Hospital Las Vegas-Henderson-North Las Vegas, NV

University Medical Center of Southern Nevada

University Medical Center of Southern Nevada in Las Vegas, NV publishes cash prices for 462 common procedures listed here, from its own machine-readable price file updated Jul 1, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Nevada median for 203 of 435 procedures and above it for 182. By typical cash price it ranks #7 of 17 Nevada hospitals and #5 of 11 hospitals in the Las Vegas, NV area, cheapest first. Select a procedure to compare it with other hospitals nearby.

1800 W Charleston Blvd, Las Vegas, NV 89102 Collected Oct 8, 2026 Source price file Check a bill from this hospital (702) 383-2000

Acute care hospital Nonprofit hospital Emergency department CMS star rating 2 of 5 CCN 290007 · CMS hospital register NPI 1548393127

Financial assistance

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

University Medical Center of Southern Nevada 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.

CMS price transparency record

The federal Centers for Medicare & Medicaid Services (CMS) enforces the rule that makes hospitals publish their prices. Its public enforcement list shows 5 actions for a hospital named University Medical Center of Southern Nevada in Las Vegas, NV:

Sep 20, 2023 Warning notice
Jan 3, 2024 Corrective action plan requested
Mar 28, 2024 Case closed
Jul 17, 2025 Warning notice
Nov 13, 2025 Case closed

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Corrective action plan requested: CMS asked the hospital to submit a plan to fix the problems it found. Case closed: CMS closed the case after the hospital addressed the problems.

A notice records a step in a CMS review; it is not a court finding. Source: CMS, Hospital Price Transparency Enforcement Activities and Outcomes, actions through Jul 31, 2026.

