00 $36.84–$414.45 51% below 45%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family therapy, 50 minutes $168.85 $307.00 $36.84–$414.45 — 45%
Group psychotherapy session CPT 90853 Group therapy $125.95 $229.00 $3.98–$309.15 56% below 45%
Group psychotherapy session inpatient CPT 90853 Group therapy $125.95 $229.00 $3.98–$309.15 — 45%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 Hydration Infusion Into A Vein 31 Minutes To 1 Hour $221.10 $402.00 $38.79–$542.70 56% below 45%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 Hydration Infusion Into A Vein 31 Minutes To 1 Hour $221.10 $402.00 $38.79–$542.70 — 45%
IV infusion of a medicine, first hour CPT 96365 Infusion Into A Vein For Therapy, Prevention, Or Diagnosis Up To 1 Hour additional access site $317.35 $577.00 $62.60–$778.95 46% below 45%
IV infusion of a medicine, first hour CPT 96365 Infusion Into A Vein For Therapy, Prevention, Or Diagnosis Up To 1 Hour $317.35 $577.00 $62.60–$778.95 46% below 45%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Into A Vein For Therapy, Prevention, Or Diagnosis Up To 1 Hour $317.35 $577.00 $62.60–$778.95 — 45%
IV infusion of a medicine, first hour inpatient CPT 96365 Infusion Into A Vein For Therapy, Prevention, Or Diagnosis Up To 1 Hour additional access site $317.35 $577.00 $62.60–$778.95 — 45%
IV push of a medicine, first drug CPT 96374 Injection Of Drug Or Substance Into A Vein For Therapy additional site $229.90 $418.00 $43.71–$564.30 35% below 45%
IV push of a medicine, first drug CPT 96374 Injection Of Drug Or Substance Into A Vein For Therapy $229.90 $418.00 $43.71–$564.30 35% below 45%
IV push of a medicine, first drug inpatient CPT 96374 Injection Of Drug Or Substance Into A Vein For Therapy additional site $229.90 $418.00 $43.71–$564.30 — 45%
IV push of a medicine, first drug inpatient CPT 96374 Injection Of Drug Or Substance Into A Vein For Therapy $229.90 $418.00 $43.71–$564.30 — 45%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection Into Tissue Or Muscle For Therapy, Diagnosis, Or Prevention $240.90 $438.00 $15.54–$591.30 34% above 45%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 Injection Into Tissue Or Muscle For Therapy, Diagnosis, Or Prevention $240.90 $438.00 $15.54–$591.30 — 45%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 Diagnostic Evaluation $383.35 $697.00 $83.64–$940.95 at median 45%
Mental health diagnostic evaluation (intake), without medical services inpatient CPT 90791 Diagnostic Evaluation $383.35 $697.00 $83.64–$940.95 — 45%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve Transmission Studies, 7-8 Studies $1,498.20 $2,724.00 $95.70–$3,677.40 62% above 45%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 Nerve Transmission Studies, 7-8 Studies $1,498.20 $2,724.00 $95.70–$3,677.40 — 45%
Neuromuscular re-education, 15 minutes CPT 97112 Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $101.20 $184.00 $14.02–$321.00 21% below 45%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 Therapeutic Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $101.20 $184.00 $14.02–$321.00 — 45%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $116.05 $211.00 $21.10–$284.85 46% below 45%
New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $234.85 $427.00 $34.10–$115.85 10% above 45%
New patient office visit, about 30 minutes inpatient CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more $116.05 $211.00 $21.10–$284.85 — 45%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $124.85 $227.00 $34.10–$115.85 49% below 45%
New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $124.85 $227.00 $22.70–$306.45 49% below 45%
New patient office visit, about 45 minutes inpatient CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more $124.85 $227.00 $22.70–$306.45 — 45%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $134.20 $244.00 $24.40–$329.40 61% below 45%
