Hospital Detroit-Warren-Dearborn, MI

Karmanos Cancer Center

Karmanos Cancer Center in Detroit, MI publishes cash prices for 373 common procedures listed here, from its own machine-readable price file updated Dec 31, 2025. Compared with other hospitals in the state, its outpatient cash prices are below the Michigan median for 287 of 370 procedures and above it for 80. By typical cash price it ranks #20 of 97 Michigan hospitals and #9 of 31 hospitals in the Detroit, MI area, cheapest first. Select a procedure to compare it with other hospitals nearby.

4100 JOHN R, DETROIT MI, 48201 Collected Sep 23, 2026 Source price file Check a bill from this hospital (800) 576-6266

Acute care hospital For-profit hospital No emergency department CMS star rating 3 of 5 CCN 230297 · CMS hospital register NPI 1316900277

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 3 actions for a hospital named Karmanos Cancer Center in Detroit, MI:

Oct 2, 2024 Warning notice
Oct 15, 2024 Case closed
May 28, 2025 Met requirements

Warning notice: CMS reviewed the hospital and told it that it had found possible violations of the price transparency rules. Case closed: CMS closed the case after the hospital addressed the problems. Met requirements: CMS reviewed the hospital and found it met the requirements, so no further action was taken.

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 Michigan	Off list
Abdominal CT scan without and with contrast CPT 74170 CT-Abdomen (W/W/O Cnt)	$2,117.85	$4,235.70	$97.38–$3,176.77	35% above	50%
Abdominal CT scan without and with contrast CPT 74170 74170 CT-ABDO (W/W/O CONT	$2,117.85	$4,235.70	$97.38–$3,176.77	35% above	50%
Abdominal CT scan without and with contrast CPT 74170 CT-ABDOMEN (W/W/O CONTRAS	$2,117.85	$4,235.70	$97.38–$3,176.77	35% above	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 74170 CT-ABDO (W/W/O CONT	$2,117.85	$4,235.70	$97.38–$3,176.77	—	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-ABDOMEN (W/W/O CONTRAS	$2,117.85	$4,235.70	$97.38–$3,176.77	—	50%
Abdominal CT scan without and with contrast inpatient CPT 74170 CT-Abdomen (W/W/O Cnt)	$2,117.85	$4,235.70	$97.38–$3,176.77	—	50%
Abdominal X-ray, 2 views CPT 74019 RAD EXAM ABDOM 2 VIEWS	$86.10	$172.20	$58.17–$129.15	59% below	50%
Abdominal X-ray, 2 views CPT 74019 ABDOMEN-OBLIQUE/KUB	$234.00	$468.00	$58.17–$351.00	12% above	50%
Abdominal X-ray, 2 views inpatient CPT 74019 RAD EXAM ABDOM 2 VIEWS	$86.10	$172.20	$58.17–$129.15	—	50%
Abdominal X-ray, 2 views inpatient CPT 74019 ABDOMEN-OBLIQUE/KUB	$234.00	$468.00	$58.17–$351.00	—	50%
Ankle X-ray, complete, 3 or more views CPT 73610 73610 X-RAY ANKLE (COMPLE	$96.55	$193.10	$48.16–$144.83	55% below	50%
Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE (COMPLETE)	$96.55	$193.10	$48.16–$144.83	55% below	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 73610 X-RAY ANKLE (COMPLE	$96.55	$193.10	$48.16–$144.83	—	50%
Ankle X-ray, complete, 3 or more views inpatient CPT 73610 ANKLE (COMPLETE)	$96.55	$193.10	$48.16–$144.83	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 Noninv Study UporLow Extr	$333.70	$667.40	$70.51–$500.55	8% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 ART DPL LWR EXT BIL W/ABI	$333.70	$667.40	$70.51–$500.55	8% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries CPT 93922 93922 SP DPL EXT ART LIMT	$333.70	$667.40	$70.51–$500.55	8% above	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 ART DPL LWR EXT BIL W/ABI	$333.70	$667.40	$70.51–$500.55	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 Noninv Study UporLow Extr	$333.70	$667.40	$70.51–$500.55	—	50%
Ankle-brachial index (ABI), blood pressure test for leg arteries inpatient CPT 93922 93922 SP DPL EXT ART LIMT	$333.70	$667.40	$70.51–$500.55	—	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-Upper Extrm (W/O Cont)	$1,117.80	$2,235.60	$58.17–$1,676.70	11% above	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 73200 CT-UP EXTREM (W/O C	$1,117.80	$2,235.60	$58.17–$1,676.70	11% above	50%
Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT-UPPER EXTREM (W/O CONT	$1,117.80	$2,235.60	$58.17–$1,676.70	11% above	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 73200 CT-UP EXTREM (W/O C	$1,117.80	$2,235.60	$58.17–$1,676.70	—	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-UPPER EXTREM (W/O CONT	$1,117.80	$2,235.60	$58.17–$1,676.70	—	50%
Arm CT scan without contrast (shoulder to hand, any part) inpatient CPT 73200 CT-Upper Extrm (W/O Cont)	$1,117.80	$2,235.60	$58.17–$1,676.70	—	50%
Barium swallow (esophagus X-ray with contrast) CPT 74220 ESOPHAGRAM	$211.10	$422.20	$97.38–$316.65	25% below	50%
Barium swallow (esophagus X-ray with contrast) inpatient CPT 74220 ESOPHAGRAM	$211.10	$422.20	$97.38–$316.65	—	50%
Bone scan, whole body (nuclear medicine) CPT 78306 NM-BONE SCAN-WHOLE BODY	$617.45	$1,234.90	$219.80–$926.18	34% below	50%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE SCAN-WHOLE BODY	$617.45	$1,234.90	$219.80–$926.18	34% below	50%
Bone scan, whole body (nuclear medicine) CPT 78306 BONE IMAGING WHOLE BODY	$827.80	$1,655.60	$219.80–$1,241.70	12% below	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 NM-BONE SCAN-WHOLE BODY	$617.45	$1,234.90	$219.80–$926.18	—	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE SCAN-WHOLE BODY	$617.45	$1,234.90	$219.80–$926.18	—	50%
Bone scan, whole body (nuclear medicine) inpatient CPT 78306 BONE IMAGING WHOLE BODY	$827.80	$1,655.60	$219.80–$1,241.70	—	50%
Breast ultrasound, complete, one breast CPT 76641 US BREAST COMPLETE	$318.00	$636.00	$58.17–$477.00	5% above	50%
Breast ultrasound, complete, one breast CPT 76641 76641 US BREAST COMPLETE	$318.00	$636.00	$58.17–$477.00	5% above	50%
Breast ultrasound, complete, one breast CPT 76641 US BREAST INCL AXLUNICOM	$318.00	$636.00	$58.17–$477.00	5% above	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST COMPLETE	$318.00	$636.00	$58.17–$477.00	—	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 US BREAST INCL AXLUNICOM	$318.00	$636.00	$58.17–$477.00	—	50%
Breast ultrasound, complete, one breast inpatient CPT 76641 76641 US BREAST COMPLETE	$318.00	$636.00	$58.17–$477.00	—	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 76642 US BREAST LIMITED	$299.00	$598.00	$48.16–$448.50	13% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 U/S BREAST INCL AXIUNILTD	$299.00	$598.00	$48.16–$448.50	13% above	50%
Breast ultrasound, limited (one breast or one area) CPT 76642 US BREAST LIMITED	$299.00	$598.00	$48.16–$448.50	13% above	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 76642 US BREAST LIMITED	$299.00	$598.00	$48.16–$448.50	—	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 US BREAST LIMITED	$299.00	$598.00	$48.16–$448.50	—	50%
Breast ultrasound, limited (one breast or one area) inpatient CPT 76642 U/S BREAST INCL AXIUNILTD	$299.00	$598.00	$48.16–$448.50	—	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA ABDOMEN PELVIS	$591.50	$1,183.00	$195.35–$1,007.51	76% below	50%
CT angiography (CTA) of the abdomen and pelvis CPT 74174 CTA-ABDOMEN/PELVIS	$591.50	$1,183.00	$195.35–$1,007.51	76% below	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA ABDOMEN PELVIS	$591.50	$1,183.00	$195.35–$1,007.51	—	50%
CT angiography (CTA) of the abdomen and pelvis inpatient CPT 74174 CTA-ABDOMEN/PELVIS	$591.50	$1,183.00	$195.35–$1,007.51	—	50%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD/BRAIN W/CONTRAST	$1,697.35	$3,394.70	$97.38–$2,546.02	10% above	50%
CT angiography (CTA) of the head CPT 70496 CTA-Head/Brain W/Contr	$1,697.35	$3,394.70	$97.38–$2,546.02	10% above	50%
CT angiography (CTA) of the head CPT 70496 70496 CTA-HEAD/BRAIN W/CO	$1,697.35	$3,394.70	$97.38–$2,546.02	10% above	50%
CT angiography (CTA) of the head CPT 70496 CTA-HEAD/BRAINW/CONTRAST	$1,697.35	$3,394.70	$97.38–$2,546.02	10% above	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD/BRAIN W/CONTRAST	$1,697.35	$3,394.70	$97.38–$2,546.02	—	50%
CT angiography (CTA) of the head inpatient CPT 70496 70496 CTA-HEAD/BRAIN W/CO	$1,697.35	$3,394.70	$97.38–$2,546.02	—	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-HEAD/BRAINW/CONTRAST	$1,697.35	$3,394.70	$97.38–$2,546.02	—	50%
CT angiography (CTA) of the head inpatient CPT 70496 CTA-Head/Brain W/Contr	$1,697.35	$3,394.70	$97.38–$2,546.02	—	50%
CT angiography (CTA) of the neck CPT 70498 70498 CTA-NECK W/CONTRAST	$1,452.15	$2,904.30	$97.38–$2,178.23	3% below	50%
CT angiography (CTA) of the neck CPT 70498 CTA-NECK W/CONTRAST	$1,452.15	$2,904.30	$97.38–$2,178.23	3% below	50%
CT angiography (CTA) of the neck inpatient CPT 70498 CTA-NECK W/CONTRAST	$1,452.15	$2,904.30	$97.38–$2,178.23	—	50%
CT angiography (CTA) of the neck inpatient CPT 70498 70498 CTA-NECK W/CONTRAST	$1,452.15	$2,904.30	$97.38–$2,178.23	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-Thorax W/Contrast	$1,941.75	$3,883.50	$97.38–$2,912.63	17% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CTA-CHEST W/CONTRAST	$1,941.75	$3,883.50	$97.38–$2,912.63	17% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 71275 CTA-CHEST W/CONTRA	$1,941.75	$3,883.50	$97.38–$2,912.63	17% above	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-Thorax W/Contrast	$1,941.75	$3,883.50	$97.38–$2,912.63	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 CTA-CHEST W/CONTRAST	$1,941.75	$3,883.50	$97.38–$2,912.63	—	50%
CT angiography of the chest (CTA), for blood clots in the lungs inpatient CPT 71275 71275 CTA-CHEST W/CONTRA	$1,941.75	$3,883.50	$97.38–$2,912.63	—	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score CPT 75574 CTA HRT INCL CORONARY W/C	$542.90	$1,085.80	$195.35–$814.35	59% below	50%
CT angiography of the heart arteries with contrast dye (coronary CTA), including calcium score inpatient CPT 75574 CTA HRT INCL CORONARY W/C	$542.90	$1,085.80	$195.35–$814.35	—	50%
CT of the heart without contrast dye to measure coronary calcium CPT 75571 CT CALCIUM SCORING	$73.00	$146.00	$48.16–$266.44	51% below	50%
CT of the heart without contrast dye to measure coronary calcium inpatient CPT 75571 CT CALCIUM SCORING	$73.00	$146.00	$48.16–$266.44	—	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABDOMEN/PELVIS W/O CON	$1,229.55	$2,459.10	$132.22–$1,844.32	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT, AB, & PELVIS;W/O CONT	$1,229.55	$2,459.10	$132.22–$1,844.32	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT,AB&PELV; W/O CONTRAST	$1,229.55	$2,459.10	$132.22–$1,844.32	31% below	50%
CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT ABD PEL WO CONT WO ORL	$1,229.55	$2,459.10	$132.22–$1,844.32	31% below	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT,AB&PELV; W/O CONTRAST	$1,229.55	$2,459.10	$132.22–$1,844.32	—	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT, AB, & PELVIS;W/O CONT	$1,229.55	$2,459.10	$132.22–$1,844.32	—	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABDOMEN/PELVIS W/O CON	$1,229.55	$2,459.10	$132.22–$1,844.32	—	50%
CT scan of abdomen and pelvis, no contrast dye inpatient CPT 74176 CT ABD PEL WO CONT WO ORL	$1,229.55	$2,459.10	$132.22–$1,844.32	—	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT,AB&PELV; W CONTRAST	$1,371.65	$2,743.30	$195.35–$2,057.48	52% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD PEL W CONT W/O ORL	$1,371.65	$2,743.30	$195.35–$2,057.48	52% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN/PELVIS W/CONT	$1,371.65	$2,743.30	$195.35–$2,057.48	52% below	50%
CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT,AB,&PELV;W CONTRAST	$1,371.65	$2,743.30	$195.35–$2,057.48	52% below	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN/PELVIS W/CONT	$1,371.65	$2,743.30	$195.35–$2,057.48	—	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD PEL W CONT W/O ORL	$1,371.65	$2,743.30	$195.35–$2,057.48	—	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT,AB&PELV; W CONTRAST	$1,371.65	$2,743.30	$195.35–$2,057.48	—	50%
CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT,AB,&PELV;W CONTRAST	$1,371.65	$2,743.30	$195.35–$2,057.48	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABD PEL WWO CONT WO OR	$602.60	$1,205.20	$195.35–$903.90	77% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT ABDOMEN/PELVIS W-W/O C	$1,710.85	$3,421.70	$195.35–$2,566.27	35% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT, AB, & PELVIS W/WO CON	$2,364.35	$4,728.70	$195.35–$3,546.52	10% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT, AB & PELVIS;W/WO CON	$2,364.35	$4,728.70	$195.35–$3,546.52	10% below	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABD PEL WWO CONT WO OR	$602.60	$1,205.20	$195.35–$903.90	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT ABDOMEN/PELVIS W-W/O C	$1,710.85	$3,421.70	$195.35–$2,566.27	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT, AB, & PELVIS W/WO CON	$2,364.35	$4,728.70	$195.35–$3,546.52	—	50%
CT scan of abdomen and pelvis, without and then with contrast dye inpatient CPT 74178 CT, AB & PELVIS;W/WO CON	$2,364.35	$4,728.70	$195.35–$3,546.52	—	50%
CT scan of the abdomen with contrast CPT 74160 CT-ABDOMEN (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	7% below	50%
CT scan of the abdomen with contrast CPT 74160 CT-Abdomen (W/Cont)	$1,371.65	$2,743.30	$97.38–$2,057.48	7% below	50%
CT scan of the abdomen with contrast CPT 74160 74160 CT-ABDO (W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	7% below	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-Abdomen (W/Cont)	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
CT scan of the abdomen with contrast inpatient CPT 74160 CT-ABDOMEN (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
CT scan of the abdomen with contrast inpatient CPT 74160 74160 CT-ABDO (W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
CT scan of the abdomen without contrast CPT 74150 CT-ABDOMEN (W/O CONTRAST)	$1,016.15	$2,032.30	$58.17–$1,524.23	9% above	50%
CT scan of the abdomen without contrast CPT 74150 CT-Abdomen (W/O Cont)	$1,016.15	$2,032.30	$58.17–$1,524.23	9% above	50%
CT scan of the abdomen without contrast CPT 74150 74150 CT-ABDO (W/O CONTRA	$1,016.15	$2,032.30	$58.17–$1,524.23	9% above	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-ABDOMEN (W/O CONTRAST)	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the abdomen without contrast inpatient CPT 74150 CT-Abdomen (W/O Cont)	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the abdomen without contrast inpatient CPT 74150 74150 CT-ABDO (W/O CONTRA	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONT	$1,016.15	$2,032.30	$58.17–$1,524.23	3% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 CT-Maxilofacial (W/O Cnt)	$1,016.15	$2,032.30	$58.17–$1,524.23	3% below	50%
CT scan of the face and sinuses, no contrast dye CPT 70486 70486 CT-MAXIFACIAL (W/O	$1,016.15	$2,032.30	$58.17–$1,524.23	3% below	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT MAXILLOFACIAL W/O CONT	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 CT-Maxilofacial (W/O Cnt)	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the face and sinuses, no contrast dye inpatient CPT 70486 70486 CT-MAXIFACIAL (W/O	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT-Head/Brain (W/O Cnt)	$888.30	$1,776.60	$58.17–$1,332.45	5% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 CT-HEAD (W/O CONTRAST)	$888.30	$1,776.60	$58.17–$1,332.45	5% below	50%
CT scan of the head or brain, no contrast dye CPT 70450 70450 CT-HEAD (W/O CONTRA	$888.30	$1,776.60	$58.17–$1,332.45	5% below	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 70450 CT-HEAD (W/O CONTRA	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-Head/Brain (W/O Cnt)	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT-HEAD (W/O CONTRAST)	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the head with contrast CPT 70460 CT-HEAD (W/CONTRAST)	$1,133.60	$2,267.20	$97.38–$1,700.40	9% below	50%
CT scan of the head with contrast CPT 70460 CT-Head/Brain (W/Cnt)	$1,133.60	$2,267.20	$97.38–$1,700.40	9% below	50%
CT scan of the head with contrast CPT 70460 70460 CT-HEAD(W/CONTRAST)	$1,133.60	$2,267.20	$97.38–$1,700.40	9% below	50%
CT scan of the head with contrast inpatient CPT 70460 CT-HEAD (W/CONTRAST)	$1,133.60	$2,267.20	$97.38–$1,700.40	—	50%
CT scan of the head with contrast inpatient CPT 70460 CT-Head/Brain (W/Cnt)	$1,133.60	$2,267.20	$97.38–$1,700.40	—	50%
CT scan of the head with contrast inpatient CPT 70460 70460 CT-HEAD(W/CONTRAST)	$1,133.60	$2,267.20	$97.38–$1,700.40	—	50%
CT scan of the head without and with contrast CPT 70470 70470 CT-HEAD(W/WO/CONTR)	$2,364.35	$4,728.70	$97.38–$3,546.52	51% above	50%
CT scan of the head without and with contrast CPT 70470 CT-HEAD (W/W/O CONTRAST)	$2,364.35	$4,728.70	$97.38–$3,546.52	51% above	50%
CT scan of the head without and with contrast CPT 70470 CT--HEAD (W/W/0 CONTRAST)	$2,364.35	$4,728.70	$97.38–$3,546.52	51% above	50%
CT scan of the head without and with contrast CPT 70470 CT-Head/Brain (W/W/O Cnt)	$2,364.35	$4,728.70	$97.38–$3,546.52	51% above	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT--HEAD (W/W/0 CONTRAST)	$2,364.35	$4,728.70	$97.38–$3,546.52	—	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT-HEAD (W/W/O CONTRAST)	$2,364.35	$4,728.70	$97.38–$3,546.52	—	50%
CT scan of the head without and with contrast inpatient CPT 70470 CT-Head/Brain (W/W/O Cnt)	$2,364.35	$4,728.70	$97.38–$3,546.52	—	50%
CT scan of the head without and with contrast inpatient CPT 70470 70470 CT-HEAD(W/WO/CONTR)	$2,364.35	$4,728.70	$97.38–$3,546.52	—	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT-LUMBAR SPINE (W/O CONT	$888.30	$1,776.60	$58.17–$1,332.45	18% below	50%
CT scan of the lower back (lumbar spine) without contrast CPT 72131 72131 CT-LUMB SPINE (W/O	$888.30	$1,776.60	$58.17–$1,332.45	18% below	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 CT-LUMBAR SPINE (W/O CONT	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the lower back (lumbar spine) without contrast inpatient CPT 72131 72131 CT-LUMB SPINE (W/O	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-Cervical Spine (W/O Cn	$888.30	$1,776.60	$58.17–$1,332.45	20% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT-CERVICAL SPINE (W/O CO	$888.30	$1,776.60	$58.17–$1,332.45	20% below	50%
CT scan of the neck (cervical spine), no contrast dye CPT 72125 72125 CT-CERV SPINE(W/O C	$888.30	$1,776.60	$58.17–$1,332.45	20% below	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-CERVICAL SPINE (W/O CO	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 CT-Cervical Spine (W/O Cn	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the neck (cervical spine), no contrast dye inpatient CPT 72125 72125 CT-CERV SPINE(W/O C	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT-PELVIS (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	3% above	50%
CT scan of the pelvis, with contrast dye CPT 72193 72193 CT-PELVIS (W/CONTR	$1,371.65	$2,743.30	$97.38–$2,057.48	3% above	50%
CT scan of the pelvis, with contrast dye CPT 72193 CT-Pelvis (W/Contrast)	$1,371.65	$2,743.30	$97.38–$2,057.48	3% above	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-Pelvis (W/Contrast)	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 72193 CT-PELVIS (W/CONTR	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT-PELVIS (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DUPLEX CAROTID BI/COMP	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 BILATERAL CAROTID DUPLEX	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck both sides CPT 93880 DPL SC CARO X CRAN BILAT	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 DPLX SC CAROT X CRAN BILA	$652.25	$1,304.50	$132.22–$978.38	22% below	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DPL SC CARO X CRAN BILAT	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 BILATERAL CAROTID DUPLEX	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient both sides CPT 93880 DUPLEX CAROTID BI/COMP	$652.25	$1,304.50	$132.22–$978.38	—	50%
Carotid artery ultrasound (duplex), both sides of the neck inpatient CPT 93880 DPLX SC CAROT X CRAN BILA	$652.25	$1,304.50	$132.22–$978.38	—	50%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/W/O CONTRAST	$1,842.00	$3,684.00	$97.38–$2,763.00	5% above	50%
Chest CT scan without and with contrast CPT 71270 CT THORAX W/W/O CONT DIAG	$1,842.00	$3,684.00	$97.38–$2,763.00	5% above	50%
Chest CT scan without and with contrast CPT 71270 CT-THORAX (W/W/O CONTRAST	$1,842.00	$3,684.00	$97.38–$2,763.00	5% above	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/W/O CONTRAST	$1,842.00	$3,684.00	$97.38–$2,763.00	—	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT-THORAX (W/W/O CONTRAST	$1,842.00	$3,684.00	$97.38–$2,763.00	—	50%
Chest CT scan without and with contrast inpatient CPT 71270 CT THORAX W/W/O CONT DIAG	$1,842.00	$3,684.00	$97.38–$2,763.00	—	50%
Chest X-ray, 2 views CPT 71046 CHEST-(2 VIEWS)	$125.45	$250.90	$48.16–$188.18	30% below	50%
Chest X-ray, 2 views CPT 71046 CHEST 2 VIEW W/ FLUORO	$125.45	$250.90	$48.16–$188.18	30% below	50%
Chest X-ray, 2 views CPT 71046 71046 XRAY CHEST 2 VIEWS	$157.90	$315.80	$48.16–$236.85	11% below	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST-(2 VIEWS)	$125.45	$250.90	$48.16–$188.18	—	50%
Chest X-ray, 2 views inpatient CPT 71046 CHEST 2 VIEW W/ FLUORO	$125.45	$250.90	$48.16–$188.18	—	50%
Chest X-ray, 2 views inpatient CPT 71046 71046 XRAY CHEST 2 VIEWS	$157.90	$315.80	$48.16–$236.85	—	50%
Chest X-ray, single view CPT 71045 CHEST-A-P/P-A (SINGLE VIE	$68.75	$137.50	$48.16–$103.13	56% below	50%
Chest X-ray, single view CPT 71045 71010- X-RAY CHEST SNGL V	$68.75	$137.50	$41.14–$103.13	56% below	50%
Chest X-ray, single view CPT 71045 71010-X-RAY CHEST SNGL V	$68.75	$137.50	$48.16–$103.13	56% below	50%
Chest X-ray, single view inpatient CPT 71045 71010- X-RAY CHEST SNGL V	$68.75	$137.50	$41.14–$103.13	—	50%
Chest X-ray, single view inpatient CPT 71045 71010-X-RAY CHEST SNGL V	$68.75	$137.50	$48.16–$103.13	—	50%
Chest X-ray, single view inpatient CPT 71045 CHEST-A-P/P-A (SINGLE VIE	$68.75	$137.50	$48.16–$103.13	—	50%
Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE	$116.25	$232.50	$48.16–$174.38	35% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE 1 VIEW RIGHT	$116.25	$232.50	$48.16–$174.38	35% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE RIGHT	$116.25	$232.50	$48.16–$174.38	35% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE COMPLETE LEFT	$116.25	$232.50	$48.16–$174.38	35% below	50%
Collarbone (clavicle) X-ray, complete one side CPT 73000 CLAVICLE 1 VIEW LEFT	$116.25	$232.50	$48.16–$174.38	35% below	50%
Collarbone (clavicle) X-ray, complete inpatient CPT 73000 CLAVICLE	$116.25	$232.50	$48.16–$174.38	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE RIGHT	$116.25	$232.50	$48.16–$174.38	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE COMPLETE LEFT	$116.25	$232.50	$48.16–$174.38	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE 1 VIEW RIGHT	$116.25	$232.50	$48.16–$174.38	—	50%
Collarbone (clavicle) X-ray, complete inpatient one side CPT 73000 CLAVICLE 1 VIEW LEFT	$116.25	$232.50	$48.16–$174.38	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL/RENAL-	$763.75	$1,527.50	$58.17–$1,145.63	23% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETROPERITONEAL/RENAL	$797.60	$1,595.20	$58.17–$1,196.40	29% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL	$797.60	$1,595.20	$58.17–$1,196.40	29% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US-RETRPERITONEAL/RENAL-C	$797.60	$1,595.20	$58.17–$1,196.40	29% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 76770 US-RETRPERITONEAL/C	$797.60	$1,595.20	$58.17–$1,196.40	29% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 US RETROPERITONEAL COMP	$822.50	$1,645.00	$58.17–$1,233.75	33% above	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL/RENAL-	$763.75	$1,527.50	$58.17–$1,145.63	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 76770 US-RETRPERITONEAL/C	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETRPERITONEAL/RENAL-C	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US-RETROPERITONEAL/RENAL	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Complete ultrasound of the back of the abdomen, such as both kidneys inpatient CPT 76770 US RETROPERITONEAL COMP	$822.50	$1,645.00	$58.17–$1,233.75	—	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 AXIAL SKELETON	$83.60	$167.20	$50.03–$125.40	73% below	50%
DEXA bone density scan of the hip, pelvis or spine CPT 77080 DEXA-BONE DENSITY-AXIAL S	$334.05	$668.10	$58.17–$501.08	7% above	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 AXIAL SKELETON	$83.60	$167.20	$50.03–$125.40	—	50%
DEXA bone density scan of the hip, pelvis or spine inpatient CPT 77080 DEXA-BONE DENSITY-AXIAL S	$334.05	$668.10	$58.17–$501.08	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 APPENDICULAR SKELETON	$43.35	$86.70	$25.94–$87.63	67% below	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DEXA APENDICULAR SKELETON	$186.15	$372.30	$48.16–$279.23	42% above	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 APPENDICULAR SKELETON	$43.35	$86.70	$25.94–$87.63	—	50%
DEXA bone density scan of the wrist, heel or finger (peripheral) inpatient CPT 77081 DEXA APENDICULAR SKELETON	$186.15	$372.30	$48.16–$279.23	—	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT-THORAX (W/O CONTRAST)	$888.30	$1,776.60	$58.17–$1,332.45	11% below	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAG W/O CONTRA	$1,051.20	$2,102.40	$58.17–$1,576.80	5% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAG W/O CONT	$1,051.20	$2,102.40	$58.17–$1,576.80	5% above	50%
Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX DIAG W/O CONTR	$1,051.20	$2,102.40	$58.17–$1,576.80	5% above	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT-THORAX (W/O CONTRAST)	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAG W/O CONTR	$1,051.20	$2,102.40	$58.17–$1,576.80	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAG W/O CONTRA	$1,051.20	$2,102.40	$58.17–$1,576.80	—	50%
Diagnostic CT scan of the chest, no contrast dye inpatient CPT 71250 CT THORAX DIAG W/O CONT	$1,051.20	$2,102.40	$58.17–$1,576.80	—	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT-THORAX (W/CONTRAST)	$990.90	$1,981.80	$97.38–$1,486.35	24% below	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAG W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	5% above	50%
Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT THORAX DIAG W/ CONTRA	$1,371.65	$2,743.30	$97.38–$2,057.48	5% above	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT-THORAX (W/CONTRAST)	$990.90	$1,981.80	$97.38–$1,486.35	—	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAG W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
Diagnostic CT scan of the chest, with contrast dye inpatient CPT 71260 CT THORAX DIAG W/ CONTRA	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
Diagnostic mammogram, both breasts both sides CPT 77066 MAMM DIAG BILATERAL-FFDM	$347.25	$694.50	$256.27–$520.88	—	50%
Diagnostic mammogram, both breasts inpatient both sides CPT 77066 MAMM DIAG BILATERAL-FFDM	$347.25	$694.50	$256.27–$520.88	—	50%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DIAG UNILATERAL-FFDM	$300.00	$600.00	$179.52–$450.00	3% below	50%