Scans and imaging

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
Abdominal CT scan without and with contrast CPT 74170 HC CT ABDOMEN WWO CONTRAST	$2,269.20	$7,564.00	—	40% below	70%
Abdominal CT scan without and with contrast inpatient CPT 74170 HC CT ABDOMEN WWO CONTRAST	$2,269.20	$7,564.00	—	—	70%
Abdominal X-ray, 2 views CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$123.30	$411.00	—	73% below	70%
Abdominal X-ray, 2 views inpatient CPT 74019 HC X-RAY EXAM ABDOMEN 2 VIEWS	$123.30	$411.00	—	—	70%
Ankle X-ray, complete, 3 or more views CPT 73610 HC ANKLE 3 VIEW +	$448.20	$1,494.00	—	16% above	70%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 HC ANKLE 3 VIEW +	$448.20	$1,494.00	—	—	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 HC ABIS UP/LOW EXT 1-2 LVLS	$372.30	$1,241.00	—	20% below	70%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 HC ABIS UP/LOW EXT 1-2 LVLS	$372.30	$1,241.00	—	—	70%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 HC CT UPPER EXTRM WO CONTRAST	$1,381.20	$4,604.00	—	34% below	70%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 HC CT UPPER EXTRM WO CONTRAST	$1,381.20	$4,604.00	—	—	70%
Barium swallow (esophagus X-ray with contrast) CPT 74220 HC BARIUM SWALLOW/ESOPHAGRAM SNGL CONTRAST	$475.20	$1,584.00	—	18% below	70%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 HC BARIUM SWALLOW/ESOPHAGRAM SNGL CONTRAST	$475.20	$1,584.00	—	—	70%
Bone scan, whole body (nuclear medicine) CPT 78306 HC BONE SCAN WHOLE BODY	$1,161.90	$3,873.00	—	26% below	70%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 HC BONE SCAN WHOLE BODY	$1,161.90	$3,873.00	—	—	70%
Breast ultrasound, complete, one breast CPT 76641 HC ULTRASOUND BREAST COMPLETE	$465.90	$1,553.00	—	1% below	70%
Breast ultrasound, complete, one breast inpatient CPT 76641 HC ULTRASOUND BREAST COMPLETE	$465.90	$1,553.00	—	—	70%
Breast ultrasound, limited (one breast or one area) CPT 76642 HC ULTRASOUND BREAST LIMITED	$107.40	$358.00	—	64% below	70%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 HC ULTRASOUND BREAST LIMITED	$107.40	$358.00	—	—	70%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 HC CTA ABDOMEN/PELVIS WWO CONTRAST	$2,462.70	$8,209.00	—	15% below	70%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 HC CTA ABDOMEN/PELVIS WWO CONTRAST	$2,462.70	$8,209.00	—	—	70%
CT angiography (CTA) of the head CPT 70496 HC CTA HEAD WWO CONTRAST	$2,263.50	$7,545.00	—	38% below	70%
CT angiography (CTA) of the head inpatient CPT 70496 HC CTA HEAD WWO CONTRAST	$2,263.50	$7,545.00	—	—	70%
CT angiography (CTA) of the neck CPT 70498 HC CTA NECK WWO CONTRAST	$2,404.20	$8,014.00	—	16% below	70%
CT angiography (CTA) of the neck inpatient CPT 70498 HC CTA NECK WWO CONTRAST	$2,404.20	$8,014.00	—	—	70%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 HC CTA CHEST WWO CONTRAST	$1,911.60	$6,372.00	—	48% below	70%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 HC CTA CHEST WWO CONTRAST	$1,911.60	$6,372.00	—	—	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 HC CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$5,466.60	$18,222.00	—	71% above	70%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 HC CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST	$5,466.60	$18,222.00	—	—	70%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT ABD & PELVIS W/O CONTRAST	$1,474.20	$4,914.00	—	47% below	70%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 HC CT ABD & PELVIS W/O CONTRAST	$1,474.20	$4,914.00	—	—	70%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABDOMEN/PELVIS W CONTRAST	$2,260.20	$7,534.00	—	43% below	70%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABDOMEN/PELVIS W CONTRAST	$2,260.20	$7,534.00	—	—	70%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT ABDOMEN/PELVIS WWO CONTRAST	$2,756.40	$9,188.00	—	42% below	70%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 HC CT ABDOMEN/PELVIS WWO CONTRAST	$2,756.40	$9,188.00	—	—	70%
CT scan of the abdomen with contrast CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,794.90	$5,983.00	—	12% below	70%
CT scan of the abdomen with contrast inpatient CPT 74160 HC CT ABDOMEN W/CONTRAST	$1,794.90	$5,983.00	—	—	70%
CT scan of the abdomen without contrast CPT 74150 HC CT ABD WO CONTRAST	$1,371.30	$4,571.00	—	32% below	70%
CT scan of the abdomen without contrast inpatient CPT 74150 HC CT ABD WO CONTRAST	$1,371.30	$4,571.00	—	—	70%
CT scan of the face and sinuses, no contrast dye CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,672.20	$5,574.00	—	17% below	70%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 HC CT MAXILLOFACIAL WO CONTRAST	$1,672.20	$5,574.00	—	—	70%
CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,672.20	$5,574.00	—	5% below	70%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD/BRAIN WO CONTRAST	$1,672.20	$5,574.00	—	—	70%
CT scan of the head with contrast CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$2,173.50	$7,245.00	—	at median	70%
CT scan of the head with contrast inpatient CPT 70460 HC CT HEAD/BRAIN W CONTRAST	$2,173.50	$7,245.00	—	—	70%
CT scan of the head without and with contrast CPT 70470 HC CT HEAD/BRAIN WWO CONTRAST	$2,505.00	$8,350.00	—	at median	70%
CT scan of the head without and with contrast inpatient CPT 70470 HC CT HEAD/BRAIN WWO CONTRAST	$2,505.00	$8,350.00	—	—	70%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,381.20	$4,604.00	—	32% below	70%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 HC CT LUMBAR SPINE WO CONTRAST	$1,381.20	$4,604.00	—	—	70%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$1,672.20	$5,574.00	—	23% below	70%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 HC CT CERVICAL SPINE WO CONTRAST	$1,672.20	$5,574.00	—	—	70%
CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST	$1,794.90	$5,983.00	—	24% below	70%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST	$1,794.90	$5,983.00	—	—	70%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 HC DUPLEX SCAN EXTRACRAN ART COMPL BILAT	$773.10	$2,577.00	—	—	70%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 HC DUPLEX SCAN EXTRACRAN ART COMPL BILAT	$773.10	$2,577.00	—	—	70%
Chest CT scan without and with contrast CPT 71270 HC CT, THORAX, DIAGNOSTIC; W/O CONTRAST MATERIAL, FOL BY CONTRAST MATERIALS & FURTHER SEC	$2,052.60	$6,842.00	—	46% below	70%
Chest CT scan without and with contrast inpatient CPT 71270 HC CT, THORAX, DIAGNOSTIC; W/O CONTRAST MATERIAL, FOL BY CONTRAST MATERIALS & FURTHER SEC	$2,052.60	$6,842.00	—	—	70%
Chest X-ray, 2 views CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$102.30	$341.00	—	69% below	70%
Chest X-ray, 2 views inpatient CPT 71046 HC X-RAY EXAM CHEST 2 VIEWS	$102.30	$341.00	—	—	70%
Chest X-ray, single view CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$102.30	$341.00	—	63% below	70%
Chest X-ray, single view inpatient CPT 71045 HC X-RAY EXAM CHEST 1 VIEW	$102.30	$341.00	—	—	70%
Collarbone (clavicle) X-ray, complete CPT 73000 HC CLAVICLE COMPLETE	$414.00	$1,380.00	—	22% above	70%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 HC CLAVICLE COMPLETE	$414.00	$1,380.00	—	—	70%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US RETROPERIT COMPLETE	$911.40	$3,038.00	—	6% above	70%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 HC US RETROPERIT COMPLETE	$911.40	$3,038.00	—	—	70%
Detailed fetal anatomy ultrasound, through the belly, one baby CPT 76811 HC OB US SGL GEST W FETAL EXAM	$425.70	$1,419.00	—	at median	70%
Detailed fetal anatomy ultrasound, through the belly, one baby inpatient CPT 76811 HC OB US SGL GEST W FETAL EXAM	$425.70	$1,419.00	—	—	70%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT, THORAX, DIAGNOSTIC; W/OUT CONTRAST MATERIAL	$1,371.30	$4,571.00	—	21% below	70%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 HC CT, THORAX, DIAGNOSTIC; W/OUT CONTRAST MATERIAL	$1,371.30	$4,571.00	—	—	70%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT, THORAX DIAGNOSTIC W CONTRAST MATERIAL	$1,794.90	$5,983.00	—	26% below	70%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 HC CT, THORAX DIAGNOSTIC W CONTRAST MATERIAL	$1,794.90	$5,983.00	—	—	70%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 HC ULTRSND LWR EXT ARTER/GRAFT BILAT	$728.70	$2,429.00	—	—	70%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 HC ULTRSND LWR EXT ARTER/GRAFT BILAT	$728.70	$2,429.00	—	—	70%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC US DUPLEX EXT VEINS; BILAT	$1,243.80	$4,146.00	—	—	70%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 HC US DUPLEX EXT VEINS; BILAT	$1,243.80	$4,146.00	—	—	70%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 HC ECHO COMPLETE W/ COLOR,SPECTRAL	$2,065.20	$6,884.00	$203.54–$5,851.40	3% above	70%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 HC ECHO COMPLETE W/ COLOR,SPECTRAL	$2,065.20	$6,884.00	$203.54–$5,851.40	—	70%
Elbow X-ray, 2 views CPT 73070 HC ELBOW 2 VIEW	$414.30	$1,381.00	—	35% above	70%
Elbow X-ray, 2 views inpatient CPT 73070 HC ELBOW 2 VIEW	$414.30	$1,381.00	—	—	70%
Elbow X-ray, complete, 3 or more views CPT 73080 HC ELBOW 3 VIEW +	$471.90	$1,573.00	—	20% above	70%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 HC ELBOW 3 VIEW +	$471.90	$1,573.00	—	—	70%
Eye socket (orbit) CT scan without contrast CPT 70480 HC CT ORBIT SELLA PF IAC WO CONT	$1,632.60	$5,442.00	—	19% below	70%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 HC CT ORBIT SELLA PF IAC WO CONT	$1,632.60	$5,442.00	—	—	70%
Facial bones X-ray, complete, 3 or more views CPT 70150 HC FACIAL BONE COMP MIN 3 VWS	$505.50	$1,685.00	—	2% below	70%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 HC FACIAL BONE COMP MIN 3 VWS	$505.50	$1,685.00	—	—	70%
Forearm X-ray (radius and ulna), 2 views CPT 73090 HC FOREARM 2 VIEW	$322.50	$1,075.00	—	2% below	70%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 HC FOREARM 2 VIEW	$322.50	$1,075.00	—	—	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING	$1,481.70	$4,939.00	—	6% below	70%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HC HEPATOBILIARY SYSTEM IMAGING	$1,481.70	$4,939.00	—	—	70%
Hand X-ray, 2 views CPT 73120 HC HAND 2 VIEW	$322.50	$1,075.00	—	1% above	70%
Hand X-ray, 2 views inpatient CPT 73120 HC HAND 2 VIEW	$322.50	$1,075.00	—	—	70%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 HC HEEL 2 VIEW +	$386.40	$1,288.00	—	29% above	70%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 HC HEEL 2 VIEW +	$386.40	$1,288.00	—	—	70%
Home sleep apnea test, unattended, recording breathing and oxygen CPT 95806 HC SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$192.90	$643.00	$92.51–$2,083.00	72% below	70%
Home sleep apnea test, unattended, recording breathing and oxygen inpatient CPT 95806 HC SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT	$192.90	$643.00	$92.51–$2,083.00	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/> YRS CPAP 4/> PARM	$1,237.50	$4,125.00	$580.41–$8,338.00	70% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$1,237.50	$4,125.00	$580.41–$8,338.00	70% below	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND	$1,237.50	$4,125.00	$580.41–$8,338.00	—	70%
In-lab sleep study with CPAP or bilevel titration, age 6 and older inpatient CPT 95811 HC POLYSOM 6/> YRS CPAP 4/> PARM	$1,237.50	$4,125.00	$580.41–$8,338.00	—	70%
Knee X-ray, 3 views CPT 73562 HC X-RAY KNEE 3 VIEWS	$458.70	$1,529.00	—	23% above	70%
Knee X-ray, 3 views inpatient CPT 73562 HC X-RAY KNEE 3 VIEWS	$458.70	$1,529.00	—	—	70%
Knee X-ray, complete, 4 or more views CPT 73564 HC KNEE 4 VIEW +	$547.80	$1,826.00	—	15% above	70%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 HC KNEE 4 VIEW +	$547.80	$1,826.00	—	—	70%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 HC CT LOWER EXTRM WO CONTRAST	$1,381.20	$4,604.00	—	19% below	70%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 HC CT LOWER EXTRM WO CONTRAST	$1,381.20	$4,604.00	—	—	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US ABDOMEN LIMITED	$661.20	$2,204.00	—	8% below	70%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 HC US ABDOMEN LIMITED	$661.20	$2,204.00	—	—	70%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 HC US LIMITED JOINT/OTHER NONVASC XTR STRUX R-T W/IMG	$123.30	$411.00	—	70% below	70%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 HC US LIMITED JOINT/OTHER NONVASC XTR STRUX R-T W/IMG	$123.30	$411.00	—	—	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 HC CT THORAX LUNG CANCER SCR C-	$1,371.90	$4,573.00	—	231% above	70%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 HC CT THORAX LUNG CANCER SCR C-	$1,371.90	$4,573.00	—	—	70%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 HC TIBIA/FIBULA 2 VIEWS	$394.20	$1,314.00	—	32% above	70%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 HC TIBIA/FIBULA 2 VIEWS	$394.20	$1,314.00	—	—	70%
MR angiography (MRA) of the head without contrast CPT 70544 HC MRA; HEAD; W/O CONTRAST	$1,850.70	$6,169.00	—	20% below	70%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 HC MRA; HEAD; W/O CONTRAST	$1,850.70	$6,169.00	—	—	70%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI - LOWEXT JNT W/O CONTRAST	$1,409.40	$4,698.00	—	39% below	70%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI - LOWEXT JNT W/O CONTRAST	$1,409.40	$4,698.00	—	—	70%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOWER JOINT WWO CONTRAST	$2,063.40	$6,878.00	—	40% below	70%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOWER JOINT WWO CONTRAST	$2,063.40	$6,878.00	—	—	70%
MRI of the abdomen without contrast CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,409.40	$4,698.00	—	29% below	70%
MRI of the abdomen without contrast inpatient CPT 74181 HC MRI ABDOMEN W/O CONTRAST	$1,409.40	$4,698.00	—	—	70%
MRI of the abdomen, without and then with contrast dye CPT 74183 HC MRI ABD WWO CONTRAST	$2,063.40	$6,878.00	—	37% below	70%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 HC MRI ABD WWO CONTRAST	$2,063.40	$6,878.00	—	—	70%
MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,953.60	$6,512.00	—	18% below	70%
MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN W/O CONTRAST	$1,953.60	$6,512.00	—	—	70%
MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$2,437.80	$8,126.00	—	44% below	70%
MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN W & W/O CONTRAST	$2,437.80	$8,126.00	—	—	70%
MRI of the lower back, no contrast dye CPT 72148 HC MRI SPINE LUMBAR W/O CONTRAST	$1,409.40	$4,698.00	—	41% below	70%
MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI SPINE LUMBAR W/O CONTRAST	$1,409.40	$4,698.00	—	—	70%
MRI of the lower back, without and then with contrast dye CPT 72158 HC MRI L-SPINE WWO CONTRAST	$2,063.40	$6,878.00	—	52% below	70%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 HC MRI L-SPINE WWO CONTRAST	$2,063.40	$6,878.00	—	—	70%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 HC MRI SPINE THORACIC W/O CONTRAST	$1,576.50	$5,255.00	—	25% below	70%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 HC MRI SPINE THORACIC W/O CONTRAST	$1,576.50	$5,255.00	—	—	70%
MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-SPINE WWO CONTRAST	$2,063.40	$6,878.00	—	49% below	70%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 HC MRI C-SPINE WWO CONTRAST	$2,063.40	$6,878.00	—	—	70%
MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI SPINE CERV; W/O CONTRAST	$1,409.40	$4,698.00	—	35% below	70%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 HC MRI SPINE CERV; W/O CONTRAST	$1,409.40	$4,698.00	—	—	70%
MRI of the pelvis without and with contrast CPT 72197 HC MRI PELVIS WWO CONTRAST	$2,063.40	$6,878.00	—	38% below	70%
MRI of the pelvis without and with contrast inpatient CPT 72197 HC MRI PELVIS WWO CONTRAST	$2,063.40	$6,878.00	—	—	70%
MRI of the pelvis, no contrast dye CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,465.80	$4,886.00	—	17% below	70%
MRI of the pelvis, no contrast dye inpatient CPT 72195 HC MRI PELVIS W/O CONTRAST	$1,465.80	$4,886.00	—	—	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 HC MRI UPPER JOINT WO CONTRAST	$1,409.40	$4,698.00	—	39% below	70%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 HC MRI UPPER JOINT WO CONTRAST	$1,409.40	$4,698.00	—	—	70%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC SPINE CERVICAL 4/5V	$605.40	$2,018.00	—	4% above	70%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 HC SPINE CERVICAL 4/5V	$605.40	$2,018.00	—	—	70%
Neck soft tissue CT scan with contrast CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$2,171.70	$7,239.00	—	12% below	70%
Neck soft tissue CT scan with contrast inpatient CPT 70491 HC CT SOFT TISSUE NECK W CONTRAST	$2,171.70	$7,239.00	—	—	70%
Neck soft tissue CT scan without contrast CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,602.90	$5,343.00	—	20% below	70%
Neck soft tissue CT scan without contrast inpatient CPT 70490 HC CT SOFT TISSUE NECK WO CONTRAST	$1,602.90	$5,343.00	—	—	70%
Neck soft tissue X-ray CPT 70360 HC X-RAY NECK SOFT TISSUE	$258.30	$861.00	—	23% below	70%
Neck soft tissue X-ray inpatient CPT 70360 HC X-RAY NECK SOFT TISSUE	$258.30	$861.00	—	—	70%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HC MYOCARDIAL PERFUSION STRS/REST	$3,430.80	$11,436.00	—	26% below	70%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HC MYOCARDIAL PERFUSION STRS/REST	$3,430.80	$11,436.00	—	—	70%
Pelvic CT scan without contrast CPT 72192 HC CT PELVIS WO CONTRAST	$1,381.20	$4,604.00	—	14% below	70%
Pelvic CT scan without contrast inpatient CPT 72192 HC CT PELVIS WO CONTRAST	$1,381.20	$4,604.00	—	—	70%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 HC US PELVIC NON OB LIMITED	$143.70	$479.00	—	70% below	70%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 HC US PELVIC NON OB LIMITED	$143.70	$479.00	—	—	70%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US PELVIC NON OB COMPLETE	$940.20	$3,134.00	—	at median	70%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 HC US PELVIC NON OB COMPLETE	$940.20	$3,134.00	—	—	70%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC OB US >= 14 WKS SINGLE FETUS	$596.10	$1,987.00	—	9% below	70%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC OB US >= 14 WKS SINGLE FETUS	$596.10	$1,987.00	—	—	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby CPT 76801 HC OB US < 14 WKS SINGLE FETUS	$596.10	$1,987.00	—	at median	70%
Pregnancy ultrasound before 14 weeks, through the belly, one baby inpatient CPT 76801 HC OB US < 14 WKS SINGLE FETUS	$596.10	$1,987.00	—	—	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) CPT 76815 HC OB US LIMITED 1+ FETUS(S)	$484.20	$1,614.00	—	33% below	70%
Pregnancy ultrasound, limited (heartbeat, position, fluid) inpatient CPT 76815 HC OB US LIMITED 1+ FETUS(S)	$484.20	$1,614.00	—	—	70%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 HC X-RAY RIBS, CHEST 3+ VW	$477.30	$1,591.00	—	7% above	70%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 HC X-RAY RIBS, CHEST 3+ VW	$477.30	$1,591.00	—	—	70%
Shoulder X-ray, complete, 2 or more views CPT 73030 HC X-RAY SHOULDER 2+ VW	$429.00	$1,430.00	—	5% above	70%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 HC X-RAY SHOULDER 2+ VW	$429.00	$1,430.00	—	—	70%
Sinus X-ray, complete, 3 or more views CPT 70220 HC SINUSES PARANASAL COMP, MIN 3 VWS	$440.70	$1,469.00	—	16% below	70%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 HC SINUSES PARANASAL COMP, MIN 3 VWS	$440.70	$1,469.00	—	—	70%
Skull X-ray, fewer than 4 views CPT 70250 HC X-RAY SKULL <4 VW	$390.90	$1,303.00	—	6% below	70%
Skull X-ray, fewer than 4 views inpatient CPT 70250 HC X-RAY SKULL <4 VW	$390.90	$1,303.00	—	—	70%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,237.50	$4,125.00	$553.25–$8,338.00	65% below	70%
Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6/> YRS 4/> PARAM	$1,237.50	$4,125.00	$553.25–$8,338.00	65% below	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$1,237.50	$4,125.00	$553.25–$8,338.00	—	70%
Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6/> YRS 4/> PARAM	$1,237.50	$4,125.00	$553.25–$8,338.00	—	70%
Stress echocardiogram, complete, including the stress test and supervision CPT 93351 HC STRESS TTE COMPLETE	$636.30	$2,121.00	$249.74–$1,802.85	53% below	70%
Stress echocardiogram, complete, including the stress test and supervision inpatient CPT 93351 HC STRESS TTE COMPLETE	$636.30	$2,121.00	$249.74–$1,802.85	—	70%