New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $134.20 $244.00 $34.10–$115.85 61% below 45%
New patient office visit, about 60 minutes inpatient CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more $134.20 $244.00 $24.40–$329.40 — 45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $107.80 $196.00 $19.60–$264.60 23% below 45%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $128.15 $233.00 $34.10–$115.85 8% below 45%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more $107.80 $196.00 $19.60–$264.60 — 45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 Medical Nutrition Therapy Initial Assessment And Intervention, Each 15 Minutes $206.80 $376.00 $24.28–$507.60 107% above 45%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 Medical Nutrition Therapy Initial Assessment And Intervention, Each 15 Minutes $206.80 $376.00 $24.28–$507.60 — 45%
Occupational therapy evaluation, low complexity CPT 97165 Evaluation of occupational therapy, typically 30 minutes $188.65 $343.00 $34.30–$222.95 27% below 45%
Occupational therapy evaluation, low complexity inpatient CPT 97165 Evaluation of occupational therapy, typically 30 minutes $188.65 $343.00 $34.30–$222.95 — 45%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation of physical therapy, typically 45 minutes $309.10 $562.00 $135.56–$338.90 21% below 45%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 Evaluation of physical therapy, typically 45 minutes $309.10 $562.00 $135.56–$338.90 — 45%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation of physical therapy, typically 20 minutes $162.25 $295.00 $29.50–$191.75 31% below 45%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 Evaluation of physical therapy, typically 20 minutes $162.25 $295.00 $29.50–$191.75 — 45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation of physical therapy, typically 30 minutes $250.80 $456.00 $45.60–$296.40 29% below 45%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 Evaluation of physical therapy, typically 30 minutes $250.80 $456.00 $45.60–$296.40 — 45%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual (Physical) Therapy Techniques To 1 Or More Regions, Each 15 Minutes $173.80 $316.00 $29.94–$426.60 45% above 45%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual (Physical) Therapy Techniques To 1 Or More Regions, Each 15 Minutes $173.80 $316.00 $29.94–$426.60 — 45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $165.55 $301.00 $12.58–$406.35 28% above 45%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Pulmonary Rehabilitation Non-Copd Dx Therapeutic Procedures Individual Each 15 Minutes $165.55 $301.00 $12.58–$150.50 28% above 45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Pulmonary Rehabilitation Non-Copd Dx Therapeutic Procedures Individual Each 15 Minutes $165.55 $301.00 $12.58–$150.50 — 45%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 Therapeutic Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $165.55 $301.00 $12.58–$406.35 — 45%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial New Patient Preventive Medicine Evaluation Age 18-39 Years $119.35 $217.00 $26.04–$292.95 21% below 45%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial New Patient Preventive Medicine Evaluation Age 18-39 Years $119.35 $217.00 $26.04–$292.95 — 45%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial New Patient Preventive Medicine Evaluation Age 40-64 Years $154.55 $281.00 $33.72–$379.35 8% below 45%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial New Patient Preventive Medicine Evaluation Age 40-64 Years $154.55 $281.00 $33.72–$379.35 — 45%
Preventive checkup, new patient aged 65 or older CPT 99387 Initial New Patient Preventive Medicine Evaluation, Age 65 Years And Older $191.95 $349.00 $34.10–$471.15 23% above 45%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 Initial New Patient Preventive Medicine Evaluation, Age 65 Years And Older $191.95 $349.00 $34.10–$471.15 — 45%