Diagnostic mammogram, one breast one side CPT 77065 MAMM DX UNILATERAL-FFDM	$300.00	$600.00	$221.40–$450.00	3% below	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DIAG UNILATERAL-FFDM	$300.00	$600.00	$179.52–$450.00	—	50%
Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMM DX UNILATERAL-FFDM	$300.00	$600.00	$221.40–$450.00	—	50%
Duplex ultrasound of the leg arteries, both legs both sides CPT 93925 BILATERAL LOWER EXTREMITY	$396.15	$792.30	$132.22–$701.95	—	50%
Duplex ultrasound of the leg arteries, both legs inpatient both sides CPT 93925 BILATERAL LOWER EXTREMITY	$396.15	$792.30	$132.22–$701.95	—	50%
Duplex ultrasound of the leg veins, both legs both sides CPT 93970 93970 SP DPL LWR EXT V BI	$664.50	$1,329.00	$132.22–$996.75	—	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXT VEINS LTD	$581.75	$1,163.50	$132.22–$872.63	3% below	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 EXTREMITY VENOUS DUPLEX-B	$664.50	$1,329.00	$132.22–$996.75	11% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 93970 SP DPL UP EXT V BIL	$664.50	$1,329.00	$132.22–$996.75	11% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 DUPLEX SCAN EXT VEINS BIL	$664.50	$1,329.00	$132.22–$996.75	11% above	50%
Duplex ultrasound of the leg veins, both legs CPT 93970 93970 DUPLEX SCAN EXT VED	$684.20	$1,368.40	$132.22–$1,026.30	14% above	50%
Duplex ultrasound of the leg veins, both legs inpatient both sides CPT 93970 93970 SP DPL LWR EXT V BI	$664.50	$1,329.00	$132.22–$996.75	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN EXT VEINS LTD	$581.75	$1,163.50	$132.22–$872.63	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970 SP DPL UP EXT V BIL	$664.50	$1,329.00	$132.22–$996.75	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 DUPLEX SCAN EXT VEINS BIL	$664.50	$1,329.00	$132.22–$996.75	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 EXTREMITY VENOUS DUPLEX-B	$664.50	$1,329.00	$132.22–$996.75	—	50%
Duplex ultrasound of the leg veins, both legs inpatient CPT 93970 93970 DUPLEX SCAN EXT VED	$684.20	$1,368.40	$132.22–$1,026.30	—	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COMP-W/SPEC/COLOR DOP	$797.95	$1,595.90	$299.92–$1,196.93	44% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EPTTE COMPW/SPEC/COL/D/E	$797.95	$1,595.90	$299.92–$1,196.93	44% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 TTE COMP W/SPEC/COL DP EC	$962.80	$1,925.60	$299.92–$1,444.20	33% below	50%
Echocardiogram through the chest wall, complete, with Doppler CPT 93306 EP TTE COMPW/SPEC/COLDPEC	$962.80	$1,925.60	$299.92–$1,444.20	33% below	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EPTTE COMPW/SPEC/COL/D/E	$797.95	$1,595.90	$299.92–$1,196.93	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COMP-W/SPEC/COLOR DOP	$797.95	$1,595.90	$299.92–$1,196.93	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 EP TTE COMPW/SPEC/COLDPEC	$962.80	$1,925.60	$299.92–$1,444.20	—	50%
Echocardiogram through the chest wall, complete, with Doppler inpatient CPT 93306 TTE COMP W/SPEC/COL DP EC	$962.80	$1,925.60	$299.92–$1,444.20	—	50%
Elbow X-ray, 2 views CPT 73070 ELBOW (2 VIEWS)	$88.80	$177.60	$48.16–$133.20	34% below	50%
Elbow X-ray, 2 views CPT 73070 73070- X-RAY ELBOW (2VIEW	$88.80	$177.60	$48.16–$133.20	34% below	50%
Elbow X-ray, 2 views inpatient CPT 73070 73070- X-RAY ELBOW (2VIEW	$88.80	$177.60	$48.16–$133.20	—	50%
Elbow X-ray, 2 views inpatient CPT 73070 ELBOW (2 VIEWS)	$88.80	$177.60	$48.16–$133.20	—	50%
Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW (COMPLETE)	$93.55	$187.10	$48.16–$140.33	51% below	50%
Elbow X-ray, complete, 3 or more views CPT 73080 73080 X-RAY ELBOW (COMPLE	$93.55	$187.10	$48.16–$140.33	51% below	50%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 73080 X-RAY ELBOW (COMPLE	$93.55	$187.10	$48.16–$140.33	—	50%
Elbow X-ray, complete, 3 or more views inpatient CPT 73080 ELBOW (COMPLETE)	$93.55	$187.10	$48.16–$140.33	—	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-HEAD SPEC (W/O CONTRAS	$1,133.60	$2,267.20	$58.17–$1,700.40	13% above	50%
Eye socket (orbit) CT scan without contrast CPT 70480 70480 CT-HEAD SPEC(W/O CO	$1,133.60	$2,267.20	$58.17–$1,700.40	13% above	50%
Eye socket (orbit) CT scan without contrast CPT 70480 CT-Orbit/Sella/Ear (W/O C	$1,133.60	$2,267.20	$58.17–$1,700.40	13% above	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-Orbit/Sella/Ear (W/O C	$1,133.60	$2,267.20	$58.17–$1,700.40	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 CT-HEAD SPEC (W/O CONTRAS	$1,133.60	$2,267.20	$58.17–$1,700.40	—	50%
Eye socket (orbit) CT scan without contrast inpatient CPT 70480 70480 CT-HEAD SPEC(W/O CO	$1,133.60	$2,267.20	$58.17–$1,700.40	—	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 70150-X-RAY FACIAL BONES	$231.65	$463.30	$58.17–$347.48	11% below	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 70150 -X-RAY FACIAL BONES	$231.65	$463.30	$58.17–$347.48	11% below	50%
Facial bones X-ray, complete, 3 or more views CPT 70150 FACIAL BONES (COMPLETE)	$231.65	$463.30	$58.17–$347.48	11% below	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 FACIAL BONES (COMPLETE)	$231.65	$463.30	$58.17–$347.48	—	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 70150 -X-RAY FACIAL BONES	$231.65	$463.30	$58.17–$347.48	—	50%
Facial bones X-ray, complete, 3 or more views inpatient CPT 70150 70150-X-RAY FACIAL BONES	$231.65	$463.30	$58.17–$347.48	—	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 73090 X-RAY FOREARM	$126.85	$253.70	$48.16–$190.27	29% below	50%
Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM	$126.85	$253.70	$48.16–$190.27	29% below	50%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 73090 X-RAY FOREARM	$126.85	$253.70	$48.16–$190.27	—	50%
Forearm X-ray (radius and ulna), 2 views inpatient CPT 73090 FOREARM	$126.85	$253.70	$48.16–$190.27	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 HEPATOBIL SYS IMAG INC GA	$715.85	$1,431.70	$219.80–$1,073.78	23% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder CPT 78226 BILLARY(HIDA)W/O PHAR/QUA	$715.85	$1,431.70	$219.80–$1,073.78	23% below	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 BILLARY(HIDA)W/O PHAR/QUA	$715.85	$1,431.70	$219.80–$1,073.78	—	50%
HIDA scan: nuclear imaging of the liver, bile ducts and gallbladder inpatient CPT 78226 HEPATOBIL SYS IMAG INC GA	$715.85	$1,431.70	$219.80–$1,073.78	—	50%
Hand X-ray, 2 views CPT 73120 73120 X-RAY HAND (2 VIEWS	$119.60	$239.20	$58.17–$179.40	18% below	50%
Hand X-ray, 2 views CPT 73120 73120 X-RAY HAND (2VIEWS	$119.60	$239.20	$58.17–$179.40	18% below	50%
Hand X-ray, 2 views CPT 73120 HAND (2 VIEWS)	$119.60	$239.20	$58.17–$179.40	18% below	50%
Hand X-ray, 2 views inpatient CPT 73120 HAND (2 VIEWS)	$119.60	$239.20	$58.17–$179.40	—	50%
Hand X-ray, 2 views inpatient CPT 73120 73120 X-RAY HAND (2VIEWS	$119.60	$239.20	$58.17–$179.40	—	50%
Hand X-ray, 2 views inpatient CPT 73120 73120 X-RAY HAND (2 VIEWS	$119.60	$239.20	$58.17–$179.40	—	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 CALCANEUS (HEEL)	$94.85	$189.70	$48.16–$142.27	38% below	50%
Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 73650 X-RAY CALCANEUS (HE	$108.40	$216.80	$48.16–$162.60	30% below	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 CALCANEUS (HEEL)	$94.85	$189.70	$48.16–$142.27	—	50%
Heel bone (calcaneus) X-ray, 2 or more views inpatient CPT 73650 73650 X-RAY CALCANEUS (HE	$108.40	$216.80	$48.16–$162.60	—	50%
Knee X-ray, 3 views CPT 73562 73562 X-RAY KNEE (A-P &L	$119.60	$239.20	$48.16–$179.40	40% below	50%
Knee X-ray, 3 views CPT 73562 KNEE (A-P & LAT W/OBLIQUE	$119.60	$239.20	$48.16–$179.40	40% below	50%
Knee X-ray, 3 views CPT 73562 73562 X-RAY KNEE (A-P & L	$119.60	$239.20	$48.16–$179.40	40% below	50%
Knee X-ray, 3 views inpatient CPT 73562 73562 X-RAY KNEE (A-P & L	$119.60	$239.20	$48.16–$179.40	—	50%
Knee X-ray, 3 views inpatient CPT 73562 KNEE (A-P & LAT W/OBLIQUE	$119.60	$239.20	$48.16–$179.40	—	50%
Knee X-ray, 3 views inpatient CPT 73562 73562 X-RAY KNEE (A-P &L	$119.60	$239.20	$48.16–$179.40	—	50%
Knee X-ray, complete, 4 or more views CPT 73564 73564 X-RAY KNEE (COMPLET	$134.05	$268.10	$58.17–$201.08	37% below	50%
Knee X-ray, complete, 4 or more views CPT 73564 KNEE (COMPLETE)	$134.05	$268.10	$58.17–$201.08	37% below	50%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 73564 X-RAY KNEE (COMPLET	$134.05	$268.10	$58.17–$201.08	—	50%
Knee X-ray, complete, 4 or more views inpatient CPT 73564 KNEE (COMPLETE)	$134.05	$268.10	$58.17–$201.08	—	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-LOWER EXTREM (W/O CONT	$1,016.15	$2,032.30	$58.17–$1,524.23	8% below	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 73700 CT-LOW EXTREM(W/O C	$1,016.15	$2,032.30	$58.17–$1,524.23	8% below	50%
Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT-Lower Extrm (W/O Cont)	$1,016.15	$2,032.30	$58.17–$1,524.23	8% below	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-Lower Extrm (W/O Cont)	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 CT-LOWER EXTREM (W/O CONT	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
Leg CT scan without contrast (hip to foot, any part) inpatient CPT 73700 73700 CT-LOW EXTREM(W/O C	$1,016.15	$2,032.30	$58.17–$1,524.23	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABD LTD SNGLE QUAD FU	$232.20	$464.40	$58.17–$348.30	51% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 US LIVER DONE RAD	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN SINGLE ORGAN	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 ABDOMINAL US, LIMIT	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US ABDOMEN, LIMITED	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 76705 US-ABDOMEN-LIMITED	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 US-ABDOMEN-LIMITED	$435.50	$871.00	$58.17–$653.25	8% below	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABD LTD SNGLE QUAD FU	$232.20	$464.40	$58.17–$348.30	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US-ABDOMEN-LIMITED	$435.50	$871.00	$58.17–$653.25	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN SINGLE ORGAN	$435.50	$871.00	$58.17–$653.25	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 US LIVER DONE RAD	$435.50	$871.00	$58.17–$653.25	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 US-ABDOMEN-LIMITED	$435.50	$871.00	$58.17–$653.25	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 US ABDOMEN, LIMITED	$435.50	$871.00	$58.17–$653.25	—	50%
Limited abdominal ultrasound of one organ or area, such as the gallbladder inpatient CPT 76705 76705 ABDOMINAL US, LIMIT	$435.50	$871.00	$58.17–$653.25	—	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US XTR SOFT TISSUE LMTD	$123.00	$246.00	$58.17–$184.50	66% below	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US-EXTREMITY,NON-VASC,LTD	$149.45	$298.90	$58.17–$224.17	59% below	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY LIMITED	$149.45	$298.90	$58.17–$224.17	59% below	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 US EXTREMITY,NON-VASC,LTD	$149.45	$298.90	$58.17–$224.17	59% below	50%
Limited ultrasound of an arm or leg (non-vascular) CPT 76882 76882 US EXTREMITY LIMITD	$149.45	$298.90	$58.17–$224.17	59% below	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US XTR SOFT TISSUE LMTD	$123.00	$246.00	$58.17–$184.50	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY,NON-VASC,LTD	$149.45	$298.90	$58.17–$224.17	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US EXTREMITY LIMITED	$149.45	$298.90	$58.17–$224.17	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 76882 US EXTREMITY LIMITD	$149.45	$298.90	$58.17–$224.17	—	50%
Limited ultrasound of an arm or leg (non-vascular) inpatient CPT 76882 US-EXTREMITY,NON-VASC,LTD	$149.45	$298.90	$58.17–$224.17	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT THORAX LUNG CA SCR C-	$318.50	$637.00	$58.17–$1,248.00	9% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye CPT 71271 CT LUNG SCREENING	$318.50	$637.00	$58.17–$477.75	9% below	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT LUNG SCREENING	$318.50	$637.00	$58.17–$477.75	—	50%
Low-dose CT of the chest for lung cancer screening, no contrast dye inpatient CPT 71271 CT THORAX LUNG CA SCR C-	$318.50	$637.00	$58.17–$1,248.00	—	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 73590 X-RAY TIBIA & FIBUL	$91.30	$182.60	$48.16–$136.95	51% below	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 OR-TIBIA AND FIBULA	$91.30	$182.60	$48.16–$136.95	51% below	50%
Lower leg X-ray (tibia and fibula), 2 views CPT 73590 TIBIA AND FIBULA	$91.30	$182.60	$48.16–$136.95	51% below	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 OR-TIBIA AND FIBULA	$91.30	$182.60	$48.16–$136.95	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 TIBIA AND FIBULA	$91.30	$182.60	$48.16–$136.95	—	50%
Lower leg X-ray (tibia and fibula), 2 views inpatient CPT 73590 73590 X-RAY TIBIA & FIBUL	$91.30	$182.60	$48.16–$136.95	—	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/OUT CONTRAST	$624.50	$1,249.00	$132.22–$936.75	60% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRV Head w/o Contrast	$624.50	$1,249.00	$132.22–$936.75	60% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 70544 MRV HEAD WO/CONT	$1,391.55	$2,783.10	$132.22–$2,087.33	10% below	50%
MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD W/O CONTRAST	$1,391.55	$2,783.10	$132.22–$2,087.33	10% below	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRV Head w/o Contrast	$624.50	$1,249.00	$132.22–$936.75	—	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/OUT CONTRAST	$624.50	$1,249.00	$132.22–$936.75	—	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 70544 MRV HEAD WO/CONT	$1,391.55	$2,783.10	$132.22–$2,087.33	—	50%
MR angiography (MRA) of the head without contrast inpatient CPT 70544 MRA HEAD W/O CONTRAST	$1,391.55	$2,783.10	$132.22–$2,087.33	—	50%
MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LWR EXT JOINT W/O CON	$1,381.95	$2,763.90	$132.22–$2,072.93	14% below	50%
MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LWR EXT JOINT W/O CON	$1,381.95	$2,763.90	$132.22–$2,072.93	—	50%
MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LWR EXT JOINT W/WOCON	$2,088.05	$4,176.10	$195.35–$3,132.08	16% below	50%
MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LWR EXT JOINT W/WOCON	$2,088.05	$4,176.10	$195.35–$3,132.08	—	50%
MRI of the abdomen without contrast CPT 74181 MRI ABD W/O CONTRAST	$1,752.80	$3,505.60	$132.22–$2,629.20	4% above	50%
MRI of the abdomen without contrast CPT 74181 MRI Abdomen w/o Contrast	$1,752.80	$3,505.60	$132.22–$2,629.20	4% above	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI Abdomen w/o Contrast	$1,752.80	$3,505.60	$132.22–$2,629.20	—	50%
MRI of the abdomen without contrast inpatient CPT 74181 MRI ABD W/O CONTRAST	$1,752.80	$3,505.60	$132.22–$2,629.20	—	50%
MRI of the abdomen, without and then with contrast dye CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,394.55	$6,789.10	$195.35–$5,091.83	9% above	50%
MRI of the abdomen, without and then with contrast dye inpatient CPT 74183 MRI ABDOMEN W/WO CONTRAST	$3,394.55	$6,789.10	$195.35–$5,091.83	—	50%
MRI of the brain, no contrast dye CPT 70551 MRI-BRAIN/STEM (W/O CONTR	$1,861.95	$3,723.90	$132.22–$2,792.93	12% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-Temporal bones W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-Brain & Pituitary W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-Pituitary Gland W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-Brain & IAC W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O CONTR	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MRI BRAIN/STEM (W/O CONTR	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye CPT 70551 MR-Brain & Orbits W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	20% above	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI-BRAIN/STEM (W/O CONTR	$1,861.95	$3,723.90	$132.22–$2,792.93	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-Pituitary Gland W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-Temporal bones W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN STEM W/O CONTR	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-Brain & Orbits W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-Brain & IAC W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MR-Brain & Pituitary W/O	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN/STEM (W/O CONTR	$2,008.30	$4,016.60	$132.22–$3,012.45	—	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI-BRAIN/STEM(W/W/O CONT	$3,447.45	$6,894.90	$195.35–$5,171.17	22% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MR-Brain & Orbits W & W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	29% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MR-Brain &Pituitary W W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	29% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/W/O CONT	$3,634.90	$7,269.80	$195.35–$5,452.35	29% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	29% above	50%
MRI of the brain, with and without contrast dye CPT 70553 MR-Brain & IAC W W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	29% above	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI-BRAIN/STEM(W/W/O CONT	$3,447.45	$6,894.90	$195.35–$5,171.17	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-Brain & Orbits W & W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-Brain &Pituitary W W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MR-Brain & IAC W W/O	$3,634.90	$7,269.80	$195.35–$5,452.35	—	50%
MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN STEM W/W/O CONT	$3,634.90	$7,269.80	$195.35–$5,452.35	—	50%
MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O CON	$2,269.65	$4,539.30	$132.22–$3,404.48	26% above	50%
MRI of the lower back, no contrast dye CPT 72148 MRI-LUMBAR SPINE (W/O CON	$2,269.65	$4,539.30	$132.22–$3,404.48	26% above	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI LUMBAR SPINE W/O CON	$2,269.65	$4,539.30	$132.22–$3,404.48	—	50%
MRI of the lower back, no contrast dye inpatient CPT 72148 MRI-LUMBAR SPINE (W/O CON	$2,269.65	$4,539.30	$132.22–$3,404.48	—	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR SPINE W/W/O CO	$3,095.70	$6,191.40	$195.35–$4,643.55	15% above	50%
MRI of the lower back, without and then with contrast dye CPT 72158 MRI-LUMBAR SPINE(W/W/O CO	$3,095.70	$6,191.40	$195.35–$4,643.55	15% above	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI-LUMBAR SPINE(W/W/O CO	$3,095.70	$6,191.40	$195.35–$4,643.55	—	50%
MRI of the lower back, without and then with contrast dye inpatient CPT 72158 MRI LUMBAR SPINE W/W/O CO	$3,095.70	$6,191.40	$195.35–$4,643.55	—	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI THORACIC SPINE W/O CN	$1,593.20	$3,186.40	$132.22–$2,389.80	1% below	50%
MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI-THORACIC SPINE (W/O C	$1,593.50	$3,187.00	$132.22–$2,390.25	1% below	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI THORACIC SPINE W/O CN	$1,593.20	$3,186.40	$132.22–$2,389.80	—	50%
MRI of the mid back (thoracic spine), no contrast dye inpatient CPT 72146 MRI-THORACIC SPINE (W/O C	$1,593.50	$3,187.00	$132.22–$2,390.25	—	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CERVICAL SPINE (W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	10% above	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERVICAL SPINE W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	10% above	50%
MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI-CERVICAL SPINE(W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	10% above	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-CERVICAL SPINE (W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	—	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI-CERVICAL SPINE(W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	—	50%
MRI of the neck (cervical spine) without and with contrast inpatient CPT 72156 MRI CERVICAL SPINE W/W/O	$3,110.80	$6,221.60	$195.35–$4,666.20	—	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL SPINE (W/O C	$1,752.80	$3,505.60	$132.22–$2,629.20	at median	50%
MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI-CERVICAL SPINE 9W/O C	$1,752.80	$3,505.60	$132.22–$2,629.20	at median	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-CERVICAL SPINE (W/O C	$1,752.80	$3,505.60	$132.22–$2,629.20	—	50%
MRI of the neck (cervical spine), no contrast dye inpatient CPT 72141 MRI-CERVICAL SPINE 9W/O C	$1,752.80	$3,505.60	$132.22–$2,629.20	—	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/WO CONTRAST	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W W/O CONTRAST	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PELVIS W/ W/O CONTRAS	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI PROSTATE W & WO CONT	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MRI RECTAL W & WO CONT	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MR-SACRUM W W/O	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast CPT 72197 MR SACRUM W W/O	$3,294.50	$6,589.00	$195.35–$4,941.75	19% above	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W W/O CONTRAST	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR SACRUM W W/O	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/WO CONTRAST	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PELVIS W/ W/O CONTRAS	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI PROSTATE W & WO CONT	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MRI RECTAL W & WO CONT	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis without and with contrast inpatient CPT 72197 MR-SACRUM W W/O	$3,294.50	$6,589.00	$195.35–$4,941.75	—	50%
MRI of the pelvis, no contrast dye CPT 72195 MR-SACRUM W/O CONTRAST	$1,668.90	$3,337.80	$132.22–$2,503.35	2% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI Pelvis w/o Contrast	$1,668.90	$3,337.80	$132.22–$2,503.35	2% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI PROSTATE WO CONT	$1,668.90	$3,337.80	$132.22–$2,503.35	2% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MRI RECTAL WO CONT	$1,668.90	$3,337.80	$132.22–$2,503.35	2% below	50%
MRI of the pelvis, no contrast dye CPT 72195 MR-Sacrum W/O Contrast	$1,668.90	$3,337.80	$132.22–$2,503.35	2% below	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI Pelvis w/o Contrast	$1,668.90	$3,337.80	$132.22–$2,503.35	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI PROSTATE WO CONT	$1,668.90	$3,337.80	$132.22–$2,503.35	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-SACRUM W/O CONTRAST	$1,668.90	$3,337.80	$132.22–$2,503.35	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MR-Sacrum W/O Contrast	$1,668.90	$3,337.80	$132.22–$2,503.35	—	50%
MRI of the pelvis, no contrast dye inpatient CPT 72195 MRI RECTAL WO CONT	$1,668.90	$3,337.80	$132.22–$2,503.35	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPR EXT JOINT W/O CON	$1,507.45	$3,014.90	$132.22–$2,261.18	19% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI UPPER EXT JOINT W/O C	$1,507.45	$3,014.90	$132.22–$2,261.18	19% below	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPR EXT JOINT W/O CON	$1,507.45	$3,014.90	$132.22–$2,261.18	—	50%
MRI of the shoulder, elbow or wrist joint, no contrast dye inpatient CPT 73221 MRI UPPER EXT JOINT W/O C	$1,507.45	$3,014.90	$132.22–$2,261.18	—	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 SPINE-CERVICAL (4 VIEWS)	$169.90	$339.80	$58.17–$254.85	42% below	50%
Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 72050- X-RAY SPINE-CERVIC	$169.90	$339.80	$58.17–$254.85	42% below	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 72050- X-RAY SPINE-CERVIC	$169.90	$339.80	$58.17–$254.85	—	50%
Neck (cervical spine) X-ray, 4 or 5 views inpatient CPT 72050 SPINE-CERVICAL (4 VIEWS)	$169.90	$339.80	$58.17–$254.85	—	50%
Neck soft tissue CT scan with contrast CPT 70491 CT-NECK (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	4% above	50%
Neck soft tissue CT scan with contrast CPT 70491 70491 CT-NECK (W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	4% above	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 70491 CT-NECK (W/CONTRAST	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
Neck soft tissue CT scan with contrast inpatient CPT 70491 CT-NECK (W/CONTRAST)	$1,371.65	$2,743.30	$97.38–$2,057.48	—	50%
Neck soft tissue CT scan without contrast CPT 70490 CT-NECK (W/O CONTRAST)	$1,229.55	$2,459.10	$58.17–$1,844.32	21% above	50%
Neck soft tissue CT scan without contrast CPT 70490 70490 CT-NECK (W/O CONTRA	$1,229.55	$2,459.10	$58.17–$1,844.32	21% above	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 CT-NECK (W/O CONTRAST)	$1,229.55	$2,459.10	$58.17–$1,844.32	—	50%
Neck soft tissue CT scan without contrast inpatient CPT 70490 70490 CT-NECK (W/O CONTRA	$1,229.55	$2,459.10	$58.17–$1,844.32	—	50%
Neck soft tissue X-ray CPT 70360 NECK-SOFT TISSUE	$76.10	$152.20	$48.16–$114.15	57% below	50%
Neck soft tissue X-ray CPT 70360 70360- X-RAY NECK-SOFT TI	$76.10	$152.20	$48.16–$114.15	57% below	50%
Neck soft tissue X-ray CPT 70360 70360-X-RAY NECK-SOFT TI	$76.10	$152.20	$48.16–$114.15	57% below	50%
Neck soft tissue X-ray inpatient CPT 70360 70360- X-RAY NECK-SOFT TI	$76.10	$152.20	$48.16–$114.15	—	50%
Neck soft tissue X-ray inpatient CPT 70360 NECK-SOFT TISSUE	$76.10	$152.20	$48.16–$114.15	—	50%
Neck soft tissue X-ray inpatient CPT 70360 70360-X-RAY NECK-SOFT TI	$76.10	$152.20	$48.16–$114.15	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 NM-MYO PERF SPECT-EF&WM-M	$1,186.20	$2,372.40	$714.10–$1,779.30	59% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies CPT 78452 HT MUSCLE IMAGE SPECT MLT	$1,186.20	$2,372.40	$714.10–$1,779.30	59% below	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 HT MUSCLE IMAGE SPECT MLT	$1,186.20	$2,372.40	$714.10–$1,779.30	—	50%
Nuclear stress test imaging (SPECT), rest and stress studies inpatient CPT 78452 NM-MYO PERF SPECT-EF&WM-M	$1,186.20	$2,372.40	$714.10–$1,779.30	—	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 78815-PET/CT SKULL-THIGH	$2,462.15	$4,924.30	$797.85–$3,693.23	55% below	50%
PET/CT scan from the base of the skull to mid-thigh CPT 78815 78815 PET/CT IMAGING-SKUL	$2,633.60	$5,267.20	$797.85–$3,950.40	52% below	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 78815-PET/CT SKULL-THIGH	$2,462.15	$4,924.30	$797.85–$3,693.23	—	50%
PET/CT scan from the base of the skull to mid-thigh inpatient CPT 78815 78815 PET/CT IMAGING-SKUL	$2,633.60	$5,267.20	$797.85–$3,950.40	—	50%
Pelvic CT scan without contrast CPT 72192 CT-Pelvis (W/O Contrast)	$1,229.55	$2,459.10	$58.17–$1,844.32	23% above	50%
Pelvic CT scan without contrast CPT 72192 72192 CT-PELVIS (W/O CON	$1,229.55	$2,459.10	$58.17–$1,844.32	23% above	50%
Pelvic CT scan without contrast CPT 72192 CT-PELVIS (W/O CONTRAST)	$1,229.55	$2,459.10	$58.17–$1,844.32	23% above	50%
Pelvic CT scan without contrast inpatient CPT 72192 72192 CT-PELVIS (W/O CON	$1,229.55	$2,459.10	$58.17–$1,844.32	—	50%
Pelvic CT scan without contrast inpatient CPT 72192 CT-PELVIS (W/O CONTRAST)	$1,229.55	$2,459.10	$58.17–$1,844.32	—	50%
Pelvic CT scan without contrast inpatient CPT 72192 CT-Pelvis (W/O Contrast)	$1,229.55	$2,459.10	$58.17–$1,844.32	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 US-PELVIS (NON OB)-LTD	$273.85	$547.70	$58.17–$410.78	18% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 76857 US-PELVIS (NON OB)D	$273.85	$547.70	$58.17–$410.78	18% below	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 76857 US-PELVIS (NON OB)D	$273.85	$547.70	$58.17–$410.78	—	50%