Swallow study (modified barium swallow, video X-ray) CPT 74230 HC MBS/SWALLOW W/VIDEO SNGL CONTRAST	$589.20	$1,964.00	—	1% below	70%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 HC MBS/SWALLOW W/VIDEO SNGL CONTRAST	$589.20	$1,964.00	—	—	70%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	$524.70	$1,749.00	—	97% above	70%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 HC RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS	$524.70	$1,749.00	—	—	70%
Thoracic spine (mid back) CT scan without contrast CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$1,381.20	$4,604.00	—	34% below	70%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 HC CT THORACIC SPINE WO CONTRAST	$1,381.20	$4,604.00	—	—	70%
Toe X-ray, 2 or more views CPT 73660 HC TOE(S), MIN 2 VIEWS	$263.10	$877.00	—	15% below	70%
Toe X-ray, 2 or more views inpatient CPT 73660 HC TOE(S), MIN 2 VIEWS	$263.10	$877.00	—	—	70%
Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAG	$572.70	$1,909.00	—	1% below	70%
Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAG	$572.70	$1,909.00	—	—	70%
Transvaginal ultrasound during pregnancy CPT 76817 HC TRANSVAGINAL OB US	$727.20	$2,424.00	—	3% below	70%
Transvaginal ultrasound during pregnancy inpatient CPT 76817 HC TRANSVAGINAL OB US	$727.20	$2,424.00	—	—	70%
Ultrasound of the abdomen, complete CPT 76700 HC ULT ABDOMEN COMPLETE	$807.00	$2,690.00	—	16% below	70%
Ultrasound of the abdomen, complete inpatient CPT 76700 HC ULT ABDOMEN COMPLETE	$807.00	$2,690.00	—	—	70%
Ultrasound of the scrotum and testicles CPT 76870 HC US SCROTUM	$818.40	$2,728.00	—	1% above	70%
Ultrasound of the scrotum and testicles inpatient CPT 76870 HC US SCROTUM	$818.40	$2,728.00	—	—	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 HC US HEAD AND NECK W/ IMAGE	$597.60	$1,992.00	—	21% below	70%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 HC US HEAD AND NECK W/ IMAGE	$597.60	$1,992.00	—	—	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC UPPER GI W KUB SNGL CONTRAST	$732.30	$2,441.00	—	3% above	70%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 HC UPPER GI W KUB SNGL CONTRAST	$732.30	$2,441.00	—	—	70%
Upper arm X-ray (humerus), 2 views CPT 73060 HC HUMERUS 2 VIEW +	$254.70	$849.00	—	19% below	70%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HC HUMERUS 2 VIEW +	$254.70	$849.00	—	—	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 HC US DUPLEX EXT VEINS; UNIL/LIMIT	$884.40	$2,948.00	—	4% above	70%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 HC US DUPLEX EXT VEINS; UNIL/LIMIT	$884.40	$2,948.00	—	—	70%
Wrist X-ray, 2 views CPT 73100 HC WRIST 2 VIEW	$322.50	$1,075.00	—	at median	70%
Wrist X-ray, 2 views inpatient CPT 73100 HC WRIST 2 VIEW	$322.50	$1,075.00	—	—	70%
Wrist X-ray, complete, 3 or more views CPT 73110 HC WRIST 3 VIEW +	$400.80	$1,336.00	—	1% below	70%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 HC WRIST 3 VIEW +	$400.80	$1,336.00	—	—	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$197.10	$657.00	—	41% below	70%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient one side CPT 73502 HC HIP UNILATERAL WITH PELVIS 2-3 VIEWS	$197.10	$657.00	—	—	70%
X-ray of the abdomen, 1 view CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$102.30	$341.00	—	70% below	70%
X-ray of the abdomen, 1 view inpatient CPT 74018 HC X-RAY EXAM ABDOMEN 1 VIEW	$102.30	$341.00	—	—	70%
X-ray of the ankle, 2 views CPT 73600 HC ANKLE 2 VIEW	$350.10	$1,167.00	—	1% above	70%
X-ray of the ankle, 2 views inpatient CPT 73600 HC ANKLE 2 VIEW	$350.10	$1,167.00	—	—	70%
X-ray of the finger(s), 2 or more views CPT 73140 HC FINGERS- MIN 2 VIEWS	$266.70	$889.00	—	7% below	70%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 HC FINGERS- MIN 2 VIEWS	$266.70	$889.00	—	—	70%
X-ray of the foot, 2 views CPT 73620 HC FOOT 2 VIEW	$386.40	$1,288.00	—	15% above	70%
X-ray of the foot, 2 views inpatient CPT 73620 HC FOOT 2 VIEW	$386.40	$1,288.00	—	—	70%
X-ray of the foot, complete, 3 or more views CPT 73630 HC FOOT 3 VIEW +	$442.80	$1,476.00	—	17% above	70%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 HC FOOT 3 VIEW +	$442.80	$1,476.00	—	—	70%
X-ray of the hand, 3 or more views CPT 73130 HC X-RAY HAND 3+ VW	$400.80	$1,336.00	—	12% above	70%
X-ray of the hand, 3 or more views inpatient CPT 73130 HC X-RAY HAND 3+ VW	$400.80	$1,336.00	—	—	70%
X-ray of the knee, 1 or 2 views CPT 73560 HC KNEE 1 OR 2 VIEW	$394.20	$1,314.00	—	16% above	70%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 HC KNEE 1 OR 2 VIEW	$394.20	$1,314.00	—	—	70%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC X-RAY LUMBOSACRAL SPINE 2/3 VW	$528.30	$1,761.00	—	17% above	70%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 HC X-RAY LUMBOSACRAL SPINE 2/3 VW	$528.30	$1,761.00	—	—	70%
X-ray of the lower back, 4 or more views CPT 72110 HC X-RAY LUMBOSACRAL SPINE MIN 4 VWS	$706.50	$2,355.00	—	23% above	70%
X-ray of the lower back, 4 or more views inpatient CPT 72110 HC X-RAY LUMBOSACRAL SPINE MIN 4 VWS	$706.50	$2,355.00	—	—	70%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC X-RAY THORACIC SPINE 2 VW	$411.90	$1,373.00	—	23% above	70%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 HC X-RAY THORACIC SPINE 2 VW	$411.90	$1,373.00	—	—	70%
X-ray of the nasal bones, 3 or more views CPT 70160 HC NASAL BONES COMPLETE MIN 3V	$301.50	$1,005.00	—	15% below	70%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 HC NASAL BONES COMPLETE MIN 3V	$301.50	$1,005.00	—	—	70%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC SPINE CERVICAL 2/3 V	$515.70	$1,719.00	—	22% above	70%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 HC SPINE CERVICAL 2/3 V	$515.70	$1,719.00	—	—	70%
X-ray of the pelvis, 1 or 2 views CPT 72170 HC X-RAY PELVIS 1/2 VW	$295.80	$986.00	—	5% below	70%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 HC X-RAY PELVIS 1/2 VW	$295.80	$986.00	—	—	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW	$361.20	$1,204.00	—	3% below	70%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 HC X-RAY SACRUM/COCCYX 2+ VW	$361.20	$1,204.00	—	—	70%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
ACTH blood test CPT 82024 HC ACTH	$127.50	$425.00	$18.73–$361.25	9% below	70%
ACTH blood test inpatient CPT 82024 HC ACTH	$127.50	$425.00	$18.73–$361.25	—	70%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 HC TRANSFERASE; ALANINE AMINO	$98.70	$329.00	$2.51–$279.65	12% above	70%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 HC TRANSFERASE; ALANINE AMINO	$98.70	$329.00	$2.51–$279.65	—	70%
AST (aspartate aminotransferase) enzyme test CPT 84450 HC TRANSFERASE AST OR SGOT	$49.80	$166.00	$2.51–$141.10	29% below	70%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 HC TRANSFERASE AST OR SGOT	$49.80	$166.00	$2.51–$141.10	—	70%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC HEPATITIS PANEL ACUTE	$438.60	$1,462.00	$16.34–$1,242.70	28% above	70%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 HC HEPATITIS PANEL ACUTE	$438.60	$1,462.00	$16.34–$1,242.70	—	70%
Albumin blood test CPT 82040 HC ASSAY OF SERUM ALBUMIN	$93.30	$311.00	$2.34–$264.35	30% above	70%
Albumin blood test inpatient CPT 82040 HC ASSAY OF SERUM ALBUMIN	$93.30	$311.00	$2.34–$264.35	—	70%
Aldosterone blood test CPT 82088 HC ALDOSTERONE URINE	$220.80	$736.00	$19.73–$625.60	at median	70%
Aldosterone blood test inpatient CPT 82088 HC ALDOSTERONE URINE	$220.80	$736.00	$19.73–$625.60	—	70%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALKALINE PHOSPHATASE	$107.10	$357.00	$2.51–$303.45	49% above	70%
Alkaline phosphatase (ALP) blood test CPT 84075 HC ALK PHOSPHATASE	$107.10	$357.00	$2.51–$303.45	49% above	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALK PHOSPHATASE	$107.10	$357.00	$2.51–$303.45	—	70%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 HC ALKALINE PHOSPHATASE	$107.10	$357.00	$2.51–$303.45	—	70%
Allergy blood test, specific IgE, per allergen CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA	$21.30	$71.00	$2.51–$60.35	20% below	70%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HC ALLG SPEC IGE CRUDE XTRC EA	$21.30	$71.00	$2.51–$60.35	—	70%
Alpha-fetoprotein (AFP) blood test CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$93.90	$313.00	$8.03–$266.05	12% below	70%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 HC ALPHA-FETOPROTEIN SERUM	$93.90	$313.00	$8.03–$266.05	—	70%
Ammonia blood test CPT 82140 HC AMMONIA	$93.00	$310.00	$7.02–$263.50	40% below	70%
Ammonia blood test inpatient CPT 82140 HC AMMONIA	$93.00	$310.00	$7.02–$263.50	—	70%
Amylase blood test CPT 82150 HC AMYLASE	$197.10	$657.00	$3.18–$558.45	135% above	70%
Amylase blood test inpatient CPT 82150 HC AMYLASE	$197.10	$657.00	$3.18–$558.45	—	70%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC ANTI-CCP ANTIBODY	$79.50	$265.00	$6.19–$225.25	5% below	70%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 HC ANTI-CCP ANTIBODY	$79.50	$265.00	$6.19–$225.25	—	70%
Antinuclear antibody (ANA) blood test, screen CPT 86038 HC ANTI NUCLEAR ANTIBODIES (ANA)	$225.30	$751.00	$5.85–$638.35	311% above	70%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 HC ANTI NUCLEAR ANTIBODIES (ANA)	$225.30	$751.00	$5.85–$638.35	—	70%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC NATRIUETIC PEPTIDE BNP	$231.30	$771.00	$16.38–$655.35	8% below	70%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 HC NATRIUETIC PEPTIDE BNP	$231.30	$771.00	$16.38–$655.35	—	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC BACTERIAL CULTURE - OTHER SOURCE	$228.30	$761.00	$4.18–$646.85	135% above	70%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 HC BACTERIAL CULTURE - OTHER SOURCE	$228.30	$761.00	$4.18–$646.85	—	70%
Basic metabolic panel (blood test) CPT 80048 HC METABOLIC PANEL TOTAL CA	$166.50	$555.00	$3.78–$471.75	at median	70%
Basic metabolic panel (blood test) inpatient CPT 80048 HC METABOLIC PANEL TOTAL CA	$166.50	$555.00	$3.78–$471.75	—	70%
Bilirubin blood test, total CPT 82247 HC TOTAL BILIRUBIN	$80.70	$269.00	$2.51–$228.65	33% above	70%
Bilirubin blood test, total inpatient CPT 82247 HC TOTAL BILIRUBIN	$80.70	$269.00	$2.51–$228.65	—	70%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 HC TISSUE EXAM BY PATHOLOGIST LVL 4	$64.80	$216.00	$34.78–$795.12	13% below	70%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 HC TISSUE EXAM BY PATHOLOGIST LVL 4	$64.80	$216.00	$34.78–$795.12	—	70%
Blood culture for bacteria CPT 87040 HC AEROB BACTERIAL BLOOD CULTURE	$252.60	$842.00	$5.02–$715.70	7% above	70%
Blood culture for bacteria inpatient CPT 87040 HC AEROB BACTERIAL BLOOD CULTURE	$252.60	$842.00	$5.02–$715.70	—	70%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC ROUTINE VENIPUNCTURE	$27.30	$91.00	$1.50–$4,730.00	at median	70%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 HC ROUTINE VENIPUNCTURE	$27.30	$91.00	$1.50–$4,730.00	—	70%
Blood glucose (sugar) test CPT 82947 HC GLUCOSE; QUAN BLOOD	$84.60	$282.00	$1.84–$239.70	2% above	70%
Blood glucose (sugar) test inpatient CPT 82947 HC GLUCOSE; QUAN BLOOD	$84.60	$282.00	$1.84–$239.70	—	70%
Blood lead test CPT 83655 HC LEAD	$61.50	$205.00	$5.85–$174.25	2% below	70%
Blood lead test inpatient CPT 83655 HC LEAD	$61.50	$205.00	$5.85–$174.25	—	70%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 HC PREGNANCY BLOOD TEST	$97.20	$324.00	$3.68–$275.40	3% above	70%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 HC PREGNANCY BLOOD TEST	$97.20	$324.00	$3.68–$275.40	—	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$149.70	$499.00	$1.50–$424.15	16% above	70%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC ABO DISCREPANCY PATIENT/GROUPING	$149.70	$499.00	$1.50–$424.15	16% above	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC BLOOD TYPING SEROLOGIC ABO	$149.70	$499.00	$1.50–$424.15	—	70%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 HC ABO DISCREPANCY PATIENT/GROUPING	$149.70	$499.00	$1.50–$424.15	—	70%
Blood urea nitrogen (BUN) test CPT 84520 HC UREA NITROGEN; QUAN	$55.20	$184.00	$1.84–$156.40	6% above	70%
Blood urea nitrogen (BUN) test inpatient CPT 84520 HC UREA NITROGEN; QUAN	$55.20	$184.00	$1.84–$156.40	—	70%
C-peptide blood test CPT 84681 HC C-PEPTIDE	$100.80	$336.00	$10.03–$285.60	35% below	70%
C-peptide blood test inpatient CPT 84681 HC C-PEPTIDE	$100.80	$336.00	$10.03–$285.60	—	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-REACTIVE PROTEIN	$125.10	$417.00	$2.51–$354.45	182% above	70%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 HC C-REACTIVE PROTEIN	$125.10	$417.00	$2.51–$354.45	—	70%
C. difficile toxin gene test (stool PCR) CPT 87493 HC C DIFF AMPLIFIED PROBE	$63.60	$212.00	$3.78–$180.20	31% below	70%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 HC C DIFF AMPLIFIED PROBE	$63.60	$212.00	$3.78–$180.20	—	70%
CA 19-9 blood test (tumor marker) CPT 86301 HC IA QUANT; CA 19 - 9	$87.30	$291.00	$10.03–$247.35	30% below	70%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 HC IA QUANT; CA 19 - 9	$87.30	$291.00	$10.03–$247.35	—	70%
CA-125 blood test (ovarian cancer marker) CPT 86304 HC IA QUANT; CA 125	$87.30	$291.00	$10.03–$247.35	38% below	70%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 HC IA QUANT; CA 125	$87.30	$291.00	$10.03–$247.35	—	70%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$66.30	$221.00	$24.75–$285.26	10% below	70%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 HC IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ	$66.30	$221.00	$24.75–$285.26	—	70%
Calcium blood test, total CPT 82310 HC CALCIUM; TOTAL	$70.50	$235.00	$2.51–$199.75	11% below	70%
Calcium blood test, total inpatient CPT 82310 HC CALCIUM; TOTAL	$70.50	$235.00	$2.51–$199.75	—	70%
Carcinoembryonic antigen (CEA) test CPT 82378 HC CEA	$168.90	$563.00	$9.20–$478.55	11% above	70%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 HC CEA	$168.90	$563.00	$9.20–$478.55	—	70%
Chickenpox (varicella) immunity blood test CPT 86787 HC AB; VARICELLA - ZOSTER	$26.40	$88.00	$6.19–$74.80	69% below	70%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 HC AB; VARICELLA - ZOSTER	$26.40	$88.00	$6.19–$74.80	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA, AMPLIF NA PROBE	$189.00	$630.00	$16.89–$535.50	16% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE	$189.00	$630.00	$16.89–$535.50	16% above	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA TRACHOMATIS AMP PROBE	$189.00	$630.00	$16.89–$535.50	—	70%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 HC CHLAMYDIA, AMPLIF NA PROBE	$189.00	$630.00	$16.89–$535.50	—	70%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LIPID PANEL	$218.10	$727.00	$6.52–$617.95	42% above	70%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LIPID PANEL	$218.10	$727.00	$6.52–$617.95	—	70%
Complete blood count (CBC) with differential CPT 85025 HC CBC/AUTOMATED COMP DIFF	$90.00	$300.00	$3.68–$255.00	17% below	70%
Complete blood count (CBC) with differential CPT 85025 HC CBC/AUTOMATED COMP DIFF	$94.50	$315.00	$3.68–$267.75	12% below	70%
Complete blood count (CBC) with differential inpatient CPT 85025 HC CBC/AUTOMATED COMP DIFF	$94.50	$315.00	$3.68–$267.75	—	70%
Complete blood count (CBC), no differential CPT 85027 HC CBC COMPLETE	$66.60	$222.00	$2.52–$188.70	5% below	70%
Complete blood count (CBC), no differential CPT 85027 HC CBC AUTOMATED NO DIFF	$66.60	$222.00	$2.52–$188.70	5% below	70%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC AUTOMATED NO DIFF	$66.60	$222.00	$2.52–$188.70	—	70%
Complete blood count (CBC), no differential inpatient CPT 85027 HC CBC COMPLETE	$66.60	$222.00	$2.52–$188.70	—	70%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC	$312.30	$1,041.00	$3.78–$884.85	73% above	70%
Comprehensive metabolic panel (blood test) CPT 80053 HC COMPREHENSIVE METABOLIC	$327.90	$1,093.00	$3.78–$929.05	81% above	70%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC COMPREHENSIVE METABOLIC	$327.90	$1,093.00	$3.78–$929.05	—	70%
Cortisol blood test, total CPT 82533 HC CORTISOL; TOTAL	$143.70	$479.00	$7.86–$407.15	28% above	70%
Cortisol blood test, total inpatient CPT 82533 HC CORTISOL; TOTAL	$143.70	$479.00	$7.86–$407.15	—	70%
Creatine kinase (CK) blood test, total CPT 82550 HC CPK; TOTAL	$130.80	$436.00	$3.18–$370.60	30% above	70%
Creatine kinase (CK) blood test, total inpatient CPT 82550 HC CPK; TOTAL	$130.80	$436.00	$3.18–$370.60	—	70%
Creatinine blood test CPT 82565 HC CREATININE; BLOOD	$83.10	$277.00	$2.51–$235.45	at median	70%
Creatinine blood test inpatient CPT 82565 HC CREATININE; BLOOD	$83.10	$277.00	$2.51–$235.45	—	70%
Cytomegalovirus (CMV) antibody test CPT 86644 HC AB; CMV	$44.10	$147.00	$6.30–$124.95	35% below	70%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 HC AB; CMV	$44.10	$147.00	$6.30–$124.95	—	70%
DHEA sulfate (DHEA-S) blood test CPT 82627 HC DHEA SULFATE	$74.40	$248.00	$10.70–$210.80	37% below	70%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 HC DHEA SULFATE	$74.40	$248.00	$10.70–$210.80	—	70%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HC DRUG TEST PRSMV CHEM ANALYZER	$143.70	$479.00	$30.10–$407.15	34% below	70%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HC DRUG TEST PRSMV CHEM ANALYZER	$143.70	$479.00	$30.10–$407.15	—	70%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC ELECTROLYTE PANEL	$138.90	$463.00	$3.34–$393.55	12% above	70%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 HC ELECTROLYTE PANEL	$138.90	$463.00	$3.34–$393.55	—	70%
Epstein-Barr virus (EBV) antibody test CPT 86665 HC AB; EB VCA	$33.00	$110.00	$6.30–$93.50	65% below	70%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 HC AB; EB VCA	$33.00	$110.00	$6.30–$93.50	—	70%
Estradiol blood test CPT 82670 HC ESTRADIOL; TOTAL	$88.20	$294.00	$13.54–$249.90	51% below	70%
Estradiol blood test inpatient CPT 82670 HC ESTRADIOL; TOTAL	$88.20	$294.00	$13.54–$249.90	—	70%
FSH (follicle-stimulating hormone) test CPT 83001 HC FOLLICLE STIMULATING HORMONE	$113.70	$379.00	$9.03–$322.15	13% below	70%
FSH (follicle-stimulating hormone) test inpatient CPT 83001 HC FOLLICLE STIMULATING HORMONE	$113.70	$379.00	$9.03–$322.15	—	70%
Fecal calprotectin (stool inflammation test) CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL	$172.20	$574.00	$9.53–$487.90	47% above	70%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 HC ASSAY FOR CALPROTECTIN FECAL	$172.20	$574.00	$9.53–$487.90	—	70%
Ferritin blood test (iron stores) CPT 82728 HC FERRITIN	$113.70	$379.00	$6.52–$322.15	15% below	70%
Ferritin blood test (iron stores) inpatient CPT 82728 HC FERRITIN	$113.70	$379.00	$6.52–$322.15	—	70%
Fibrinogen blood test CPT 85384 HC FIBRINOGEN	$127.80	$426.00	$4.68–$362.10	16% above	70%
Fibrinogen blood test inpatient CPT 85384 HC FIBRINOGEN	$127.80	$426.00	$4.68–$362.10	—	70%
Folate (folic acid) blood test CPT 82746 HC FOLATE	$151.50	$505.00	$6.30–$429.25	at median	70%
Folate (folic acid) blood test CPT 82746 HC FOLATE SERUM	$151.50	$505.00	$6.30–$429.25	at median	70%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE SERUM	$151.50	$505.00	$6.30–$429.25	—	70%
Folate (folic acid) blood test inpatient CPT 82746 HC FOLATE	$151.50	$505.00	$6.30–$429.25	—	70%
Free T3 thyroid hormone test CPT 84481 HC T3 FREE	$120.90	$403.00	$8.19–$342.55	16% below	70%
Free T3 thyroid hormone test inpatient CPT 84481 HC T3 FREE	$120.90	$403.00	$8.19–$342.55	—	70%
Free T4 (free thyroxine) thyroid blood test CPT 84439 HC FREE T4	$99.00	$330.00	$4.35–$280.50	2% below	70%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 HC FREE T4	$99.00	$330.00	$4.35–$280.50	—	70%
Free testosterone test CPT 84402 HC TESTOSTERONE-FREE	$264.00	$880.00	$6.30–$748.00	57% above	70%
Free testosterone test inpatient CPT 84402 HC TESTOSTERONE-FREE	$264.00	$880.00	$6.30–$748.00	—	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA (GTT)	$119.10	$397.00	$2.52–$337.45	30% above	70%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC GGTP	$119.10	$397.00	$2.52–$337.45	30% above	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GGTP	$119.10	$397.00	$2.52–$337.45	—	70%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 HC GLUTAMYLTRANSFERASE GAMMA (GTT)	$119.10	$397.00	$2.52–$337.45	—	70%
General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC GENERAL HEALTH PANEL	$289.20	$964.00	$12.60–$867.60	20% above	70%