Preventive checkup, returning patient aged 18–39 CPT 99395 Established Patient Periodic Preventive Medicine Examination Age 18-39 Years $118.25 $215.00 $25.80–$290.25 23% below 45%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 Established Patient Periodic Preventive Medicine Examination Age 18-39 Years $118.25 $215.00 $25.80–$290.25 — 45%
Preventive checkup, returning patient aged 40–64 CPT 99396 Established Patient Periodic Preventive Medicine Examination Age 40-64 Years $149.05 $271.00 $32.52–$365.85 3% below 45%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 Established Patient Periodic Preventive Medicine Examination Age 40-64 Years $149.05 $271.00 $32.52–$365.85 — 45%
Preventive checkup, returning patient aged 65 or older CPT 99397 Established Patient Periodic Preventive Medicine Examination, Age 65 Years And Older $84.15 $153.00 $18.36–$206.55 44% below 45%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 Established Patient Periodic Preventive Medicine Examination, Age 65 Years And Older $84.15 $153.00 $18.36–$206.55 — 45%
Psychiatric evaluation with medical services CPT 90792 Diagnostic Evaluation With Medical Services $396.00 $720.00 $34.10–$972.00 24% above 45%
Psychiatric evaluation with medical services inpatient CPT 90792 Diagnostic Evaluation With Medical Services $396.00 $720.00 $34.10–$972.00 — 45%
Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 Psychological testing evaluation with clinician 1st hour $495.00 $900.00 $99.60–$1,215.00 26% below 45%
Psychological testing evaluation by a psychologist or physician, first hour inpatient CPT 96130 Psychological testing evaluation with clinician 1st hour $495.00 $900.00 $99.60–$1,215.00 — 45%
Psychotherapy for crisis, first 60 minutes CPT 90839 Therapy For Crisis; First 60 Minutes $281.05 $511.00 $34.10–$689.85 18% below 45%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 Therapy For Crisis; First 60 Minutes $281.05 $511.00 $34.10–$689.85 — 45%
Psychotherapy session, 30 minutes CPT 90832 Individual therapy, 30 minutes $165.55 $301.00 $34.10–$406.35 48% below 45%
Psychotherapy session, 30 minutes inpatient CPT 90832 Individual therapy, 30 minutes $165.55 $301.00 $34.10–$406.35 — 45%
Psychotherapy session, 45 minutes CPT 90834 Individual therapy, 45 minutes $168.85 $307.00 $34.10–$414.45 47% below 45%
Psychotherapy session, 45 minutes inpatient CPT 90834 Individual therapy, 45 minutes $168.85 $307.00 $34.10–$414.45 — 45%
Psychotherapy session, 60 minutes CPT 90837 Individual therapy, 60 minutes $213.40 $388.00 $34.10–$523.80 42% below 45%
Psychotherapy session, 60 minutes inpatient CPT 90837 Individual therapy, 60 minutes $213.40 $388.00 $34.10–$523.80 — 45%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking And Tobacco Use Intermediate Counseling, Greater Than 3 Minutes Up To 10 Minutes $32.45 $59.00 $10.41–$29.50 56% below 45%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 Smoking And Tobacco Use Intermediate Counseling, Greater Than 3 Minutes Up To 10 Minutes $32.45 $59.00 $10.41–$29.50 — 45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $122.10 $222.00 $22.20–$299.70 52% below 45%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $122.10 $222.00 $34.10–$115.85 52% below 45%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more $122.10 $222.00 $22.20–$299.70 — 45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established Patient Office Or Other Outpatient Visit $105.60 $192.00 $19.20–$259.20 26% below 45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more $105.60 $192.00 $19.20–$259.20 26% below 45%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more $174.90 $318.00 $34.10–$115.85 22% above 