Pelvic ultrasound (not pregnancy), limited or follow-up inpatient CPT 76857 US-PELVIS (NON OB)-LTD	$273.85	$547.70	$58.17–$410.78	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 76856 US-PELVIS (NON OB)E	$797.60	$1,595.20	$58.17–$1,196.40	40% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS (NON OB)-COMPET	$797.60	$1,595.20	$58.17–$1,196.40	40% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 US-PELVIS (NON OB)-COMPLE	$797.60	$1,595.20	$58.17–$1,196.40	40% above	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS (NON OB)-COMPLE	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 US-PELVIS (NON OB)-COMPET	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Pelvic ultrasound through the belly, complete (not pregnancy) inpatient CPT 76856 76856 US-PELVIS (NON OB)E	$797.60	$1,595.20	$58.17–$1,196.40	—	50%
Rib X-ray, one side, 2 views CPT 71100 71100- X-RAY RIBS-UNILATE	$155.60	$311.20	$48.16–$233.40	22% below	50%
Rib X-ray, one side, 2 views CPT 71100 71100-X-RAY RIBS-UNILATE	$155.60	$311.20	$48.16–$233.40	22% below	50%
Rib X-ray, one side, 2 views one side CPT 71100 RIBS-UNILATERAL (2 VIEWS)	$155.60	$311.20	$48.16–$233.40	22% below	50%
Rib X-ray, one side, 2 views inpatient CPT 71100 71100-X-RAY RIBS-UNILATE	$155.60	$311.20	$48.16–$233.40	—	50%
Rib X-ray, one side, 2 views inpatient CPT 71100 71100- X-RAY RIBS-UNILATE	$155.60	$311.20	$48.16–$233.40	—	50%
Rib X-ray, one side, 2 views inpatient one side CPT 71100 RIBS-UNILATERAL (2 VIEWS)	$155.60	$311.20	$48.16–$233.40	—	50%
Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 71101-X-RAY RIBS-UNILATER	$197.70	$395.40	$58.17–$296.55	16% below	50%
Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS-UNILATERAL-W/P-A CHE	$197.70	$395.40	$58.17–$296.55	16% below	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient CPT 71101 71101-X-RAY RIBS-UNILATER	$197.70	$395.40	$58.17–$296.55	—	50%
Rib X-ray, one side, with a chest view, 3 or more views inpatient one side CPT 71101 RIBS-UNILATERAL-W/P-A CHE	$197.70	$395.40	$58.17–$296.55	—	50%
Screening mammogram, both breasts CPT 77067 MAMMO DIG SCRN-RED-LB	$283.45	$566.90	$209.19–$425.17	1% below	50%
Screening mammogram, both breasts CPT 77067 MAMM SCREENING-FFDM	$283.45	$566.90	$169.62–$425.17	1% below	50%
Screening mammogram, both breasts inpatient CPT 77067 MAMMO DIG SCRN-RED-LB	$283.45	$566.90	$209.19–$425.17	—	50%
Screening mammogram, both breasts inpatient CPT 77067 MAMM SCREENING-FFDM	$283.45	$566.90	$169.62–$425.17	—	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER,MIN 2 VW	$155.60	$311.20	$48.16–$233.40	27% below	50%
Shoulder X-ray, complete, 2 or more views CPT 73030 73030- X-RAY SHOULDER MIN	$155.60	$311.20	$48.16–$233.40	27% below	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 73030- X-RAY SHOULDER MIN	$155.60	$311.20	$48.16–$233.40	—	50%
Shoulder X-ray, complete, 2 or more views inpatient CPT 73030 SHOULDER,MIN 2 VW	$155.60	$311.20	$48.16–$233.40	—	50%
Sinus X-ray, complete, 3 or more views CPT 70220 70220- X-RAY SINUSES PARA	$163.90	$327.80	$48.16–$245.85	30% below	50%
Sinus X-ray, complete, 3 or more views CPT 70220 SINUSES PARANASAL (COMPLE	$163.90	$327.80	$48.16–$245.85	30% below	50%
Sinus X-ray, complete, 3 or more views CPT 70220 70220-X-RAY SINUSES PARA	$163.90	$327.80	$48.16–$245.85	30% below	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 70220- X-RAY SINUSES PARA	$163.90	$327.80	$48.16–$245.85	—	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 70220-X-RAY SINUSES PARA	$163.90	$327.80	$48.16–$245.85	—	50%
Sinus X-ray, complete, 3 or more views inpatient CPT 70220 SINUSES PARANASAL (COMPLE	$163.90	$327.80	$48.16–$245.85	—	50%
Skull X-ray, fewer than 4 views CPT 70250 70250- X-RAY SKULL (<4 VI	$137.80	$275.60	$58.17–$206.70	34% below	50%
Skull X-ray, fewer than 4 views CPT 70250 70250-X-RAY SKULL (<4 VI	$137.80	$275.60	$58.17–$206.70	34% below	50%
Skull X-ray, fewer than 4 views CPT 70250 SKULL (< 4 VIEWS)	$137.80	$275.60	$58.17–$206.70	34% below	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 70250-X-RAY SKULL (<4 VI	$137.80	$275.60	$58.17–$206.70	—	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 70250- X-RAY SKULL (<4 VI	$137.80	$275.60	$58.17–$206.70	—	50%
Skull X-ray, fewer than 4 views inpatient CPT 70250 SKULL (< 4 VIEWS)	$137.80	$275.60	$58.17–$206.70	—	50%
Sleep study in a lab (polysomnography) CPT 95810 INPT POLYSOMNOGRAPHY	$691.20	$1,382.40	$510.11–$1,419.99	79% below	50%
Sleep study in a lab (polysomnography) inpatient CPT 95810 INPT POLYSOMNOGRAPHY	$691.20	$1,382.40	$510.11–$1,419.99	—	50%
Swallow study (modified barium swallow, video X-ray) CPT 74230 CINE ESOPHAGRAM/SWALLOW S	$363.55	$727.10	$97.38–$545.33	4% below	50%
Swallow study (modified barium swallow, video X-ray) inpatient CPT 74230 CINE ESOPHAGRAM/SWALLOW S	$363.55	$727.10	$97.38–$545.33	—	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 73552 XRAY FEMUR 2 VIEWS	$105.60	$211.20	$48.16–$158.40	51% below	50%
Thigh bone (femur) X-ray, 2 or more views CPT 73552 FEMUR 2 VIEW	$105.60	$211.20	$48.16–$158.40	51% below	50%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 FEMUR 2 VIEW	$105.60	$211.20	$48.16–$158.40	—	50%
Thigh bone (femur) X-ray, 2 or more views inpatient CPT 73552 73552 XRAY FEMUR 2 VIEWS	$105.60	$211.20	$48.16–$158.40	—	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 72128 CT-THOR SPINE(W/O C	$888.30	$1,776.60	$58.17–$1,332.45	16% below	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-THORACIC SPINE (W/O CO	$888.30	$1,776.60	$58.17–$1,332.45	16% below	50%
Thoracic spine (mid back) CT scan without contrast CPT 72128 CT-Thorcic Spine (W/O Con	$888.30	$1,776.60	$58.17–$1,332.45	16% below	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-Thorcic Spine (W/O Con	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 CT-THORACIC SPINE (W/O CO	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
Thoracic spine (mid back) CT scan without contrast inpatient CPT 72128 72128 CT-THOR SPINE(W/O C	$888.30	$1,776.60	$58.17–$1,332.45	—	50%
Toe X-ray, 2 or more views CPT 73660 73660 X-RAY TOE(S) (2 VIE	$88.90	$177.80	$48.16–$133.35	29% below	50%
Toe X-ray, 2 or more views CPT 73660 TOE(S) (2 VIEWS)	$88.90	$177.80	$48.16–$133.35	29% below	50%
Toe X-ray, 2 or more views inpatient CPT 73660 73660 X-RAY TOE(S) (2 VIE	$88.90	$177.80	$48.16–$133.35	—	50%
Toe X-ray, 2 or more views inpatient CPT 73660 TOE(S) (2 VIEWS)	$88.90	$177.80	$48.16–$133.35	—	50%
Transvaginal pelvic ultrasound CPT 76830 76830 US-TRANSVAGINAL	$733.00	$1,466.00	$58.17–$1,099.50	39% above	50%
Transvaginal pelvic ultrasound CPT 76830 US-TRANSVAGINAL	$733.00	$1,466.00	$58.17–$1,099.50	39% above	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 76830 US-TRANSVAGINAL	$733.00	$1,466.00	$58.17–$1,099.50	—	50%
Transvaginal pelvic ultrasound inpatient CPT 76830 US-TRANSVAGINAL	$733.00	$1,466.00	$58.17–$1,099.50	—	50%
Ultrasound of the abdomen, complete CPT 76700 76700-US ABDOMINAL	$579.65	$1,159.30	$58.17–$869.47	13% below	50%
Ultrasound of the abdomen, complete CPT 76700 US-ABDOMEN-COMPLETE	$579.65	$1,159.30	$58.17–$869.47	13% below	50%
Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN	$579.65	$1,159.30	$58.17–$869.47	13% below	50%
Ultrasound of the abdomen, complete CPT 76700 76700 US-ABDOMEN-COMPLETE	$579.65	$1,159.30	$58.17–$869.47	13% below	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 76700-US ABDOMINAL	$579.65	$1,159.30	$58.17–$869.47	—	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US-ABDOMEN-COMPLETE	$579.65	$1,159.30	$58.17–$869.47	—	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 76700 US-ABDOMEN-COMPLETE	$579.65	$1,159.30	$58.17–$869.47	—	50%
Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN	$579.65	$1,159.30	$58.17–$869.47	—	50%
Ultrasound of the scrotum and testicles CPT 76870 76870 US SCROTUM AND CONT	$700.20	$1,400.40	$58.17–$1,050.30	33% above	50%
Ultrasound of the scrotum and testicles CPT 76870 US-SCROTUM	$700.20	$1,400.40	$58.17–$1,050.30	33% above	50%
Ultrasound of the scrotum and testicles CPT 76870 76870 US-SCROTUM	$700.20	$1,400.40	$58.17–$1,050.30	33% above	50%
Ultrasound of the scrotum and testicles CPT 76870 US SCROTUM AND CONTENTS	$700.20	$1,400.40	$58.17–$1,050.30	33% above	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US-SCROTUM	$700.20	$1,400.40	$58.17–$1,050.30	—	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 US SCROTUM AND CONTENTS	$700.20	$1,400.40	$58.17–$1,050.30	—	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 US SCROTUM AND CONT	$700.20	$1,400.40	$58.17–$1,050.30	—	50%
Ultrasound of the scrotum and testicles inpatient CPT 76870 76870 US-SCROTUM	$700.20	$1,400.40	$58.17–$1,050.30	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 76536 US HEAD & NECK, SOS	$400.75	$801.50	$58.17–$601.13	16% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD & NECK, SOFT TISS	$400.75	$801.50	$58.17–$601.13	16% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 US HEAD & NECK, SOFT TIS	$400.75	$801.50	$58.17–$601.13	16% below	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD & NECK, SOFT TIS	$400.75	$801.50	$58.17–$601.13	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 US HEAD & NECK, SOFT TISS	$400.75	$801.50	$58.17–$601.13	—	50%
Ultrasound of the soft tissues of the head and neck, such as the thyroid inpatient CPT 76536 76536 US HEAD & NECK, SOS	$400.75	$801.50	$58.17–$601.13	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 UPPER GI W/O KUB	$299.00	$598.00	$97.38–$448.50	26% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 74240 RADIO GI TRACT STDY	$299.00	$598.00	$97.38–$448.50	26% below	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 UPPER GI W/O KUB	$299.00	$598.00	$97.38–$448.50	—	50%
Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) inpatient CPT 74240 74240 RADIO GI TRACT STDY	$299.00	$598.00	$97.38–$448.50	—	50%
Upper arm X-ray (humerus), 2 views CPT 73060 73060 X-RAY HUMERUS	$129.20	$258.40	$48.16–$193.80	30% below	50%
Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS	$129.20	$258.40	$48.16–$193.80	30% below	50%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 73060 X-RAY HUMERUS	$129.20	$258.40	$48.16–$193.80	—	50%
Upper arm X-ray (humerus), 2 views inpatient CPT 73060 HUMERUS	$129.20	$258.40	$48.16–$193.80	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 SP DP LWR EX V UN R	$235.85	$471.70	$58.17–$353.78	56% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 SP DP UP EXT V UN R	$235.85	$471.70	$58.17–$353.78	56% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 SP DP LWR EX V UN L	$235.85	$471.70	$58.17–$353.78	56% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 SP DP UP EXT V UN L	$235.85	$471.70	$58.17–$353.78	56% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 EXTREMITY VENOUS DUPLEX-U	$338.05	$676.10	$58.17–$507.08	36% below	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 93971 DUPLEX SCAN EXT VED	$581.75	$1,163.50	$58.17–$872.63	10% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 DUPLEX SCAN EXT VEINS LTD	$581.75	$1,163.50	$58.17–$872.63	10% above	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 SP DP UP EXT V UN L	$235.85	$471.70	$58.17–$353.78	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 SP DP LWR EX V UN L	$235.85	$471.70	$58.17–$353.78	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 SP DP UP EXT V UN R	$235.85	$471.70	$58.17–$353.78	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 SP DP LWR EX V UN R	$235.85	$471.70	$58.17–$353.78	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 EXTREMITY VENOUS DUPLEX-U	$338.05	$676.10	$58.17–$507.08	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 DUPLEX SCAN EXT VEINS LTD	$581.75	$1,163.50	$58.17–$872.63	—	50%
Vein ultrasound (duplex) of one arm or leg, or a limited study inpatient CPT 93971 93971 DUPLEX SCAN EXT VED	$581.75	$1,163.50	$58.17–$872.63	—	50%
Wrist X-ray, 2 views CPT 73100 73100 X-RAY WRIST-2 VIEWS	$87.85	$175.70	$48.16–$131.77	37% below	50%
Wrist X-ray, 2 views CPT 73100 WRIST-2 VW	$87.85	$175.70	$48.16–$131.77	37% below	50%
Wrist X-ray, 2 views inpatient CPT 73100 73100 X-RAY WRIST-2 VIEWS	$87.85	$175.70	$48.16–$131.77	—	50%
Wrist X-ray, 2 views inpatient CPT 73100 WRIST-2 VW	$87.85	$175.70	$48.16–$131.77	—	50%
Wrist X-ray, complete, 3 or more views CPT 73110 WRIST COMPLETE	$92.40	$184.80	$48.16–$138.60	53% below	50%
Wrist X-ray, complete, 3 or more views CPT 73110 73110 X-RAY WRIST COMPLET	$92.40	$184.80	$48.16–$138.60	53% below	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 WRIST COMPLETE	$92.40	$184.80	$48.16–$138.60	—	50%
Wrist X-ray, complete, 3 or more views inpatient CPT 73110 73110 X-RAY WRIST COMPLET	$92.40	$184.80	$48.16–$138.60	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 HIP W/W/O PELVIS 2/3 VIEW	$110.80	$221.60	$48.16–$166.20	46% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 73502 X-RAY HIP 2-3	$110.80	$221.60	$48.16–$166.20	46% below	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 73502 X-RAY HIP 2-3	$110.80	$221.60	$48.16–$166.20	—	50%
X-ray of one hip, 2 or 3 views, with the pelvis when included inpatient CPT 73502 HIP W/W/O PELVIS 2/3 VIEW	$110.80	$221.60	$48.16–$166.20	—	50%
X-ray of the abdomen, 1 view CPT 74018 ABDOMEN (1VIEW)-A-P	$94.05	$188.10	$48.16–$141.08	41% below	50%
X-ray of the abdomen, 1 view CPT 74018 74018-ABDOMEN 1 VIEW A-P	$94.05	$188.10	$48.16–$141.08	41% below	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 ABDOMEN (1VIEW)-A-P	$94.05	$188.10	$48.16–$141.08	—	50%
X-ray of the abdomen, 1 view inpatient CPT 74018 74018-ABDOMEN 1 VIEW A-P	$94.05	$188.10	$48.16–$141.08	—	50%
X-ray of the ankle, 2 views CPT 73600 73600 X-RAY ANKLE (2 VIEW	$84.75	$169.50	$48.16–$127.13	52% below	50%
X-ray of the ankle, 2 views CPT 73600 73600 X-RAY ANKLE (2VIEW	$84.75	$169.50	$48.16–$127.13	52% below	50%
X-ray of the ankle, 2 views CPT 73600 ANKLE (2 VIEWS)	$84.75	$169.50	$48.16–$127.13	52% below	50%
X-ray of the ankle, 2 views inpatient CPT 73600 73600 X-RAY ANKLE (2VIEW	$84.75	$169.50	$48.16–$127.13	—	50%
X-ray of the ankle, 2 views inpatient CPT 73600 73600 X-RAY ANKLE (2 VIEW	$84.75	$169.50	$48.16–$127.13	—	50%
X-ray of the ankle, 2 views inpatient CPT 73600 ANKLE (2 VIEWS)	$84.75	$169.50	$48.16–$127.13	—	50%
X-ray of the finger(s), 2 or more views CPT 73140 73140 X-RAY FINGER(S) (2	$96.10	$192.20	$48.16–$144.15	28% below	50%
X-ray of the finger(s), 2 or more views CPT 73140 FINGER(S) (2 VIEWS)	$96.10	$192.20	$48.16–$144.15	28% below	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 FINGER(S) (2 VIEWS)	$96.10	$192.20	$48.16–$144.15	—	50%
X-ray of the finger(s), 2 or more views inpatient CPT 73140 73140 X-RAY FINGER(S) (2	$96.10	$192.20	$48.16–$144.15	—	50%
X-ray of the foot, 2 views CPT 73620 73620 X-RAY FOOT (2VIEWS	$116.25	$232.50	$48.16–$174.38	27% below	50%
X-ray of the foot, 2 views CPT 73620 FOOT (2 VIEWS)	$116.25	$232.50	$48.16–$174.38	27% below	50%
X-ray of the foot, 2 views CPT 73620 OR-FOOT (2 VIEWS)	$116.25	$232.50	$48.16–$174.38	27% below	50%
X-ray of the foot, 2 views CPT 73620 73620 X-RAY FOOT (2 VIEWS	$116.25	$232.50	$48.16–$174.38	27% below	50%
X-ray of the foot, 2 views inpatient CPT 73620 OR-FOOT (2 VIEWS)	$116.25	$232.50	$48.16–$174.38	—	50%
X-ray of the foot, 2 views inpatient CPT 73620 73620 X-RAY FOOT (2VIEWS	$116.25	$232.50	$48.16–$174.38	—	50%
X-ray of the foot, 2 views inpatient CPT 73620 FOOT (2 VIEWS)	$116.25	$232.50	$48.16–$174.38	—	50%
X-ray of the foot, 2 views inpatient CPT 73620 73620 X-RAY FOOT (2 VIEWS	$116.25	$232.50	$48.16–$174.38	—	50%
X-ray of the foot, complete, 3 or more views CPT 73630 73630 X-RAY FOOT COMP, MI	$124.05	$248.10	$48.16–$186.08	31% below	50%
X-ray of the foot, complete, 3 or more views CPT 73630 OR-FOOT (COMPLETE)	$124.05	$248.10	$48.16–$186.08	31% below	50%
X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMP, MIN 3 VW	$124.05	$248.10	$48.16–$186.08	31% below	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 FOOT COMP, MIN 3 VW	$124.05	$248.10	$48.16–$186.08	—	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 73630 X-RAY FOOT COMP, MI	$124.05	$248.10	$48.16–$186.08	—	50%
X-ray of the foot, complete, 3 or more views inpatient CPT 73630 OR-FOOT (COMPLETE)	$124.05	$248.10	$48.16–$186.08	—	50%
X-ray of the hand, 3 or more views CPT 73130 73130 X-RAY HAND MIN 3VW	$189.35	$378.70	$48.16–$284.03	3% above	50%
X-ray of the hand, 3 or more views CPT 73130 HAND,MIN 3 VW	$189.35	$378.70	$48.16–$284.03	3% above	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 HAND,MIN 3 VW	$189.35	$378.70	$48.16–$284.03	—	50%
X-ray of the hand, 3 or more views inpatient CPT 73130 73130 X-RAY HAND MIN 3VW	$189.35	$378.70	$48.16–$284.03	—	50%
X-ray of the knee, 1 or 2 views CPT 73560 KNEE (2 VIEWS)	$105.95	$211.90	$48.16–$158.93	32% below	50%
X-ray of the knee, 1 or 2 views CPT 73560 73560 X-RAY KNEE (2VIEWS	$105.95	$211.90	$48.16–$158.93	32% below	50%
X-ray of the knee, 1 or 2 views CPT 73560 73560 X-RAY KNEE (2 VIEWS	$105.95	$211.90	$48.16–$158.93	32% below	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 KNEE (2 VIEWS)	$105.95	$211.90	$48.16–$158.93	—	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 X-RAY KNEE (2VIEWS	$105.95	$211.90	$48.16–$158.93	—	50%
X-ray of the knee, 1 or 2 views inpatient CPT 73560 73560 X-RAY KNEE (2 VIEWS	$105.95	$211.90	$48.16–$158.93	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 3 VIEWS	$157.45	$314.90	$58.17–$236.17	26% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE LUMBAR 2 VIEWS	$157.45	$314.90	$58.17–$236.17	26% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100-A-RAY SPINE.LUMBAR	$157.45	$314.90	$58.17–$236.17	26% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 SPINE, LUMBAR, 2 OR 3 VIE	$157.45	$314.90	$58.17–$236.17	26% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 72100-X-RAY SPINE.LUMBAR	$157.45	$314.90	$58.17–$236.17	26% below	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 2 VIEWS	$157.45	$314.90	$58.17–$236.17	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100-X-RAY SPINE.LUMBAR	$157.45	$314.90	$58.17–$236.17	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE LUMBAR 3 VIEWS	$157.45	$314.90	$58.17–$236.17	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 SPINE, LUMBAR, 2 OR 3 VIE	$157.45	$314.90	$58.17–$236.17	—	50%
X-ray of the lower back (lumbar spine), 2 or 3 views inpatient CPT 72100 72100-A-RAY SPINE.LUMBAR	$157.45	$314.90	$58.17–$236.17	—	50%
X-ray of the lower back, 4 or more views CPT 72110 72110-X-RAY SPINE LUMBAR	$274.50	$549.00	$58.17–$411.75	11% below	50%
X-ray of the lower back, 4 or more views CPT 72110 SPINE, LUMBAR, MIN. 4 VIE	$274.50	$549.00	$58.17–$411.75	11% below	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 72110-X-RAY SPINE LUMBAR	$274.50	$549.00	$58.17–$411.75	—	50%
X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE, LUMBAR, MIN. 4 VIE	$274.50	$549.00	$58.17–$411.75	—	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070- X-RAY SPINE, THORA	$110.80	$221.60	$58.17–$166.20	40% below	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 SPINE, THORACIC, 2 VIEWS	$110.80	$221.60	$58.17–$166.20	40% below	50%
X-ray of the mid back (thoracic spine), 2 views CPT 72070 72070-X-RAY SPINE, THORA	$110.80	$221.60	$58.17–$166.20	40% below	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 SPINE, THORACIC, 2 VIEWS	$110.80	$221.60	$58.17–$166.20	—	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070- X-RAY SPINE, THORA	$110.80	$221.60	$58.17–$166.20	—	50%
X-ray of the mid back (thoracic spine), 2 views inpatient CPT 72070 72070-X-RAY SPINE, THORA	$110.80	$221.60	$58.17–$166.20	—	50%
X-ray of the nasal bones, 3 or more views CPT 70160 70160-X-RAY NASAL BONES	$118.30	$236.60	$48.16–$177.45	32% below	50%
X-ray of the nasal bones, 3 or more views CPT 70160 70160- X-RAY NASAL BONES	$118.30	$236.60	$48.16–$177.45	32% below	50%
X-ray of the nasal bones, 3 or more views CPT 70160 NASAL BONES (COMPLETE)	$118.30	$236.60	$48.16–$177.45	32% below	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160- X-RAY NASAL BONES	$118.30	$236.60	$48.16–$177.45	—	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 NASAL BONES (COMPLETE)	$118.30	$236.60	$48.16–$177.45	—	50%
X-ray of the nasal bones, 3 or more views inpatient CPT 70160 70160-X-RAY NASAL BONES	$118.30	$236.60	$48.16–$177.45	—	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE CERVICAL 3 VIEWS	$162.55	$325.10	$48.16–$243.83	30% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 SPINE, CERVICAL, 2 OR 3 V	$162.55	$325.10	$48.16–$243.83	30% below	50%
X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 72040- X-RAY SPINE, CERVI	$162.55	$325.10	$48.16–$243.83	30% below	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 72040- X-RAY SPINE, CERVI	$162.55	$325.10	$48.16–$243.83	—	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE CERVICAL 3 VIEWS	$162.55	$325.10	$48.16–$243.83	—	50%
X-ray of the neck (cervical spine), 2 or 3 views inpatient CPT 72040 SPINE, CERVICAL, 2 OR 3 V	$162.55	$325.10	$48.16–$243.83	—	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS 2 VIEWS	$127.30	$254.60	$58.17–$190.95	23% below	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 72170- X-RAY PELVIS 1 OR2	$127.30	$254.60	$58.17–$190.95	23% below	50%
X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS, 1 OR 2 VIEWS	$127.30	$254.60	$58.17–$190.95	23% below	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS 2 VIEWS	$127.30	$254.60	$58.17–$190.95	—	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 72170- X-RAY PELVIS 1 OR2	$127.30	$254.60	$58.17–$190.95	—	50%
X-ray of the pelvis, 1 or 2 views inpatient CPT 72170 PELVIS, 1 OR 2 VIEWS	$127.30	$254.60	$58.17–$190.95	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM/COCCYX-MIN 2 VIEWS	$125.45	$250.90	$48.16–$188.18	28% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 72220- X-RAY SACRUM/COCCY	$125.45	$250.90	$48.16–$188.18	28% below	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 SACRUM/COCCYX-MIN 2 VIEWS	$125.45	$250.90	$48.16–$188.18	—	50%
X-ray of the tailbone (sacrum and coccyx), 2 or more views inpatient CPT 72220 72220- X-RAY SACRUM/COCCY	$125.45	$250.90	$48.16–$188.18	—	50%

Lab tests

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
ACTH blood test CPT 82024 ACTH	$43.10	$86.20	$21.13–$64.70	54% below	50%
ACTH blood test inpatient CPT 82024 ACTH	$43.10	$86.20	$21.13–$64.70	—	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT-SGPT (SOLC)	$9.25	$18.50	$2.90–$13.88	61% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT -SGPT	$10.85	$21.70	$2.90–$16.28	55% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 ALT SGPT	$10.85	$21.70	$2.90–$16.28	55% below	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE, SGPT, AUTO	$26.05	$52.10	$2.90–$39.08	9% above	50%
ALT (alanine aminotransferase) liver enzyme test CPT 84460 TRANSAMINASE SGPT AUTO	$26.05	$52.10	$2.90–$39.08	9% above	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT-SGPT (SOLC)	$9.25	$18.50	$2.90–$13.88	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT -SGPT	$10.85	$21.70	$2.90–$16.28	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 ALT SGPT	$10.85	$21.70	$2.90–$16.28	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE SGPT AUTO	$26.05	$52.10	$2.90–$39.08	—	50%
ALT (alanine aminotransferase) liver enzyme test inpatient CPT 84460 TRANSAMINASE, SGPT, AUTO	$26.05	$52.10	$2.90–$39.08	—	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 MP - SGOT	$23.95	$47.90	$2.83–$35.93	9% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 MP SGOT	$23.95	$47.90	$2.83–$35.93	9% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE SGOT AUTO	$26.05	$52.10	$2.83–$39.08	18% above	50%
AST (aspartate aminotransferase) enzyme test CPT 84450 TRANSAMINASE, SGOT, AUTO	$26.05	$52.10	$2.83–$39.08	18% above	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 MP - SGOT	$23.95	$47.90	$2.83–$35.93	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 MP SGOT	$23.95	$47.90	$2.83–$35.93	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSAMINASE SGOT AUTO	$26.05	$52.10	$2.83–$39.08	—	50%
AST (aspartate aminotransferase) enzyme test inpatient CPT 84450 TRANSAMINASE, SGOT, AUTO	$26.05	$52.10	$2.83–$39.08	—	50%
Acute hepatitis panel (hepatitis A, B and C) CPT 80074 Acute Hepatitis Panel	$145.20	$290.40	$26.05–$217.80	15% below	50%
Acute hepatitis panel (hepatitis A, B and C) inpatient CPT 80074 Acute Hepatitis Panel	$145.20	$290.40	$26.05–$217.80	—	50%
Albumin blood test CPT 82040 Serum Albumin	$5.90	$11.80	$2.71–$8.85	70% below	50%
Albumin blood test CPT 82040 ALBUMIN SERUM X1	$13.55	$27.10	$2.71–$20.33	32% below	50%
Albumin blood test CPT 82040 MP - ALBUMIN	$15.15	$30.30	$2.71–$22.73	24% below	50%
Albumin blood test CPT 82040 MP ALBUMIN	$15.15	$30.30	$2.71–$22.73	24% below	50%
Albumin blood test CPT 82040 PROTEIN ALBUMIN ONLY BL	$23.25	$46.50	$2.71–$34.88	16% above	50%
Albumin blood test CPT 82040 PROTEIN, ALBUMIN ONLY, BL	$23.25	$46.50	$2.71–$34.88	16% above	50%
Albumin blood test inpatient CPT 82040 Serum Albumin	$5.90	$11.80	$2.71–$8.85	—	50%
Albumin blood test inpatient CPT 82040 ALBUMIN SERUM X1	$13.55	$27.10	$2.71–$20.33	—	50%
Albumin blood test inpatient CPT 82040 MP ALBUMIN	$15.15	$30.30	$2.71–$22.73	—	50%
Albumin blood test inpatient CPT 82040 MP - ALBUMIN	$15.15	$30.30	$2.71–$22.73	—	50%
Albumin blood test inpatient CPT 82040 PROTEIN, ALBUMIN ONLY, BL	$23.25	$46.50	$2.71–$34.88	—	50%
Albumin blood test inpatient CPT 82040 PROTEIN ALBUMIN ONLY BL	$23.25	$46.50	$2.71–$34.88	—	50%
Aldosterone blood test CPT 82088 ALDOSTERONE 24HR URINE	$45.40	$90.80	$22.29–$68.25	17% below	50%
Aldosterone blood test CPT 82088 ALDOSTERONE S/P	$45.40	$90.80	$22.29–$68.25	17% below	50%
Aldosterone blood test CPT 82088 Aldosterone	$117.65	$235.30	$22.29–$176.48	114% above	50%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE S/P	$45.40	$90.80	$22.29–$68.25	—	50%
Aldosterone blood test inpatient CPT 82088 ALDOSTERONE 24HR URINE	$45.40	$90.80	$22.29–$68.25	—	50%
Aldosterone blood test inpatient CPT 82088 Aldosterone	$117.65	$235.30	$22.29–$176.48	—	50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALK (SOLC)	$3.75	$7.50	$2.77–$5.63	82% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 ALKALINE PHOSPHATASE TOTA	$18.10	$36.20	$2.83–$27.15	14% below	50%
Alkaline phosphatase (ALP) blood test CPT 84075 MP - ALK PHOSPHORUS	$24.75	$49.50	$2.83–$37.13	18% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 MP ALK PHOSPHORUS	$24.75	$49.50	$2.83–$37.13	18% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKA LINE AUT	$34.45	$68.90	$2.83–$51.68	64% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE,ALKA-LINE AUT	$34.45	$68.90	$2.83–$51.68	64% above	50%
Alkaline phosphatase (ALP) blood test CPT 84075 PHOSPHATASE ALKALINE	$64.35	$128.70	$2.83–$96.52	206% above	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALK (SOLC)	$3.75	$7.50	$2.77–$5.63	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 ALKALINE PHOSPHATASE TOTA	$18.10	$36.20	$2.83–$27.15	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 MP - ALK PHOSPHORUS	$24.75	$49.50	$2.83–$37.13	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 MP ALK PHOSPHORUS	$24.75	$49.50	$2.83–$37.13	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE,ALKA-LINE AUT	$34.45	$68.90	$2.83–$51.68	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKA LINE AUT	$34.45	$68.90	$2.83–$51.68	—	50%