General health panel: metabolic panel, blood count and TSH in one order inpatient CPT 80050 HC GENERAL HEALTH PANEL	$289.20	$964.00	$12.60–$867.60	—	70%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 HC GLUCOSE; POST GLUCOSE DOSE	$68.70	$229.00	$2.34–$194.65	2% below	70%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 HC GLUCOSE; POST GLUCOSE DOSE	$68.70	$229.00	$2.34–$194.65	—	70%
Glucose tolerance test, 3 samples CPT 82951 HC GLUCOSE TOL 3 SPECIMENS	$225.90	$753.00	$6.19–$640.05	31% above	70%
Glucose tolerance test, 3 samples inpatient CPT 82951 HC GLUCOSE TOL 3 SPECIMENS	$225.90	$753.00	$6.19–$640.05	—	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC NEISSERIA, AMPLIF NA PROBE	$74.70	$249.00	$16.89–$211.65	59% below	70%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 HC NEISSERIA, AMPLIF NA PROBE	$74.70	$249.00	$16.89–$211.65	—	70%
H. pylori antibody blood test CPT 86677 HC HELICOBACTER PYLORI	$44.10	$147.00	$6.30–$124.95	63% below	70%
H. pylori antibody blood test inpatient CPT 86677 HC HELICOBACTER PYLORI	$44.10	$147.00	$6.30–$124.95	—	70%
H. pylori stool antigen test CPT 87338 HC H. PYLORI STOOL, EA	$76.80	$256.00	$7.02–$217.60	at median	70%
H. pylori stool antigen test inpatient CPT 87338 HC H. PYLORI STOOL, EA	$76.80	$256.00	$7.02–$217.60	—	70%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC HIVRNA-ULTRA	$269.70	$899.00	$41.13–$764.15	9% below	70%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HC HIVRNA-ULTRA	$269.70	$899.00	$41.13–$764.15	—	70%
HIV-1 and HIV-2 antibody test CPT 86703 HC ANTIBODY HIV-1 AND HIV-2, SINGLE RESULT	$41.70	$139.00	$6.30–$118.15	68% below	70%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HC ANTIBODY HIV-1 AND HIV-2, SINGLE RESULT	$41.70	$139.00	$6.30–$118.15	—	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC HIV-1 AG W/HIV-1&2 AB	$152.70	$509.00	$11.70–$432.65	28% above	70%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HC HIV-1 AG W/HIV-1&2 AB	$152.70	$509.00	$11.70–$432.65	—	70%
HPV test for high-risk types, one combined (pooled) result CPT 87624 HC HPV HIGH RISK TYPES	$60.90	$203.00	$16.89–$172.55	4% above	70%
HPV test for high-risk types, one combined (pooled) result inpatient CPT 87624 HC HPV HIGH RISK TYPES	$60.90	$203.00	$16.89–$172.55	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOSYLATED HGB (HGBAIC)	$59.10	$197.00	$4.68–$167.45	31% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC GLYCOLATED HGB TEST-REFERRED	$59.10	$197.00	$4.68–$167.45	31% below	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOLATED HGB TEST-REFERRED	$59.10	$197.00	$4.68–$167.45	—	70%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HC GLYCOSYLATED HGB (HGBAIC)	$59.10	$197.00	$4.68–$167.45	—	70%
Hemoglobin blood test CPT 85018 HC HEMOGLOBIN	$61.50	$205.00	$1.17–$174.25	56% above	70%
Hemoglobin blood test inpatient CPT 85018 HC HEMOGLOBIN	$61.50	$205.00	$1.17–$174.25	—	70%
Hepatitis B core antibody test (total) CPT 86704 HC HEPATITIS CORE ANTIBODY	$177.90	$593.00	$5.85–$504.05	73% above	70%
Hepatitis B core antibody test (total) inpatient CPT 86704 HC HEPATITIS CORE ANTIBODY	$177.90	$593.00	$5.85–$504.05	—	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC HEPATITIS B ANTIBODY	$120.30	$401.00	$5.18–$340.85	38% above	70%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HC HEPATITIS B ANTIBODY	$120.30	$401.00	$5.18–$340.85	—	70%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HC HEPATITIS B ANTIGEN	$70.80	$236.00	$5.02–$200.60	5% below	70%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HC HEPATITIS B ANTIGEN	$70.80	$236.00	$5.02–$200.60	—	70%
Hepatitis C antibody blood test (screening) CPT 86803 HC HEPATITIS C	$191.10	$637.00	$6.86–$541.45	84% above	70%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HC HEPATITIS C	$191.10	$637.00	$6.86–$541.45	—	70%
Hepatitis C viral load (HCV RNA) test CPT 87522 HC HEPATITIS C RNA PCR QUANT	$259.50	$865.00	$20.73–$735.25	21% below	70%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HC HEPATITIS C RNA PCR QUANT	$259.50	$865.00	$20.73–$735.25	—	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX TYPE 1 IQG	$40.20	$134.00	$6.30–$113.90	56% below	70%
Herpes blood test, HSV-1 antibody CPT 86695 HC HERPES SIMPLEX VIRUS AB IGM	$40.20	$134.00	$6.30–$113.90	56% below	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX VIRUS AB IGM	$40.20	$134.00	$6.30–$113.90	—	70%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HC HERPES SIMPLEX TYPE 1 IQG	$40.20	$134.00	$6.30–$113.90	—	70%
Herpes blood test, HSV-2 antibody CPT 86696 HC HERPES SIMPLEX TYPE 2 IGG	$59.10	$197.00	$9.36–$167.45	17% below	70%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HC HERPES SIMPLEX TYPE 2 IGG	$59.10	$197.00	$9.36–$167.45	—	70%
High-sensitivity CRP (hs-CRP) test CPT 86141 HC CRP HIGH SENSITIVITY	$52.50	$175.00	$6.19–$148.75	51% below	70%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HC CRP HIGH SENSITIVITY	$52.50	$175.00	$6.19–$148.75	—	70%
Homocysteine blood test CPT 83090 HC METHYLMALONIC HOMOCYSTEIN	$99.00	$330.00	$8.69–$280.50	29% below	70%
Homocysteine blood test CPT 83090 HC HOMOCYSTEINE	$99.00	$330.00	$8.69–$280.50	29% below	70%
Homocysteine blood test inpatient CPT 83090 HC METHYLMALONIC HOMOCYSTEIN	$99.00	$330.00	$8.69–$280.50	—	70%
Homocysteine blood test inpatient CPT 83090 HC HOMOCYSTEINE	$99.00	$330.00	$8.69–$280.50	—	70%
Insulin blood test CPT 83525 HC INSULIN LEVEL	$69.90	$233.00	$5.52–$198.05	17% below	70%
Insulin blood test inpatient CPT 83525 HC INSULIN LEVEL	$69.90	$233.00	$5.52–$198.05	—	70%
Iron blood test (serum iron) CPT 83540 HC IRON	$72.00	$240.00	$2.52–$204.00	2% above	70%
Iron blood test (serum iron) inpatient CPT 83540 HC IRON	$72.00	$240.00	$2.52–$204.00	—	70%
Kidney function blood test panel CPT 80069 HC RENAL FUNCTION PANEL	$172.50	$575.00	$3.78–$488.75	29% above	70%
Kidney function blood test panel inpatient CPT 80069 HC RENAL FUNCTION PANEL	$172.50	$575.00	$3.78–$488.75	—	70%
LH (luteinizing hormone) test CPT 83002 HC LUTEINIZING HORMONE (LH)	$117.30	$391.00	$6.30–$332.35	11% below	70%
LH (luteinizing hormone) test inpatient CPT 83002 HC LUTEINIZING HORMONE (LH)	$117.30	$391.00	$6.30–$332.35	—	70%
Lactate (lactic acid) blood test CPT 83605 HC LACTIC ACID	$139.50	$465.00	$5.52–$395.25	56% above	70%
Lactate (lactic acid) blood test inpatient CPT 83605 HC LACTIC ACID	$139.50	$465.00	$5.52–$395.25	—	70%
Lactate dehydrogenase (LDH) blood test CPT 83615 HC LACTATE DEHYDROGENASE	$77.10	$257.00	$2.52–$218.45	45% above	70%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 HC LACTATE DEHYDROGENASE	$77.10	$257.00	$2.52–$218.45	—	70%
Lipase blood test (pancreas enzyme) CPT 83690 HC LIPASE	$99.60	$332.00	$3.34–$282.20	6% above	70%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 HC LIPASE	$99.60	$332.00	$3.34–$282.20	—	70%
Liver function blood test panel CPT 80076 HC LIVER SCREEN NO INTERP	$166.50	$555.00	$3.78–$471.75	at median	70%
Liver function blood test panel inpatient CPT 80076 HC LIVER SCREEN NO INTERP	$166.50	$555.00	$3.78–$471.75	—	70%
Lyme disease antibody test CPT 86618 HC LYME DISEASE AB	$52.20	$174.00	$6.30–$147.90	59% below	70%
Lyme disease antibody test inpatient CPT 86618 HC LYME DISEASE AB	$52.20	$174.00	$6.30–$147.90	—	70%
Magnesium blood test CPT 83735 HC MAGNESIUM	$109.50	$365.00	$3.18–$310.25	61% above	70%
Magnesium blood test inpatient CPT 83735 HC MAGNESIUM	$109.50	$365.00	$3.18–$310.25	—	70%
Measles (rubeola) antibody test CPT 86765 HC AB; RUBEOLA	$69.90	$233.00	$6.19–$198.05	9% below	70%
Measles (rubeola) antibody test inpatient CPT 86765 HC AB; RUBEOLA	$69.90	$233.00	$6.19–$198.05	—	70%
Mono test (heterophile antibody, Monospot) CPT 86308 HC MONO TEST	$68.10	$227.00	$2.51–$192.95	37% below	70%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 HC MONO TEST	$68.10	$227.00	$2.51–$192.95	—	70%
Mumps immunity blood test CPT 86735 HC AB; MUMPS	$46.80	$156.00	$6.30–$132.60	at median	70%
Mumps immunity blood test inpatient CPT 86735 HC AB; MUMPS	$46.80	$156.00	$6.30–$132.60	—	70%
Obstetric blood test panel CPT 80055 HC OBSTETRIC PANEL	$95.10	$317.00	$23.07–$269.45	83% below	70%
Obstetric blood test panel inpatient CPT 80055 HC OBSTETRIC PANEL	$95.10	$317.00	$23.07–$269.45	—	70%
PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE	$27.00	$90.00	$7.34–$76.50	63% below	70%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE	$27.00	$90.00	$7.34–$76.50	—	70%
PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN (PSA)	$124.20	$414.00	$8.86–$351.90	1% below	70%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN (PSA)	$124.20	$414.00	$8.86–$351.90	—	70%
Pap test (liquid-based, automated screening with review) CPT 88175 HC CYTOPATH, CERV/VAG, THIN LAYER, MAN RES, INTER	$29.40	$98.00	$12.87–$83.30	at median	70%
Pap test (liquid-based, automated screening with review) inpatient CPT 88175 HC CYTOPATH, CERV/VAG, THIN LAYER, MAN RES, INTER	$29.40	$98.00	$12.87–$83.30	—	70%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER	$22.50	$75.00	$9.86–$63.75	6% above	70%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 HC CYTOPATH CERV/VAG THIN LAYER	$22.50	$75.00	$9.86–$63.75	—	70%
Parathyroid hormone (PTH) blood test CPT 83970 HC PARATHYROID HORMONE (INTACT)	$384.00	$1,280.00	$7.16–$1,088.00	10% above	70%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 HC PARATHYROID HORMONE (INTACT)	$384.00	$1,280.00	$7.16–$1,088.00	—	70%
Partial thromboplastin time (PTT) clotting test CPT 85730 HC PTT	$123.60	$412.00	$2.84–$350.20	80% above	70%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC PTT	$123.60	$412.00	$2.84–$350.20	—	70%
Phosphorus (phosphate) blood test CPT 84100 HC PHOSPHORUS	$81.00	$270.00	$2.34–$229.50	at median	70%
Phosphorus (phosphate) blood test inpatient CPT 84100 HC PHOSPHORUS	$81.00	$270.00	$2.34–$229.50	—	70%
Potassium blood test CPT 84132 HC POTASSIUM	$61.50	$205.00	$2.34–$174.25	at median	70%
Potassium blood test inpatient CPT 84132 HC POTASSIUM	$61.50	$205.00	$2.34–$174.25	—	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 HC FETAL CHRMOML ANEUPLOIDY	$792.90	$2,643.00	$366.67–$2,246.55	2% above	70%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 HC FETAL CHRMOML ANEUPLOIDY	$792.90	$2,643.00	$366.67–$2,246.55	—	70%
Progesterone blood test CPT 84144 HC PROGESTERONE	$94.80	$316.00	$10.03–$268.60	12% below	70%
Progesterone blood test inpatient CPT 84144 HC PROGESTERONE	$94.80	$316.00	$10.03–$268.60	—	70%
Prolactin blood test CPT 84146 HC PROLACTIN	$115.20	$384.00	$8.82–$326.40	13% below	70%
Prolactin blood test inpatient CPT 84146 HC PROLACTIN	$115.20	$384.00	$8.82–$326.40	—	70%
Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME	$71.70	$239.00	$2.01–$203.15	16% above	70%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME	$71.70	$239.00	$2.01–$203.15	—	70%
Rapid flu test (influenza antigen) CPT 87804 HC IAADIADOO INFLUENZA	$71.70	$239.00	$8.03–$203.15	15% above	70%
Rapid flu test (influenza antigen) inpatient CPT 87804 HC IAADIADOO INFLUENZA	$71.70	$239.00	$8.03–$203.15	—	70%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC STREP A SCREEN	$24.60	$82.00	$8.03–$69.70	35% below	70%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 HC STREP A SCREEN	$24.60	$82.00	$8.03–$69.70	—	70%
Renin blood test CPT 84244 HC RENIN	$137.10	$457.00	$10.70–$388.45	6% below	70%
Renin blood test inpatient CPT 84244 HC RENIN	$137.10	$457.00	$10.70–$388.45	—	70%
Rh blood typing CPT 86901 HC RH TYPE	$51.30	$171.00	$1.50–$795.12	15% below	70%
Rh blood typing CPT 86901 HC RH GROUPING	$51.30	$171.00	$1.50–$795.12	15% below	70%
Rh blood typing inpatient CPT 86901 HC RH GROUPING	$51.30	$171.00	$1.50–$795.12	—	70%
Rh blood typing inpatient CPT 86901 HC RH TYPE	$51.30	$171.00	$1.50–$795.12	—	70%
Rheumatoid factor (RF) test CPT 86431 HC RHEUMATOID FACTOR IGA	$83.40	$278.00	$2.68–$236.30	75% above	70%
Rheumatoid factor (RF) test inpatient CPT 86431 HC RHEUMATOID FACTOR IGA	$83.40	$278.00	$2.68–$236.30	—	70%
Rubella antibody test (immunity check) CPT 86762 HC AB; RUBELLA	$29.40	$98.00	$6.30–$83.30	71% below	70%
Rubella antibody test (immunity check) inpatient CPT 86762 HC AB; RUBELLA	$29.40	$98.00	$6.30–$83.30	—	70%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC AUTOM ERYTHROCYTE SED RATE	$54.00	$180.00	$1.34–$153.00	2% below	70%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 HC AUTOM ERYTHROCYTE SED RATE	$54.00	$180.00	$1.34–$153.00	—	70%
Sodium blood test CPT 84295 HC SODIUM	$80.40	$268.00	$2.34–$227.80	41% above	70%
Sodium blood test inpatient CPT 84295 HC SODIUM	$80.40	$268.00	$2.34–$227.80	—	70%
Stool ova and parasites exam CPT 87177 HC OVA AND PARASITES	$150.00	$500.00	$4.35–$425.00	169% above	70%
Stool ova and parasites exam inpatient CPT 87177 HC OVA AND PARASITES	$150.00	$500.00	$4.35–$425.00	—	70%
Stool test for hidden blood (guaiac FOBT) CPT 82270 HC OCCULT BLOOD BY GUAIAC SINGLE DETERMINATION	$15.90	$53.00	$2.17–$45.05	62% below	70%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 HC OCCULT BLOOD BY GUAIAC SINGLE DETERMINATION	$15.90	$53.00	$2.17–$45.05	—	70%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC OCCULT BLD FHG QUAL 1 - 3	$85.20	$284.00	$7.69–$241.40	131% above	70%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HC OCCULT BLD FHG QUAL 1 - 3	$85.20	$284.00	$7.69–$241.40	—	70%
Syphilis antibody test (Treponema pallidum) CPT 86780 HC TREPONEMA PALLIDUM AB	$26.70	$89.00	$6.30–$75.65	49% below	70%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 HC TREPONEMA PALLIDUM AB	$26.70	$89.00	$6.30–$75.65	—	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$93.00	$310.00	$2.01–$263.50	161% above	70%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 HC SYPHILIS TEST NON-TREP QUAL	$93.00	$310.00	$2.01–$263.50	—	70%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB TEST, CELL IMMUN MEASURE	$62.40	$208.00	$29.93–$200.00	42% below	70%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 HC TB TEST, CELL IMMUN MEASURE	$62.40	$208.00	$29.93–$200.00	—	70%
Testosterone blood test, total (not free testosterone) CPT 84403 HC TESTOSTERONE BLOOD	$133.50	$445.00	$12.54–$378.25	10% below	70%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 HC TESTOSTERONE BLOOD	$133.50	$445.00	$12.54–$378.25	—	70%
Thyroid peroxidase (TPO) antibody test CPT 86376 HC MICROSOMAL AB EACH	$117.30	$391.00	$7.02–$332.35	52% above	70%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 HC MICROSOMAL AB EACH	$117.30	$391.00	$7.02–$332.35	—	70%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE	$199.80	$666.00	$8.19–$566.10	43% above	70%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE	$199.80	$666.00	$8.19–$566.10	—	70%
Total IgE blood test CPT 82785 HC IMMUNGLOB, IGE	$145.50	$485.00	$6.30–$412.25	71% above	70%
Total IgE blood test inpatient CPT 82785 HC IMMUNGLOB, IGE	$145.50	$485.00	$6.30–$412.25	—	70%
Total cholesterol blood test CPT 82465 HC SERUM/WB TOT CHOLEST	$81.90	$273.00	$2.17–$232.05	6% above	70%
Total cholesterol blood test inpatient CPT 82465 HC SERUM/WB TOT CHOLEST	$81.90	$273.00	$2.17–$232.05	—	70%
Total thyroxine (T4) blood test CPT 84436 HC T-4	$93.90	$313.00	$3.34–$266.05	at median	70%
Total thyroxine (T4) blood test inpatient CPT 84436 HC T-4	$93.90	$313.00	$3.34–$266.05	—	70%
Total triiodothyronine (T3) blood test CPT 84480 HC T3 HORMONE	$94.20	$314.00	$6.86–$266.90	at median	70%
Total triiodothyronine (T3) blood test inpatient CPT 84480 HC T3 HORMONE	$94.20	$314.00	$6.86–$266.90	—	70%
Transferrin blood test CPT 84466 HC TRANSFERRIN	$81.90	$273.00	$2.52–$232.05	10% below	70%
Transferrin blood test inpatient CPT 84466 HC TRANSFERRIN	$81.90	$273.00	$2.52–$232.05	—	70%
Trichomonas test (NAAT) CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$31.80	$106.00	$16.89–$102.62	44% below	70%
Trichomonas test (NAAT) inpatient CPT 87661 HC TRICHOMONAS VAGINALIS AMPLIF	$31.80	$106.00	$16.89–$102.62	—	70%
Triglycerides blood test CPT 84478 HC TRIGLYCERIDES	$144.90	$483.00	$2.52–$410.55	88% above	70%
Triglycerides blood test inpatient CPT 84478 HC TRIGLYCERIDES	$144.90	$483.00	$2.52–$410.55	—	70%
Troponin test, quantitative CPT 84484 HC HS TROPONIN	$136.50	$455.00	$6.02–$386.75	23% below	70%
Troponin test, quantitative CPT 84484 HC TROPONIN QUAN	$136.50	$455.00	$6.02–$386.75	23% below	70%
Troponin test, quantitative inpatient CPT 84484 HC HS TROPONIN	$136.50	$455.00	$6.02–$386.75	—	70%
Troponin test, quantitative inpatient CPT 84484 HC TROPONIN QUAN	$136.50	$455.00	$6.02–$386.75	—	70%
Uric acid blood test CPT 84550 HC URIC ACID	$63.00	$210.00	$2.17–$178.50	38% below	70%
Uric acid blood test inpatient CPT 84550 HC URIC ACID	$63.00	$210.00	$2.17–$178.50	—	70%
Urinalysis with microscope exam, automated CPT 81001 HC AUTOM URINE DIP W MICRO	$78.30	$261.00	$1.50–$221.85	10% below	70%
Urinalysis with microscope exam, automated inpatient CPT 81001 HC AUTOM URINE DIP W MICRO	$78.30	$261.00	$1.50–$221.85	—	70%
Urinalysis without microscope exam, automated CPT 81003 HC AUTOM URINALYSIS WO MICRO	$66.90	$223.00	$1.17–$189.55	at median	70%
Urinalysis without microscope exam, automated inpatient CPT 81003 HC AUTOM URINALYSIS WO MICRO	$66.90	$223.00	$1.17–$189.55	—	70%
Urinalysis without microscope exam, manual CPT 81002 HC N-AUTOM URINALYS WO MICRO	$71.70	$239.00	$1.67–$203.15	745% above	70%
Urinalysis without microscope exam, manual CPT 81002 HC N-AUTOM URINALYS WO MICRO	$75.30	$251.00	$1.67–$213.35	787% above	70%
Urinalysis without microscope exam, manual inpatient CPT 81002 HC N-AUTOM URINALYS WO MICRO	$75.30	$251.00	$1.67–$213.35	—	70%
Urine culture for bacteria, with colony count CPT 87086 HC CULTURE URINE	$209.10	$697.00	$3.85–$592.45	2% above	70%
Urine culture for bacteria, with colony count inpatient CPT 87086 HC CULTURE URINE	$209.10	$697.00	$3.85–$592.45	—	70%
Urine microalbumin (albumin) test CPT 82043 HC MICROALBUMIN- URINE, QUAN	$61.20	$204.00	$2.84–$173.40	at median	70%
Urine microalbumin (albumin) test inpatient CPT 82043 HC MICROALBUMIN- URINE, QUAN	$61.20	$204.00	$2.84–$173.40	—	70%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY VISUAL COLOR	$69.00	$230.00	$3.78–$195.50	12% below	70%
Urine pregnancy test, read by color change CPT 81025 HC URINE PREGNANCY VISUAL COLOR	$72.60	$242.00	$3.78–$205.70	7% below	70%
Urine pregnancy test, read by color change inpatient CPT 81025 HC URINE PREGNANCY VISUAL COLOR	$72.60	$242.00	$3.78–$205.70	—	70%
Vitamin B12 (cobalamin) blood test CPT 82607 HC VITAMIN B 12	$237.90	$793.00	$7.36–$674.05	52% above	70%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 HC VITAMIN B 12	$237.90	$793.00	$7.36–$674.05	—	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC VITAMIN D 25 HYDROXY	$177.60	$592.00	$14.38–$503.20	at median	70%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 HC VITAMIN D 25 HYDROXY	$177.60	$592.00	$14.38–$503.20	—	70%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC VITAMIN D 1 25-DIHYDROXY	$122.40	$408.00	$18.56–$346.80	55% below	70%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 HC VITAMIN D 1 25-DIHYDROXY	$122.40	$408.00	$18.56–$346.80	—	70%
Zinc blood test CPT 84630 HC ZINC	$41.70	$139.00	$5.52–$118.15	55% below	70%
Zinc blood test inpatient CPT 84630 HC ZINC	$41.70	$139.00	$5.52–$118.15	—	70%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC HCG QUANT SERUM	$133.80	$446.00	$7.19–$379.10	21% below	70%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HC HCG QUANT SERUM	$133.80	$446.00	$7.19–$379.10	—	70%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
Adenoid removal (adenoidectomy), child under 12 CPT 42830 HC ADENOIDECTOMY PRIMARY UNDER 12	$3,763.50	$12,545.00	$201.04–$10,663.25	19% below	70%
Adenoid removal (adenoidectomy), child under 12 inpatient CPT 42830 HC ADENOIDECTOMY PRIMARY UNDER 12	$3,763.50	$12,545.00	$201.04–$10,663.25	—	70%
Anterior cervical discectomy and fusion (ACDF), one level CPT 22551 HC NECK SPINE FUSE&REMOV BELOW C2	$14,931.30	$49,771.00	$2,371.00–$42,305.35	7% above	70%
Anterior cervical discectomy and fusion (ACDF), one level inpatient CPT 22551 HC NECK SPINE FUSE&REMOV BELOW C2	$14,931.30	$49,771.00	$2,371.00–$42,305.35	—	70%
Appendectomy, open surgery CPT 44950 HC APPENDECTOMY (OPEN)	$7,240.80	$24,136.00	$606.55–$20,515.60	at median	70%