45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more $105.60 $192.00 $19.20–$259.20 — 45%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 Established Patient Office Or Other Outpatient Visit $105.60 $192.00 $19.20–$259.20 — 45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established Patient Office Or Other Outpatient Visit $108.35 $197.00 $19.70–$265.95 46% below 45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $113.30 $206.00 $20.60–$278.10 44% below 45%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $113.30 $206.00 $34.10–$115.85 44% below 45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established Patient Office Or Other Outpatient Visit $108.35 $197.00 $19.70–$265.95 — 45%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more $113.30 $206.00 $20.60–$278.10 — 45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $98.45 $179.00 $17.90–$241.65 14% below 45%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $220.55 $401.00 $20.77–$85.24 92% above 45%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more $98.45 $179.00 $17.90–$241.65 — 45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient Office Consultation 30-39 minutes $128.15 $233.00 $23.30–$314.55 26% below 45%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient Office Consultation 30-39 minutes $1,307.35 $2,377.00 $34.10–$5,480.00 656% above 45%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Patient Office Consultation 30-39 minutes $128.15 $233.00 $23.30–$314.55 — 45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient Office Consultation 40-54 minutes $135.30 $246.00 $34.10–$115.85 33% below 45%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient Office Consultation 40-54 minutes $135.30 $246.00 $24.60–$332.10 33% below 45%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Patient Office Consultation 40-54 minutes $135.30 $246.00 $24.60–$332.10 — 45%
Speech and language evaluation CPT 92523 Evaluation of speech language comprehension and expression only $165.00 $300.00 $36.00–$405.00 64% below 45%
Speech and language evaluation CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression $336.05 $611.00 $94.74–$305.50 26% below 45%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech language comprehension and expression only $165.00 $300.00 $36.00–$405.00 — 45%
Speech and language evaluation inpatient CPT 92523 Evaluation of speech sound production with evaluation of language comprehension and expression $336.05 $611.00 $94.74–$305.50 — 45%
Speech therapy session, individual CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 15 Minutes $119.35 $217.00 $26.04–$321.00 57% below 45%
Speech therapy session, individual CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 30 Minutes $150.70 $274.00 $32.46–$369.90 46% below 45%
Speech therapy session, individual CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 60 Minutes $195.25 $355.00 $34.10–$479.25 30% below 45%
Speech therapy session, individual CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 45 Minutes $217.80 $396.00 $34.10–$534.60 22% below 45%
Speech therapy session, individual inpatient CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 15 Minutes $119.35 $217.00 $26.04–$321.00 — 45%
Speech therapy session, individual inpatient CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 30 Minutes $150.70 $274.00 $32.46–$369.90 — 45%
Speech therapy session, individual inpatient CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 60 Minutes $195.25 $355.00 $34.10–$479.25 — 45%
Speech therapy session, individual inpatient CPT 92507 Treatment Of Speech, Language, Voice, Communication, Or Hearing Processing Disorder 45 Minutes $217.80 $396.00 $34.10–$534.60 — 45%
Spirometry (breathing test) CPT 94010 Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity $678.15 $1,233.00 $24.59–$1,664.55 78% above 45%