Alkaline phosphatase (ALP) blood test inpatient CPT 84075 PHOSPHATASE ALKALINE	$64.35	$128.70	$2.83–$96.52	—	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER IGE HONEYBEE (SOLC)	$2.63	$5.26	$1.94–$8.75	59% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER IGE PAP WASP (SOLC)	$2.63	$5.26	$1.94–$8.75	59% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER IGE HRNT YEL (SOLC)	$2.63	$5.26	$1.94–$8.75	59% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER WFCE HORNET (SOLC)	$2.63	$5.26	$1.94–$8.75	59% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLER IGE YEL JCKT (SOLC)	$2.63	$5.26	$1.94–$8.75	59% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLRGN SPEC IGE EA(SO)	$5.60	$11.20	$2.86–$8.75	12% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET VERNAL IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BEACH TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MUTWORT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BEET IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER POLLEN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BELL PEPPERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEAT POLLEN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHILI PEPPERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 JALAPENO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 KIDNEY BEAN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PECAN HICKORY TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TROUT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PLUM IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HONEY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GOAT EPITHELIUM IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 POPPY SEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SUNFLOWER SEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TOBACCO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GOLDENROD IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 KOCHIA FIREBRUSH IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 VIRGINIA LIVE OAK IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 STG DUST MITE ACARUS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN PEA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Grape IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 JOHNSON GRASS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MANGO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 OLIVE TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEAR IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Pork IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RASPBERRY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rye IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SETOMELANOMMA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SQUID IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GIANT RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 FALSE RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CUCUMBER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEESE MOLD IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHERRY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CEDAR MOUNTAIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 WESTERN RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GREEN STRING BEAN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GARLIC IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CINNAMON IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 STORAGE DUST MITE ACURAS	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALFALFA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Barley IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST GREER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPRIKA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN G MAJOR IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PENICILLIN V MINOR IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SHEEP EPITHELIUM IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 WATERMELON IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SYCAMORE TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ONION IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MACKEREL IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CARDAMON IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BETA LACTOGLOBULIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CUMIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 DUCK FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oat IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Rice IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SPINACH IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICK PEA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACK PEPPER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHICKEN FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 LINSEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSSEL IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 LAMBS QUARTERS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN OVALBUMIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN BLACKBERRY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GINGER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 EGG YOLK IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BROCCOLI IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CASEIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHOCOLATE COCAO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HALIBUT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 KENTUCKY BLUEGRASS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Oyster IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SWEET POTATO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 APPLE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HICKORY WHITE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Candida albicans IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CATFISH IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GLUTEN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 STRAWBERRY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Tuna IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 WHEY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SALMON IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Crab IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lobster IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CHEDDAR CHEESE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TURKEY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 WALNUT TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PEACH IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BANANA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MOSQUITO IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 COW HAIR DANDER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HOUSE DUST STIER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BAY LEAF IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PIGWEED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CAULIFLOWER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 EGGPLANT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 FIRE ANT IMPORTED IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BUCKWHEAT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BLACKBERRY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 DILL IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RABBIT EPITHELIUM	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 VANILLA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CELERY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CRAYFISH IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ENGLISH PLANTAIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HOPS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Cabbage IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 BENT GRASS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALDER TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 LIMA WHITE BEAN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 EPICOCCUM IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 FLOUNDER IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 FUSARIUM IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PARSLEY IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 HAZLENUT TREE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 LIME IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 NUTMEG IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 PAPAYA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RYE GRASS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 COFFEE IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 COCKLEBUR IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 AUREOBASIDI PULLULANS IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MUSTARD IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 Lettuce IgE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GRAPEFRUIT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 MALT IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 OVALBUMIN IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TEA IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 YEAST IGE	$6.00	$12.00	$2.86–$9.00	6% below	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #11	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 2	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #8	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 3	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 1	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #6	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #10	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 5	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN 4	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #7	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #9	$6.50	$13.00	$2.86–$9.75	2% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN IGE MUSHROOM (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN IGE MELON (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN IGE LENTIL (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN IGE OVOMUCID (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERG IGE CARBGUM (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALRGN IGE SHEPSORL (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALGRN IGE BLUBERRY (SOLC)	$6.63	$13.26	$2.86–$9.95	4% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #16	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #15	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN A FUMIGATUS IGE	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN SPEC SALMON IGE	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RED EYE IGE ALLERGEN SPEC	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #19	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #14	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #18	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #13	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #12	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN #17	$6.80	$13.60	$2.86–$10.20	7% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TILAPIA IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 GUM AGAR IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SAFFLOWER IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 TUMERIC IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 SUGAR CANE IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ANNATO SEED IGE	$8.65	$17.30	$2.86–$12.98	36% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN IGE	$14.45	$28.90	$2.86–$21.67	127% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN WINE VINEGAR IGE	$14.45	$28.90	$2.86–$21.67	127% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 ALLERGEN POMEGRANATE IGE	$14.45	$28.90	$2.86–$21.67	127% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 CORIANDER CILANTRO IGE	$17.25	$34.50	$2.86–$25.88	171% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RED DYE IGE	$17.25	$34.50	$2.86–$25.88	171% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST-PANEL B	$64.60	$129.20	$2.86–$96.90	914% above	50%
Allergy blood test, specific IgE, per allergen CPT 86003 RAST 6 OR MORE	$155.50	$311.00	$2.86–$233.25	2341% above	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER IGE YEL JCKT (SOLC)	$2.63	$5.26	$1.94–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER IGE HRNT YEL (SOLC)	$2.63	$5.26	$1.94–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER WFCE HORNET (SOLC)	$2.63	$5.26	$1.94–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER IGE HONEYBEE (SOLC)	$2.63	$5.26	$1.94–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLER IGE PAP WASP (SOLC)	$2.63	$5.26	$1.94–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLRGN SPEC IGE EA(SO)	$5.60	$11.20	$2.86–$8.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Tuna IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOPS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RYE GRASS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SALMON IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Cabbage IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Crab IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET VERNAL IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lobster IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BENT GRASS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGG YOLK IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COFFEE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALDER TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WALNUT TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 YEAST IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEACH IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIMA WHITE BEAN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BANANA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SQUID IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COCKLEBUR IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GIANT RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FALSE RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUCUMBER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEESE MOLD IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHERRY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER POLLEN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CEDAR MOUNTAIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BELL PEPPERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WESTERN RAGWEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHEDDAR CHEESE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN STRING BEAN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LIME IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GARLIC IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MOSQUITO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CINNAMON IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STORAGE DUST MITE ACURAS	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 COW HAIR DANDER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALFALFA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EPICOCCUM IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Barley IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST STIER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HOUSE DUST GREER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPRIKA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BAY LEAF IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN G MAJOR IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FLOUNDER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PENICILLIN V MINOR IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MALT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SHEEP EPITHELIUM IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEET IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WATERMELON IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PIGWEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SYCAMORE TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OVALBUMIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ONION IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CAULIFLOWER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MACKEREL IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUTWORT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CARDAMON IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FUSARIUM IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BETA LACTOGLOBULIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CUMIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 EGGPLANT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DUCK FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oat IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSTARD IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rice IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SPINACH IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 FIRE ANT IMPORTED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICK PEA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SETOMELANOMMA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Rye IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RASPBERRY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Pork IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PEAR IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 OLIVE TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MANGO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JOHNSON GRASS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACK PEPPER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PARSLEY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TOBACCO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHICKEN FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BUCKWHEAT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LINSEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 MUSSEL IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BEACH TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 LAMBS QUARTERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 AUREOBASIDI PULLULANS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN OVALBUMIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN BLACKBERRY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BLACKBERRY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Grape IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GREEN PEA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STG DUST MITE ACARUS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VIRGINIA LIVE OAK IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KOCHIA FIREBRUSH IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOLDENROD IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUNFLOWER SEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 POPPY SEED IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TURKEY FEATHERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GOAT EPITHELIUM IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HONEY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PLUM IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TROUT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 WHEAT POLLEN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PECAN HICKORY TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KIDNEY BEAN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GINGER IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HAZLENUT TREE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 JALAPENO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHILI PEPPERS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 BROCCOLI IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CASEIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 DILL IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CHOCOLATE COCAO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HALIBUT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RABBIT EPITHELIUM	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 KENTUCKY BLUEGRASS IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Lettuce IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Oyster IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 VANILLA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SWEET POTATO IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 NUTMEG IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 APPLE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CELERY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 HICKORY WHITE IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TEA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 Candida albicans IgE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CRAYFISH IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CATFISH IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 PAPAYA IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GLUTEN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ENGLISH PLANTAIN IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 STRAWBERRY IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GRAPEFRUIT IGE	$6.00	$12.00	$2.86–$9.00	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #7	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #8	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #6	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #9	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 5	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #10	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 4	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #11	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 3	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 1	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN 2	$6.50	$13.00	$2.86–$9.75	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALRGN IGE SHEPSORL (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN IGE MUSHROOM (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN IGE MELON (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN IGE LENTIL (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN IGE BLUBERRY (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALGRN IGE OVOMUCID (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERG IGE CARBGUM (SOLC)	$6.63	$13.26	$2.86–$9.95	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #17	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #16	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #13	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #12	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED EYE IGE ALLERGEN SPEC	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #15	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #19	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #18	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN SPEC SALMON IGE	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN A FUMIGATUS IGE	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN #14	$6.80	$13.60	$2.86–$10.20	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TUMERIC IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 GUM AGAR IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SUGAR CANE IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ANNATO SEED IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 SAFFLOWER IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 TILAPIA IGE	$8.65	$17.30	$2.86–$12.98	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN IGE	$14.45	$28.90	$2.86–$21.67	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN POMEGRANATE IGE	$14.45	$28.90	$2.86–$21.67	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 ALLERGEN WINE VINEGAR IGE	$14.45	$28.90	$2.86–$21.67	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RED DYE IGE	$17.25	$34.50	$2.86–$25.88	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 CORIANDER CILANTRO IGE	$17.25	$34.50	$2.86–$25.88	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST-PANEL B	$64.60	$129.20	$2.86–$96.90	—	50%
Allergy blood test, specific IgE, per allergen inpatient CPT 86003 RAST 6 OR MORE	$155.50	$311.00	$2.86–$233.25	—	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 SINGLE AFP MARKER	$54.40	$108.80	$9.17–$81.60	7% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 AFP SERUM	$56.55	$113.10	$9.17–$84.82	11% above	50%
Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN, SERUM	$92.40	$184.80	$9.17–$138.60	81% above	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 SINGLE AFP MARKER	$54.40	$108.80	$9.17–$81.60	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 AFP SERUM	$56.55	$113.10	$9.17–$84.82	—	50%
Alpha-fetoprotein (AFP) blood test inpatient CPT 82105 ALPHA FETOPROTEIN, SERUM	$92.40	$184.80	$9.17–$138.60	—	50%
Ammonia blood test CPT 82140 AMMONIA, BLOOD	$63.15	$126.30	$7.97–$94.73	3% below	50%
Ammonia blood test inpatient CPT 82140 AMMONIA, BLOOD	$63.15	$126.30	$7.97–$94.73	—	50%
Amylase blood test CPT 82150 AMYLASE TOTAL	$7.50	$15.00	$3.54–$11.25	63% below	50%
Amylase blood test CPT 82150 AMYLASE ISOENZYMES (SOLC)	$10.91	$21.81	$3.54–$16.36	46% below	50%
Amylase blood test CPT 82150 AMYLASE ISOENZYME	$29.05	$58.10	$3.54–$43.58	45% above	50%
Amylase blood test CPT 82150 AMYLASE, BLOOD OR URINE	$36.60	$73.20	$3.54–$54.90	83% above	50%
Amylase blood test CPT 82150 AMYLASE MONOMERIC	$37.85	$75.70	$3.54–$56.78	89% above	50%
Amylase blood test inpatient CPT 82150 AMYLASE TOTAL	$7.50	$15.00	$3.54–$11.25	—	50%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYMES (SOLC)	$10.91	$21.81	$3.54–$16.36	—	50%
Amylase blood test inpatient CPT 82150 AMYLASE ISOENZYME	$29.05	$58.10	$3.54–$43.58	—	50%
Amylase blood test inpatient CPT 82150 AMYLASE, BLOOD OR URINE	$36.60	$73.20	$3.54–$54.90	—	50%
Amylase blood test inpatient CPT 82150 AMYLASE MONOMERIC	$37.85	$75.70	$3.54–$56.78	—	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYC CITRULLINATED PEP AB	$10.51	$21.01	$7.08–$21.69	81% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRULLINATED PEPT	$10.51	$21.01	$7.08–$21.69	81% below	50%
Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 CYCLIC CITRUL PEPTIDE IG	$10.51	$21.01	$7.08–$21.69	81% below	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRULLINATED PEPT	$10.51	$21.01	$7.08–$21.69	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYCLIC CITRUL PEPTIDE IG	$10.51	$21.01	$7.08–$21.69	—	50%
Anti-CCP antibody test (rheumatoid arthritis) inpatient CPT 86200 CYC CITRULLINATED PEP AB	$10.51	$21.01	$7.08–$21.69	—	50%
Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA FLOURESCENT & ANTI-NU	$24.10	$48.20	$6.61–$36.15	57% below	50%
Antinuclear antibody (ANA) blood test, screen inpatient CPT 86038 ANA FLOURESCENT & ANTI-NU	$24.10	$48.20	$6.61–$36.15	—	50%