Appendectomy, open surgery inpatient CPT 44950 HC APPENDECTOMY (OPEN)	$7,240.80	$24,136.00	$606.55–$20,515.60	—	70%
Arthroscopic ACL reconstruction or repair of the knee CPT 29888 HC ARTHROSC; ANT CRUCIATE LIG REP/AUGM	$8,289.90	$27,633.00	$941.85–$28,440.30	at median	70%
Arthroscopic ACL reconstruction or repair of the knee inpatient CPT 29888 HC ARTHROSC; ANT CRUCIATE LIG REP/AUGM	$8,289.90	$27,633.00	$941.85–$28,440.30	—	70%
Arthroscopic rotator cuff repair of the shoulder CPT 29827 HC ARTHROSCOPY SH ROT CUFF	$8,289.90	$27,633.00	$1,023.39–$23,488.05	5% above	70%
Arthroscopic rotator cuff repair of the shoulder inpatient CPT 29827 HC ARTHROSCOPY SH ROT CUFF	$8,289.90	$27,633.00	$1,023.39–$23,488.05	—	70%
Balloon dilation of the maxillary sinus opening, one side CPT 31295 HC SINUS ENDO W/BLN DIL MAX SINUS	$8,033.10	$26,777.00	$1,355.35–$22,760.45	—	70%
Balloon dilation of the maxillary sinus opening, one side inpatient CPT 31295 HC SINUS ENDO W/BLN DIL MAX SINUS	$8,033.10	$26,777.00	$1,355.35–$22,760.45	—	70%
Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 HC CL TX DSTL FIB FX WO MANIP	$905.70	$3,019.00	$265.11–$2,566.15	102% above	70%
Broken ankle (outer ankle bone) treatment without surgery or setting inpatient CPT 27786 HC CL TX DSTL FIB FX WO MANIP	$905.70	$3,019.00	$265.11–$2,566.15	—	70%
Bunion correction with a bone cut near the head of the first metatarsal CPT 28296 HC HALLUX VALGUS W MT OSTEO	$3,765.30	$12,551.00	$494.51–$28,440.30	at median	70%
Bunion correction with a bone cut near the head of the first metatarsal inpatient CPT 28296 HC HALLUX VALGUS W MT OSTEO	$3,765.30	$12,551.00	$494.51–$28,440.30	—	70%
Cardiac catheterization with coronary angiogram CPT 93458 HC CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I	$5,419.50	$18,065.00	$964.15–$15,355.25	39% below	70%
Cardiac catheterization with coronary angiogram CPT 93458 HC COR ANGIO LV W L HRT CATH & SI	$5,419.50	$18,065.00	$964.15–$15,355.25	39% below	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC COR ANGIO LV W L HRT CATH & SI	$5,419.50	$18,065.00	$964.15–$15,355.25	—	70%
Cardiac catheterization with coronary angiogram inpatient CPT 93458 HC CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I	$5,419.50	$18,065.00	$964.15–$15,355.25	—	70%
Cardioversion, elective (restoring heart rhythm) CPT 92960 HC CARDIOVERSION ELECTRIC EXT	$1,144.20	$3,814.00	$107.33–$3,241.90	at median	70%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 HC CARDIOVERSION ELECTRIC EXT	$1,144.20	$3,814.00	$107.33–$3,241.90	—	70%
Carpal tunnel release, open surgery CPT 64721 HC NEUROPLASTY TRANSP NERV MED NRV	$2,266.20	$7,554.00	$404.15–$6,420.90	at median	70%
Carpal tunnel release, open surgery inpatient CPT 64721 HC NEUROPLASTY TRANSP NERV MED NRV	$2,266.20	$7,554.00	$404.15–$6,420.90	—	70%
Catheter ablation for atrial fibrillation CPT 93656 HC ATRIAL FIB PULM VEIN ISOL	$30,672.00	$102,240.00	$1,008.08–$86,904.00	at median	70%
Catheter ablation for atrial fibrillation inpatient CPT 93656 HC ATRIAL FIB PULM VEIN ISOL	$30,672.00	$102,240.00	$1,008.08–$86,904.00	—	70%
Cervical biopsy CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$1,010.40	$3,368.00	$73.06–$4,308.00	28% above	70%
Cervical biopsy CPT 57500 HC BIOPSY OF CERVIX W/WO FULGURATION	$1,010.40	$3,368.00	$73.06–$4,308.00	28% above	70%
Cervical biopsy inpatient CPT 57500 HC BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION	$1,010.40	$3,368.00	$73.06–$4,308.00	—	70%
Cervical biopsy inpatient CPT 57500 HC BIOPSY OF CERVIX W/WO FULGURATION	$1,010.40	$3,368.00	$73.06–$4,308.00	—	70%
Circumcision by surgical excision, older than 28 days (children and adults) CPT 54161 HC CIRCUMCISION SURG EXC >28 DAYS	$2,377.20	$7,924.00	$184.57–$6,735.40	at median	70%
Circumcision by surgical excision, older than 28 days (children and adults) inpatient CPT 54161 HC CIRCUMCISION SURG EXC >28 DAYS	$2,377.20	$7,924.00	$184.57–$6,735.40	—	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns CPT 54150 HC CIRCUMCISION W/CLAMP OR RING BLOCK	$2,377.20	$7,924.00	$92.64–$6,735.40	51% above	70%
Circumcision with a clamp or device and a numbing nerve block, usually newborns inpatient CPT 54150 HC CIRCUMCISION W/CLAMP OR RING BLOCK	$2,377.20	$7,924.00	$92.64–$6,735.40	—	70%
Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP	$441.60	$1,472.00	$265.11–$4,308.00	at median	70%
Closed treatment of a wrist (distal radius) fracture, no resetting inpatient CPT 25600 HC CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP	$441.60	$1,472.00	$265.11–$4,308.00	—	70%
Colonoscopy with endoscopic ultrasound CPT 45391 HC COLONOSCOPY W/ENDOSCOPE US	$1,368.30	$4,561.00	$278.37–$3,876.85	5% above	70%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLONOSCOPY W/ENDOSCOPE US	$1,368.30	$4,561.00	$278.37–$3,876.85	—	70%
Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY REM LESION SNARE	$1,368.30	$4,561.00	$290.70–$3,876.85	3% above	70%
Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY REM LESION SNARE	$1,368.30	$4,561.00	$290.70–$3,876.85	—	70%
Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY(S)	$1,368.30	$4,561.00	$244.72–$3,876.85	at median	70%
Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY(S)	$1,368.30	$4,561.00	$244.72–$3,876.85	—	70%
Colonoscopy, diagnostic CPT 45378 HC DIAGNOSTIC COLONOSCOPY	$1,058.10	$3,527.00	$205.06–$3,512.55	29% below	70%
Colonoscopy, diagnostic inpatient CPT 45378 HC DIAGNOSTIC COLONOSCOPY	$1,058.10	$3,527.00	$205.06–$3,512.55	—	70%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 HC COLPOSCOPY, CERVIX W/ ADJ VAG W/ LOOP BX	$3,689.70	$12,299.00	$157.41–$10,454.15	at median	70%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 HC COLPOSCOPY, CERVIX W/ ADJ VAG W/ LOOP BX	$3,689.70	$12,299.00	$157.41–$10,454.15	—	70%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 HC COLPOSC, CERVIX W/ ADJ VAG, W/BX & CURRETAG	$353.10	$1,177.00	$130.90–$4,308.00	—	70%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 HC COLPOSC, CERVIX W/ ADJ VAG, W/BX & CURRETAG	$353.10	$1,177.00	$130.90–$4,308.00	—	70%
Coronary stent placement, one artery CPT 92928 HC PLACE STENT WANGIO SNGL ARTERY	$13,160.10	$43,867.00	$7,162.00–$37,286.95	5% above	70%
Coronary stent placement, one artery inpatient CPT 92928 HC PLACE STENT WANGIO SNGL ARTERY	$13,160.10	$43,867.00	$7,162.00–$37,286.95	—	70%
Cystoscopy with ureteral stent placement CPT 52332 HC CYSTO INSRT URETERL STENT	$4,002.30	$13,341.00	$146.22–$11,339.85	4% above	70%
Cystoscopy with ureteral stent placement inpatient CPT 52332 HC CYSTO INSRT URETERL STENT	$4,002.30	$13,341.00	$146.22–$11,339.85	—	70%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 HC CYSTOURETHROSCOPY	$774.60	$2,582.00	$118.60–$11,204.00	58% below	70%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 HC CYSTOURETHROSCOPY	$774.60	$2,582.00	$118.60–$11,204.00	—	70%
D&C (dilation and curettage), not related to pregnancy CPT 58120 HC D & C DIAG OR THERAPUTIC	$3,689.70	$12,299.00	$209.69–$10,454.15	at median	70%
D&C (dilation and curettage), not related to pregnancy inpatient CPT 58120 HC D & C DIAG OR THERAPUTIC	$3,689.70	$12,299.00	$209.69–$10,454.15	—	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 HC DESTRUC PREMAL, FIRST LESION	$230.70	$769.00	$49.75–$4,308.00	6% above	70%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 HC DESTRUC PREMAL, FIRST LESION	$230.70	$769.00	$49.75–$4,308.00	—	70%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 HC TYMPANOSTOMY, GENERAL ANEST	$1,894.50	$6,315.00	$154.06–$7,168.36	at median	70%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 HC TYMPANOSTOMY, GENERAL ANEST	$1,894.50	$6,315.00	$154.06–$7,168.36	—	70%
Ear tube placement (tympanostomy) with local anesthesia, one ear CPT 69433 HC TYMPANOSTOMY, LOCAL/TOP ANEST	$1,004.40	$3,348.00	$127.89–$4,308.00	—	70%
Ear tube placement (tympanostomy) with local anesthesia, one ear inpatient CPT 69433 HC TYMPANOSTOMY, LOCAL/TOP ANEST	$1,004.40	$3,348.00	$127.89–$4,308.00	—	70%
Earwax removal by irrigation (rinsing), one ear CPT 69209 HC REMOVAL IMPACTED CERUMEN IRR/LVG UNI	$101.10	$337.00	$12.18–$4,308.00	20% above	70%
Earwax removal by irrigation (rinsing), one ear inpatient CPT 69209 HC REMOVAL IMPACTED CERUMEN IRR/LVG UNI	$101.10	$337.00	$12.18–$4,308.00	—	70%
Earwax removal with instruments, one ear CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUM UNI	$157.20	$524.00	$31.37–$4,308.00	4% below	70%
Earwax removal with instruments, one ear inpatient CPT 69210 HC REMOVAL IMPACTED CERUMEN INSTRUM UNI	$157.20	$524.00	$31.37–$4,308.00	—	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 HC ENDOMETRIAL BX WO CERVICAL DILATION	$520.80	$1,736.00	$84.83–$4,308.00	27% above	70%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 HC ENDOMETRIAL BX WO CERVICAL DILATION	$520.80	$1,736.00	$84.83–$4,308.00	—	70%
Endoscopic sinus surgery: full ethmoid sinus opening CPT 31255 HC NASAL SINUS ENDOSCOPY W/ETHM PARTIAL	$8,033.10	$26,777.00	$380.47–$22,760.45	—	70%
Endoscopic sinus surgery: full ethmoid sinus opening inpatient CPT 31255 HC NASAL SINUS ENDOSCOPY W/ETHM PARTIAL	$8,033.10	$26,777.00	$380.47–$22,760.45	—	70%
Endoscopic sinus surgery: opening the frontal sinus CPT 31276 HC NASAL ENDO FRONTAL	$8,033.10	$26,777.00	$480.32–$22,760.45	—	70%
Endoscopic sinus surgery: opening the frontal sinus inpatient CPT 31276 HC NASAL ENDO FRONTAL	$8,033.10	$26,777.00	$480.32–$22,760.45	—	70%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus CPT 31256 HC SINUS ENDO W/MAX ANTROSTOMY	$4,278.60	$14,262.00	$188.12–$15,301.16	8% above	70%
Endoscopic sinus surgery: opening the maxillary (cheek) sinus inpatient CPT 31256 HC SINUS ENDO W/MAX ANTROSTOMY	$4,278.60	$14,262.00	$188.12–$15,301.16	—	70%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue CPT 31267 HC NASAL SINUS ENDO MAX TISS	$8,033.10	$26,777.00	$301.82–$22,760.45	27% above	70%
Endoscopic sinus surgery: opening the maxillary sinus with removal of tissue inpatient CPT 31267 HC NASAL SINUS ENDO MAX TISS	$8,033.10	$26,777.00	$301.82–$22,760.45	—	70%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 HC EPIDURAL BLOCK INJ THERAPEUTIC W/IMG GUIDANCE	$803.70	$2,679.00	$258.63–$4,308.00	5% above	70%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 HC EPIDURAL BLOCK INJ THERAPEUTIC W/IMG GUIDANCE	$803.70	$2,679.00	$258.63–$4,308.00	—	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$1,033.20	$3,444.00	$87.37–$4,308.00	27% above	70%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 HC INJ PARVERT F L/S 1 LEV	$1,033.20	$3,444.00	$87.37–$4,308.00	27% above	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC INJ PARVERT F L/S 1 LEV	$1,033.20	$3,444.00	$87.37–$4,308.00	—	70%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 HC NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL	$1,033.20	$3,444.00	$87.37–$4,308.00	—	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 HC SIGMOIDOSCOPY FLEX DIAGNOSTIC	$1,058.10	$3,527.00	$60.11–$4,308.00	5% above	70%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 HC SIGMOIDOSCOPY FLEX DIAGNOSTIC	$1,058.10	$3,527.00	$60.11–$4,308.00	—	70%
Gallbladder removal, laparoscopic CPT 47562 HC LAPAROSCOPY; CHOLECYSTECOMY	$6,770.40	$22,568.00	$621.03–$19,182.80	1% above	70%
Gallbladder removal, laparoscopic inpatient CPT 47562 HC LAPAROSCOPY; CHOLECYSTECOMY	$6,770.40	$22,568.00	$621.03–$19,182.80	—	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery CPT 47563 HC LAPAROSCOPY CHOLE W CHOLANGIO	$6,770.40	$22,568.00	$674.74–$23,012.54	at median	70%
Gallbladder removal, laparoscopic, with X-ray of the bile ducts during surgery inpatient CPT 47563 HC LAPAROSCOPY CHOLE W CHOLANGIO	$6,770.40	$22,568.00	$674.74–$23,012.54	—	70%
Hammertoe correction surgery CPT 28285 HC CORRECT HAMMERTOE	$4,078.20	$13,594.00	$358.08–$11,554.90	15% above	70%
Hammertoe correction surgery inpatient CPT 28285 HC CORRECT HAMMERTOE	$4,078.20	$13,594.00	$358.08–$11,554.90	—	70%
Hemorrhoid banding (rubber band ligation) CPT 46221 HC HEMORRHOID LIGATURE SIMPLE	$1,058.10	$3,527.00	$182.26–$6,061.66	2% above	70%
Hemorrhoid banding (rubber band ligation) inpatient CPT 46221 HC HEMORRHOID LIGATURE SIMPLE	$1,058.10	$3,527.00	$182.26–$6,061.66	—	70%
Hemorrhoidectomy (internal and external), one area CPT 46255 HC HEMORRHOID INT EXT SIMPLE	$3,182.40	$10,608.00	$335.07–$9,016.80	at median	70%
Hemorrhoidectomy (internal and external), one area inpatient CPT 46255 HC HEMORRHOID INT EXT SIMPLE	$3,182.40	$10,608.00	$335.07–$9,016.80	—	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 HC CATH/INJ FOR HYSTEROSALPINGOGRAPHY	$60.00	$200.00	$49.00–$7,027.90	62% below	70%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 HC CATH/INJ FOR HYSTEROSALPINGOGRAPHY	$60.00	$200.00	$49.00–$7,027.90	—	70%
Hysteroscopy with endometrial ablation CPT 58563 HC HYSTEROSCOPY ENDOMETRAIL ABLATION	$5,728.50	$19,095.00	$329.73–$16,230.75	3% above	70%
Hysteroscopy with endometrial ablation inpatient CPT 58563 HC HYSTEROSCOPY ENDOMETRAIL ABLATION	$5,728.50	$19,095.00	$329.73–$16,230.75	—	70%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HC HYSTEROSCOPY; W BX ENDOM OR POLYPECT	$3,689.70	$12,299.00	$256.65–$10,911.34	15% below	70%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HC HYSTEROSCOPY; W BX ENDOM OR POLYPECT	$3,689.70	$12,299.00	$256.65–$10,911.34	—	70%
IUD insertion (the device itself billed separately) CPT 58300 HC INSERT IUD	$243.30	$811.00	$48.36–$4,308.00	—	70%
IUD insertion (the device itself billed separately) inpatient CPT 58300 HC INSERT IUD	$243.30	$811.00	$48.36–$4,308.00	—	70%
Incision and drainage of a simple or single skin abscess CPT 10060 HC I&D ABSC; SMPL OR SGL	$342.90	$1,143.00	$90.58–$4,308.00	at median	70%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 HC I&D ABSC; SMPL OR SGL	$342.90	$1,143.00	$90.58–$4,308.00	—	70%
Inguinal (groin) hernia repair, age 5 or older CPT 49505 HC PRP I/HERN INIT REDUC 5+ YR	$4,095.30	$13,651.00	$491.19–$11,603.35	16% below	70%
Inguinal (groin) hernia repair, age 5 or older inpatient CPT 49505 HC PRP I/HERN INIT REDUC 5+ YR	$4,095.30	$13,651.00	$491.19–$11,603.35	—	70%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT	$342.60	$1,142.00	$39.30–$4,308.00	3% above	70%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 HC INJ SGL TENDON SHTH OR LIGAMENT	$342.60	$1,142.00	$39.30–$4,308.00	—	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$342.60	$1,142.00	$43.71–$4,308.00	3% above	70%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 HC ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US	$342.60	$1,142.00	$43.71–$4,308.00	—	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$342.60	$1,142.00	$35.34–$4,308.00	3% above	70%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 HC ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US	$342.60	$1,142.00	$35.34–$4,308.00	—	70%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$342.60	$1,142.00	$33.66–$4,308.00	3% above	70%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 HC ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US	$342.60	$1,142.00	$33.66–$4,308.00	—	70%
Knee arthroscopy with meniscus repair (one side of the knee) CPT 29882 HC ARTHROSC KNEE; W MEN REP-MED OR LAT	$3,765.30	$12,551.00	$666.60–$10,668.35	—	70%
Knee arthroscopy with meniscus repair (one side of the knee) inpatient CPT 29882 HC ARTHROSC KNEE; W MEN REP-MED OR LAT	$3,765.30	$12,551.00	$666.60–$10,668.35	—	70%
Knee arthroscopy with meniscus trim CPT 29881 HC KNEE ARTHROSCOPY/SURGERY W/MENISCECTOMY MED OR LAT W/SHAVING	$3,765.30	$12,551.00	$516.15–$10,668.35	at median	70%
Knee arthroscopy with meniscus trim inpatient CPT 29881 HC KNEE ARTHROSCOPY/SURGERY W/MENISCECTOMY MED OR LAT W/SHAVING	$3,765.30	$12,551.00	$516.15–$10,668.35	—	70%
Knee arthroscopy with removal of both torn meniscus parts CPT 29880 HC KNEE ARTHROSCOPY/SURGERY W/MENISCECTOMY MED&LAT W/SHAVING	$3,765.30	$12,551.00	$536.75–$10,668.35	14% below	70%
Knee arthroscopy with removal of both torn meniscus parts inpatient CPT 29880 HC KNEE ARTHROSCOPY/SURGERY W/MENISCECTOMY MED&LAT W/SHAVING	$3,765.30	$12,551.00	$536.75–$10,668.35	—	70%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) CPT 29877 HC ARTHROSCOPY K SHAVING CARTL	$3,765.30	$12,551.00	$593.25–$10,668.35	at median	70%
Knee arthroscopy with smoothing of damaged cartilage (chondroplasty) inpatient CPT 29877 HC ARTHROSCOPY K SHAVING CARTL	$3,765.30	$12,551.00	$593.25–$10,668.35	—	70%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY APPENDECTOMY	$6,770.40	$22,568.00	$566.97–$19,182.80	1% above	70%
Laparoscopic appendectomy (appendix removal through small cuts) CPT 44970 HC LAPAROSCOPY; APPENDECTOMY	$6,770.40	$22,568.00	$566.97–$19,182.80	1% above	70%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY APPENDECTOMY	$6,770.40	$22,568.00	$566.97–$19,182.80	—	70%
Laparoscopic appendectomy (appendix removal through small cuts) inpatient CPT 44970 HC LAPAROSCOPY; APPENDECTOMY	$6,770.40	$22,568.00	$566.97–$19,182.80	—	70%
Laparoscopic fundoplication (anti-reflux surgery) CPT 43280 HC LAP ESOPHAGOGASTRIC FUNDO	$12,081.60	$40,272.00	$1,023.64–$34,231.20	at median	70%
Laparoscopic fundoplication (anti-reflux surgery) inpatient CPT 43280 HC LAP ESOPHAGOGASTRIC FUNDO	$12,081.60	$40,272.00	$1,023.64–$34,231.20	—	70%
Laparoscopic hysterectomy (uterus 250 g or less) CPT 58570 HC TOTAL LAP HYS 250GM OR LESS	$12,081.60	$40,272.00	$894.01–$34,231.20	—	70%
Laparoscopic hysterectomy (uterus 250 g or less) inpatient CPT 58570 HC TOTAL LAP HYS 250GM OR LESS	$12,081.60	$40,272.00	$894.01–$34,231.20	—	70%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 HC TOTAL LAP HYS W TO 250GM OR LESS	$12,081.60	$40,272.00	$1,001.24–$34,231.20	1% below	70%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 HC TOTAL LAP HYS W TO 250GM OR LESS	$12,081.60	$40,272.00	$1,001.24–$34,231.20	—	70%
Laparoscopic inguinal (groin) hernia repair, first repair on that side CPT 49650 HC LAPAROSCOPY HERNIA INGUINAL	$6,770.40	$22,568.00	$404.66–$19,182.80	1% above	70%
Laparoscopic inguinal (groin) hernia repair, first repair on that side inpatient CPT 49650 HC LAPAROSCOPY HERNIA INGUINAL	$6,770.40	$22,568.00	$404.66–$19,182.80	—	70%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia CPT 49651 HC LAP REPR ING HERNIA RECUR	$6,770.40	$22,568.00	$526.36–$19,182.80	41% below	70%
Laparoscopic inguinal (groin) hernia repair, recurrent hernia inpatient CPT 49651 HC LAP REPR ING HERNIA RECUR	$6,770.40	$22,568.00	$526.36–$19,182.80	—	70%
Laparoscopic removal of an adjustable gastric band and its port CPT 43774 HC LAP REMOVAL GASTER ADJ ALL PARTS	$4,414.80	$14,716.00	$1,606.00–$24,714.00	5% above	70%
Laparoscopic removal of an adjustable gastric band and its port inpatient CPT 43774 HC LAP REMOVAL GASTER ADJ ALL PARTS	$4,414.80	$14,716.00	$1,606.00–$24,714.00	—	70%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 HC LAP; W REM ADNEXAL STRUCTURES	$6,770.40	$22,568.00	$619.74–$19,182.80	6% below	70%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 HC LAP; W REM ADNEXAL STRUCTURES	$6,770.40	$22,568.00	$619.74–$19,182.80	—	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 HC INTMD WND REPAIR S/A/T/EXT <2.5CM	$552.90	$1,843.00	$144.66–$4,308.00	3% above	70%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 HC INTMD WND REPAIR S/A/T/EXT <2.5CM	$552.90	$1,843.00	$144.66–$4,308.00	—	70%
Left heart catheterization, diagnostic one side CPT 93452 HC LEFT HEART CATH W LT VENTRICULOGRAPHY	$4,434.30	$14,781.00	$788.91–$13,407.00	6% below	70%
Left heart catheterization, diagnostic inpatient one side CPT 93452 HC LEFT HEART CATH W LT VENTRICULOGRAPHY	$4,434.30	$14,781.00	$788.91–$13,407.00	—	70%
Lower-back epidural injection, with imaging guidance CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$803.70	$2,679.00	$765.36–$4,308.00	67% above	70%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN	$803.70	$2,679.00	$765.36–$4,308.00	—	70%
Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ INTERLAMINAR LMBR/SAC W/O IMG GUID	$1,033.20	$3,444.00	$258.63–$4,308.00	10% above	70%
Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ INTERLAMINAR LMBR/SAC W/O IMG GUID	$1,033.20	$3,444.00	$258.63–$4,308.00	—	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$1,033.20	$3,444.00	$107.49–$3,010.00	7% above	70%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ, ANES AGENT(S) AND/OR STERIOD- TRANSFORAMINAL EPI, W IMG GUID--LUMBAR OR SACRAL SNG LVL	$1,033.20	$3,444.00	$107.49–$3,010.00	7% above	70%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL	$1,033.20	$3,444.00	$107.49–$3,010.00	—	70%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ, ANES AGENT(S) AND/OR STERIOD- TRANSFORAMINAL EPI, W IMG GUID--LUMBAR OR SACRAL SNG LVL	$1,033.20	$3,444.00	$107.49–$3,010.00	—	70%
Lumbar discectomy or laminotomy to free a nerve root, one level CPT 63030 HC LAMINECTOMY 1SPC LUMB	$8,289.90	$27,633.00	$928.84–$23,488.05	5% above	70%
Lumbar discectomy or laminotomy to free a nerve root, one level inpatient CPT 63030 HC LAMINECTOMY 1SPC LUMB	$8,289.90	$27,633.00	$928.84–$23,488.05	—	70%
Lumbar laminectomy (spinal decompression), one level CPT 63047 HC LAMINECTOMY LUMBAR	$8,289.90	$27,633.00	$1,055.15–$23,488.05	5% above	70%
Lumbar laminectomy (spinal decompression), one level inpatient CPT 63047 HC LAMINECTOMY LUMBAR	$8,289.90	$27,633.00	$1,055.15–$23,488.05	—	70%
Lumbar spinal fusion (posterior), one level CPT 22612 HC ARTHRODESIS, POST, 1 LEV- LUMBAR	$27,627.60	$92,092.00	$1,522.77–$78,278.20	—	70%
Lumbar spinal fusion (posterior), one level inpatient CPT 22612 HC ARTHRODESIS, POST, 1 LEV- LUMBAR	$27,627.60	$92,092.00	$1,522.77–$78,278.20	—	70%
Lumpectomy (partial mastectomy) CPT 19301 HC PARTIAL MASTECTOMY	$4,443.60	$14,812.00	$967.04–$14,414.78	2% above	70%
Lumpectomy (partial mastectomy) inpatient CPT 19301 HC PARTIAL MASTECTOMY	$4,443.60	$14,812.00	$967.04–$14,414.78	—	70%
Mastectomy (total removal of the breast) CPT 19303 HC MASTECTOMY SIMPLE COMPLETE	$7,567.80	$25,226.00	$950.27–$21,442.10	—	70%
Mastectomy (total removal of the breast) inpatient CPT 19303 HC MASTECTOMY SIMPLE COMPLETE	$7,567.80	$25,226.00	$950.27–$21,442.10	—	70%
Miscarriage treatment with D&C, first trimester CPT 59820 HC SURG TX MISSED ABORT; 1ST TRIMESTER	$3,689.70	$12,299.00	$345.17–$10,454.15	at median	70%
Miscarriage treatment with D&C, first trimester inpatient CPT 59820 HC SURG TX MISSED ABORT; 1ST TRIMESTER	$3,689.70	$12,299.00	$345.17–$10,454.15	—	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG	$816.60	$2,722.00	$75.15–$4,308.00	3% above	70%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 HC EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG	$816.60	$2,722.00	$75.15–$4,308.00	—	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 HC EXC OTHR BEN LESN FEENL 0.5/<	$816.60	$2,722.00	$98.08–$4,308.00	6% above	70%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 HC EXC OTHR BEN LESN FEENL 0.5/<	$816.60	$2,722.00	$98.08–$4,308.00	—	70%
Nail removal (partial or complete), one nail CPT 11730 HC SPL AVULSE NP; SGL	$268.80	$896.00	$47.88–$4,308.00	12% above	70%
Nail removal (partial or complete), one nail CPT 11730 HC AVULSION NAIL PLATE SNGL	$268.80	$896.00	$47.88–$4,308.00	12% above	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC AVULSION NAIL PLATE SNGL	$268.80	$896.00	$47.88–$4,308.00	—	70%
Nail removal (partial or complete), one nail inpatient CPT 11730 HC SPL AVULSE NP; SGL	$268.80	$896.00	$47.88–$4,308.00	—	70%
Occipital nerve block (injection for headaches) CPT 64405 HC NJX ANESTHETIC AGENT &/STEROID GR OCPL NRV	$342.60	$1,142.00	$59.89–$4,308.00	at median	70%
Occipital nerve block (injection for headaches) CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$342.60	$1,142.00	$59.89–$4,308.00	at median	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC NJX ANESTHETIC AGENT &/STEROID GR OCPL NRV	$342.60	$1,142.00	$59.89–$4,308.00	—	70%
Occipital nerve block (injection for headaches) inpatient CPT 64405 HC INJECTION AA&/STRD GREATER OCCIPITAL NERVE	$342.60	$1,142.00	$59.89–$4,308.00	—	70%
Pacemaker implant (dual chamber) CPT 33208 HC INSERT/REPLC PPM ATRIAL & VENT	$12,144.30	$40,481.00	$504.83–$34,408.85	6% above	70%
Pacemaker implant (dual chamber) inpatient CPT 33208 HC INSERT/REPLC PPM ATRIAL & VENT	$12,144.30	$40,481.00	$504.83–$34,408.85	—	70%
Paracentesis with imaging guidance CPT 49083 HC ABD PARACENTESIS W/IMAGING	$1,088.10	$3,627.00	$103.61–$4,308.00	7% above	70%
Paracentesis with imaging guidance inpatient CPT 49083 HC ABD PARACENTESIS W/IMAGING	$1,088.10	$3,627.00	$103.61–$4,308.00	—	70%
Permanent removal of a nail and nail root (partial or complete) CPT 11750 HC EXC NAIL/MATRIX/PERM RMVL	$571.20	$1,904.00	$164.03–$4,308.00	12% above	70%
Permanent removal of a nail and nail root (partial or complete) inpatient CPT 11750 HC EXC NAIL/MATRIX/PERM RMVL	$571.20	$1,904.00	$164.03–$4,308.00	—	70%
Prostate biopsy CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$2,377.20	$7,924.00	$130.96–$7,623.46	46% above	70%
Prostate biopsy inpatient CPT 55700 HC BIOPSY OF PROSTATE,NEEDLE/PUNCH	$2,377.20	$7,924.00	$130.96–$7,623.46	—	70%
Prostate removal (prostatectomy), laparoscopic CPT 55866 HC LAPARO RADIAL PROSTATECTOMY	$12,081.60	$40,272.00	$1,625.48–$34,231.20	—	70%
Prostate removal (prostatectomy), laparoscopic inpatient CPT 55866 HC LAPARO RADIAL PROSTATECTOMY	$12,081.60	$40,272.00	$1,625.48–$34,231.20	—	70%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DESTROY LUMB/SAC FACET JNT	$2,266.20	$7,554.00	$209.24–$6,420.90	56% above	70%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$2,266.20	$7,554.00	$209.24–$6,420.90	56% above	70%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DESTROY LUMB/SAC FACET JNT	$2,266.20	$7,554.00	$209.24–$6,420.90	—	70%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 HC DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL	$2,266.20	$7,554.00	$209.24–$6,420.90	—	70%
Removal of a breast lump, open surgery CPT 19120 HC EXC BREAST CYST	$4,443.60	$14,812.00	$388.99–$12,590.20	4% above	70%
Removal of a breast lump, open surgery inpatient CPT 19120 HC EXC BREAST CYST	$4,443.60	$14,812.00	$388.99–$12,590.20	—	70%
Removal of a foreign object under the skin, simple CPT 10120 HC INC & REM FB SQ; SIMPLE	$463.50	$1,545.00	$97.79–$4,308.00	2% above	70%
Removal of a foreign object under the skin, simple inpatient CPT 10120 HC INC & REM FB SQ; SIMPLE	$463.50	$1,545.00	$97.79–$4,308.00	—	70%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 HC TOTAL THYROID LOBE UNI W/WO ISTHMUS	$6,770.40	$22,568.00	$675.14–$19,182.80	1% above	70%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 HC TOTAL THYROID LOBE UNI W/WO ISTHMUS	$6,770.40	$22,568.00	$675.14–$19,182.80	—	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC SCRN COLONOSCOPY PT NOT HI RISK	$1,058.10	$3,527.00	—	at median	70%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 HC COLORECTAL CA SCREEN	$1,058.10	$3,527.00	—	at median	70%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC COLORECTAL CA SCREEN	$1,058.10	$3,527.00	—	—	70%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 HC SCRN COLONOSCOPY PT NOT HI RISK	$1,058.10	$3,527.00	—	—	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 HC SCRN COLONOSCOPY ON HI RISK PAT	$1,058.10	$3,527.00	—	2% above	70%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 HC SCRN COLONOSCOPY ON HI RISK PAT	$1,058.10	$3,527.00	—	—	70%
Septoplasty to straighten the nasal septum CPT 30520 HC SEPTOPLASTY SMR W/WO CARTILAGE	$3,763.50	$12,545.00	$595.36–$13,075.74	4% above	70%
Septoplasty to straighten the nasal septum inpatient CPT 30520 HC SEPTOPLASTY SMR W/WO CARTILAGE	$3,763.50	$12,545.00	$595.36–$13,075.74	—	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) CPT 50590 HC LITHOTRIPSY, EWSL	$1,991.10	$6,637.00	$531.80–$12,896.04	74% below	70%
Shock-wave lithotripsy to break up kidney stones (from outside the body) inpatient CPT 50590 HC LITHOTRIPSY, EWSL	$1,991.10	$6,637.00	$531.80–$12,896.04	—	70%
Short arm cast (elbow to hand) CPT 29075 HC APPLY SHORT ARM CAST	$308.10	$1,027.00	$59.42–$4,730.00	1% above	70%
Short arm cast (elbow to hand) inpatient CPT 29075 HC APPLY SHORT ARM CAST	$308.10	$1,027.00	$59.42–$4,730.00	—	70%
Short arm splint (forearm and hand) CPT 29125 HC APPLY SHORT ARM SPLINT; STATIC	$283.20	$944.00	$37.70–$4,730.00	13% above	70%
Short arm splint (forearm and hand) inpatient CPT 29125 HC APPLY SHORT ARM SPLINT; STATIC	$283.20	$944.00	$37.70–$4,730.00	—	70%
Short leg cast (below the knee) CPT 29405 HC APPLY SHORT LEG CAST	$432.00	$1,440.00	$56.96–$4,730.00	41% above	70%
Short leg cast (below the knee) inpatient CPT 29405 HC APPLY SHORT LEG CAST	$432.00	$1,440.00	$56.96–$4,730.00	—	70%
Short leg splint (calf to foot) CPT 29515 HC APPLY SHORT LEG SPLINT	$197.10	$657.00	$47.54–$4,730.00	17% below	70%
Short leg splint (calf to foot) inpatient CPT 29515 HC APPLY SHORT LEG SPLINT	$197.10	$657.00	$47.54–$4,730.00	—	70%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) CPT 29824 HC ARTHROSCOPY SH MUMFORD	$3,765.30	$12,551.00	$644.68–$10,668.35	at median	70%
Shoulder arthroscopy with removal of the end of the collarbone (distal clavicle) inpatient CPT 29824 HC ARTHROSCOPY SH MUMFORD	$3,765.30	$12,551.00	$644.68–$10,668.35	—	70%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 HC ATHROSCOPY SHLDR W ACRO	$3,440.70	$11,469.00	$168.17–$15,790.22	21% below	70%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 HC ATHROSCOPY SHLDR W ACRO	$3,440.70	$11,469.00	$168.17–$15,790.22	—	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 HC S REP S/N/A/G/TR/E; 2.5CM/<	$428.10	$1,427.00	$42.63–$4,308.00	36% above	70%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 HC S REP S/N/A/G/TR/E; 2.5CM/<	$428.10	$1,427.00	$42.63–$4,308.00	—	70%
Skin biopsy, punch, one lesion CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$463.50	$1,545.00	$46.10–$4,730.00	38% above	70%
Skin biopsy, punch, one lesion inpatient CPT 11104 HC PUNCH BX SKIN SINGLE LESION	$463.50	$1,545.00	$46.10–$4,730.00	—	70%
Skin tag removal, up to 15 tags CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$252.30	$841.00	$69.17–$4,308.00	7% above	70%
Skin tag removal, up to 15 tags inpatient CPT 11200 HC REMOVAL OF SKIN TAGS, UP TO 15	$252.30	$841.00	$69.17–$4,308.00	—	70%
Spinal tap (lumbar puncture), diagnostic CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$803.70	$2,679.00	$75.19–$3,010.00	at median	70%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC	$803.70	$2,679.00	$75.19–$3,010.00	—	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 HC S REP S/N/A/G/TR/E; 2.6-7.5CM	$493.50	$1,645.00	$56.14–$4,730.00	22% above	70%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 HC S REP S/N/A/G/TR/E; 2.6-7.5CM	$493.50	$1,645.00	$56.14–$4,730.00	—	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 HC S REP F/E/N/L/MM; 2.5CM/<	$427.80	$1,426.00	$53.20–$4,730.00	at median	70%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 HC S REP F/E/N/L/MM; 2.5CM/<	$427.80	$1,426.00	$53.20–$4,730.00	—	70%
TURP (transurethral resection of the prostate) CPT 52601 HC TRANSUR ELECTR RESECTION OF PROSTATE	$5,899.20	$19,664.00	$791.48–$16,714.40	at median	70%
TURP (transurethral resection of the prostate) inpatient CPT 52601 HC TRANSUR ELECTR RESECTION OF PROSTATE	$5,899.20	$19,664.00	$791.48–$16,714.40	—	70%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$330.90	$1,103.00	$36.74–$4,308.00	11% above	70%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 HC TANGENTIAL BIOPSY SKIN SINGLE LESION	$330.90	$1,103.00	$36.74–$4,308.00	—	70%
Thoracentesis with imaging guidance CPT 32555 HC THORACENTESIS ASP W IMAGING	$1,231.80	$4,106.00	$107.64–$4,308.00	12% below	70%
Thoracentesis with imaging guidance inpatient CPT 32555 HC THORACENTESIS ASP W IMAGING	$1,231.80	$4,106.00	$107.64–$4,308.00	—	70%
Tonsil and adenoid removal, age 12 or older CPT 42821 HC T & A; AGE 12 OR MORE	$3,763.50	$12,545.00	$290.59–$13,075.74	2% above	70%
Tonsil and adenoid removal, age 12 or older inpatient CPT 42821 HC T & A; AGE 12 OR MORE	$3,763.50	$12,545.00	$290.59–$13,075.74	—	70%
Tonsil and adenoid removal, child under 12 CPT 42820 HC TONSIL & ADENOIDECTOMY <12YRS	$6,864.90	$22,883.00	$279.56–$19,450.55	3% above	70%
Tonsil and adenoid removal, child under 12 inpatient CPT 42820 HC TONSIL & ADENOIDECTOMY <12YRS	$6,864.90	$22,883.00	$279.56–$19,450.55	—	70%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 HC TONSILLECTOMY OVER 12	$3,763.50	$12,545.00	$242.66–$10,663.25	2% above	70%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 HC TONSILLECTOMY OVER 12	$3,763.50	$12,545.00	$242.66–$10,663.25	—	70%
Tonsil removal (tonsillectomy) only, child under 12 CPT 42825 HC TONSILLECTOMY UNDER 12	$7,378.20	$24,594.00	$252.76–$20,904.90	—	70%
Tonsil removal (tonsillectomy) only, child under 12 inpatient CPT 42825 HC TONSILLECTOMY UNDER 12	$7,378.20	$24,594.00	$252.76–$20,904.90	—	70%
Total knee replacement CPT 27447 HC TOT KNEE ARTHROPLASTY	$14,931.30	$49,771.00	$1,294.26–$42,305.35	7% above	70%
Total knee replacement inpatient CPT 27447 HC TOT KNEE ARTHROPLASTY	$14,931.30	$49,771.00	$1,294.26–$42,305.35	—	70%
Total thyroid removal (thyroidectomy) CPT 60240 HC THYROIDECTOMY TOTAL COMP	$6,770.40	$22,568.00	$874.81–$19,182.80	—	70%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 HC THYROIDECTOMY TOTAL COMP	$6,770.40	$22,568.00	$874.81–$19,182.80	—	70%
Trigger finger release surgery CPT 26055 HC TENDON SHEATH INC TRIGGER FING	$1,857.30	$6,191.00	$293.11–$5,262.35	13% below	70%
Trigger finger release surgery inpatient CPT 26055 HC TENDON SHEATH INC TRIGGER FING	$1,857.30	$6,191.00	$293.11–$5,262.35	—	70%
Trigger point injections, 1 or 2 muscles CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCLE(S)	$342.60	$1,142.00	$36.04–$4,308.00	3% above	70%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 HC INJ TRIGGER POINT 1/2 MUSCLE(S)	$342.60	$1,142.00	$36.04–$4,308.00	—	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) CPT 58670 HC LAPAROSCOPY FUL OVIDUCTS	$6,770.40	$22,568.00	$351.20–$19,182.80	1% above	70%
Tubal ligation, laparoscopic (tubes sealed by cautery) inpatient CPT 58670 HC LAPAROSCOPY FUL OVIDUCTS	$6,770.40	$22,568.00	$351.20–$19,182.80	—	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,880.10	$6,267.00	$162.38–$5,326.95	5% above	70%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 HC BX BREAST 1ST LESION US IMAG	$1,880.10	$6,267.00	$162.38–$5,326.95	—	70%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 HC EGD BALL DIL <30MM DIAM	$2,201.40	$7,338.00	$156.70–$6,237.30	5% above	70%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 HC EGD BALL DIL <30MM DIAM	$2,201.40	$7,338.00	$156.70–$6,237.30	—	70%
Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,814.40	$6,048.00	$140.83–$51,063.00	2% above	70%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD BIOPSY SINGLE/MULTIPLE	$1,814.40	$6,048.00	$140.83–$51,063.00	—	70%
Upper endoscopy (EGD) with injection into the lining CPT 43236 HC EGD W/ SUBMUCOSAL INJECT	$1,147.20	$3,824.00	$141.51–$4,193.04	16% above	70%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 HC EGD W/ SUBMUCOSAL INJECT	$1,147.20	$3,824.00	$141.51–$4,193.04	—	70%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 HC EGD W/REMOV LESION/POLYP SNARE	$2,201.40	$7,338.00	$199.76–$6,237.30	5% above	70%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 HC EGD W/REMOV LESION/POLYP SNARE	$2,201.40	$7,338.00	$199.76–$6,237.30	—	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD INS GUIDEWIRE WDIL	$1,088.10	$3,627.00	$169.94–$4,193.04	10% above	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 HC EGD INS GUIDWIERE WDIL	$1,088.10	$3,627.00	$169.94–$4,193.04	10% above	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD INS GUIDEWIRE WDIL	$1,088.10	$3,627.00	$169.94–$4,193.04	—	70%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 HC EGD INS GUIDWIERE WDIL	$1,088.10	$3,627.00	$169.94–$4,193.04	—	70%
Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAGNOSTIC	$1,088.10	$3,627.00	$126.03–$51,063.00	19% below	70%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAGNOSTIC	$1,088.10	$3,627.00	$126.03–$51,063.00	—	70%
Upper endoscopy with drainage of a pseudocyst through the stomach wall CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$6,907.80	$23,026.00	$395.25–$19,572.10	5% above	70%
Upper endoscopy with drainage of a pseudocyst through the stomach wall inpatient CPT 43240 HC EGD W/TRANSMURAL DRAIN CYST	$6,907.80	$23,026.00	$395.25–$19,572.10	—	70%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 HC CYSTO W LITH URETER CATH	$5,899.20	$19,664.00	$367.01–$16,714.40	at median	70%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 HC CYSTO W LITH URETER CATH	$5,899.20	$19,664.00	$367.01–$16,714.40	—	70%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 HC CYSTO URETER W LITHOTRIPSY	$5,899.20	$19,664.00	$1,378.71–$16,714.40	at median	70%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 HC CYSTO URETER W LITHOTRIPSY	$5,899.20	$19,664.00	$1,378.71–$16,714.40	—	70%
Vasectomy, one or both sides, including follow-up semen testing both sides CPT 55250 HC VASECTOMY BILATERAL/UNILATERAL	$2,377.20	$7,924.00	$213.38–$6,735.40	—	70%
Vasectomy, one or both sides, including follow-up semen testing inpatient both sides CPT 55250 HC VASECTOMY BILATERAL/UNILATERAL	$2,377.20	$7,924.00	$213.38–$6,735.40	—	70%
Vein ablation, radiofrequency, first vein CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,835.20	$12,784.00	$1,780.00–$10,866.40	12% above	70%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 HC ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN	$3,835.20	$12,784.00	$1,780.00–$10,866.40	—	70%
Wart removal, up to 14 warts CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$230.70	$769.00	$65.24–$4,308.00	10% above	70%
Wart removal, up to 14 warts inpatient CPT 17110 HC DESTRUCTION BENIGN LESIONS UP TO 14	$230.70	$769.00	$65.24–$4,308.00	—	70%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/<	$463.50	$1,545.00	$58.31–$3,512.55	24% below	70%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 HC DEB SUBQ TISSUE 20 SQ CM/<	$463.50	$1,545.00	$58.31–$3,512.55	—	70%
Wrist fracture surgery (plate and screws), distal radius CPT 25607 HC OPEN TX DISTAL RAD EXTRA-ART	$8,289.90	$27,633.00	$1,965.14–$23,488.05	2% above	70%
Wrist fracture surgery (plate and screws), distal radius inpatient CPT 25607 HC OPEN TX DISTAL RAD EXTRA-ART	$8,289.90	$27,633.00	$1,965.14–$23,488.05	—	70%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
Blood transfusion (giving blood or blood components) CPT 36430 HC LEVEL ONE TRANSFUSION	$848.70	$2,829.00	$32.33–$4,308.00	69% above	70%
Blood transfusion (giving blood or blood components) CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS	$848.70	$2,829.00	$32.33–$4,308.00	69% above	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC LEVEL ONE TRANSFUSION	$848.70	$2,829.00	$32.33–$4,308.00	—	70%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 HC TRANSFUSION BLOOD OR BLOOD COMPONENTS	$848.70	$2,829.00	$32.33–$4,308.00	—	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC AIRWAY INHALATION TREATMENT	$236.10	$787.00	$16.40–$668.95	at median	70%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HC AIRWAY INHALATION TREATMENT	$236.10	$787.00	$16.40–$668.95	—	70%
Chemotherapy IV infusion, first hour CPT 96413 HC CHEMO IV INFUSION 1ST HOUR	$526.50	$1,755.00	$119.12–$1,491.75	12% below	70%
Chemotherapy IV infusion, first hour inpatient CPT 96413 HC CHEMO IV INFUSION 1ST HOUR	$526.50	$1,755.00	$119.12–$1,491.75	—	70%
Critical care, first 30 to 74 minutes CPT 99291 HC CRITICAL CARE; E/M 30-74 MINS	$1,827.60	$6,092.00	$205.99–$7,627.00	36% below	70%
Critical care, first 30 to 74 minutes inpatient CPT 99291 HC CRITICAL CARE; E/M 30-74 MINS	$1,827.60	$6,092.00	$205.99–$7,627.00	—	70%
EEG (brain wave test), awake and drowsy, routine CPT 95816 HC EEG AWAKE & DROWSY	$821.40	$2,738.00	$316.38–$2,362.00	38% above	70%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 HC EEG AWAKE & DROWSY	$821.40	$2,738.00	$316.38–$2,362.00	—	70%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 HC ECG ROUT TRAC 12 LEAD INT	$206.40	$688.00	$14.85–$619.20	—	70%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 HC ECG ROUT TRAC 12 LEAD INT	$206.40	$688.00	$14.85–$619.20	—	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC 12 LEAD EKG; TRACING ONLY	$252.30	$841.00	$7.40–$714.85	28% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 HC 12 LEAD EKG; TRACING ONLY	$264.90	$883.00	$7.40–$750.55	24% below	70%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 HC 12 LEAD EKG; TRACING ONLY	$264.90	$883.00	$7.40–$750.55	—	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor CPT 99281 HC EMERGENCY DEPT VISIT - LEVEL 1	$435.00	$1,450.00	$19.33–$12,548.10	32% above	70%