Spirometry (breathing test) inpatient CPT 94010 Measurement And Graphic Recording Of Total And Timed Exhaled Air Capacity $678.15 $1,233.00 $24.59–$1,664.55 — 45%
Spirometry before and after a bronchodilator CPT 94060 Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administrati $837.65 $1,523.00 $41.77–$2,056.05 5% above 45%
Spirometry before and after a bronchodilator inpatient CPT 94060 Measurement And Graphic Recording Of The Amount And Speed Of Breathed Air, Before And Following Medication Administrati $837.65 $1,523.00 $41.77–$2,056.05 — 45%
TMS (transcranial magnetic stimulation), first session with mapping CPT 90867 Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) $326.70 $594.00 $71.28–$801.90 66% below 45%
TMS (transcranial magnetic stimulation), first session with mapping inpatient CPT 90867 Transcranial magnetic stimulation treatment (stimulates nerve cells in brain to improve symptoms of depression) $326.70 $594.00 $71.28–$801.90 — 45%
Therapeutic activities (functional training), 15 minutes CPT 97530 Pulmonary Rehabilitation Non-Copd Dx Therapeutic Activities Individual Each 15 Minutes $179.85 $327.00 $12.78–$163.50 31% above 45%
Therapeutic activities (functional training), 15 minutes CPT 97530 Therapeutic Activities To Improve Function, With One-On-One Contact Between Patient And Provider, Each 15 Minutes $179.85 $327.00 $12.78–$441.45 31% above 45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Pulmonary Rehabilitation Non-Copd Dx Therapeutic Activities Individual Each 15 Minutes $179.85 $327.00 $12.78–$163.50 — 45%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 Therapeutic Activities To Improve Function, With One-On-One Contact Between Patient And Provider, Each 15 Minutes $179.85 $327.00 $12.78–$441.45 — 45%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance $575.85 $1,047.00 $23.52–$5,480.00 78% above 45%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 Therapeutic Removal Of Whole Blood To Correct Blood Level Imbalance $575.85 $1,047.00 $23.52–$5,480.00 — 45%
Visual field test, extended CPT 92083 Measurement Of Field Of Vision During Daylight Conditions $262.90 $478.00 $35.01–$239.00 22% below 45%
Visual field test, extended inpatient CPT 92083 Measurement Of Field Of Vision During Daylight Conditions $262.90 $478.00 $35.01–$239.00 — 45%

Vaccines

ProcedureCash priceList priceInsurers payvs CaliforniaOff list
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Vaccine Influenza Inactivated Subunit Adjuvanted Im $144.79 $263.25 $31.59–$355.39 2% above 45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC 65+ YRS WRAPPED RECORD (UCSD) $144.79 $263.25 $31.59–$355.39 2% above 45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 INFLUENZA VAC 65+ YRS WRAPPED RECORD (UCSD) $144.79 $263.25 $31.59–$355.39 2% above 45%
Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older inpatient CPT 90653 INFLUENZA VAC 65+ YRS WRAPPED RECORD (UCSD) $144.79 $263.25 $31.59–$355.39 — 45%
COVID-19 vaccine (Moderna), age 12 and older CPT 91322 Vaccine Sarscov2 Vac 50 Mcg/0.5ml Im (Moderna 12 Yrs and Older) $385.36 $700.65 $84.08–$945.88 59% above 45%
COVID-19 vaccine (Pfizer-BioNTech), age 12 and older CPT 91320 Vaccine Sarscv2 Vac 30mcg Trs-Suc Im (Pfizer 12yrs and Older) $354.42 $644.40 $77.33–$869.94 52% above 45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 Vaccine Varicella (Chicken Pox) Live Subcutaneous $516.45 $939.00 $187.80–$939.00 65% above 45%
Chickenpox (varicella) vaccine, live (Varivax) CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SC INJ (CUSTOM) $570.59 $1,037.43 $195.83–$1,037.43 82% above 45%
Chickenpox (varicella) vaccine, live (Varivax) inpatient CPT 90716 VARICELLA VIRUS VACCINE LIVE 1350 PFU/0.5ML SC INJ (CUSTOM) $570.59 $1,037.43 $195.83–$1,037.43 — 45%