BNP or NT-proBNP blood test (heart failure marker) CPT 83880 B TYP NATRIURETC PEPTIDE	$26.25	$52.50	$19.37–$65.77	66% below	50%
BNP or NT-proBNP blood test (heart failure marker) inpatient CPT 83880 B TYP NATRIURETC PEPTIDE	$26.25	$52.50	$19.37–$65.77	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 BACTERIAL CULTURE OTHER	$49.15	$98.30	$4.72–$73.73	7% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE AEROBIC W/ISOL &	$49.15	$98.30	$4.72–$73.73	7% below	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 SURVEILLANCE/I.D.	$53.00	$106.00	$4.72–$79.50	at median	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE, QUANT., FLUID	$145.40	$290.80	$4.72–$218.10	174% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 CULTURE,QUAN,TISS	$156.45	$312.90	$4.72–$234.67	195% above	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 BACTERIAL CULTURE OTHER	$49.15	$98.30	$4.72–$73.73	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE AEROBIC W/ISOL &	$49.15	$98.30	$4.72–$73.73	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 SURVEILLANCE/I.D.	$53.00	$106.00	$4.72–$79.50	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE, QUANT., FLUID	$145.40	$290.80	$4.72–$218.10	—	50%
Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) inpatient CPT 87070 CULTURE,QUAN,TISS	$156.45	$312.90	$4.72–$234.67	—	50%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel	$144.35	$288.70	$4.63–$216.52	186% above	50%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel	$144.35	$288.70	$4.63–$216.52	—	50%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN (SOLC)	$9.25	$18.50	$2.75–$13.88	59% below	50%
Bilirubin blood test, total CPT 82247 MP TOTAL BILIRUBIN	$24.10	$48.20	$2.75–$36.15	6% above	50%
Bilirubin blood test, total CPT 82247 MP- TOTAL BILIRUBIN	$24.10	$48.20	$2.75–$36.15	6% above	50%
Bilirubin blood test, total CPT 82247 TOTAL BILIRUBIN FLUID	$24.10	$48.20	$2.75–$36.15	6% above	50%
Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL AUTO	$26.75	$53.50	$2.75–$40.13	18% above	50%
Bilirubin blood test, total CPT 82247 BILIRUBIN, TOTAL, AUTO	$26.75	$53.50	$2.75–$40.13	18% above	50%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN (SOLC)	$9.25	$18.50	$2.75–$13.88	—	50%
Bilirubin blood test, total inpatient CPT 82247 MP- TOTAL BILIRUBIN	$24.10	$48.20	$2.75–$36.15	—	50%
Bilirubin blood test, total inpatient CPT 82247 MP TOTAL BILIRUBIN	$24.10	$48.20	$2.75–$36.15	—	50%
Bilirubin blood test, total inpatient CPT 82247 TOTAL BILIRUBIN FLUID	$24.10	$48.20	$2.75–$36.15	—	50%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN TOTAL AUTO	$26.75	$53.50	$2.75–$40.13	—	50%
Bilirubin blood test, total inpatient CPT 82247 BILIRUBIN, TOTAL, AUTO	$26.75	$53.50	$2.75–$40.13	—	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 SURG PATH LVL IV (SOAK)	$20.64	$41.28	$15.23–$111.74	81% below	50%
Biopsy tissue exam by a pathologist (level IV) CPT 88305 LEVEL IV - SURGICAL PATH	$161.00	$322.00	$29.23–$241.50	48% above	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 SURG PATH LVL IV (SOAK)	$20.64	$41.28	$15.23–$111.74	—	50%
Biopsy tissue exam by a pathologist (level IV) inpatient CPT 88305 LEVEL IV - SURGICAL PATH	$161.00	$322.00	$29.23–$241.50	—	50%
Blood culture for bacteria CPT 87040 BLOOD CULTURE W/REFLEX PN	$84.10	$168.20	$5.65–$126.15	33% above	50%
Blood culture for bacteria CPT 87040 Blood Culture	$87.80	$175.60	$5.65–$131.70	39% above	50%
Blood culture for bacteria inpatient CPT 87040 BLOOD CULTURE W/REFLEX PN	$84.10	$168.20	$5.65–$126.15	—	50%
Blood culture for bacteria inpatient CPT 87040 Blood Culture	$87.80	$175.60	$5.65–$131.70	—	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 KINETIC BLOOD DRAW	$12.10	$24.20	$4.97–$18.15	6% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIPUNCTUR	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLDRAWBYVENIPUNCTUR	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRW X VENIPNC	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRAW BY VENIP	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRAW VENIPUNC	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENI	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRAW BY VENI	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIPNCTURE	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW X VENIPUNCTURE	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIPUNCUTR	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415 BLOOD DRAW BY VENIR	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 VENIPUNCTURE	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 BLOOD DRAW BY VENIP	$12.55	$25.10	$4.97–$18.83	3% below	50%
Blood draw from a vein (venipuncture), collection fee only CPT 36415 36415-RESEARCH BLOOD DRAW	$18.15	$36.30	$4.97–$27.22	41% above	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 KINETIC BLOOD DRAW	$12.10	$24.20	$4.97–$18.15	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 VENIPUNCTURE	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIPUNCTUR	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRAW BY VENI	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENI	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIP	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRAW BY VENIR	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIPUNCUTR	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW X VENIPUNCTURE	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 BLOOD DRAW BY VENIPNCTURE	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRAW VENIPUNC	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRAW BY VENIP	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLOOD DRW X VENIPNC	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415 BLDRAWBYVENIPUNCTUR	$12.55	$25.10	$4.97–$18.83	—	50%
Blood draw from a vein (venipuncture), collection fee only inpatient CPT 36415 36415-RESEARCH BLOOD DRAW	$18.15	$36.30	$4.97–$27.22	—	50%
Blood glucose (sugar) test CPT 82947 BLOOD GLUCOSE	$4.60	$9.20	$2.15–$6.90	81% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE LYTES	$16.65	$33.30	$2.15–$24.97	31% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE - LYTES	$16.65	$33.30	$2.15–$24.97	31% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE TOLER FAST-2H 75G	$16.65	$33.30	$2.15–$24.97	31% below	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE	$29.30	$58.60	$2.15–$43.95	22% above	50%
Blood glucose (sugar) test CPT 82947 POC GLUCOSE	$36.85	$73.70	$2.15–$55.28	54% above	50%
Blood glucose (sugar) test CPT 82947 GLUCOSE QUANT BLOOD	$42.35	$84.70	$2.15–$63.53	76% above	50%
Blood glucose (sugar) test inpatient CPT 82947 BLOOD GLUCOSE	$4.60	$9.20	$2.15–$6.90	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE - LYTES	$16.65	$33.30	$2.15–$24.97	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE LYTES	$16.65	$33.30	$2.15–$24.97	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE TOLER FAST-2H 75G	$16.65	$33.30	$2.15–$24.97	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE	$29.30	$58.60	$2.15–$43.95	—	50%
Blood glucose (sugar) test inpatient CPT 82947 POC GLUCOSE	$36.85	$73.70	$2.15–$55.28	—	50%
Blood glucose (sugar) test inpatient CPT 82947 GLUCOSE QUANT BLOOD	$42.35	$84.70	$2.15–$63.53	—	50%
Blood lead test CPT 83655 LEAD QUANTITATIVE (SOLC)	$7.75	$15.50	$5.72–$20.28	1% above	50%
Blood lead test CPT 83655 LEAD QUANTITATIVE(SOW)	$7.75	$15.50	$5.72–$20.28	1% above	50%
Blood lead test CPT 83655 LEAD BLOOD	$14.05	$28.10	$6.62–$21.08	84% above	50%
Blood lead test CPT 83655 LEAD URINE	$14.05	$28.10	$6.62–$21.08	84% above	50%
Blood lead test CPT 83655 LEAD BLD OR URINE	$32.60	$65.20	$6.62–$48.90	326% above	50%
Blood lead test inpatient CPT 83655 LEAD QUANTITATIVE (SOLC)	$7.75	$15.50	$5.72–$20.28	—	50%
Blood lead test inpatient CPT 83655 LEAD QUANTITATIVE(SOW)	$7.75	$15.50	$5.72–$20.28	—	50%
Blood lead test inpatient CPT 83655 LEAD BLOOD	$14.05	$28.10	$6.62–$21.08	—	50%
Blood lead test inpatient CPT 83655 LEAD URINE	$14.05	$28.10	$6.62–$21.08	—	50%
Blood lead test inpatient CPT 83655 LEAD BLD OR URINE	$32.60	$65.20	$6.62–$48.90	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 PREGNANCY TEST DIP-UNIT B	$15.75	$31.50	$4.11–$23.63	57% below	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPH CHOR UR BL Q	$36.90	$73.80	$4.11–$55.35	at median	50%
Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 GONADOTROPH, CHOR,UR,BL,Q	$36.90	$73.80	$4.11–$55.35	at median	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 PREGNANCY TEST DIP-UNIT B	$15.75	$31.50	$4.11–$23.63	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPH, CHOR,UR,BL,Q	$36.90	$73.80	$4.11–$55.35	—	50%
Blood pregnancy test (hCG, qualitative: yes or no) inpatient CPT 84703 GONADOTROPH CHOR UR BL Q	$36.90	$73.80	$4.11–$55.35	—	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 BLOOD TYPING; ABO	$15.15	$30.30	$1.64–$22.73	28% below	50%
Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 TRANSPLANT ABO TYPE	$15.15	$30.30	$1.64–$22.73	28% below	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 BLOOD TYPING; ABO	$15.15	$30.30	$1.64–$22.73	—	50%
Blood type test, ABO group only (Rh factor is a separate test) inpatient CPT 86900 TRANSPLANT ABO TYPE	$15.15	$30.30	$1.64–$22.73	—	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN LYTES	$9.05	$18.10	$2.16–$13.58	49% below	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN - LYTES	$9.05	$18.10	$2.16–$13.58	49% below	50%
Blood urea nitrogen (BUN) test CPT 84520 BUN FLUID	$18.15	$36.30	$2.16–$27.22	2% above	50%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN BLOOD AUTO	$20.15	$40.30	$2.16–$30.22	14% above	50%
Blood urea nitrogen (BUN) test CPT 84520 UREA NITROGEN, BLOOD, AUT	$20.15	$40.30	$2.16–$30.22	14% above	50%
Blood urea nitrogen (BUN) test CPT 84520 POC BLOOD UREA NITROGEN	$27.20	$54.40	$2.16–$40.80	54% above	50%
Blood urea nitrogen (BUN) test CPT 84520 BLD UREA NTRG Q	$31.00	$62.00	$2.16–$46.50	75% above	50%
Blood urea nitrogen (BUN) test CPT 84520 BLD UREA NITROGEN QUAN	$43.90	$87.80	$2.16–$65.85	148% above	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN LYTES	$9.05	$18.10	$2.16–$13.58	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN - LYTES	$9.05	$18.10	$2.16–$13.58	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BUN FLUID	$18.15	$36.30	$2.16–$27.22	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN BLOOD AUTO	$20.15	$40.30	$2.16–$30.22	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 UREA NITROGEN, BLOOD, AUT	$20.15	$40.30	$2.16–$30.22	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 POC BLOOD UREA NITROGEN	$27.20	$54.40	$2.16–$40.80	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLD UREA NTRG Q	$31.00	$62.00	$2.16–$46.50	—	50%
Blood urea nitrogen (BUN) test inpatient CPT 84520 BLD UREA NITROGEN QUAN	$43.90	$87.80	$2.16–$65.85	—	50%
C-peptide blood test CPT 84681 C-Peptide	$69.70	$139.40	$11.38–$104.55	1% below	50%
C-peptide blood test inpatient CPT 84681 C-Peptide	$69.70	$139.40	$11.38–$104.55	—	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 C-Reactive Protein	$46.90	$93.80	$2.83–$70.35	38% above	50%
C-reactive protein (CRP) blood test, standard (not high-sensitivity) inpatient CPT 86140 C-Reactive Protein	$46.90	$93.80	$2.83–$70.35	—	50%
C. difficile toxin gene test (stool PCR) CPT 87493 C. DIFFICILE, PCR	$45.70	$91.40	$20.39–$68.55	61% below	50%
C. difficile toxin gene test (stool PCR) inpatient CPT 87493 C. DIFFICILE, PCR	$45.70	$91.40	$20.39–$68.55	—	50%
CA 19-9 blood test (tumor marker) CPT 86301 CA 19-9	$97.65	$195.30	$11.38–$146.48	4% above	50%
CA 19-9 blood test (tumor marker) inpatient CPT 86301 CA 19-9	$97.65	$195.30	$11.38–$146.48	—	50%
CA-125 blood test (ovarian cancer marker) CPT 86304 CANCER ANTIGEN 125	$92.65	$185.30	$11.38–$138.98	8% below	50%
CA-125 blood test (ovarian cancer marker) inpatient CPT 86304 CANCER ANTIGEN 125	$92.65	$185.30	$11.38–$138.98	—	50%
COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 SARSCOV2 COVID19 AMP PRB	$206.00	$412.00	$28.07–$309.00	95% above	50%
COVID-19 PCR test (SARS-CoV-2 lab test) inpatient CPT 87635 SARSCOV2 COVID19 AMP PRB	$206.00	$412.00	$28.07–$309.00	—	50%
Calcium blood test, total CPT 82310 CALCIUM BLOOD ORURINE AU	$16.65	$33.30	$2.82–$24.97	17% below	50%
Calcium blood test, total CPT 82310 CALCUIM, BLOOD ORURINE AU	$16.65	$33.30	$2.82–$24.97	17% below	50%
Calcium blood test, total CPT 82310 TOTAL CALCIUM	$17.15	$34.30	$2.82–$25.72	14% below	50%
Calcium blood test, total inpatient CPT 82310 CALCIUM BLOOD ORURINE AU	$16.65	$33.30	$2.82–$24.97	—	50%
Calcium blood test, total inpatient CPT 82310 CALCUIM, BLOOD ORURINE AU	$16.65	$33.30	$2.82–$24.97	—	50%
Calcium blood test, total inpatient CPT 82310 TOTAL CALCIUM	$17.15	$34.30	$2.82–$25.72	—	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUID/CSF (SOLC)	$15.50	$31.00	$10.37–$31.76	81% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 CEA BODY FLUIDS CSF	$22.10	$44.20	$10.37–$33.15	73% below	50%
Carcinoembryonic antigen (CEA) test CPT 82378 Carcinoembryonic Antigen	$128.15	$256.30	$10.37–$192.23	54% above	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUID/CSF (SOLC)	$15.50	$31.00	$10.37–$31.76	—	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 CEA BODY FLUIDS CSF	$22.10	$44.20	$10.37–$33.15	—	50%
Carcinoembryonic antigen (CEA) test inpatient CPT 82378 Carcinoembryonic Antigen	$128.15	$256.30	$10.37–$192.23	—	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICLA ZOSTER IGM SERUM	$15.00	$30.00	$7.05–$22.50	63% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG CSF	$19.45	$38.90	$7.05–$29.17	52% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM CSF	$19.45	$38.90	$7.05–$29.17	52% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGG AB	$20.60	$41.20	$7.05–$30.90	49% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZOSTER IGM AB	$29.75	$59.50	$7.05–$44.63	26% below	50%
Chickenpox (varicella) immunity blood test CPT 86787 VARICELLA ZSTR AB (SOLC)	$40.50	$81.00	$7.05–$60.75	at median	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICLA ZOSTER IGM SERUM	$15.00	$30.00	$7.05–$22.50	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG CSF	$19.45	$38.90	$7.05–$29.17	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM CSF	$19.45	$38.90	$7.05–$29.17	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGG AB	$20.60	$41.20	$7.05–$30.90	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZOSTER IGM AB	$29.75	$59.50	$7.05–$44.63	—	50%
Chickenpox (varicella) immunity blood test inpatient CPT 86787 VARICELLA ZSTR AB (SOLC)	$40.50	$81.00	$7.05–$60.75	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS AMP	$40.80	$81.60	$19.19–$61.20	45% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS PHA	$40.80	$81.60	$19.19–$61.20	45% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA TRACHOMATIS REC	$40.80	$81.60	$19.19–$61.20	45% below	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA DNA AMP PROBE	$92.85	$185.70	$19.19–$139.27	25% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLAMYDIA, DNA AMPLIF	$92.85	$185.70	$19.19–$139.27	25% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 CHLMYDA DNA AMP PRB(SOM)	$99.57	$199.14	$19.19–$149.36	35% above	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS REC	$40.80	$81.60	$19.19–$61.20	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS PHA	$40.80	$81.60	$19.19–$61.20	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA TRACHOMATIS AMP	$40.80	$81.60	$19.19–$61.20	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA DNA AMP PROBE	$92.85	$185.70	$19.19–$139.27	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLAMYDIA, DNA AMPLIF	$92.85	$185.70	$19.19–$139.27	—	50%
Chlamydia test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87491 CHLMYDA DNA AMP PRB(SOM)	$99.57	$199.14	$19.19–$149.36	—	50%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL	$127.45	$254.90	$7.32–$191.18	150% above	50%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL	$127.45	$254.90	$7.32–$191.18	—	50%
Complete blood count (CBC) with differential CPT 85025 CBC W/AUTOMATED DIFFERENT	$20.80	$41.60	$4.25–$31.20	48% below	50%
Complete blood count (CBC) with differential CPT 85025 COMP BLOOD COUNT AUTO GL	$22.10	$44.20	$4.25–$33.15	45% below	50%
Complete blood count (CBC) with differential CPT 85025 3-PART AUTO DIFF	$25.40	$50.80	$4.25–$38.10	37% below	50%
Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTOMATED DIFFERENT	$20.80	$41.60	$4.25–$31.20	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 COMP BLOOD COUNT AUTO GL	$22.10	$44.20	$4.25–$33.15	—	50%
Complete blood count (CBC) with differential inpatient CPT 85025 3-PART AUTO DIFF	$25.40	$50.80	$4.25–$38.10	—	50%
Complete blood count (CBC), no differential CPT 85027 BLOOD CBC W/O DIFFERENT	$17.70	$35.40	$3.54–$26.55	39% below	50%
Complete blood count (CBC), no differential CPT 85027 BLOOD, CBC W/O DIFFERENTI	$17.70	$35.40	$3.54–$26.55	39% below	50%
Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD, CBC W/O DIFFERENTI	$17.70	$35.40	$3.54–$26.55	—	50%
Complete blood count (CBC), no differential inpatient CPT 85027 BLOOD CBC W/O DIFFERENT	$17.70	$35.40	$3.54–$26.55	—	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC P	$155.25	$310.50	$5.78–$232.88	108% above	50%
Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC P	$155.25	$310.50	$5.78–$232.88	108% above	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC P	$155.25	$310.50	$5.78–$232.88	—	50%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC P	$155.25	$310.50	$5.78–$232.88	—	50%
Cortisol blood test, total CPT 82533 CORTISOL SALIVA	$23.40	$46.80	$8.92–$35.10	31% below	50%
Cortisol blood test, total CPT 82533 CORTISOL, TOTAL	$85.25	$170.50	$8.92–$127.88	151% above	50%
Cortisol blood test, total CPT 82533 CORTISOL TOTAL	$85.25	$170.50	$8.92–$127.88	151% above	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL SALIVA	$23.40	$46.80	$8.92–$35.10	—	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL TOTAL	$85.25	$170.50	$8.92–$127.88	—	50%
Cortisol blood test, total inpatient CPT 82533 CORTISOL, TOTAL	$85.25	$170.50	$8.92–$127.88	—	50%
Creatine kinase (CK) blood test, total CPT 82550 CREATINE PHOSPHO-KINASE A	$63.55	$127.10	$3.56–$95.32	112% above	50%
Creatine kinase (CK) blood test, total inpatient CPT 82550 CREATINE PHOSPHO-KINASE A	$63.55	$127.10	$3.56–$95.32	—	50%
Creatinine blood test CPT 82565 Creatinine POC	$5.90	$11.80	$2.80–$8.85	75% below	50%
Creatinine blood test CPT 82565 POC CREATININE BLOOD	$5.95	$11.90	$2.80–$8.93	75% below	50%
Creatinine blood test CPT 82565 CREATININE LYTES	$13.05	$26.10	$2.80–$19.58	45% below	50%
Creatinine blood test CPT 82565 CREATNINE - LYTES	$13.05	$26.10	$2.80–$19.58	45% below	50%
Creatinine blood test CPT 82565 CREATININE BLOOD	$33.75	$67.50	$2.80–$50.63	42% above	50%
Creatinine blood test inpatient CPT 82565 Creatinine POC	$5.90	$11.80	$2.80–$8.85	—	50%
Creatinine blood test inpatient CPT 82565 POC CREATININE BLOOD	$5.95	$11.90	$2.80–$8.93	—	50%
Creatinine blood test inpatient CPT 82565 CREATININE LYTES	$13.05	$26.10	$2.80–$19.58	—	50%
Creatinine blood test inpatient CPT 82565 CREATNINE - LYTES	$13.05	$26.10	$2.80–$19.58	—	50%
Creatinine blood test inpatient CPT 82565 CREATININE BLOOD	$33.75	$67.50	$2.80–$50.63	—	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV ANTIBODY	$16.00	$32.00	$7.87–$24.10	63% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV AB	$16.00	$32.00	$7.87–$24.10	63% below	50%
Cytomegalovirus (CMV) antibody test CPT 86644 TEST CMV, DONOR UNIT	$46.35	$92.70	$7.87–$69.53	6% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALV AB IGG AVIDITY	$73.20	$146.40	$7.87–$109.80	68% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CYTOMEGALOVIRUS IGG AB	$73.20	$146.40	$7.87–$109.80	68% above	50%
Cytomegalovirus (CMV) antibody test CPT 86644 CMV (LYMPH CULTURE)	$73.20	$146.40	$7.87–$109.80	68% above	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV AB	$16.00	$32.00	$7.87–$24.10	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV ANTIBODY	$16.00	$32.00	$7.87–$24.10	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 TEST CMV, DONOR UNIT	$46.35	$92.70	$7.87–$69.53	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALOVIRUS IGG AB	$73.20	$146.40	$7.87–$109.80	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CYTOMEGALV AB IGG AVIDITY	$73.20	$146.40	$7.87–$109.80	—	50%
Cytomegalovirus (CMV) antibody test inpatient CPT 86644 CMV (LYMPH CULTURE)	$73.20	$146.40	$7.87–$109.80	—	50%
D-dimer blood test (blood clot marker) CPT 85379 D-DIMER	$21.80	$43.60	$5.57–$32.70	49% below	50%
D-dimer blood test (blood clot marker) CPT 85379 FDP D DIMER QNT	$55.10	$110.20	$5.57–$82.65	28% above	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 D-DIMER	$21.80	$43.60	$5.57–$32.70	—	50%
D-dimer blood test (blood clot marker) inpatient CPT 85379 FDP D DIMER QNT	$55.10	$110.20	$5.57–$82.65	—	50%
DHEA sulfate (DHEA-S) blood test CPT 82627 DHEA-SULFATE, BLOOD	$92.85	$185.70	$12.16–$139.27	44% above	50%
DHEA sulfate (DHEA-S) blood test inpatient CPT 82627 DHEA-SULFATE, BLOOD	$92.85	$185.70	$12.16–$139.27	—	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TST PRSMV CHEM (SON)	$57.95	$115.90	$33.99–$104.10	at median	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHANOL SERUM	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADONE,URINE,QUAL	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 TRICYCLIC ANTI DEPRSNT SC	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE URINE DRUG A	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 THC	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN, URINE	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 LSD SCREEN SERUM PLASMA	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG ANALYSIS GCMS	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 COCAINE & METABLT URINE	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 BENZODIAZEPINE, URINE	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ETHYL GLUCURONDIDE & SULF	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 AMPHETAMINES,URINE,QUAL	$60.10	$120.20	$33.99–$104.10	3% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ANABOLIC STEROIDS DRUG SC	$60.55	$121.10	$33.99–$104.10	4% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 MECONIUM DRUG SCREEN	$60.55	$121.10	$33.99–$104.10	4% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHAQUALONE QUANT URINE	$60.55	$121.10	$33.99–$104.10	4% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES SERUM	$62.05	$124.10	$33.99–$104.10	7% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 METHADANE & METABOLITE	$71.85	$143.70	$33.99–$107.77	23% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN QUAL	$73.35	$146.70	$33.99–$110.02	26% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ANABOLIC STEROIDS PANEL	$90.00	$180.00	$33.99–$135.00	55% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 HEROIN SCREEN	$170.50	$341.00	$33.99–$255.75	193% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG SCREEN EACH CLASS	$243.20	$486.40	$33.99–$364.80	318% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 ALCOHOL ETHYL URINE	$270.05	$540.10	$33.99–$405.08	364% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 DRUG TEST PRSMV CHEM ANLZ	$349.35	$698.70	$33.99–$524.03	500% above	50%
Drug screen by lab instrument (any number of drug classes) CPT 80307 OPIATES	$349.35	$698.70	$33.99–$524.03	500% above	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TST PRSMV CHEM (SON)	$57.95	$115.90	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 AMPHETAMINES,URINE,QUAL	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 THC	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN, URINE	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADONE,URINE,QUAL	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 BENZODIAZEPINE, URINE	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHYL GLUCURONDIDE & SULF	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 COCAINE & METABLT URINE	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG ANALYSIS GCMS	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 LSD SCREEN SERUM PLASMA	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE URINE DRUG A	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 TRICYCLIC ANTI DEPRSNT SC	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ETHANOL SERUM	$60.10	$120.20	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 MECONIUM DRUG SCREEN	$60.55	$121.10	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANABOLIC STEROIDS DRUG SC	$60.55	$121.10	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHAQUALONE QUANT URINE	$60.55	$121.10	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES SERUM	$62.05	$124.10	$33.99–$104.10	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 METHADANE & METABOLITE	$71.85	$143.70	$33.99–$107.77	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN QUAL	$73.35	$146.70	$33.99–$110.02	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ANABOLIC STEROIDS PANEL	$90.00	$180.00	$33.99–$135.00	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 HEROIN SCREEN	$170.50	$341.00	$33.99–$255.75	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG SCREEN EACH CLASS	$243.20	$486.40	$33.99–$364.80	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 ALCOHOL ETHYL URINE	$270.05	$540.10	$33.99–$405.08	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 OPIATES	$349.35	$698.70	$33.99–$524.03	—	50%
Drug screen by lab instrument (any number of drug classes) inpatient CPT 80307 DRUG TEST PRSMV CHEM ANLZ	$349.35	$698.70	$33.99–$524.03	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 URINE ELECTROLYTES	$31.40	$62.80	$3.83–$47.10	2% below	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTES BY RESPIRATO	$63.90	$127.80	$3.83–$95.85	100% above	50%
Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Electrolyte Panel	$71.60	$143.20	$3.83–$107.40	124% above	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 URINE ELECTROLYTES	$31.40	$62.80	$3.83–$47.10	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 ELECTROLYTES BY RESPIRATO	$63.90	$127.80	$3.83–$95.85	—	50%
Electrolyte panel (sodium, potassium, chloride, CO2) inpatient CPT 80051 Electrolyte Panel	$71.60	$143.20	$3.83–$107.40	—	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EBV VCA IGM AB	$19.65	$39.30	$9.92–$30.40	69% below	50%
Epstein-Barr virus (EBV) antibody test CPT 86665 EPSTEIN-BARR VIRUS, IGG	$79.85	$159.70	$9.92–$119.77	25% above	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EBV VCA IGM AB	$19.65	$39.30	$9.92–$30.40	—	50%
Epstein-Barr virus (EBV) antibody test inpatient CPT 86665 EPSTEIN-BARR VIRUS, IGG	$79.85	$159.70	$9.92–$119.77	—	50%
Estradiol blood test CPT 82670 ESTRADIOL	$101.50	$203.00	$15.28–$152.25	30% above	50%
Estradiol blood test inpatient CPT 82670 ESTRADIOL	$101.50	$203.00	$15.28–$152.25	—	50%
Fecal calprotectin (stool inflammation test) CPT 83993 CALPROTECTIN FECAL	$92.55	$185.10	$10.74–$138.83	46% above	50%
Fecal calprotectin (stool inflammation test) inpatient CPT 83993 CALPROTECTIN FECAL	$92.55	$185.10	$10.74–$138.83	—	50%
Ferritin blood test (iron stores) CPT 82728 FERRITIN, RIA	$56.55	$113.10	$7.46–$84.82	6% below	50%
Ferritin blood test (iron stores) inpatient CPT 82728 FERRITIN, RIA	$56.55	$113.10	$7.46–$84.82	—	50%