Emergency room visit, level 1 of 5, minor problem that may not need a doctor inpatient CPT 99281 HC EMERGENCY DEPT VISIT - LEVEL 1	$435.00	$1,450.00	$19.33–$12,548.10	—	70%
Emergency room visit, level 2 of 5, straightforward problem CPT 99282 HC EMERGENCY DEPT VISIT - LEVEL 2	$505.50	$1,685.00	$38.04–$12,548.10	2% above	70%
Emergency room visit, level 2 of 5, straightforward problem inpatient CPT 99282 HC EMERGENCY DEPT VISIT - LEVEL 2	$505.50	$1,685.00	$38.04–$12,548.10	—	70%
Emergency room visit, level 3 of 5, low-complexity problem CPT 99283 HC EMERGENCY DEPT VISIT - LEVEL 3	$713.10	$2,377.00	$56.68–$12,548.10	30% below	70%
Emergency room visit, level 3 of 5, low-complexity problem inpatient CPT 99283 HC EMERGENCY DEPT VISIT - LEVEL 3	$713.10	$2,377.00	$56.68–$12,548.10	—	70%
Emergency room visit, level 4 of 5, moderate-complexity problem CPT 99284 HC EMERGENCY DEPT VISIT - LEVEL 4	$1,034.70	$3,449.00	$108.14–$12,548.10	37% below	70%
Emergency room visit, level 4 of 5, moderate-complexity problem inpatient CPT 99284 HC EMERGENCY DEPT VISIT - LEVEL 4	$1,034.70	$3,449.00	$108.14–$12,548.10	—	70%
Emergency room visit, level 5 of 5, high-complexity problem CPT 99285 HC EMERGENCY DEPT VISIT - LEVEL 5	$1,450.80	$4,836.00	$158.84–$12,548.10	35% below	70%
Emergency room visit, level 5 of 5, high-complexity problem inpatient CPT 99285 HC EMERGENCY DEPT VISIT - LEVEL 5	$1,450.80	$4,836.00	$158.84–$12,548.10	—	70%
Exercise stress test, tracing only, the hospital charge CPT 93017 HC CVSLR STRESS TEST; TRACING	$648.00	$2,160.00	$35.03–$1,836.00	21% below	70%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 HC CVSLR STRESS TEST; TRACING	$648.00	$2,160.00	$35.03–$1,836.00	—	70%
Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$186.30	$621.00	$91.76–$527.85	60% below	70%
Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS	$186.30	$621.00	$91.76–$527.85	—	70%
Family therapy without the patient, 50 minutes CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$186.30	$621.00	$154.00–$527.85	59% below	70%
Family therapy without the patient, 50 minutes inpatient CPT 90846 HC FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS	$186.30	$621.00	$154.00–$527.85	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT 31-60MIN	$395.40	$1,318.00	$50.85–$1,120.30	9% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MINS	$395.40	$1,318.00	$50.85–$1,120.30	9% above	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION INIT 31-60MIN	$395.40	$1,318.00	$50.85–$1,120.30	—	70%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HC HYDRATION IV INFUSION INIT 31-60 MINS	$395.40	$1,318.00	$50.85–$1,120.30	—	70%
IV infusion of a medicine, first hour CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$395.40	$1,318.00	$61.38–$1,120.30	9% below	70%
IV infusion of a medicine, first hour inpatient CPT 96365 HC IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR	$395.40	$1,318.00	$61.38–$1,120.30	—	70%
IV push of a medicine, first drug CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$244.50	$815.00	$42.00–$692.75	2% above	70%
IV push of a medicine, first drug inpatient CPT 96374 HC THER/PROPH/DIAG INJ IV PUSH	$244.50	$815.00	$42.00–$692.75	—	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$81.60	$272.00	$22.22–$465.70	18% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$85.80	$286.00	$9.00–$465.70	14% below	70%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC THER/PROPH/DIAG INJ SM/IM	$85.80	$286.00	$22.22–$465.70	14% below	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SM/IM	$85.80	$286.00	$22.22–$465.70	—	70%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 HC THER/PROPH/DIAG INJ SC/IM	$85.80	$286.00	$9.00–$465.70	—	70%
Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC PSYCHIATRIC DIAGNOSTIC EVALUATION	$186.60	$622.00	$154.25–$528.70	41% below	70%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES	$395.70	$1,319.00	$163.63–$1,172.82	13% above	70%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 HC NERVE CONDUCTION 7-8 STUDIES	$395.70	$1,319.00	$163.63–$1,172.82	—	70%
Neuromuscular re-education, 15 minutes CPT 97112 HC NEUROMUSCULAR REEDUCATION EA 15MINS	$111.90	$373.00	$29.47–$335.70	19% above	70%
Neuromuscular re-education, 15 minutes inpatient CPT 97112 HC NEUROMUSCULAR REEDUCATION EA 15MINS	$111.90	$373.00	$29.47–$335.70	—	70%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE OR OTHER OTPT VIST FOR E&M ON NEW PT REQ MED APPROP HX & OR EXAM & LOW LEVEL MED DECISION MKNG. WHEN 30-44 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$189.90	$633.00	$70.88–$569.70	12% below	70%
New patient office visit, about 30 minutes CPT 99203 HC OFFICE OR OTHER OTPT VIST FOR E&M ON NEW PT REQ MED APPROP HX & OR EXAM & LOW LEVEL MED DECISION MKNG. WHEN 30-44 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$199.50	$665.00	$70.88–$598.50	8% below	70%
New patient office visit, about 30 minutes inpatient CPT 99203 HC OFFICE OR OTHER OTPT VIST FOR E&M ON NEW PT REQ MED APPROP HX & OR EXAM & LOW LEVEL MED DECISION MKNG. WHEN 30-44 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$199.50	$665.00	$70.88–$598.50	—	70%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX & OR EXAM & MOD LEVL OF MED DECISION MKNG. WHEN 45-59 MIN TOTL TIME SPNT ON DT OF ENCOUNTER	$213.60	$712.00	$121.31–$640.80	18% below	70%
New patient office visit, about 45 minutes CPT 99204 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX & OR EXAM & MOD LEVL OF MED DECISION MKNG. WHEN 45-59 MIN TOTL TIME SPNT ON DT OF ENCOUNTER	$224.40	$748.00	$121.31–$673.20	13% below	70%
New patient office visit, about 45 minutes inpatient CPT 99204 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX & OR EXAM & MOD LEVL OF MED DECISION MKNG. WHEN 45-59 MIN TOTL TIME SPNT ON DT OF ENCOUNTER	$224.40	$748.00	$121.31–$673.20	—	70%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE OR OTHER OTPT VISIT FOR E&M NEW PT, REQ MED APPROPRIATE HX & OR EXAM & HIGHT LVL MED DECISION MKNG. 60-74 MINUTES OF TOTL TIME SPNT ON DT OF ENCOUNTER	$264.30	$881.00	$156.48–$792.90	22% below	70%
New patient office visit, about 60 minutes CPT 99205 HC OFFICE OR OTHER OTPT VISIT FOR E&M NEW PT, REQ MED APPROPRIATE HX & OR EXAM & HIGHT LVL MED DECISION MKNG. 60-74 MINUTES OF TOTL TIME SPNT ON DT OF ENCOUNTER	$277.50	$925.00	$156.48–$832.50	19% below	70%
New patient office visit, about 60 minutes inpatient CPT 99205 HC OFFICE OR OTHER OTPT VISIT FOR E&M NEW PT, REQ MED APPROPRIATE HX & OR EXAM & HIGHT LVL MED DECISION MKNG. 60-74 MINUTES OF TOTL TIME SPNT ON DT OF ENCOUNTER	$277.50	$925.00	$156.48–$832.50	—	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX EXAM & MED DECISION MKNG. WHEN 15-29 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$159.60	$532.00	$46.46–$478.80	at median	70%
New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX EXAM & MED DECISION MKNG. WHEN 15-29 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$167.70	$559.00	$46.46–$503.10	5% above	70%
New patient office visit, straightforward problem or 15+ minutes inpatient CPT 99202 HC OFFICE OR OTHER OTPT VISIT FOR E&M OF NEW PT, REQ MED APPROP HX EXAM & MED DECISION MKNG. WHEN 15-29 MIN OF TOTL TIME SPNT ON DT OF ENCOUNTER	$167.70	$559.00	$46.46–$503.10	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15MINS	$93.00	$310.00	$75.95–$279.00	52% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC MNT INT ASSESS IND EA 15M	$93.00	$310.00	$75.95–$331.00	52% above	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MNT INT ASSESS IND EA 15M	$93.00	$310.00	$75.95–$331.00	—	70%
Nutrition counseling (medical nutrition therapy), first visit, 15 minutes inpatient CPT 97802 HC MED NUTR THER, 1ST, INDIV, EA 15MINS	$93.00	$310.00	$75.95–$279.00	—	70%
Occupational therapy evaluation, low complexity CPT 97165 HC OT EVAL LOW COMPLEXITY 30MIN	$261.60	$872.00	$68.34–$784.80	18% above	70%
Occupational therapy evaluation, low complexity inpatient CPT 97165 HC OT EVAL LOW COMPLEXITY 30MIN	$261.60	$872.00	$68.34–$784.80	—	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC PT EVAL HIGH COMPLEX 45MIN	$269.40	$898.00	$70.55–$808.20	at median	70%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 HC PT EVAL HIGH COMPLEX 45MIN	$269.40	$898.00	$70.55–$808.20	—	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC PT EVAL LOW COMPLEX 20MIN	$269.40	$898.00	$70.55–$808.20	60% above	70%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 HC PT EVAL LOW COMPLEX 20MIN	$269.40	$898.00	$70.55–$808.20	—	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC PT EVAL MOD COMPLEX 30MIN	$269.40	$898.00	$70.55–$808.20	22% above	70%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 HC PT EVAL MOD COMPLEX 30MIN	$269.40	$898.00	$70.55–$808.20	—	70%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC MANUAL THER TECH, 1+ REGIONS, 15 MIN EACH	$94.80	$316.00	$26.29–$323.00	10% above	70%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 HC MANUAL THER TECH, 1+ REGIONS, 15 MIN EACH	$94.80	$316.00	$26.29–$323.00	—	70%
Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC THERAPEUTIC EXERCISES EA 15MINS	$119.40	$398.00	$28.19–$358.20	31% above	70%
Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC THERAPEUTIC EXERCISES EA 15MINS	$119.40	$398.00	$28.19–$358.20	—	70%
Preventive checkup, new patient aged 65 or older CPT 99387 HC PREVENTATIVE VISIT, NEW 65 & OVER	$21.00	$70.00	$17.15–$396.00	—	70%
Preventive checkup, new patient aged 65 or older inpatient CPT 99387 HC PREVENTATIVE VISIT, NEW 65 & OVER	$21.00	$70.00	$17.15–$396.00	—	70%
Preventive checkup, returning patient aged 18–39 CPT 99395 HC PREVENTATIVE VISIT, EST AGE 18-39	$203.10	$677.00	$82.84–$609.30	9% above	70%
Preventive checkup, returning patient aged 18–39 inpatient CPT 99395 HC PREVENTATIVE VISIT, EST AGE 18-39	$203.10	$677.00	$82.84–$609.30	—	70%
Preventive checkup, returning patient aged 40–64 CPT 99396 HC PREVENTATIVE VISIT, EST AGE 40-64	$184.50	$615.00	$90.07–$553.50	at median	70%
Preventive checkup, returning patient aged 40–64 inpatient CPT 99396 HC PREVENTATIVE VISIT, EST AGE 40-64	$184.50	$615.00	$90.07–$553.50	—	70%
Preventive checkup, returning patient aged 65 or older CPT 99397 HC PREVENTATIVE VISIT, EST AGE 65 & OVER	$387.60	$1,292.00	$95.02–$1,162.80	94% above	70%
Preventive checkup, returning patient aged 65 or older inpatient CPT 99397 HC PREVENTATIVE VISIT, EST AGE 65 & OVER	$387.60	$1,292.00	$95.02–$1,162.80	—	70%
Psychiatric evaluation with medical services CPT 90792 HC PSYCHIATRIC DIAGNOSTIC EVAL W/ MEDICAL SERVICES	$201.60	$672.00	$166.65–$571.20	38% below	70%
Psychotherapy for crisis, first 60 minutes CPT 90839 HC PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES	$231.60	$772.00	$177.57–$656.20	20% below	70%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$186.30	$621.00	$154.00–$527.85	39% below	70%
Psychotherapy session, 30 minutes CPT 90832 HC PSYCHOTHERAPY W/ PATIENT 30 MINUTES	$186.60	$622.00	$154.25–$528.70	39% below	70%
Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$186.30	$621.00	$154.00–$527.85	—	70%
Psychotherapy session, 45 minutes CPT 90834 HC PSYCHOTHERAPY W/ PATIENT 45 MINUTES	$209.10	$697.00	$172.85–$592.45	35% below	70%
Psychotherapy session, 60 minutes CPT 90837 HC PSYTX W PT 60 MINUTES	$186.30	$621.00	$154.00–$527.85	47% below	70%
Psychotherapy session, 60 minutes CPT 90837 HC PSYCHOTHERAPY W/ PATIENT 60 MINUTES	$239.10	$797.00	$177.57–$677.45	32% below	70%
Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX W PT 60 MINUTES	$186.30	$621.00	$154.00–$527.85	—	70%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$50.40	$168.00	$11.16–$142.80	26% above	70%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 HC TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES	$50.40	$168.00	$11.16–$142.80	—	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & HIGH LVL MED DEC MKNG. WHEN 40-54 MINUTES OF TOTL TIME SPNT DT OF ENCOUNTER	$204.00	$680.00	$102.33–$612.00	20% below	70%
Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & HIGH LVL MED DEC MKNG. WHEN 40-54 MINUTES OF TOTL TIME SPNT DT OF ENCOUNTER	$214.20	$714.00	$102.33–$642.60	16% below	70%
Returning patient office visit, high complexity or 40+ minutes inpatient CPT 99215 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & HIGH LVL MED DEC MKNG. WHEN 40-54 MINUTES OF TOTL TIME SPNT DT OF ENCOUNTER	$214.20	$714.00	$102.33–$642.60	—	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM LOW LVL MED DEC MKNG. WHEN 20-29 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$148.50	$495.00	$47.41–$445.50	5% below	70%
Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM LOW LVL MED DEC MKNG. WHEN 20-29 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$156.00	$520.00	$47.41–$468.00	1% below	70%
Returning patient office visit, low complexity or 20+ minutes inpatient CPT 99213 HC OFFICE OR OTHER OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM LOW LVL MED DEC MKNG. WHEN 20-29 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$156.00	$520.00	$47.41–$468.00	—	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & MOD LVL MED DEC MKNG. WHEN 30-39 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$183.00	$610.00	$72.73–$549.00	18% below	70%
Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & MOD LVL MED DEC MKNG. WHEN 30-39 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$192.30	$641.00	$72.73–$576.90	14% below	70%
Returning patient office visit, moderate complexity or 30+ minutes inpatient CPT 99214 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM & MOD LVL MED DEC MKNG. WHEN 30-39 MIN OF TOTL TIME SPNT DT OF ENCOUNTER	$192.30	$641.00	$72.73–$576.90	—	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM MED DEC MKNG. WHEN 10-19 MINUTE TOTL TIME SPNT DT OF ENCOUNTER	$110.70	$369.00	$23.38–$332.10	at median	70%
Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM MED DEC MKNG. WHEN 10-19 MINUTE TOTL TIME SPNT DT OF ENCOUNTER	$116.10	$387.00	$23.38–$348.30	5% above	70%
Returning patient office visit, straightforward problem or 10+ minutes inpatient CPT 99212 HC OFFICE OR OTHR OTPT VISIT FOR E&M ESTB PT REQ MED APPROP HX & OR EXAM MED DEC MKNG. WHEN 10-19 MINUTE TOTL TIME SPNT DT OF ENCOUNTER	$116.10	$387.00	$23.38–$348.30	—	70%
Speech and language evaluation CPT 92523 HC EVAL SPEECH SOUND PRODUCTION LANG COMPREHEN	$121.50	$405.00	$99.22–$414.94	47% below	70%
Speech and language evaluation inpatient CPT 92523 HC EVAL SPEECH SOUND PRODUCTION LANG COMPREHEN	$121.50	$405.00	$99.22–$414.94	—	70%
Speech therapy session, individual CPT 92507 HC SPEECH THERAPY INDIV GN	$131.10	$437.00	$70.25–$393.30	29% above	70%
Speech therapy session, individual inpatient CPT 92507 HC SPEECH THERAPY INDIV GN	$131.10	$437.00	$70.25–$393.30	—	70%
Spirometry (breathing test) CPT 94010 HC SPIROMETRY	$206.10	$687.00	$32.20–$583.95	26% below	70%
Spirometry (breathing test) inpatient CPT 94010 HC SPIROMETRY	$206.10	$687.00	$32.20–$583.95	—	70%
Spirometry before and after a bronchodilator CPT 94060 HC SPIROMETRY	$361.50	$1,205.00	$54.20–$1,024.25	30% below	70%
Spirometry before and after a bronchodilator inpatient CPT 94060 HC SPIROMETRY	$361.50	$1,205.00	$54.20–$1,024.25	—	70%
Therapeutic activities (functional training), 15 minutes CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MINS	$104.10	$347.00	$30.77–$323.00	44% above	70%
Therapeutic activities (functional training), 15 minutes inpatient CPT 97530 HC THERAPEUTIC ACTIVITIES 15 MINS	$104.10	$347.00	$30.77–$323.00	—	70%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$149.70	$499.00	$88.74–$424.15	41% below	70%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 HC THERAPEUTIC PHLEBOTOMY	$149.70	$499.00	$88.74–$424.15	—	70%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 CPT 90700 HC DTAP IMMUNIZATION, IM, <7 YO	$28.80	$96.00	$23.52–$86.40	65% below	70%
DTaP vaccine (diphtheria, tetanus and whooping cough), under age 7 inpatient CPT 90700 HC DTAP IMMUNIZATION, IM, <7 YO	$28.80	$96.00	$23.52–$86.40	—	70%
Hepatitis A and B combination vaccine, adult (Twinrix) CPT 90636 HC HEPATITIS A&B ADULT VACCINE - 58160-0815-52	$108.60	$362.00	$88.69–$325.80	—	70%
Hepatitis A and B combination vaccine, adult (Twinrix) inpatient CPT 90636 HC HEPATITIS A&B ADULT VACCINE - 58160-0815-52	$108.60	$362.00	$88.69–$325.80	—	70%
Hepatitis A vaccine, adult dose CPT 90632 HC HEPA VACCINE ADULT IM - 58160-0826-52	$101.70	$339.00	$71.61–$305.10	30% below	70%
Hepatitis A vaccine, adult dose inpatient CPT 90632 HC HEPA VACCINE ADULT IM - 58160-0826-52	$101.70	$339.00	$71.61–$305.10	—	70%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$88.80	$296.00	$70.38–$266.40	30% below	70%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HC HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE	$88.80	$296.00	$70.38–$266.40	—	70%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) CPT 90739 HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE - 43528-0003-05	$147.30	$491.00	$120.29–$441.90	—	70%
Hepatitis B vaccine, adult, 2-dose schedule (Heplisav-B) inpatient CPT 90739 HC HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE - 43528-0003-05	$147.30	$491.00	$120.29–$441.90	—	70%
High-dose flu shot, preservative-free, mainly for age 65 and older CPT 90662 HC IIV NO PRSV INCREASED AG IM	$47.70	$159.00	$38.95–$172.54	79% below	70%
High-dose flu shot, preservative-free, mainly for age 65 and older inpatient CPT 90662 HC IIV NO PRSV INCREASED AG IM	$47.70	$159.00	$38.95–$172.54	—	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) CPT 90670 HC PNEUMOCOCCAL VACCINE 13 VAL - 00005-1971-02	$160.80	$536.00	$131.32–$532.56	73% below	70%
Pneumonia vaccine, 13-valent conjugate (Prevnar 13) inpatient CPT 90670 HC PNEUMOCOCCAL VACCINE 13 VAL - 00005-1971-02	$160.80	$536.00	$131.32–$532.56	—	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE - 00005-2000-10	$204.17	$680.58	$166.74–$615.20	53% below	70%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 HC PCV20 VACCINE FOR INTRAMUSCULAR USE - 00005-2000-10	$204.17	$680.58	$166.74–$615.20	—	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE - 00006-4837-03	$54.00	$180.00	$44.10–$275.37	82% below	70%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 HC PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE - 00006-4837-03	$54.00	$180.00	$44.10–$275.37	—	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$21.30	$71.00	$17.39–$94.82	80% below	70%
Td vaccine (tetanus and diphtheria booster), age 7 and older inpatient CPT 90714 HC TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE	$21.30	$71.00	$17.39–$94.82	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE >7 YO, IM - 49281-0400-20	$39.00	$130.00	$31.85–$117.00	74% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 HC TDAP VACCINE >7 IM	$118.50	$395.00	$38.63–$355.50	22% below	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE >7 YO, IM - 49281-0400-20	$39.00	$130.00	$31.85–$117.00	—	70%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 HC TDAP VACCINE >7 IM	$118.50	$395.00	$38.63–$355.50	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC/317 HEPATITIS B ADMIN	$6.77	$22.57	$5.59–$198.00	92% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC VFC/317 TDAP ADMIN	$6.77	$22.57	$5.59–$198.00	92% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC IMMUNIZATION ADMIN 1 VACCINE	$82.50	$275.00	$22.22–$233.75	2% below	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC/317 HEPATITIS B ADMIN	$6.77	$22.57	$5.59–$198.00	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC VFC/317 TDAP ADMIN	$6.77	$22.57	$5.59–$198.00	—	70%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 HC IMMUNIZATION ADMIN 1 VACCINE	$82.50	$275.00	$22.22–$233.75	—	70%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC IMMUNIZATION ADMIN EA ADDT'L	$71.70	$239.00	$11.01–$215.10	5% above	70%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 HC IMMUNIZATION ADMIN EA ADDT'L	$71.70	$239.00	$11.01–$215.10	—	70%