DTaP and polio booster for ages 4 to 6 (Kinrix, Quadracel) CPT 90696 Vaccine for diphtheria, tetanus toxoids, acellular pertussis (whooping cough), and polio for injection into muscle, patient 4 through 6 years of age $62.60 $113.82 $13.66–$163.30 62% below 45%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 Vaccine Diphtheria Tetanus Acellular Pertussis Patient Younger Than 7 Years $68.45 $124.45 $14.93–$168.01 5% below 45%
DTaP, hepatitis B and polio combination vaccine (Pediarix) CPT 90723 Vaccine Diptheria Tetanus Toxoids Acellular Pertuss Hepatitis B Poliovirus Im $209.36 $380.66 $76.13–$380.66 27% above 45%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 Vaccine Diphtheria Tetanus Toxoids Accellular Pertussis Haemophilus Influenza Tyep B Poliovirus Inactivated $160.60 $292.00 $35.04–$394.20 23% below 45%
DTaP, polio and Hib combination vaccine (Pentacel) CPT 90698 DTAP-IPV-HIB VACCINE IM SUSR $323.85 $588.81 $70.66–$794.89 55% above 45%
DTaP, polio, Hib and hepatitis B combination vaccine (Vaxelis) CPT 90697 Vaccine Dtap-Polio-Hib-Hepatitis B $389.39 $707.99 $84.96–$955.79 123% above 45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 INFLUENZA VIRUS VACC SPLIT PF 0.5 ML IM SUSY $58.07 $105.59 $12.67–$142.55 36% above 45%
Flu shot, standard dose, preservative-free, for age 6 months and older CPT 90656 Vaccine Influenza Trivalent Split Virus Preservative Free 0.50 Ml Im $58.60 $106.54 $12.78–$143.83 37% above 45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 VACCINE HUMAN PAPILLOMA VIRUS nonaVALENT (2 OR 3 DOSE SCHEDULE) $797.53 $1,450.06 $174.01–$1,957.58 106% above 45%
HPV vaccine, 9-valent (Gardasil 9) CPT 90651 HPV 9-VALENT RECOMB VACCINE IM SUSY $893.24 $1,624.08 $194.89–$2,192.51 131% above 45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 Vaccine Hepatitis a and Hepatitis B Adult Dosage $310.56 $564.66 $67.76–$762.29 44% above 45%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HEPATITIS A-HEP B RECOMB VAC 720-20 ELU-MCG/ML IM WRAPPED RECORD $333.69 $606.71 $72.81–$819.06 55% above 45%
Hepatitis A vaccine, adult dose CPT 90632 Vaccine Hepatitis a Adult Dosage $201.16 $365.74 $43.89–$493.75 44% above 45%
Hepatitis A vaccine, adult dose CPT 90632 HEPATITIS A VACCINE 1440 EL U/ML IM SUSP (CUSTOM) $210.19 $382.16 $45.86–$515.92 51% above 45%
Hepatitis A vaccine, child and teen dose (2-dose schedule) CPT 90633 Vaccine Hepatitis a (2 Dose Schedule) Pediatric or Adolescent Dosage $88.00 $160.00 $19.20–$216.00 19% above 45%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 Vaccine Hepatitis B (3 Dose Schedule) Adult Dosage $139.62 $253.86 $30.46–$342.71 14% above 45%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 Vaccine Hepatitis B (2 Dose Schedule) Adult Dosage $106.16 $193.01 $23.16–$455.05 58% below 45%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY $374.17 $680.31 $81.64–$918.42 47% above 45%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HEPATITIS B VAC RECOMB ADJ 20 MCG/0.5ML IM SOSY $374.17 $680.31 $81.64–$918.42 — 45%
Hepatitis B vaccine, child and teen dose (3-dose schedule) CPT 90744 Vaccine Hepatitis B (3 Dose Schedule) Pediatric/Adolescent Dosage $53.49 $97.26 $11.67–$131.30 7% below 45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 Vaccine Hemophilus Influenza B Prp-Omp Conjugate (3 Dose Schedule) $78.73 $143.15 $17.18–$193.25 16% above 45%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 HAEMOPHILUS B POLYSAC CONJ VAC 7.5 MCG/0.5 ML IM SUSP $85.60 $155.64 $18.68–$210.11 26% above 45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 Vaccine Hemophilus Influenza B Prp-T Conjugate (4 Dose Schedule) $33.20 $60.37 $7.24–$81.50 21% below 45%
Hib vaccine (Haemophilus influenzae type b), 4-dose schedule (ActHIB, Hiberix) CPT 90648 HAEMOPHILUS B POLYSAC CONJ VAC 10 MCG IJ SOLR $35.45 $64.46 $7.74–$87.02 15% below 45%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 Vaccine Influenza Split Virus Preservative Free Enhanced Immunogenicity via Increased Antigen Content $52.00 $94.55 $11.35–$256.55 59% below 45%