Fibrinogen blood test CPT 85384 FIBRINOGEN ACTIVITY	$10.65	$21.30	$5.32–$16.28	63% below	50%
Fibrinogen blood test CPT 85384 FIBRINOGEN	$27.55	$55.10	$5.32–$41.33	5% below	50%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN ACTIVITY	$10.65	$21.30	$5.32–$16.28	—	50%
Fibrinogen blood test inpatient CPT 85384 FIBRINOGEN	$27.55	$55.10	$5.32–$41.33	—	50%
Folate (folic acid) blood test CPT 82746 FOLIC ACID, SERUM	$80.25	$160.50	$8.04–$120.38	9% above	50%
Folate (folic acid) blood test inpatient CPT 82746 FOLIC ACID, SERUM	$80.25	$160.50	$8.04–$120.38	—	50%
Free T3 thyroid hormone test CPT 84481 FREE THYROXINE INDEX	$29.90	$59.80	$9.27–$44.85	55% below	50%
Free T3 thyroid hormone test CPT 84481 T3 FREE	$110.55	$221.10	$9.27–$165.83	66% above	50%
Free T3 thyroid hormone test CPT 84481 T3, FREE	$110.55	$221.10	$9.27–$165.83	66% above	50%
Free T3 thyroid hormone test inpatient CPT 84481 FREE THYROXINE INDEX	$29.90	$59.80	$9.27–$44.85	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3, FREE	$110.55	$221.10	$9.27–$165.83	—	50%
Free T3 thyroid hormone test inpatient CPT 84481 T3 FREE	$110.55	$221.10	$9.27–$165.83	—	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 T4 FREE BY DIALYSIS	$18.85	$37.70	$4.93–$28.28	38% below	50%
Free T4 (free thyroxine) thyroid blood test CPT 84439 THYROXINE, FREE	$103.95	$207.90	$4.93–$155.93	241% above	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 T4 FREE BY DIALYSIS	$18.85	$37.70	$4.93–$28.28	—	50%
Free T4 (free thyroxine) thyroid blood test inpatient CPT 84439 THYROXINE, FREE	$103.95	$207.90	$4.93–$155.93	—	50%
Free testosterone test CPT 84402 TESTOSTERONE FREE	$92.75	$185.50	$13.93–$139.13	153% above	50%
Free testosterone test inpatient CPT 84402 TESTOSTERONE FREE	$92.75	$185.50	$13.93–$139.13	—	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUT TRNS PEPTIDASE(SOLC)	$9.25	$18.50	$3.94–$13.88	70% below	50%
Gamma-glutamyl transferase (GGT) blood test CPT 82977 GLUTAMYL TRANS-PEPTIDASE,	$43.90	$87.80	$3.94–$65.85	43% above	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUT TRNS PEPTIDASE(SOLC)	$9.25	$18.50	$3.94–$13.88	—	50%
Gamma-glutamyl transferase (GGT) blood test inpatient CPT 82977 GLUTAMYL TRANS-PEPTIDASE,	$43.90	$87.80	$3.94–$65.85	—	50%
Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE, 2 HR PP	$31.60	$63.20	$2.60–$47.40	46% above	50%
Glucose challenge test (1-hour glucose after a sugar drink) inpatient CPT 82950 GLUCOSE, 2 HR PP	$31.60	$63.20	$2.60–$47.40	—	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE 3SPEC	$20.80	$41.60	$7.04–$31.20	64% below	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLER 3HR/100GM	$68.20	$136.40	$7.04–$102.30	20% above	50%
Glucose tolerance test, 3 samples CPT 82951 GLUCOSE TOLERANCE, 2HR	$135.00	$270.00	$7.04–$202.50	137% above	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE 3SPEC	$20.80	$41.60	$7.04–$31.20	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLER 3HR/100GM	$68.20	$136.40	$7.04–$102.30	—	50%
Glucose tolerance test, 3 samples inpatient CPT 82951 GLUCOSE TOLERANCE, 2HR	$135.00	$270.00	$7.04–$202.50	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE PHA	$40.80	$81.60	$19.19–$61.20	58% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE AMP	$40.80	$81.60	$19.19–$61.20	58% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 NEISSERIA GONORRHOEAE REC	$40.80	$81.60	$19.19–$61.20	58% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 N GONOR AMP PROBE	$92.85	$185.70	$19.19–$139.27	4% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GONORRHEA, DNA AMPLIF	$92.85	$185.70	$19.19–$139.27	4% below	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 GC DNA AMP PROBE (SOM)	$102.34	$204.68	$19.19–$153.51	6% above	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE AMP	$40.80	$81.60	$19.19–$61.20	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE PHA	$40.80	$81.60	$19.19–$61.20	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 NEISSERIA GONORRHOEAE REC	$40.80	$81.60	$19.19–$61.20	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GONORRHEA, DNA AMPLIF	$92.85	$185.70	$19.19–$139.27	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 N GONOR AMP PROBE	$92.85	$185.70	$19.19–$139.27	—	50%
Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) inpatient CPT 87591 GC DNA AMP PROBE (SOM)	$102.34	$204.68	$19.19–$153.51	—	50%
H. pylori antibody blood test CPT 86677 H PYLORI IGA	$13.05	$26.10	$9.22–$28.23	78% below	50%
H. pylori antibody blood test CPT 86677 H PYLORI AB IGM	$13.90	$27.80	$9.22–$28.23	77% below	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGG A	$28.35	$56.70	$9.22–$42.53	52% below	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGA A	$28.35	$56.70	$9.22–$42.53	52% below	50%
H. pylori antibody blood test CPT 86677 HELICOBACTER PYLORI,IGM A	$28.35	$56.70	$9.22–$42.53	52% below	50%
H. pylori antibody blood test CPT 86677 HELICO PYLORI AB,IGG	$75.70	$151.40	$9.22–$113.55	28% above	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI IGA	$13.05	$26.10	$9.22–$28.23	—	50%
H. pylori antibody blood test inpatient CPT 86677 H PYLORI AB IGM	$13.90	$27.80	$9.22–$28.23	—	50%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGM A	$28.35	$56.70	$9.22–$42.53	—	50%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGG A	$28.35	$56.70	$9.22–$42.53	—	50%
H. pylori antibody blood test inpatient CPT 86677 HELICOBACTER PYLORI,IGA A	$28.35	$56.70	$9.22–$42.53	—	50%
H. pylori antibody blood test inpatient CPT 86677 HELICO PYLORI AB,IGG	$75.70	$151.40	$9.22–$113.55	—	50%
H. pylori stool antigen test CPT 87338 H PYLORI STOOL ANTIGEN	$13.95	$27.90	$7.87–$24.10	78% below	50%
H. pylori stool antigen test CPT 87338 HI PLYDRI ANTIGEN STOOL	$34.45	$68.90	$7.87–$51.68	46% below	50%
H. pylori stool antigen test inpatient CPT 87338 H PYLORI STOOL ANTIGEN	$13.95	$27.90	$7.87–$24.10	—	50%
H. pylori stool antigen test inpatient CPT 87338 HI PLYDRI ANTIGEN STOOL	$34.45	$68.90	$7.87–$51.68	—	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV-1 QUANTITATIVE PCR	$227.05	$454.10	$46.55–$340.58	24% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV VIR LOAD QNT RVS TRAN	$280.10	$560.20	$46.55–$420.15	53% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HIV INTEGRASE RFLX VIR LD	$296.80	$593.60	$46.55–$445.20	63% above	50%
HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 ULTRA SENSITIVE HIV-1	$323.55	$647.10	$46.55–$485.33	77% above	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV-1 QUANTITATIVE PCR	$227.05	$454.10	$46.55–$340.58	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV VIR LOAD QNT RVS TRAN	$280.10	$560.20	$46.55–$420.15	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 HIV INTEGRASE RFLX VIR LD	$296.80	$593.60	$46.55–$445.20	—	50%
HIV viral load test (HIV-1 RNA, quantitative) inpatient CPT 87536 ULTRA SENSITIVE HIV-1	$323.55	$647.10	$46.55–$485.33	—	50%
HIV-1 and HIV-2 antibody test CPT 86703 HIV 1,2 COMBO ANTIBODIES	$13.20	$26.40	$7.50–$22.96	72% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 DELIVERY HIV 1/2 AB	$37.85	$75.70	$7.50–$56.78	19% below	50%
HIV-1 and HIV-2 antibody test CPT 86703 TRANSPLANT HIV 1&2, AB	$40.95	$81.90	$7.50–$61.43	13% below	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 HIV 1,2 COMBO ANTIBODIES	$13.20	$26.40	$7.50–$22.96	—	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 DELIVERY HIV 1/2 AB	$37.85	$75.70	$7.50–$56.78	—	50%
HIV-1 and HIV-2 antibody test inpatient CPT 86703 TRANSPLANT HIV 1&2, AB	$40.95	$81.90	$7.50–$61.43	—	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HIV ANTIGEN AB SCREEN TST	$24.85	$49.70	$13.17–$40.34	49% below	50%
HIV-1/2 antigen and antibody combination blood test (4th generation) inpatient CPT 87389 HIV ANTIGEN AB SCREEN TST	$24.85	$49.70	$13.17–$40.34	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HBA1C BY FINGERSTICK	$18.80	$37.60	$5.31–$28.20	52% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOSYLATED HEMOGLOB(HBA	$23.25	$46.50	$5.31–$34.88	40% below	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 HBA1C BY FINGERSTICK	$18.80	$37.60	$5.31–$28.20	—	50%
Hemoglobin A1C blood test (average blood sugar over about 3 months) inpatient CPT 83036 GLYCOSYLATED HEMOGLOB(HBA	$23.25	$46.50	$5.31–$34.88	—	50%
Hemoglobin blood test CPT 85018 Hemoglobin	$28.25	$56.50	$1.30–$42.38	77% above	50%
Hemoglobin blood test CPT 85018 BLOOD HEMOGLBN	$50.00	$100.00	$1.30–$75.00	212% above	50%
Hemoglobin blood test CPT 85018 HEMOGLOBIN (HGB)	$62.60	$125.20	$1.30–$93.90	291% above	50%
Hemoglobin blood test inpatient CPT 85018 Hemoglobin	$28.25	$56.50	$1.30–$42.38	—	50%
Hemoglobin blood test inpatient CPT 85018 BLOOD HEMOGLBN	$50.00	$100.00	$1.30–$75.00	—	50%
Hemoglobin blood test inpatient CPT 85018 HEMOGLOBIN (HGB)	$62.60	$125.20	$1.30–$93.90	—	50%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE HBCAB	$14.00	$28.00	$6.59–$21.00	68% below	50%
Hepatitis B core antibody test (total) CPT 86704 HEPATITIS B CORE ANTIBODY	$35.50	$71.00	$6.59–$53.25	20% below	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE HBCAB	$14.00	$28.00	$6.59–$21.00	—	50%
Hepatitis B core antibody test (total) inpatient CPT 86704 HEPATITIS B CORE ANTIBODY	$35.50	$71.00	$6.59–$53.25	—	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HEPATITIS B SURF ANTIBODY	$54.05	$108.10	$5.87–$81.07	29% above	50%
Hepatitis B surface antibody (anti-HBs) test, immunity check inpatient CPT 86706 HEPATITIS B SURF ANTIBODY	$54.05	$108.10	$5.87–$81.07	—	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS B SURFACE AG	$36.30	$72.60	$5.65–$54.45	22% below	50%
Hepatitis B surface antigen (HBsAg) test CPT 87340 HEPATITIS BS ANTIGEN	$38.35	$76.70	$5.65–$57.53	17% below	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS B SURFACE AG	$36.30	$72.60	$5.65–$54.45	—	50%
Hepatitis B surface antigen (HBsAg) test inpatient CPT 87340 HEPATITIS BS ANTIGEN	$38.35	$76.70	$5.65–$57.53	—	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C LGG ANTIBODY	$34.15	$68.30	$7.81–$51.22	29% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITS C ANTIBODIES	$42.70	$85.40	$7.81–$64.05	11% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 DONOR HEPATITIS C, AB	$46.35	$92.70	$7.81–$69.53	3% below	50%
Hepatitis C antibody blood test (screening) CPT 86803 HEPATITIS C IGG AB	$68.45	$136.90	$7.81–$102.68	43% above	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C LGG ANTIBODY	$34.15	$68.30	$7.81–$51.22	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITS C ANTIBODIES	$42.70	$85.40	$7.81–$64.05	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 DONOR HEPATITIS C, AB	$46.35	$92.70	$7.81–$69.53	—	50%
Hepatitis C antibody blood test (screening) inpatient CPT 86803 HEPATITIS C IGG AB	$68.45	$136.90	$7.81–$102.68	—	50%
Hepatitis C viral load (HCV RNA) test CPT 87522 HEPATITIS C QUAN	$254.30	$508.60	$23.43–$381.45	93% above	50%
Hepatitis C viral load (HCV RNA) test inpatient CPT 87522 HEPATITIS C QUAN	$254.30	$508.60	$23.43–$381.45	—	50%
Herpes blood test, HSV-1 antibody CPT 86695 HSV-1 SPECIFIC IGG AB	$10.70	$21.40	$7.21–$22.09	74% below	50%
Herpes blood test, HSV-1 antibody CPT 86695 HERPES I AB IGG	$10.70	$21.40	$7.21–$22.09	74% below	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HSV-1 SPECIFIC IGG AB	$10.70	$21.40	$7.21–$22.09	—	50%
Herpes blood test, HSV-1 antibody inpatient CPT 86695 HERPES I AB IGG	$10.70	$21.40	$7.21–$22.09	—	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV TYPE 2 AB IGG	$19.15	$38.30	$10.58–$32.41	63% below	50%
Herpes blood test, HSV-2 antibody CPT 86696 HSV-2 SPECIFIC IGG AB	$45.65	$91.30	$10.58–$68.48	11% below	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV TYPE 2 AB IGG	$19.15	$38.30	$10.58–$32.41	—	50%
Herpes blood test, HSV-2 antibody inpatient CPT 86696 HSV-2 SPECIFIC IGG AB	$45.65	$91.30	$10.58–$68.48	—	50%
High-sensitivity CRP (hs-CRP) test CPT 86141 HIGH SENSITIVITY, CRP	$15.15	$30.30	$7.08–$22.73	74% below	50%
High-sensitivity CRP (hs-CRP) test inpatient CPT 86141 HIGH SENSITIVITY, CRP	$15.15	$30.30	$7.08–$22.73	—	50%
Homocysteine blood test CPT 83090 HOMOCYSTEINE QUANT(SOA)	$17.00	$34.00	$9.80–$30.02	78% below	50%
Homocysteine blood test CPT 83090 HOMOCYSTEIN URINE	$29.50	$59.00	$9.80–$44.25	62% below	50%
Homocysteine blood test CPT 83090 HOMOCYSTINE, BLD QUANT	$73.20	$146.40	$9.80–$109.80	5% below	50%
Homocysteine blood test CPT 83090 HOMOCYSTINE URINE QUANT	$77.60	$155.20	$9.80–$116.40	1% above	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEINE QUANT(SOA)	$17.00	$34.00	$9.80–$30.02	—	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTEIN URINE	$29.50	$59.00	$9.80–$44.25	—	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE, BLD QUANT	$73.20	$146.40	$9.80–$109.80	—	50%
Homocysteine blood test inpatient CPT 83090 HOMOCYSTINE URINE QUANT	$77.60	$155.20	$9.80–$116.40	—	50%
Insulin blood test CPT 83525 INSULIN	$18.85	$37.70	$6.25–$28.28	48% below	50%
Insulin blood test CPT 83525 INSULIN, BLD RIA	$69.10	$138.20	$6.25–$103.65	89% above	50%
Insulin blood test inpatient CPT 83525 INSULIN	$18.85	$37.70	$6.25–$28.28	—	50%
Insulin blood test inpatient CPT 83525 INSULIN, BLD RIA	$69.10	$138.20	$6.25–$103.65	—	50%
Iron blood test (serum iron) CPT 83540 IRON	$14.50	$29.00	$3.54–$21.75	50% below	50%
Iron blood test (serum iron) CPT 83540 IRON RANDOM URINE	$37.85	$75.70	$3.54–$56.78	29% above	50%
Iron blood test (serum iron) CPT 83540 IRON, TOTAL	$37.85	$75.70	$3.54–$56.78	29% above	50%
Iron blood test (serum iron) CPT 83540 IRON BINDING CAPACITY	$52.00	$104.00	$3.54–$78.00	78% above	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON	$14.50	$29.00	$3.54–$21.75	—	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON, TOTAL	$37.85	$75.70	$3.54–$56.78	—	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON RANDOM URINE	$37.85	$75.70	$3.54–$56.78	—	50%
Iron blood test (serum iron) inpatient CPT 83540 IRON BINDING CAPACITY	$52.00	$104.00	$3.54–$78.00	—	50%
Iron-binding capacity (TIBC) test CPT 83550 UNSAT IRON BINDING TEST	$13.65	$27.30	$4.78–$20.48	66% below	50%
Iron-binding capacity (TIBC) test CPT 83550 IRON BINDING CAPACITY	$52.00	$104.00	$4.78–$78.00	31% above	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 UNSAT IRON BINDING TEST	$13.65	$27.30	$4.78–$20.48	—	50%
Iron-binding capacity (TIBC) test inpatient CPT 83550 IRON BINDING CAPACITY	$52.00	$104.00	$4.78–$78.00	—	50%
Kidney function blood test panel CPT 80069 Renal Function Panel	$185.45	$370.90	$4.75–$278.17	200% above	50%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel	$185.45	$370.90	$4.75–$278.17	—	50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE,	$55.10	$110.20	$10.13–$82.65	28% below	50%
LH (luteinizing hormone) test CPT 83002 LUTEINIZING HORMONE, <LH>	$55.10	$110.20	$10.13–$82.65	28% below	50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE,	$55.10	$110.20	$10.13–$82.65	—	50%
LH (luteinizing hormone) test inpatient CPT 83002 LUTEINIZING HORMONE, <LH>	$55.10	$110.20	$10.13–$82.65	—	50%
Lactate (lactic acid) blood test CPT 83605 LACTIC ACID, BLOOD, CSF	$54.05	$108.10	$6.33–$81.07	20% above	50%
Lactate (lactic acid) blood test CPT 83605 LACTATE BY RESPIRATORY	$54.05	$108.10	$6.33–$81.07	20% above	50%
Lactate (lactic acid) blood test CPT 83605 LACTATE(LACTIC ACID)	$76.40	$152.80	$6.33–$114.60	70% above	50%
Lactate (lactic acid) blood test CPT 83605 LACTATE (LACTIC ACID)	$87.05	$174.10	$6.33–$130.58	93% above	50%
Lactate (lactic acid) blood test CPT 83605 POC LACTIC ACID BLOOD CSF	$89.60	$179.20	$6.33–$134.40	99% above	50%
Lactate (lactic acid) blood test CPT 83605 D LACTATE URINE	$128.65	$257.30	$6.33–$192.98	186% above	50%
Lactate (lactic acid) blood test CPT 83605 D LACTATE PLASMA	$149.05	$298.10	$6.33–$223.58	231% above	50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE BY RESPIRATORY	$54.05	$108.10	$6.33–$81.07	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTIC ACID, BLOOD, CSF	$54.05	$108.10	$6.33–$81.07	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE(LACTIC ACID)	$76.40	$152.80	$6.33–$114.60	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 LACTATE (LACTIC ACID)	$87.05	$174.10	$6.33–$130.58	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 POC LACTIC ACID BLOOD CSF	$89.60	$179.20	$6.33–$134.40	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 D LACTATE URINE	$128.65	$257.30	$6.33–$192.98	—	50%
Lactate (lactic acid) blood test inpatient CPT 83605 D LACTATE PLASMA	$149.05	$298.10	$6.33–$223.58	—	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LDH-LACT DEHYROG (SOLC)	$4.00	$8.00	$2.95–$6.01	83% below	50%
Lactate dehydrogenase (LDH) blood test CPT 83615 LACTIC DEHYDROGENASE, LDH	$29.05	$58.10	$3.30–$43.58	21% above	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LDH-LACT DEHYROG (SOLC)	$4.00	$8.00	$2.95–$6.01	—	50%
Lactate dehydrogenase (LDH) blood test inpatient CPT 83615 LACTIC DEHYDROGENASE, LDH	$29.05	$58.10	$3.30–$43.58	—	50%
Lipase blood test (pancreas enzyme) CPT 83690 LIPASE	$38.50	$77.00	$3.77–$57.75	27% above	50%
Lipase blood test (pancreas enzyme) inpatient CPT 83690 LIPASE	$38.50	$77.00	$3.77–$57.75	—	50%
Liver function blood test panel CPT 80076 Hepatic Function Panel	$40.65	$81.30	$4.47–$60.97	14% below	50%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel	$40.65	$81.30	$4.47–$60.97	—	50%
Lyme disease antibody test CPT 86618 LYME DISEASE AB	$5.80	$11.60	$4.28–$28.52	78% below	50%
Lyme disease antibody test CPT 86618 LYME DISEASE AB TOTAL	$14.60	$29.20	$9.32–$28.52	44% below	50%
Lyme disease antibody test CPT 86618 BORRELIA BURGDORFERI	$14.60	$29.20	$9.32–$28.52	44% below	50%
Lyme disease antibody test CPT 86618 LYME DISEASE AB (SOLC)	$26.00	$52.00	$9.32–$39.00	at median	50%
Lyme disease antibody test CPT 86618 LYME DISEASE PANEL	$66.10	$132.20	$9.32–$99.15	154% above	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB	$5.80	$11.60	$4.28–$28.52	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB TOTAL	$14.60	$29.20	$9.32–$28.52	—	50%
Lyme disease antibody test inpatient CPT 86618 BORRELIA BURGDORFERI	$14.60	$29.20	$9.32–$28.52	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE AB (SOLC)	$26.00	$52.00	$9.32–$39.00	—	50%
Lyme disease antibody test inpatient CPT 86618 LYME DISEASE PANEL	$66.10	$132.20	$9.32–$99.15	—	50%
Magnesium blood test CPT 83735 MAGNESIUM RBC	$7.80	$15.60	$3.66–$11.70	61% below	50%
Magnesium blood test CPT 83735 MAGNESIUM, URINE	$18.10	$36.20	$3.66–$27.15	10% below	50%
Magnesium blood test CPT 83735 MAGNESIUM	$38.95	$77.90	$3.66–$58.43	95% above	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM RBC	$7.80	$15.60	$3.66–$11.70	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM, URINE	$18.10	$36.20	$3.66–$27.15	—	50%
Magnesium blood test inpatient CPT 83735 MAGNESIUM	$38.95	$77.90	$3.66–$58.43	—	50%
Measles (rubeola) antibody test CPT 86765 MEASLES IGM RUBEOLA	$15.00	$30.00	$7.05–$22.50	39% below	50%
Measles (rubeola) antibody test inpatient CPT 86765 MEASLES IGM RUBEOLA	$15.00	$30.00	$7.05–$22.50	—	50%
Mono test (heterophile antibody, Monospot) CPT 86308 MONO/HETEROPHILE	$19.25	$38.50	$2.83–$28.88	54% below	50%
Mono test (heterophile antibody, Monospot) inpatient CPT 86308 MONO/HETEROPHILE	$19.25	$38.50	$2.83–$28.88	—	50%
Mumps immunity blood test CPT 86735 MUMPS ANTIBODIES IGM	$16.20	$32.40	$7.14–$24.30	35% below	50%
Mumps immunity blood test CPT 86735 MUMPS IGG AB	$21.50	$43.00	$7.14–$32.25	14% below	50%
Mumps immunity blood test inpatient CPT 86735 MUMPS ANTIBODIES IGM	$16.20	$32.40	$7.14–$24.30	—	50%
Mumps immunity blood test inpatient CPT 86735 MUMPS IGG AB	$21.50	$43.00	$7.14–$32.25	—	50%
PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC AG, FRE	$55.85	$111.70	$10.06–$83.78	3% below	50%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC AG, FRE	$55.85	$111.70	$10.06–$83.78	—	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 ACID PHOSPATASE PROSATIC	$42.10	$84.20	$10.06–$63.15	17% below	50%
PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN	$55.85	$111.70	$10.06–$83.78	10% above	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 ACID PHOSPATASE PROSATIC	$42.10	$84.20	$10.06–$63.15	—	50%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN	$55.85	$111.70	$10.06–$83.78	—	50%
Pap test lab reading: liquid-based cervical sample, manual screening CPT 88142 GYN CYTOPATHY BY THIN PRE	$46.70	$93.40	$11.08–$70.05	40% below	50%
Pap test lab reading: liquid-based cervical sample, manual screening inpatient CPT 88142 GYN CYTOPATHY BY THIN PRE	$46.70	$93.40	$11.08–$70.05	—	50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE FNA	$48.00	$96.00	$22.58–$72.00	64% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 INTACT PTH	$104.55	$209.10	$22.58–$156.83	22% below	50%
Parathyroid hormone (PTH) blood test CPT 83970 PARATHYROID HORMONE (PTH)	$207.35	$414.70	$22.58–$311.03	55% above	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE FNA	$48.00	$96.00	$22.58–$72.00	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 INTACT PTH	$104.55	$209.10	$22.58–$156.83	—	50%
Parathyroid hormone (PTH) blood test inpatient CPT 83970 PARATHYROID HORMONE (PTH)	$207.35	$414.70	$22.58–$311.03	—	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO- PLASTIN	$26.85	$53.70	$3.29–$40.28	13% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBO PLASTIN	$26.85	$53.70	$3.29–$40.28	13% below	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTL	$34.00	$68.00	$3.29–$51.00	10% above	50%
Partial thromboplastin time (PTT) clotting test CPT 85730 PTT	$45.30	$90.60	$3.29–$67.95	46% above	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO PLASTIN	$26.85	$53.70	$3.29–$40.28	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBO- PLASTIN	$26.85	$53.70	$3.29–$40.28	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PARTL	$34.00	$68.00	$3.29–$51.00	—	50%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT	$45.30	$90.60	$3.29–$67.95	—	50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS, AUTO	$25.10	$50.20	$2.59–$37.65	20% above	50%
Phosphorus (phosphate) blood test CPT 84100 PHOSPHOROUS AUTO	$25.10	$50.20	$2.59–$37.65	20% above	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS, AUTO	$25.10	$50.20	$2.59–$37.65	—	50%
Phosphorus (phosphate) blood test inpatient CPT 84100 PHOSPHOROUS AUTO	$25.10	$50.20	$2.59–$37.65	—	50%
Potassium blood test CPT 84132 ASSAY OF SERUM POTASSIUM	$5.70	$11.40	$2.60–$8.55	75% below	50%
Potassium blood test CPT 84132 POTASSIUM, AUTO	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 POTASSIUM - LYTES	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 ELECTROLYTES PANEL-POTASS	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 POTASSIUM AUTO	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 POTASSIUM LYTES	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 K+	$19.60	$39.20	$2.60–$29.40	16% below	50%
Potassium blood test CPT 84132 POC POTASSIUM	$46.05	$92.10	$2.60–$69.07	98% above	50%
Potassium blood test CPT 84132 POTASSIUM SERUM	$46.90	$93.80	$2.60–$70.35	102% above	50%
Potassium blood test CPT 84132 POTASSIUM	$49.55	$99.10	$2.60–$74.32	114% above	50%
Potassium blood test inpatient CPT 84132 ASSAY OF SERUM POTASSIUM	$5.70	$11.40	$2.60–$8.55	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM, AUTO	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM AUTO	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM - LYTES	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM LYTES	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 ELECTROLYTES PANEL-POTASS	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 K+	$19.60	$39.20	$2.60–$29.40	—	50%
Potassium blood test inpatient CPT 84132 POC POTASSIUM	$46.05	$92.10	$2.60–$69.07	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM SERUM	$46.90	$93.80	$2.60–$70.35	—	50%
Potassium blood test inpatient CPT 84132 POTASSIUM	$49.55	$99.10	$2.60–$74.32	—	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) CPT 81420 FETAL CHROM ANALYSIS(SOA)	$205.00	$410.00	$151.29–$1,563.38	32% below	50%
Prenatal cell-free DNA screen for trisomy 21, 18 and 13 (NIPT) inpatient CPT 81420 FETAL CHROM ANALYSIS(SOA)	$205.00	$410.00	$151.29–$1,563.38	—	50%
Progesterone blood test CPT 84144 PROGESTERONE, BLD	$177.70	$355.40	$11.41–$266.55	179% above	50%
Progesterone blood test inpatient CPT 84144 PROGESTERONE, BLD	$177.70	$355.40	$11.41–$266.55	—	50%
Prolactin blood test CPT 84146 Prolactin	$96.50	$193.00	$10.60–$144.75	31% above	50%
Prolactin blood test inpatient CPT 84146 Prolactin	$96.50	$193.00	$10.60–$144.75	—	50%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time	$22.70	$45.40	$2.35–$34.05	18% above	50%
Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME	$41.15	$82.30	$2.35–$61.72	114% above	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time	$22.70	$45.40	$2.35–$34.05	—	50%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME	$41.15	$82.30	$2.35–$61.72	—	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B	$36.30	$72.60	$9.05–$54.45	24% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A	$36.30	$72.60	$9.05–$54.45	24% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA B ANTIGEN, EIA	$38.35	$76.70	$9.05–$57.53	20% below	50%
Rapid flu test (influenza antigen) CPT 87804 INFLUENZA A ANTIGEN, EIA	$38.35	$76.70	$9.05–$57.53	20% below	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A	$36.30	$72.60	$9.05–$54.45	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B	$36.30	$72.60	$9.05–$54.45	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA A ANTIGEN, EIA	$38.35	$76.70	$9.05–$57.53	—	50%
Rapid flu test (influenza antigen) inpatient CPT 87804 INFLUENZA B ANTIGEN, EIA	$38.35	$76.70	$9.05–$57.53	—	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 STREP AG RFLX CULT W OPT	$15.35	$30.70	$9.04–$27.69	71% below	50%
Rapid strep A antigen test from a throat swab, read visually CPT 87880 RAPID STREP AG	$15.35	$30.70	$9.04–$27.69	71% below	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 STREP AG RFLX CULT W OPT	$15.35	$30.70	$9.04–$27.69	—	50%
Rapid strep A antigen test from a throat swab, read visually inpatient CPT 87880 RAPID STREP AG	$15.35	$30.70	$9.04–$27.69	—	50%
Renin blood test CPT 84244 RENIN ACTIVITY	$24.45	$48.90	$12.03–$36.83	41% below	50%
Renin blood test CPT 84244 RENIN ACTIVITY PLASMA	$24.45	$48.90	$12.03–$36.83	41% below	50%
Renin blood test CPT 84244 RENIN	$24.45	$48.90	$12.03–$36.83	41% below	50%
Renin blood test CPT 84244 RENIN, PLASMA ASSAY, RIA	$89.35	$178.70	$12.03–$134.02	114% above	50%
Renin blood test inpatient CPT 84244 RENIN	$24.45	$48.90	$12.03–$36.83	—	50%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY PLASMA	$24.45	$48.90	$12.03–$36.83	—	50%
Renin blood test inpatient CPT 84244 RENIN ACTIVITY	$24.45	$48.90	$12.03–$36.83	—	50%
Renin blood test inpatient CPT 84244 RENIN, PLASMA ASSAY, RIA	$89.35	$178.70	$12.03–$134.02	—	50%
Rh blood typing CPT 86901 TRANSPLANT RH BLOOD TYPIN	$15.15	$30.30	$1.64–$22.73	27% below	50%
Rh blood typing CPT 86901 BLOOD TYPING; RH (D)	$15.15	$30.30	$1.64–$22.73	27% below	50%
Rh blood typing inpatient CPT 86901 BLOOD TYPING; RH (D)	$15.15	$30.30	$1.64–$22.73	—	50%
Rh blood typing inpatient CPT 86901 TRANSPLANT RH BLOOD TYPIN	$15.15	$30.30	$1.64–$22.73	—	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMTD FACTOR QUANT	$11.30	$22.60	$3.10–$16.95	67% below	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FCT QNT (SOA)	$11.78	$23.55	$3.10–$17.66	66% below	50%