Dental

Procedure	Cash price	List price	Insurers pay	vs Nevada	Off list
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant CDT D4341 HC PERDONTAL SCAL ROOT PLAN	$1,929.30	$6,431.00	—	—	70%
Deep cleaning (scaling and root planing), 4 or more teeth in one quadrant inpatient CDT D4341 HC PERDONTAL SCAL ROOT PLAN	$1,929.30	$6,431.00	—	—	70%
Dental implant, surgical placement CDT D6010 HC SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT	$1,008.00	$3,360.00	—	—	70%
Dental implant, surgical placement inpatient CDT D6010 HC SURGICAL PLACEMENT OF IMPLANT BODY: ENDOSTEAL IMPLANT	$1,008.00	$3,360.00	—	—	70%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY	$1,929.30	$6,431.00	—	—	70%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth CDT D7240 HC REM IMPACT TOOTH COM BONE	$1,929.30	$6,431.00	—	—	70%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC REM IMPACT TOOTH COM BONE	$1,929.30	$6,431.00	—	—	70%
Removal of an impacted tooth fully covered by bone, often a wisdom tooth inpatient CDT D7240 HC REMOVAL OF IMPACTED TOOTH - COMPLETELY BONY	$1,929.30	$6,431.00	—	—	70%
Root canal treatment on a molar (back tooth), not including the final crown CDT D3330 HC ENDODONTIC THERAPY, MOLAR TOOTH	$1,929.30	$6,431.00	—	—	70%
Root canal treatment on a molar (back tooth), not including the final crown inpatient CDT D3330 HC ENDODONTIC THERAPY, MOLAR TOOTH	$1,929.30	$6,431.00	—	—	70%
Routine teeth cleaning (prophylaxis), adult or teen CDT D1110 HC PROPHLAXIS ADULT	$276.60	$922.00	—	—	70%
Routine teeth cleaning (prophylaxis), adult or teen inpatient CDT D1110 HC PROPHLAXIS ADULT	$276.60	$922.00	—	—	70%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT - ELEVATION AND/OR FORCEPS REMOVAL	$1,929.30	$6,431.00	—	—	70%
Simple extraction of a tooth or exposed root that is above the gum CDT D7140 HC EXTRACT ERUPT TOOTH OR ROOT	$1,929.30	$6,431.00	—	—	70%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC EXTRACTION, ERUPTED TOOTH OR EXPOSED ROOT - ELEVATION AND/OR FORCEPS REMOVAL	$1,929.30	$6,431.00	—	—	70%
Simple extraction of a tooth or exposed root that is above the gum inpatient CDT D7140 HC EXTRACT ERUPT TOOTH OR ROOT	$1,929.30	$6,431.00	—	—	70%

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://mrfs.hyvehealthcare.com/UMCSouthernNevada/886000436_university-medical-center-of-southern-nevada_standardcharges.json