Japanese encephalitis vaccine (Ixiaro), 2-dose schedule CPT 90738 Vaccine Japenese Encephalitis Inactivated Intramuscular $876.39 $1,593.43 $191.21–$2,151.13 219% above 45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 Vaccine Measles Mumps Rubella $245.08 $445.60 $53.47–$601.56 75% above 45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC SC SUSR $258.70 $470.37 $56.44–$635.00 85% above 45%
MMR vaccine (measles, mumps and rubella), live CPT 90707 MEASLES, MUMPS & RUBELLA VAC IJ SOLR $266.50 $484.54 $58.14–$654.13 90% above 45%
MMRV vaccine (measles, mumps, rubella and chickenpox), live (ProQuad) CPT 90710 Vaccine Measles Mumps Rubella Varicella Live for Subcutaneous Use $785.28 $1,427.78 $171.33–$1,927.50 95% above 45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 Vaccine Meningococcal Conjugate Serogroups a C Y W-135 Quadravalent $374.74 $681.35 $81.76–$919.82 43% above 45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLR $376.67 $684.85 $82.18–$924.55 44% above 45%
Meningococcal ACWY (MenACWY) vaccine CPT 90734 MENINGOCOCCAL A C Y&W-135 OLIG IM SOLN $399.14 $725.71 $87.09–$979.71 53% above 45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 Vaccine Meningococcal B Recombinant Prot W/Out Membrane $566.80 $1,030.54 $123.66–$1,391.23 28% above 45%
Meningococcal B vaccine (Bexsero), 2-dose schedule CPT 90620 MENINGOCOCCAL B RECOMB OMV ADJ IM SUSY $569.72 $1,035.85 $124.30–$1,398.40 29% above 45%
Meningococcal B vaccine (Trumenba) CPT 90621 Vaccine Meningococcal B Recombinant Lipoprotein $498.56 $906.48 $108.78–$1,223.75 147% above 45%
Meningococcal B vaccine (Trumenba) CPT 90621 MENINGOCOCCAL B VAC (RECOMB) IM SUSY $546.03 $992.78 $119.13–$1,340.25 171% above 45%
Mpox and smallpox vaccine (Jynneos), 2-dose schedule CPT 90611 Vaccine Smallpox/Monkeypox 0.5 Ml Sq Live Non-Replicating (Jynneos) $769.82 $1,399.68 $0.01–$1,889.57 307% above 45%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 Vaccine Pneumococcal Conjugate, 15 Valent (Pcv15) for Im Use $520.30 $946.00 $113.52–$1,277.10 26% above 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 Vaccine Pneumococcal Conjugate 20 Valent (Pcv20) for Im Use $711.98 $1,294.51 $155.34–$1,747.59 37% above 45%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL 20-VAL CONJ VACC 0.5 ML IM SUSY $779.86 $1,417.93 $170.15–$1,914.21 50% above 45%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Vaccine Pneumococcal Polysaccharide 23-Valent Patient 2 Years and Older $711.98 $1,294.51 $120.12–$1,747.59 340% above 45%
Polio vaccine, inactivated (IPV) CPT 90713 Vaccine Polio Inactivated $111.50 $202.73 $24.33–$273.69 23% above 45%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS VACCINE INACTIVATED IJ SUSP $1,256.31 $2,284.20 $274.10–$3,083.67 1285% above 45%
RSV antibody shot for infants and toddlers, larger dose (1 mL, 100 mg) CPT 90381 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use $1,471.38 $2,675.24 $321.03–$3,611.57 56% above 45%
RSV antibody shot for infants, seasonal dose (0.5 mL) CPT 90380 Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use $1,471.38 $2,675.24 $321.03–$3,611.57 52% above 45%
RSV vaccine (Abrysvo), one dose for older adults or during pregnancy CPT 90678 Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use (Abrysvo) $795.16 $1,445.74 $173.49–$1,951.75 157% above 45%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 Vaccine Rsv Pref Recombinant Adjuvanted for Im Use ( Arexvy) $810.52 $1,473.67 $176.84–$1,989.45 115% above 45%
RSV vaccine with adjuvant (Arexvy), one dose for older adults CPT 90679 RSVPREF3 VAC RECOMB ADJUVANTED 120 MCG/0.5ML IM SUSR $814.71 $1,481.29 $177.75–$1,999.74 116% above 45%