Rheumatoid factor (RF) test CPT 86431 RHEUMATOID FACTOR QUANT	$28.95	$57.90	$3.10–$43.43	16% below	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMTD FACTOR QUANT	$11.30	$22.60	$3.10–$16.95	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FCT QNT (SOA)	$11.78	$23.55	$3.10–$17.66	—	50%
Rheumatoid factor (RF) test inpatient CPT 86431 RHEUMATOID FACTOR QUANT	$28.95	$57.90	$3.10–$43.43	—	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA AB (SOLC)	$8.06	$16.11	$5.94–$24.10	84% below	50%
Rubella antibody test (immunity check) CPT 86762 RUBELLA IGG AB	$58.45	$116.90	$7.87–$87.68	15% above	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA AB (SOLC)	$8.06	$16.11	$5.94–$24.10	—	50%
Rubella antibody test (immunity check) inpatient CPT 86762 RUBELLA IGG AB	$58.45	$116.90	$7.87–$87.68	—	50%
Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 SEDIMENTATION RATE, AUTOM	$10.15	$20.30	$1.48–$15.23	58% below	50%
Sed rate (ESR, erythrocyte sedimentation rate) inpatient CPT 85652 SEDIMENTATION RATE, AUTOM	$10.15	$20.30	$1.48–$15.23	—	50%
Sodium blood test CPT 84295 SODIUM LYTES	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 NA+	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 SODIUM AUTO	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 SODIUM - LYTES	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 ELECTROLYTES PANEL-SODIUM	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 SODIUM, AUTO	$23.25	$46.50	$2.63–$34.88	12% above	50%
Sodium blood test CPT 84295 POC SODIUM	$44.35	$88.70	$2.63–$66.53	113% above	50%
Sodium blood test CPT 84295 SODIUM BLOOD	$48.50	$97.00	$2.63–$72.75	133% above	50%
Sodium blood test CPT 84295 SODIUM	$52.45	$104.90	$2.63–$78.68	152% above	50%
Sodium blood test inpatient CPT 84295 SODIUM - LYTES	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 NA+	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 SODIUM, AUTO	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 ELECTROLYTES PANEL-SODIUM	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 SODIUM LYTES	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 SODIUM AUTO	$23.25	$46.50	$2.63–$34.88	—	50%
Sodium blood test inpatient CPT 84295 POC SODIUM	$44.35	$88.70	$2.63–$66.53	—	50%
Sodium blood test inpatient CPT 84295 SODIUM BLOOD	$48.50	$97.00	$2.63–$72.75	—	50%
Sodium blood test inpatient CPT 84295 SODIUM	$52.45	$104.90	$2.63–$78.68	—	50%
Stool ova and parasites exam CPT 87177 OVA AND PARASITE,DIRECT E	$13.05	$26.10	$4.87–$19.58	70% below	50%
Stool ova and parasites exam inpatient CPT 87177 OVA AND PARASITE,DIRECT E	$13.05	$26.10	$4.87–$19.58	—	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 FECAL OCCULT BLOOD	$16.40	$32.80	$2.40–$24.60	7% below	50%
Stool test for hidden blood (guaiac FOBT) CPT 82270 OCCULT BLD STL 1-3	$47.30	$94.60	$2.40–$70.95	170% above	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 FECAL OCCULT BLOOD	$16.40	$32.80	$2.40–$24.60	—	50%
Stool test for hidden blood (guaiac FOBT) inpatient CPT 82270 OCCULT BLD STL 1-3	$47.30	$94.60	$2.40–$70.95	—	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 IMMUNO FECAL OCCULT BLOOD	$36.30	$72.60	$8.71–$54.45	21% below	50%
Stool test for hidden blood by immunoassay (FIT) CPT 82274 HGB FECAL IA	$57.50	$115.00	$8.71–$86.25	26% above	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 IMMUNO FECAL OCCULT BLOOD	$36.30	$72.60	$8.71–$54.45	—	50%
Stool test for hidden blood by immunoassay (FIT) inpatient CPT 82274 HGB FECAL IA	$57.50	$115.00	$8.71–$86.25	—	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 TREPONEMA PALLIDIUM	$14.35	$28.70	$7.24–$22.18	69% below	50%
Syphilis antibody test (Treponema pallidum) CPT 86780 FTA-ABS	$59.15	$118.30	$7.24–$88.73	26% above	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 TREPONEMA PALLIDIUM	$14.35	$28.70	$7.24–$22.18	—	50%
Syphilis antibody test (Treponema pallidum) inpatient CPT 86780 FTA-ABS	$59.15	$118.30	$7.24–$88.73	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 RAPID PLASMA REAGIN	$23.25	$46.50	$2.34–$34.88	35% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 VDRL, CSF QUAL	$33.75	$67.50	$2.34–$50.63	96% above	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 RAPID PLASMA REAGIN	$23.25	$46.50	$2.34–$34.88	—	50%
Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result inpatient CPT 86592 VDRL, CSF QUAL	$33.75	$67.50	$2.34–$50.63	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB TEST CELL AG RESP(SOA)	$35.00	$70.00	$25.83–$103.83	72% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 TB Test-Cell Mediat Immun	$60.10	$120.20	$33.90–$103.83	53% below	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB TEST CELL AG RESP(SOA)	$35.00	$70.00	$25.83–$103.83	—	50%
TB blood test measuring immune response (IGRA, gamma interferon) inpatient CPT 86480 TB Test-Cell Mediat Immun	$60.10	$120.20	$33.90–$103.83	—	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTOSTERONE WOMEN CHILD	$30.00	$60.00	$14.12–$45.00	16% below	50%
Testosterone blood test, total (not free testosterone) CPT 84403 TESTESTRONE, TOTAL	$106.60	$213.20	$14.12–$159.90	199% above	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTOSTERONE WOMEN CHILD	$30.00	$60.00	$14.12–$45.00	—	50%
Testosterone blood test, total (not free testosterone) inpatient CPT 84403 TESTESTRONE, TOTAL	$106.60	$213.20	$14.12–$159.90	—	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 LIVER-KIDNEY MICROSML AB	$16.05	$32.10	$7.96–$24.37	65% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 A TPO	$16.05	$32.10	$7.96–$24.37	65% below	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 MICROSOMAL AB	$50.95	$101.90	$7.96–$76.43	10% above	50%
Thyroid peroxidase (TPO) antibody test CPT 86376 ANTITHYROID PEROXIDASE A	$51.50	$103.00	$7.96–$77.25	12% above	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 A TPO	$16.05	$32.10	$7.96–$24.37	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 LIVER-KIDNEY MICROSML AB	$16.05	$32.10	$7.96–$24.37	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 MICROSOMAL AB	$50.95	$101.90	$7.96–$76.43	—	50%
Thyroid peroxidase (TPO) antibody test inpatient CPT 86376 ANTITHYROID PEROXIDASE A	$51.50	$103.00	$7.96–$77.25	—	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH (SOQ)	$45.15	$90.30	$9.19–$67.73	30% below	50%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMO	$125.15	$250.30	$9.19–$187.73	94% above	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH (SOQ)	$45.15	$90.30	$9.19–$67.73	—	50%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMO	$125.15	$250.30	$9.19–$187.73	—	50%
Total IgE blood test CPT 82785 IGE	$20.40	$40.80	$9.00–$30.60	54% below	50%
Total IgE blood test CPT 82785 TOTAL SERUM IGE	$20.60	$41.20	$9.00–$30.90	53% below	50%
Total IgE blood test CPT 82785 IGE GAMMAGLOBULIN	$20.60	$41.20	$9.00–$30.90	53% below	50%
Total IgE blood test CPT 82785 GAMMA GLOBULIN IGE, SERUM	$61.70	$123.40	$9.00–$92.55	39% above	50%
Total IgE blood test CPT 82785 TOTAL SERUM 1GE	$82.95	$165.90	$9.00–$124.43	87% above	50%
Total IgE blood test CPT 82785 IMMUNOGLOBULIN SUBCLASSES	$82.95	$165.90	$9.00–$124.43	87% above	50%
Total IgE blood test inpatient CPT 82785 IGE	$20.40	$40.80	$9.00–$30.60	—	50%
Total IgE blood test inpatient CPT 82785 IGE GAMMAGLOBULIN	$20.60	$41.20	$9.00–$30.90	—	50%
Total IgE blood test inpatient CPT 82785 TOTAL SERUM IGE	$20.60	$41.20	$9.00–$30.90	—	50%
Total IgE blood test inpatient CPT 82785 GAMMA GLOBULIN IGE, SERUM	$61.70	$123.40	$9.00–$92.55	—	50%
Total IgE blood test inpatient CPT 82785 IMMUNOGLOBULIN SUBCLASSES	$82.95	$165.90	$9.00–$124.43	—	50%
Total IgE blood test inpatient CPT 82785 TOTAL SERUM 1GE	$82.95	$165.90	$9.00–$124.43	—	50%
Total cholesterol blood test CPT 82465 CHOLESTERAL TOTAL AUTO	$59.50	$119.00	$2.38–$89.25	198% above	50%
Total cholesterol blood test CPT 82465 CHOLESTEROL, TOTAL AUTO	$59.50	$119.00	$2.38–$89.25	198% above	50%
Total cholesterol blood test inpatient CPT 82465 CHOLESTERAL TOTAL AUTO	$59.50	$119.00	$2.38–$89.25	—	50%
Total cholesterol blood test inpatient CPT 82465 CHOLESTEROL, TOTAL AUTO	$59.50	$119.00	$2.38–$89.25	—	50%
Total thyroxine (T4) blood test CPT 84436 THYROXINE, TOTAL	$46.90	$93.80	$3.76–$70.35	41% above	50%
Total thyroxine (T4) blood test inpatient CPT 84436 THYROXINE, TOTAL	$46.90	$93.80	$3.76–$70.35	—	50%
Total triiodothyronine (T3) blood test CPT 84480 TRIODOTHYRONINE, T3, TOTA	$105.45	$210.90	$7.76–$158.18	128% above	50%
Total triiodothyronine (T3) blood test inpatient CPT 84480 TRIODOTHYRONINE, T3, TOTA	$105.45	$210.90	$7.76–$158.18	—	50%
Transferrin blood test CPT 84466 TRANSFERRIN SERUM	$56.50	$113.00	$6.98–$84.75	1% below	50%
Transferrin blood test inpatient CPT 84466 TRANSFERRIN SERUM	$56.50	$113.00	$6.98–$84.75	—	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS PROBE (SOLC)	$21.50	$43.00	$15.87–$58.78	71% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS AMP PROBE	$40.80	$81.60	$19.19–$61.20	45% below	50%
Trichomonas test (NAAT) CPT 87661 TRICHOMONAS VAGINALIS AMP	$40.80	$81.60	$19.19–$61.20	45% below	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS PROBE (SOLC)	$21.50	$43.00	$15.87–$58.78	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS VAGINALIS AMP	$40.80	$81.60	$19.19–$61.20	—	50%
Trichomonas test (NAAT) inpatient CPT 87661 TRICHOMONAS AMP PROBE	$40.80	$81.60	$19.19–$61.20	—	50%
Triglycerides blood test CPT 84478 TRIGLYCERIDES(SOA)	$10.65	$21.30	$3.14–$15.98	43% below	50%
Triglycerides blood test CPT 84478 LIPID, TRIGLYCERIDES	$45.40	$90.80	$3.14–$68.10	144% above	50%
Triglycerides blood test CPT 84478 LIPID TRIGLYCERIDES	$45.40	$90.80	$3.14–$68.10	144% above	50%
Triglycerides blood test inpatient CPT 84478 TRIGLYCERIDES(SOA)	$10.65	$21.30	$3.14–$15.98	—	50%
Triglycerides blood test inpatient CPT 84478 LIPID TRIGLYCERIDES	$45.40	$90.80	$3.14–$68.10	—	50%
Triglycerides blood test inpatient CPT 84478 LIPID, TRIGLYCERIDES	$45.40	$90.80	$3.14–$68.10	—	50%
Troponin test, quantitative CPT 84484 Troponin I	$31.95	$63.90	$6.82–$47.93	25% below	50%
Troponin test, quantitative CPT 84484 TROPONIN - I	$118.60	$237.20	$6.82–$177.90	179% above	50%
Troponin test, quantitative inpatient CPT 84484 Troponin I	$31.95	$63.90	$6.82–$47.93	—	50%
Troponin test, quantitative inpatient CPT 84484 TROPONIN - I	$118.60	$237.20	$6.82–$177.90	—	50%
Uric acid blood test CPT 84550 URIC ACID, AUTO	$18.80	$37.60	$2.47–$28.20	14% below	50%
Uric acid blood test inpatient CPT 84550 URIC ACID, AUTO	$18.80	$37.60	$2.47–$28.20	—	50%
Urinalysis with microscope exam, automated CPT 81001 URINAL, CHEM. W/ MICRO	$10.85	$21.70	$1.73–$16.28	46% below	50%
Urinalysis with microscope exam, automated CPT 81001 URINAL CHEM W MICRO	$10.85	$21.70	$1.73–$16.28	46% below	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINAL, CHEM. W/ MICRO	$10.85	$21.70	$1.73–$16.28	—	50%
Urinalysis with microscope exam, automated inpatient CPT 81001 URINAL CHEM W MICRO	$10.85	$21.70	$1.73–$16.28	—	50%
Urinalysis with microscope exam, manual both sides CPT 81000 URINALYSIS, BILIRUBIN, BI	$17.15	$34.30	$2.20–$25.72	—	50%
Urinalysis with microscope exam, manual inpatient both sides CPT 81000 URINALYSIS, BILIRUBIN, BI	$17.15	$34.30	$2.20–$25.72	—	50%
Urinalysis without microscope exam, automated CPT 81003 URINAL CHEM W/O MICRO A	$7.95	$15.90	$1.23–$11.93	39% below	50%
Urinalysis without microscope exam, automated CPT 81003 URINAL, CHEM. W/O MICRO A	$7.95	$15.90	$1.23–$11.93	39% below	50%
Urinalysis without microscope exam, automated CPT 81003 URINE W/O MICRO AUTO	$11.30	$22.60	$1.23–$16.95	13% below	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINAL, CHEM. W/O MICRO A	$7.95	$15.90	$1.23–$11.93	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINAL CHEM W/O MICRO A	$7.95	$15.90	$1.23–$11.93	—	50%
Urinalysis without microscope exam, automated inpatient CPT 81003 URINE W/O MICRO AUTO	$11.30	$22.60	$1.23–$16.95	—	50%
Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK	$6.75	$13.50	$1.90–$10.13	57% below	50%
Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK	$6.75	$13.50	$1.90–$10.13	—	50%
Urine culture for bacteria, with colony count CPT 87086 URINE C/S, PREG W/O PENN	$47.95	$95.90	$4.41–$71.93	13% below	50%
Urine culture for bacteria, with colony count CPT 87086 URINE CULTURE W/O GRAM ST	$47.95	$95.90	$4.41–$71.93	13% below	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE CULTURE W/O GRAM ST	$47.95	$95.90	$4.41–$71.93	—	50%
Urine culture for bacteria, with colony count inpatient CPT 87086 URINE C/S, PREG W/O PENN	$47.95	$95.90	$4.41–$71.93	—	50%
Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN URINE	$48.50	$97.00	$3.16–$72.75	87% above	50%
Urine microalbumin (albumin) test CPT 82043 MICRO ALBUMIN URINE QNT	$80.80	$161.60	$3.16–$121.20	211% above	50%
Urine microalbumin (albumin) test inpatient CPT 82043 MICROALBUMIN URINE	$48.50	$97.00	$3.16–$72.75	—	50%
Urine microalbumin (albumin) test inpatient CPT 82043 MICRO ALBUMIN URINE QNT	$80.80	$161.60	$3.16–$121.20	—	50%
Urine pregnancy test, read by color change CPT 81025 POCGONADOTROPH CHOR,URI,Q	$8.00	$16.00	$4.71–$14.43	68% below	50%
Urine pregnancy test, read by color change CPT 81025 POC HCG URINE PREG TEST	$8.00	$16.00	$4.71–$14.43	68% below	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREGNANCY TEST	$8.30	$16.60	$4.71–$14.43	67% below	50%
Urine pregnancy test, read by color change CPT 81025 PREG TES URINE-UNIT BASED	$12.50	$25.00	$4.71–$18.75	50% below	50%
Urine pregnancy test, read by color change CPT 81025 GONADOTROPH, CHOR, URINE,	$67.35	$134.70	$4.71–$101.02	171% above	50%
Urine pregnancy test, read by color change CPT 81025 GONADOTROPH CHOR URINE	$67.35	$134.70	$4.71–$101.02	171% above	50%
Urine pregnancy test, read by color change CPT 81025 URINE PREG TEST QUAL	$90.05	$180.10	$4.71–$135.08	263% above	50%
Urine pregnancy test, read by color change inpatient CPT 81025 POCGONADOTROPH CHOR,URI,Q	$8.00	$16.00	$4.71–$14.43	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 POC HCG URINE PREG TEST	$8.00	$16.00	$4.71–$14.43	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREGNANCY TEST	$8.30	$16.60	$4.71–$14.43	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 PREG TES URINE-UNIT BASED	$12.50	$25.00	$4.71–$18.75	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 GONADOTROPH, CHOR, URINE,	$67.35	$134.70	$4.71–$101.02	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 GONADOTROPH CHOR URINE	$67.35	$134.70	$4.71–$101.02	—	50%
Urine pregnancy test, read by color change inpatient CPT 81025 URINE PREG TEST QUAL	$90.05	$180.10	$4.71–$135.08	—	50%
Vitamin B12 (cobalamin) blood test CPT 82607 B12 VITAMIN	$76.10	$152.20	$8.25–$114.15	27% above	50%
Vitamin B12 (cobalamin) blood test inpatient CPT 82607 B12 VITAMIN	$76.10	$152.20	$8.25–$114.15	—	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMIN D25 OH	$148.40	$296.80	$16.19–$222.60	68% above	50%
Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) inpatient CPT 82306 VITAMIN D25 OH	$148.40	$296.80	$16.19–$222.60	—	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1 25 DIHYDROXY	$31.24	$62.48	$21.06–$64.50	60% below	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D 1 25 DIHYDROXY	$31.24	$62.48	$21.06–$64.50	60% below	50%
Vitamin D, 1,25-dihydroxy blood test CPT 82652 VITAMIN D125 DIHYDR	$64.15	$128.30	$21.06–$96.23	19% below	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D 1 25 DIHYDROXY	$31.24	$62.48	$21.06–$64.50	—	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VIT D1 25 DIHYDROXY	$31.24	$62.48	$21.06–$64.50	—	50%
Vitamin D, 1,25-dihydroxy blood test inpatient CPT 82652 VITAMIN D125 DIHYDR	$64.15	$128.30	$21.06–$96.23	—	50%
Zinc blood test CPT 84630 SERUM ZINC	$11.25	$22.50	$6.23–$19.07	53% below	50%
Zinc blood test CPT 84630 ZINC S/P	$11.25	$22.50	$6.23–$19.07	53% below	50%
Zinc blood test CPT 84630 ZINC URINE	$11.25	$22.50	$6.23–$19.07	53% below	50%
Zinc blood test CPT 84630 ZINC UR	$11.25	$22.50	$6.23–$19.07	53% below	50%
Zinc blood test CPT 84630 ZINC RBC	$23.20	$46.40	$6.23–$34.80	3% below	50%
Zinc blood test CPT 84630 ASSAY OF ZINC RBC	$36.35	$72.70	$6.23–$54.53	53% above	50%
Zinc blood test CPT 84630 ZINC, BLOOD	$57.50	$115.00	$6.23–$86.25	141% above	50%
Zinc blood test CPT 84630 ZINC, URINE	$72.70	$145.40	$6.23–$109.05	205% above	50%
Zinc blood test inpatient CPT 84630 ZINC UR	$11.25	$22.50	$6.23–$19.07	—	50%
Zinc blood test inpatient CPT 84630 ZINC S/P	$11.25	$22.50	$6.23–$19.07	—	50%
Zinc blood test inpatient CPT 84630 ZINC URINE	$11.25	$22.50	$6.23–$19.07	—	50%
Zinc blood test inpatient CPT 84630 SERUM ZINC	$11.25	$22.50	$6.23–$19.07	—	50%
Zinc blood test inpatient CPT 84630 ZINC RBC	$23.20	$46.40	$6.23–$34.80	—	50%
Zinc blood test inpatient CPT 84630 ASSAY OF ZINC RBC	$36.35	$72.70	$6.23–$54.53	—	50%
Zinc blood test inpatient CPT 84630 ZINC, BLOOD	$57.50	$115.00	$6.23–$86.25	—	50%
Zinc blood test inpatient CPT 84630 ZINC, URINE	$72.70	$145.40	$6.23–$109.05	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG QUANT	$15.55	$31.10	$8.23–$25.22	68% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG CSF TUMOR MARKER	$15.55	$31.10	$8.23–$25.22	68% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HCG TUMOR MARKER	$18.85	$37.70	$8.23–$28.28	61% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 BETA HCG TUMOR MARKER CSF	$18.85	$37.70	$8.23–$28.28	61% below	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONA CHR(HCG) QN (SOM)	$56.80	$113.60	$8.23–$85.20	18% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPHIN,CHOR,HUMAN,	$94.90	$189.80	$8.23–$142.35	97% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 GONADOTROPHIN CHOR HUMAN	$94.90	$189.80	$8.23–$142.35	97% above	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG QUANT	$15.55	$31.10	$8.23–$25.22	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG CSF TUMOR MARKER	$15.55	$31.10	$8.23–$25.22	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 BETA HCG TUMOR MARKER CSF	$18.85	$37.70	$8.23–$28.28	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 HCG TUMOR MARKER	$18.85	$37.70	$8.23–$28.28	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONA CHR(HCG) QN (SOM)	$56.80	$113.60	$8.23–$85.20	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPHIN,CHOR,HUMAN,	$94.90	$189.80	$8.23–$142.35	—	50%
hCG pregnancy hormone blood test, quantitative (measures the level) inpatient CPT 84702 GONADOTROPHIN CHOR HUMAN	$94.90	$189.80	$8.23–$142.35	—	50%

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 19081 ST BREAST BIOPSY 1	$662.30	$1,324.60	$488.78–$1,612.49	71% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion CPT 19081 BX BREAST 1ST LESION STRC	$841.20	$1,682.40	$620.81–$1,612.49	63% below	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 19081 ST BREAST BIOPSY 1	$662.30	$1,324.60	$488.78–$1,612.49	—	50%
Breast needle biopsy guided by mammogram (stereotactic), with marker clip, first lesion inpatient CPT 19081 BX BREAST 1ST LESION STRC	$841.20	$1,682.40	$620.81–$1,612.49	—	50%
Cardiac catheterization with coronary angiogram one side CPT 93458 CC-CORONARY ANGIO/LT HRT	$5,441.00	$10,882.00	$1,759.38–$8,161.50	45% below	50%
Cardiac catheterization with coronary angiogram inpatient one side CPT 93458 CC-CORONARY ANGIO/LT HRT	$5,441.00	$10,882.00	$1,759.38–$8,161.50	—	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELEC	$1,777.40	$3,554.80	$357.95–$2,666.10	80% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVRT ELECTRC/ELECTV	$1,777.40	$3,554.80	$357.95–$2,666.10	80% above	50%
Cardioversion, elective (restoring heart rhythm) CPT 92960 CARDIOVERSION ELECTIVE-EX	$1,777.40	$3,554.80	$357.95–$2,666.10	80% above	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELECTIVE-EX	$1,777.40	$3,554.80	$357.95–$2,666.10	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVRT ELECTRC/ELECTV	$1,777.40	$3,554.80	$357.95–$2,666.10	—	50%
Cardioversion, elective (restoring heart rhythm) inpatient CPT 92960 CARDIOVERSION ELEC	$1,777.40	$3,554.80	$357.95–$2,666.10	—	50%
Catheter ablation for atrial fibrillation CPT 93656 DXEPW/TRNSSEPW/TX EPAFABL	$8,206.50	$16,413.00	$811.14–$24,414.89	77% below	50%
Catheter ablation for atrial fibrillation inpatient CPT 93656 DXEPW/TRNSSEPW/TX EPAFABL	$8,206.50	$16,413.00	$811.14–$24,414.89	—	50%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX SINGLE O	$465.60	$931.20	$343.61–$928.72	47% below	50%
Cervical biopsy CPT 57500 BIOPSY OF CERVIX	$465.60	$931.20	$343.61–$928.72	47% below	50%
Cervical biopsy CPT 57500 57500 BIOPSY OF CERVIX	$465.60	$931.20	$343.61–$928.72	47% below	50%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX SINGLE O	$465.60	$931.20	$343.61–$928.72	—	50%
Cervical biopsy inpatient CPT 57500 57500 BIOPSY OF CERVIX	$465.60	$931.20	$343.61–$928.72	—	50%
Cervical biopsy inpatient CPT 57500 BIOPSY OF CERVIX	$465.60	$931.20	$343.61–$928.72	—	50%
Colonoscopy with endoscopic ultrasound CPT 45391 COLONOSCOPY W/ENDOSCOPE S	$715.85	$1,431.70	$528.30–$1,173.44	56% below	50%
Colonoscopy with endoscopic ultrasound inpatient CPT 45391 COLONOSCOPY W/ENDOSCOPE S	$715.85	$1,431.70	$528.30–$1,173.44	—	50%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REML	$715.85	$1,431.70	$428.36–$1,173.44	59% below	50%
Colonoscopy with polyp removal CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,705.17	$3,410.33	$644.96–$2,557.75	1% below	50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REML	$715.85	$1,431.70	$428.36–$1,173.44	—	50%
Colonoscopy with polyp removal inpatient CPT 45385 COLONOSCOPY W/LESION REMOVAL	$1,705.17	$3,410.33	$644.96–$2,557.75	—	50%
Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY	$715.85	$1,431.70	$428.36–$3,640.00	62% below	50%
Colonoscopy with tissue sample inpatient CPT 45380 COLONOSCOPY AND BIOPSY	$715.85	$1,431.70	$428.36–$3,640.00	—	50%
Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC COLONOSCOPY	$547.85	$1,095.70	$327.83–$924.14	53% below	50%
Colonoscopy, diagnostic inpatient CPT 45378 DIAGNOSTIC COLONOSCOPY	$547.85	$1,095.70	$327.83–$924.14	—	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY W/LEEP CERVIX	$2,319.75	$4,639.50	$1,711.98–$3,732.79	45% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 57460 COLOSCOPY WITH LEEP	$2,319.75	$4,639.50	$1,711.98–$3,732.79	45% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP	$2,319.75	$4,639.50	$1,711.98–$3,732.79	45% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 COLPOSCOPY WITH LEEP CERV	$2,319.75	$4,639.50	$1,711.98–$3,732.79	45% below	50%
Colposcopy with LEEP (loop electrosurgical excision) CPT 57460 BX OF CERVIX W/SCOPE LEEP	$4,595.22	$9,190.44	$1,739.20–$6,892.83	10% above	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP CERV	$2,319.75	$4,639.50	$1,711.98–$3,732.79	—	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY W/LEEP CERVIX	$2,319.75	$4,639.50	$1,711.98–$3,732.79	—	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 57460 COLOSCOPY WITH LEEP	$2,319.75	$4,639.50	$1,711.98–$3,732.79	—	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 COLPOSCOPY WITH LEEP	$2,319.75	$4,639.50	$1,711.98–$3,732.79	—	50%
Colposcopy with LEEP (loop electrosurgical excision) inpatient CPT 57460 BX OF CERVIX W/SCOPE LEEP	$4,595.22	$9,190.44	$1,739.20–$6,892.83	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERV W/BX ENDO	$254.80	$509.60	$166.39–$382.20	33% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY/VAGINOSCOPY WI	$254.80	$509.60	$166.39–$382.20	33% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 COLPOSCOPY CERVIX & ECC	$254.80	$509.60	$166.39–$382.20	33% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 57454 COLPOSC/VAGINOSC W	$254.80	$509.60	$166.39–$382.20	33% below	50%
Colposcopy with cervical biopsy and scraping of the cervical canal CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$1,070.95	$2,141.90	$166.39–$1,606.43	183% above	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 57454 COLPOSC/VAGINOSC W	$254.80	$509.60	$166.39–$382.20	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY/VAGINOSCOPY WI	$254.80	$509.60	$166.39–$382.20	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERVIX & ECC	$254.80	$509.60	$166.39–$382.20	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 COLPOSCOPY CERV W/BX ENDO	$254.80	$509.60	$166.39–$382.20	—	50%
Colposcopy with cervical biopsy and scraping of the cervical canal inpatient CPT 57454 BX/CURETT OF CERVIX W/SCOPE	$1,070.95	$2,141.90	$166.39–$1,606.43	—	50%
Coronary stent placement, one artery CPT 92928 PLC STENTCORWPLSTY SLMABR	$4,499.15	$8,998.30	$3,320.37–$11,864.77	65% below	50%
Coronary stent placement, one artery inpatient CPT 92928 PLC STENTCORWPLSTY SLMABR	$4,499.15	$8,998.30	$3,320.37–$11,864.77	—	50%
Cystoscopy with ureteral stent placement CPT 52332 52332 CYSTO W/INS URET ST	$2,015.55	$4,031.10	$1,487.48–$3,432.46	54% below	50%
Cystoscopy with ureteral stent placement CPT 52332 CYSTOSCOPY AND TREATMENT	$3,789.46	$7,578.92	$1,886.59–$5,684.19	13% below	50%
Cystoscopy with ureteral stent placement inpatient CPT 52332 52332 CYSTO W/INS URET ST	$2,015.55	$4,031.10	$1,487.48–$3,432.46	—	50%
Cystoscopy with ureteral stent placement inpatient CPT 52332 CYSTOSCOPY AND TREATMENT	$3,789.46	$7,578.92	$1,886.59–$5,684.19	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 Cystoscopy	$608.55	$1,217.10	$364.16–$912.82	29% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOSCOPY	$608.55	$1,217.10	$365.11–$912.82	29% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra CPT 52000 52000 CYSTOURETHROSCOPY 2	$608.55	$1,217.10	$364.16–$912.82	29% below	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 CYSTOSCOPY	$608.55	$1,217.10	$365.11–$912.82	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 Cystoscopy	$608.55	$1,217.10	$364.16–$912.82	—	50%
Cystoscopy, diagnostic look inside the bladder and urethra inpatient CPT 52000 52000 CYSTOURETHROSCOPY 2	$608.55	$1,217.10	$364.16–$912.82	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 DESTROY BENIGN LESION, FI	$76.25	$152.50	$56.27–$197.75	61% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 DESTROY BENIGN LESI	$76.25	$152.50	$56.27–$197.75	61% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 17000 ELECTRO CAUTERY	$76.25	$152.50	$56.27–$197.75	61% below	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 DESTROY BENIGN LESI	$76.25	$152.50	$56.27–$197.75	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 DESTROY BENIGN LESION, FI	$76.25	$152.50	$56.27–$197.75	—	50%
Destruction of a precancerous skin lesion (actinic keratosis), first lesion inpatient CPT 17000 17000 ELECTRO CAUTERY	$76.25	$152.50	$56.27–$197.75	—	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear CPT 69436 CREATE EARDRUM OPENING	$3,908.53	$7,817.06	$810.26–$5,862.80	83% above	50%
Ear tube placement (tympanostomy) under general anesthesia, one ear inpatient CPT 69436 CREATE EARDRUM OPENING	$3,908.53	$7,817.06	$810.26–$5,862.80	—	50%
Earwax removal with instruments, one ear CPT 69210 69210 REMOVL IMPACTED CER	$66.05	$132.10	$32.49–$126.88	31% below	50%
Earwax removal with instruments, one ear CPT 69210 REMOVAL OF IMPACTED CERUM	$66.05	$132.10	$32.49–$126.88	31% below	50%
Earwax removal with instruments, one ear CPT 69210 REMOVE IMPACTED EAR WAX UNI	$185.70	$371.40	$32.49–$278.55	93% above	50%