Rabies vaccine, one dose CPT 90675 Vaccine Rabies $1,105.67 $2,010.31 $241.24–$2,713.92 57% above 45%
Rabies vaccine, one dose CPT 90675 RABIES VIRUS VACCINE, HDC IM SUSR $1,155.87 $2,101.58 $252.19–$2,837.13 64% above 45%
Rotavirus vaccine, oral, 2-dose schedule (Rotarix) CPT 90681 Vaccine Rotovirus Attenuated 2 Dose Scheduel Live Oral Use $374.77 $681.40 $81.77–$919.89 154% above 45%
Rotavirus vaccine, oral, 3-dose schedule (RotaTeq) CPT 90680 Vaccine Rotovirus Pentavalent 3 Dose Scheduel Live Oral Use $227.27 $413.22 $49.59–$557.85 27% above 45%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 Vaccine Shingles $581.23 $1,056.79 $126.81–$1,426.67 168% above 45%
Shingles vaccine (Shingrix), recombinant, one dose CPT 90750 ZOSTER VAC RECOMB ADJUVANTED 50 MCG/0.5ML IM SUSR $636.23 $1,156.79 $138.81–$1,561.67 193% above 45%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Vaccine Tetanus Diphtheria Toxoids Adsorbed Preservative Free Patient 7 Years and Older $104.90 $190.72 $22.89–$257.47 29% above 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 Vaccine Tetanus Diphtheria Toxoids Acellular Pertussis Patient 7 Years and Older $115.72 $210.40 $25.25–$284.04 at median 45%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 TETANUS-DIPHTH-ACELL PERTUSSIS 5-2.5-18.5 LF-MCG/0.5 IM WRAPPED RECORD $119.58 $217.41 $26.09–$293.50 3% above 45%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 Vaccine Typhoid VI Capsular Polysaccharide Vicps $369.74 $672.25 $80.67–$907.54 112% above 45%
Typhoid vaccine, injectable (Vi polysaccharide) CPT 90691 TYPHOID VI POLYSACCHARIDE VACC 25 MCG/0.5ML IM INJECTION $409.74 $744.99 $89.40–$1,005.74 135% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Hepatitis B Vaccine $170.50 $310.00 $6.24–$418.50 63% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Influenza Virus Vaccine $170.50 $310.00 $6.24–$418.50 63% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of 1 Vaccine $170.50 $310.00 $4.46–$418.50 63% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration Of Pneumococcal Vaccine $170.50 $310.00 $6.24–$418.50 63% above 45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of 1 Vaccine $170.50 $310.00 $4.46–$418.50 — 45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Influenza Virus Vaccine $170.50 $310.00 $6.24–$418.50 — 45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Pneumococcal Vaccine $170.50 $310.00 $6.24–$418.50 — 45%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 Administration Of Hepatitis B Vaccine $170.50 $310.00 $6.24–$418.50 — 45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of hepatitis B vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 57% above 45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of pneumococcal vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 57% above 45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of influenza virus vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 57% above 45%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration Of Each Additional Vaccine $135.85 $247.00 $14.02–$333.45 70% above 45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of pneumococcal vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 — 45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of influenza virus vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 — 45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration of hepatitis B vaccine in addition to other vaccine $125.40 $228.00 $22.80–$307.80 — 45%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 Administration Of Each Additional Vaccine $135.85 $247.00 $14.02–$333.45 — 45%
Yellow fever vaccine, live CPT 90717 Vaccine Yellow Fever Live Subcutaneous $698.40 $1,269.81 $202.22–$1,269.81 395% above 45%
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://hsfiles.ucsd.edu/patientBilling/UC-San-Diego-Standard-Charges-956006144.json