Earwax removal with instruments, one ear inpatient CPT 69210 69210 REMOVL IMPACTED CER	$66.05	$132.10	$32.49–$126.88	—	50%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVAL OF IMPACTED CERUM	$66.05	$132.10	$32.49–$126.88	—	50%
Earwax removal with instruments, one ear inpatient CPT 69210 REMOVE IMPACTED EAR WAX UNI	$185.70	$371.40	$32.49–$278.55	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 58100 ENDOMETI SAMPLE W/R	$129.20	$258.40	$95.35–$200.21	45% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 BIOPSY OF UTERUS LINING	$129.20	$258.40	$95.35–$200.21	45% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETIRAL SAMPLE W/OR W	$129.20	$258.40	$77.31–$200.21	45% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETRIAL SMPLE W/OR WO	$129.20	$258.40	$95.35–$200.21	45% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix CPT 58100 ENDOMETIRAL SMPLE W/OR WO	$129.20	$258.40	$95.35–$200.21	45% below	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETRIAL SMPLE W/OR WO	$129.20	$258.40	$95.35–$200.21	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETIRAL SMPLE W/OR WO	$129.20	$258.40	$95.35–$200.21	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 ENDOMETIRAL SAMPLE W/OR W	$129.20	$258.40	$77.31–$200.21	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 BIOPSY OF UTERUS LINING	$129.20	$258.40	$95.35–$200.21	—	50%
Endometrial biopsy (uterine lining sample) without dilating the cervix inpatient CPT 58100 58100 ENDOMETI SAMPLE W/R	$129.20	$258.40	$95.35–$200.21	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 62321 INJ EPI SUB CERW/GD	$423.95	$847.90	$312.88–$750.51	56% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 OR INJ EPID SUB C/T W/GD	$423.95	$847.90	$312.88–$750.51	56% below	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 62321 INJ EPI SUB CERW/GD	$423.95	$847.90	$312.88–$750.51	—	50%
Epidural steroid injection, neck or mid back, with imaging guidance inpatient CPT 62321 OR INJ EPID SUB C/T W/GD	$423.95	$847.90	$312.88–$750.51	—	50%
Facet joint injection, lower back, one level, with imaging guidance CPT 64493 CT/FL GD FACT BLK LUM 1LV	$710.55	$1,421.10	$486.99–$1,204.19	34% below	50%
Facet joint injection, lower back, one level, with imaging guidance inpatient CPT 64493 CT/FL GD FACT BLK LUM 1LV	$710.55	$1,421.10	$486.99–$1,204.19	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY-FLEX	$235.55	$471.10	$173.84–$1,097.14	90% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 SIGMOIDOSCOPY-FLEXIBLE	$235.55	$471.10	$173.84–$1,097.14	90% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 45330 SIGMOIDOSCOPY FLEX	$235.55	$471.10	$173.84–$1,097.14	90% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,848.47	$3,696.94	$498.71–$2,772.71	23% below	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 SIGMOIDOSCOPY FLEX	$235.55	$471.10	$173.84–$1,097.14	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 SIGMOIDOSCOPY-FLEXIBLE	$235.55	$471.10	$173.84–$1,097.14	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 45330 SIGMOIDOSCOPY-FLEX	$235.55	$471.10	$173.84–$1,097.14	—	50%
Flexible sigmoidoscopy, diagnostic (lower colon only) inpatient CPT 45330 DIAGNOSTIC SIGMOIDOSCOPY	$1,848.47	$3,696.94	$498.71–$2,772.71	—	50%
Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$5,719.69	$11,439.38	$3,191.39–$8,579.54	30% below	50%
Gallbladder removal, laparoscopic inpatient CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY	$5,719.69	$11,439.38	$3,191.39–$8,579.54	—	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes CPT 58340 INJ & CATH HYSTR SONOHYST	$635.15	$1,270.30	$364.73–$952.72	28% above	50%
Hysterosalpingogram (HSG): contrast injection to check the fallopian tubes inpatient CPT 58340 INJ & CATH HYSTR SONOHYST	$635.15	$1,270.30	$364.73–$952.72	—	50%
Hysteroscopy with uterine lining sampling and/or polyp removal CPT 58558 HYSTEROSCOPY BIOPSY	$4,433.62	$8,867.23	$1,739.20–$6,650.42	at median	50%
Hysteroscopy with uterine lining sampling and/or polyp removal inpatient CPT 58558 HYSTEROSCOPY BIOPSY	$4,433.62	$8,867.23	$1,739.20–$6,650.42	—	50%
IUD insertion (the device itself billed separately) CPT 58300 58300 INSERTION OF MIRENA	$329.10	$658.20	$242.88–$892.32	at median	50%
IUD insertion (the device itself billed separately) CPT 58300 INSERTION OF MIRENA IUD	$329.10	$658.20	$242.88–$892.32	at median	50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 58300 INSERTION OF MIRENA	$329.10	$658.20	$242.88–$892.32	—	50%
IUD insertion (the device itself billed separately) inpatient CPT 58300 INSERTION OF MIRENA IUD	$329.10	$658.20	$242.88–$892.32	—	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 I&D ABSCESS,SIMPLE/	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I & D ABSCESS, SINGLE/SIM	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION AND DRAINAGE OF	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS,SINGLE/SIMPLE	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE SIMPLE	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 10060 INC DRAIN ABSCESS	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INC & DRNG AT ABSCESS	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 INCISION/DRAIN OF ABSCESS	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 I&D ABSCESS SINGLE/SIMPLE	$151.85	$303.70	$108.69–$309.07	44% below	50%
Incision and drainage of a simple or single skin abscess CPT 10060 DRAINAGE OF SKIN ABSCESS	$3,347.69	$6,695.37	$108.69–$5,021.53	1126% above	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I & D ABSCESS, SINGLE/SIM	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE SIMPLE	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION AND DRAINAGE OF	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 INC DRAIN ABSCESS	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS,SINGLE/SIMPLE	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INC & DRNG AT ABSCESS	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 INCISION/DRAIN OF ABSCESS	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 I&D ABSCESS SINGLE/SIMPLE	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 10060 I&D ABSCESS,SIMPLE/	$151.85	$303.70	$108.69–$309.07	—	50%
Incision and drainage of a simple or single skin abscess inpatient CPT 10060 DRAINAGE OF SKIN ABSCESS	$3,347.69	$6,695.37	$108.69–$5,021.53	—	50%
Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 20550 INJCTN SNGL TNDN SH	$184.80	$369.60	$136.38–$358.95	54% below	50%
Injection into a tendon sheath or ligament (for example trigger finger) inpatient CPT 20550 20550 INJCTN SNGL TNDN SH	$184.80	$369.60	$136.38–$358.95	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIRATIN/INJ MAJR	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ARTHCNTS ASP MAJR J	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECT ASPIRATION MAJOR J	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Arthro-Asp/Inject Joint	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 20610 ASPIR/INJ MAJOR JOI	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHOCENT MAJOR JOINT	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 INJECTION ASPIRATION MAJO	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 ARTHRO/ASP INJ JNT MAJOR	$250.75	$501.50	$161.47–$376.13	41% below	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECTION ASPIRATION MAJO	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 Arthro-Asp/Inject Joint	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ASPIR/INJ MAJOR JOI	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 INJECT ASPIRATION MAJOR J	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHRO/ASP INJ JNT MAJOR	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ASPIRATIN/INJ MAJR	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 ARTHOCENT MAJOR JOINT	$250.75	$501.50	$161.47–$376.13	—	50%
Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound inpatient CPT 20610 20610 ARTHCNTS ASP MAJR J	$250.75	$501.50	$161.47–$376.13	—	50%
Insertion of a drug-delivery implant, such as the arm birth control implant CPT 11981 11981-INSERT DRUG DELIVER	$97.80	$195.60	$70.51–$153.29	41% below	50%
Insertion of a drug-delivery implant, such as the arm birth control implant inpatient CPT 11981 11981-INSERT DRUG DELIVER	$97.80	$195.60	$70.51–$153.29	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASPIR/INJ INTER JNT	$235.40	$470.80	$161.47–$358.95	28% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ARTHCNTS ASP INTMED	$244.85	$489.70	$161.47–$367.28	25% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 20605 ASPIR/INJ INTER JOI	$244.85	$489.70	$161.47–$367.28	25% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 INJECTION ASPIRATION INTE	$244.85	$489.70	$161.47–$367.28	25% below	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ASPIR/INJ INTER JNT	$235.40	$470.80	$161.47–$358.95	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 INJECTION ASPIRATION INTE	$244.85	$489.70	$161.47–$367.28	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ARTHCNTS ASP INTMED	$244.85	$489.70	$161.47–$367.28	—	50%
Joint injection or drainage, medium joint (wrist, elbow, ankle) inpatient CPT 20605 20605 ASPIR/INJ INTER JOI	$244.85	$489.70	$161.47–$367.28	—	50%
Joint injection or drainage, small joint (fingers, toes) CPT 20600 20600 ARTHCNTS ASP SML JN	$179.50	$359.00	$132.47–$358.95	47% below	50%
Joint injection or drainage, small joint (fingers, toes) inpatient CPT 20600 20600 ARTHCNTS ASP SML JN	$179.50	$359.00	$132.47–$358.95	—	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries CPT 58571 TLH W/T/O 250 G OR LESS	$6,274.25	$12,548.50	$4,630.40–$10,361.39	55% below	50%
Laparoscopic hysterectomy, uterus 250 g or less, with tubes and/or ovaries inpatient CPT 58571 TLH W/T/O 250 G OR LESS	$6,274.25	$12,548.50	$4,630.40–$10,361.39	—	50%
Laparoscopic removal of fallopian tubes and/or ovaries CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$5,600.99	$11,201.97	$3,191.39–$8,401.48	22% below	50%
Laparoscopic removal of fallopian tubes and/or ovaries inpatient CPT 58661 LAPAROSCOPY REMOVE ADNEXA	$5,600.99	$11,201.97	$3,191.39–$8,401.48	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 WD REP SCALP AX TNK	$210.70	$421.40	$155.50–$492.53	44% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 12031 WD REP SCALP,AXILLA	$210.70	$421.40	$155.50–$492.53	44% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 WD REP SCALP, AXILLA, TNK	$210.70	$421.40	$155.50–$492.53	44% below	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 WD REP SCALP,AXILLA	$210.70	$421.40	$155.50–$492.53	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 12031 WD REP SCALP AX TNK	$210.70	$421.40	$155.50–$492.53	—	50%
Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs inpatient CPT 12031 WD REP SCALP, AXILLA, TNK	$210.70	$421.40	$155.50–$492.53	—	50%
Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT	$5,385.40	$10,770.80	$1,759.38–$8,078.10	22% below	50%
Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT	$5,385.40	$10,770.80	$1,759.38–$8,078.10	—	50%
Lower-back epidural injection, with imaging guidance CPT 62323 OR INJ EPID SUB LS W/GD	$423.95	$847.90	$312.88–$695.60	59% below	50%
Lower-back epidural injection, with imaging guidance CPT 62323 62323 INJ EPI LMB SACW/GD	$423.95	$847.90	$312.88–$695.60	59% below	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 OR INJ EPID SUB LS W/GD	$423.95	$847.90	$312.88–$695.60	—	50%
Lower-back epidural injection, with imaging guidance inpatient CPT 62323 62323 INJ EPI LMB SACW/GD	$423.95	$847.90	$312.88–$695.60	—	50%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 64483 INJ FOR EPIDURAL LS	$394.75	$789.50	$291.33–$981.91	63% below	50%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 64483 INJ FOR EPIDURAL LS	$394.75	$789.50	$291.33–$981.91	—	50%
Lumpectomy (partial mastectomy) CPT 19301 PARTIAL MASTECTOMY	$13,229.65	$26,459.29	$2,094.62–$19,844.47	146% above	50%
Lumpectomy (partial mastectomy) inpatient CPT 19301 PARTIAL MASTECTOMY	$13,229.65	$26,459.29	$2,094.62–$19,844.47	—	50%
Mastectomy (total removal of the breast) CPT 19303 MAST SIMPLE COMPLETE	$21,844.05	$43,688.09	$3,567.24–$32,766.07	150% above	50%
Mastectomy (total removal of the breast) inpatient CPT 19303 MAST SIMPLE COMPLETE	$21,844.05	$43,688.09	$3,567.24–$32,766.07	—	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 EX LES TRNK ARM LEG 0.5CM	$358.35	$716.70	$264.46–$856.77	51% below	50%
Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11400 EX LES TRNK ARM LEG 0.5CM	$358.35	$716.70	$264.46–$856.77	—	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE-MM B9+MARG 0.5 <	$429.25	$858.50	$316.79–$856.77	42% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 EXC FACE MM B9 MARG 0.5<	$429.25	$858.50	$316.79–$856.77	42% below	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE MM B9 MARG 0.5<	$429.25	$858.50	$316.79–$856.77	—	50%
Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm inpatient CPT 11440 EXC FACE-MM B9+MARG 0.5 <	$429.25	$858.50	$316.79–$856.77	—	50%
Nail removal (partial or complete), one nail CPT 11730 NAIL AVLSN SINGLE SIMPLE	$104.00	$208.00	$76.75–$204.39	49% below	50%
Nail removal (partial or complete), one nail inpatient CPT 11730 NAIL AVLSN SINGLE SIMPLE	$104.00	$208.00	$76.75–$204.39	—	50%
Occipital nerve block (injection for headaches) CPT 64405 64405 NERVE BLOCK OCCIPI	$247.30	$494.60	$161.47–$370.95	52% below	50%
Occipital nerve block (injection for headaches) CPT 64405 64405 NERVE BLOCK OCCIPIT	$247.30	$494.60	$161.47–$370.95	52% below	50%
Occipital nerve block (injection for headaches) CPT 64405 64405 INJ ANES OCCPTL NER	$263.80	$527.60	$161.47–$395.70	49% below	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 NERVE BLOCK OCCIPI	$247.30	$494.60	$161.47–$370.95	—	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 NERVE BLOCK OCCIPIT	$247.30	$494.60	$161.47–$370.95	—	50%
Occipital nerve block (injection for headaches) inpatient CPT 64405 64405 INJ ANES OCCPTL NER	$263.80	$527.60	$161.47–$395.70	—	50%
Pacemaker implant (dual chamber) CPT 33208 INS/REPL. PERM PCMKR W/TR	$22,259.55	$44,519.10	$5,724.54–$33,389.33	36% above	50%
Pacemaker implant (dual chamber) inpatient CPT 33208 INS/REPL. PERM PCMKR W/TR	$22,259.55	$44,519.10	$5,724.54–$33,389.33	—	50%
Paracentesis with imaging guidance CPT 49083 ADB PARACENT W/IMAGING GU	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS WITH GUIDE	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/GUIDANCE	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance CPT 49083 ABD PARACENT W/IMAGING GU	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance CPT 49083 PARACENTESIS W/ GUIDE	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance CPT 49083 49083 ABD PARACENTESIS W/	$1,219.65	$2,439.30	$512.85–$1,829.48	at median	50%
Paracentesis with imaging guidance inpatient CPT 49083 49083 ABD PARACENTESIS W/	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS WITH GUIDE	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 ADB PARACENT W/IMAGING GU	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/GUIDANCE	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 ABD PARACENT W/IMAGING GU	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Paracentesis with imaging guidance inpatient CPT 49083 PARACENTESIS W/ GUIDE	$1,219.65	$2,439.30	$512.85–$1,829.48	—	50%
Prostate biopsy CPT 55700 BX. PROST. NDL OR PUNCH	$517.90	$1,035.80	$382.21–$2,038.71	66% below	50%
Prostate biopsy CPT 55700 BX,PROST,NDL OR PUNCH	$538.60	$1,077.20	$397.49–$2,038.71	65% below	50%
Prostate biopsy CPT 55700 55700 BX PROSTATE NEEDLE/	$651.75	$1,303.50	$390.01–$2,038.71	57% below	50%
Prostate biopsy CPT 55700 BIOPSY OF PROSTATE	$651.75	$1,303.50	$480.99–$2,038.71	57% below	50%
Prostate biopsy CPT 55700 BX OF PROSTATE	$936.90	$1,873.80	$691.43–$2,038.71	39% below	50%
Prostate biopsy CPT 55700 55700 BX OF PROSTATE	$936.90	$1,873.80	$691.43–$2,038.71	39% below	50%
Prostate biopsy inpatient CPT 55700 BX. PROST. NDL OR PUNCH	$517.90	$1,035.80	$382.21–$2,038.71	—	50%
Prostate biopsy inpatient CPT 55700 BX,PROST,NDL OR PUNCH	$538.60	$1,077.20	$397.49–$2,038.71	—	50%
Prostate biopsy inpatient CPT 55700 BIOPSY OF PROSTATE	$651.75	$1,303.50	$480.99–$2,038.71	—	50%
Prostate biopsy inpatient CPT 55700 55700 BX PROSTATE NEEDLE/	$651.75	$1,303.50	$390.01–$2,038.71	—	50%
Prostate biopsy inpatient CPT 55700 55700 BX OF PROSTATE	$936.90	$1,873.80	$691.43–$2,038.71	—	50%
Prostate biopsy inpatient CPT 55700 BX OF PROSTATE	$936.90	$1,873.80	$691.43–$2,038.71	—	50%
Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 64635 F BL DES L/S W/ GD	$604.15	$1,208.30	$445.86–$1,943.42	75% below	50%
Radiofrequency ablation of facet joint nerves, lower back, one level inpatient CPT 64635 64635 F BL DES L/S W/ GD	$604.15	$1,208.30	$445.86–$1,943.42	—	50%
Removal of a breast lump, open surgery CPT 19120 EXCISION BREAST LESION	$2,062.35	$4,124.70	$1,522.01–$3,810.95	62% below	50%
Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION	$9,626.05	$19,252.09	$2,094.62–$14,439.07	79% above	50%
Removal of a breast lump, open surgery inpatient CPT 19120 EXCISION BREAST LESION	$2,062.35	$4,124.70	$1,522.01–$3,810.95	—	50%
Removal of a breast lump, open surgery inpatient CPT 19120 REMOVAL OF BREAST LESION	$9,626.05	$19,252.09	$2,094.62–$14,439.07	—	50%
Removal of a foreign object under the skin, simple CPT 10120 RMVL OF FOREIGN BODY	$193.55	$387.10	$142.84–$492.53	48% below	50%
Removal of a foreign object under the skin, simple inpatient CPT 10120 RMVL OF FOREIGN BODY	$193.55	$387.10	$142.84–$492.53	—	50%
Removal of one lobe of the thyroid (lobectomy) CPT 60220 PARTIAL REMOVAL OF THYROID	$7,452.01	$14,904.02	$3,191.39–$11,178.02	10% below	50%
Removal of one lobe of the thyroid (lobectomy) inpatient CPT 60220 PARTIAL REMOVAL OF THYROID	$7,452.01	$14,904.02	$3,191.39–$11,178.02	—	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSKD	$547.85	$1,095.70	$327.83–$924.14	47% below	50%
Screening colonoscopy for a person at average risk (Medicare code) HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$1,144.10	$2,288.19	$498.71–$1,716.14	11% above	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSKD	$547.85	$1,095.70	$327.83–$924.14	—	50%
Screening colonoscopy for a person at average risk (Medicare code) inpatient HCPCS G0121 COLON CA SCRN NOT HI RSK IND	$1,144.10	$2,288.19	$498.71–$1,716.14	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISKD	$547.85	$1,095.70	$404.31–$924.14	47% below	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,281.37	$2,562.74	$498.71–$1,922.05	24% above	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISKD	$547.85	$1,095.70	$404.31–$924.14	—	50%
Screening colonoscopy, high risk of colorectal cancer (Medicare code) inpatient HCPCS G0105 COLORECTAL SCRN; HI RISK IND	$1,281.37	$2,562.74	$498.71–$1,922.05	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR 2.5CM< SIMPLE	$119.15	$238.30	$87.93–$197.75	44% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 12001 RPR 2.5CM<SIMPLE	$166.90	$333.80	$108.69–$250.35	21% below	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 RPR 2.5CM< SIMPLE	$119.15	$238.30	$87.93–$197.75	—	50%
Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs inpatient CPT 12001 12001 RPR 2.5CM<SIMPLE	$166.90	$333.80	$108.69–$250.35	—	50%
Skin biopsy, punch, one lesion CPT 11104 11104 PN BX SKIN DG LS	$228.45	$456.90	$168.60–$397.62	38% below	50%
Skin biopsy, punch, one lesion CPT 11104 11104 PUNCH BX SKIN SG LS	$228.45	$456.90	$168.60–$397.62	38% below	50%
Skin biopsy, punch, one lesion CPT 11104 PNC BX SKIN 1 LES	$228.45	$456.90	$168.60–$397.62	38% below	50%
Skin biopsy, punch, one lesion CPT 11104 11104 PN BX SKIN SNG LES	$228.45	$456.90	$168.60–$397.62	38% below	50%
Skin biopsy, punch, one lesion CPT 11104 11104 PNC BX SKIN 1 LES	$228.45	$456.90	$168.60–$397.62	38% below	50%
Skin biopsy, punch, one lesion CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,332.77	$2,665.54	$193.17–$1,999.16	261% above	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PN BX SKIN SNG LES	$228.45	$456.90	$168.60–$397.62	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 PNC BX SKIN 1 LES	$228.45	$456.90	$168.60–$397.62	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PN BX SKIN DG LS	$228.45	$456.90	$168.60–$397.62	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PNC BX SKIN 1 LES	$228.45	$456.90	$168.60–$397.62	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 11104 PUNCH BX SKIN SG LS	$228.45	$456.90	$168.60–$397.62	—	50%
Skin biopsy, punch, one lesion inpatient CPT 11104 PUNCH BX SKIN SINGLE LESION	$1,332.77	$2,665.54	$193.17–$1,999.16	—	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 11600 EX MLG:TRK,ARM,LEG	$333.95	$667.90	$201.22–$700.22	at median	50%
Skin cancer removal (excision), body, arms or legs, up to 0.5 cm inpatient CPT 11600 11600 EX MLG:TRK,ARM,LEG	$333.95	$667.90	$201.22–$700.22	—	50%
Skin tag removal, up to 15 tags CPT 11200 REMOVE SKIN TAG	$155.90	$311.80	$108.69–$233.85	11% below	50%
Skin tag removal, up to 15 tags CPT 11200 11200 REMOVE SKIN TAG	$155.90	$311.80	$108.69–$233.85	11% below	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 REMOVE SKIN TAG	$155.90	$311.80	$108.69–$233.85	—	50%
Skin tag removal, up to 15 tags inpatient CPT 11200 11200 REMOVE SKIN TAG	$155.90	$311.80	$108.69–$233.85	—	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SP LUMB PUNC SPINAL TAP	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCTURE DIA	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 PUNCTURE DIAGNOSTIC	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTI	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAG	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIAGNOSTC	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL PUNCTR LUMB DIAG	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 62270 LUMBAR PUNCT DIAGN	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 LUMBAR PUNCTURE DIA	$294.80	$589.60	$217.56–$1,119.79	66% below	50%
Spinal tap (lumbar puncture), diagnostic CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$13,287.93	$26,575.85	$378.81–$19,931.89	1452% above	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAG	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 LUMBAR PUNCT DIAGN	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTC	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 LUMBAR PUNCTURE DIA	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SP LUMB PUNC SPINAL TAP	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL PUNCTR LUMB DIAG	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIAGNOSTI	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 LUMBAR PUNCTURE DIA	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 62270 PUNCTURE DIAGNOSTIC	$294.80	$589.60	$217.56–$1,119.79	—	50%
Spinal tap (lumbar puncture), diagnostic inpatient CPT 62270 SPINAL FLUID TAP DIAGNOSTIC	$13,287.93	$26,575.85	$378.81–$19,931.89	—	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 12002 RPR EXT 2.6-7.5CM	$119.15	$238.30	$87.93–$198.39	52% below	50%
Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs inpatient CPT 12002 12002 RPR EXT 2.6-7.5CM	$119.15	$238.30	$87.93–$198.39	—	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 12011 PR F/E/E/N/L/M 2.5<	$119.35	$238.70	$88.08–$197.75	49% below	50%
Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair inpatient CPT 12011 12011 PR F/E/E/N/L/M 2.5<	$119.35	$238.70	$88.08–$197.75	—	50%
TURP (transurethral resection of the prostate) CPT 52601 PROSTATECTOMY (TURP)	$7,000.69	$14,001.37	$2,780.74–$10,501.03	12% above	50%
TURP (transurethral resection of the prostate) inpatient CPT 52601 PROSTATECTOMY (TURP)	$7,000.69	$14,001.37	$2,780.74–$10,501.03	—	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANG BX SKIN 1 LES	$116.15	$232.30	$85.72–$197.75	59% below	50%
Tangential (shave-style) skin biopsy, one lesion CPT 11102 11102 TANG BX SKIN SG LES	$116.15	$232.30	$85.72–$197.75	59% below	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 TANG BX SKIN 1 LES	$116.15	$232.30	$85.72–$197.75	—	50%
Tangential (shave-style) skin biopsy, one lesion inpatient CPT 11102 11102 TANG BX SKIN SG LES	$116.15	$232.30	$85.72–$197.75	—	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/ GUIDE	$406.35	$812.70	$299.89–$858.66	64% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W GUIDE	$406.35	$812.70	$299.89–$858.66	64% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTESIS W/IMAG GD	$406.35	$812.70	$299.89–$858.66	64% below	50%
Thoracentesis with imaging guidance CPT 32555 THORACENTISIS W IMAGING	$406.35	$812.70	$299.89–$858.66	64% below	50%
Thoracentesis with imaging guidance CPT 32555 32555 THORACENTESES W/GD	$406.35	$812.70	$299.89–$858.66	64% below	50%
Thoracentesis with imaging guidance CPT 32555 CT CHEST TUBE INS W/GD	$1,777.35	$3,554.70	$338.19–$2,666.02	59% above	50%
Thoracentesis with imaging guidance CPT 32555 ASPIRATE PLEURA W/ IMAGING	$4,877.80	$9,755.60	$338.19–$7,316.70	335% above	50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/ GUIDE	$406.35	$812.70	$299.89–$858.66	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 32555 THORACENTESES W/GD	$406.35	$812.70	$299.89–$858.66	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W GUIDE	$406.35	$812.70	$299.89–$858.66	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTISIS W IMAGING	$406.35	$812.70	$299.89–$858.66	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 THORACENTESIS W/IMAG GD	$406.35	$812.70	$299.89–$858.66	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 CT CHEST TUBE INS W/GD	$1,777.35	$3,554.70	$338.19–$2,666.02	—	50%
Thoracentesis with imaging guidance inpatient CPT 32555 ASPIRATE PLEURA W/ IMAGING	$4,877.80	$9,755.60	$338.19–$7,316.70	—	50%
Tonsil removal (tonsillectomy) only, age 12 or older CPT 42826 REMOVAL OF TONSILS	$5,295.53	$10,591.05	$1,773.96–$7,943.29	29% above	50%
Tonsil removal (tonsillectomy) only, age 12 or older inpatient CPT 42826 REMOVAL OF TONSILS	$5,295.53	$10,591.05	$1,773.96–$7,943.29	—	50%
Total thyroid removal (thyroidectomy) CPT 60240 REMOVAL OF THYROID	$8,645.84	$17,291.67	$3,191.39–$12,968.75	4% above	50%
Total thyroid removal (thyroidectomy) inpatient CPT 60240 REMOVAL OF THYROID	$8,645.84	$17,291.67	$3,191.39–$12,968.75	—	50%
Trigger point injections, 1 or 2 muscles CPT 20552 20552 INJCTN SNGL MULT 1-	$223.35	$446.70	$161.47–$358.95	39% below	50%
Trigger point injections, 1 or 2 muscles inpatient CPT 20552 20552 INJCTN SNGL MULT 1-	$223.35	$446.70	$161.47–$358.95	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 BX BREAST 1ST LESION US	$923.20	$1,846.40	$552.44–$1,612.49	50% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion CPT 19083 19083 BX BREAST 1ST LESIS	$923.20	$1,846.40	$681.32–$1,612.49	50% below	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 19083 BX BREAST 1ST LESIS	$923.20	$1,846.40	$681.32–$1,612.49	—	50%
Ultrasound-guided breast needle biopsy with marker clip, first lesion inpatient CPT 19083 BX BREAST 1ST LESION US	$923.20	$1,846.40	$552.44–$1,612.49	—	50%
Upper endoscopy (EGD) with balloon widening of the esophagus CPT 43249 ESOPH EGD DILATION <30 MM	$3,870.89	$7,741.77	$1,037.65–$5,806.33	61% above	50%
Upper endoscopy (EGD) with balloon widening of the esophagus inpatient CPT 43249 ESOPH EGD DILATION <30 MM	$3,870.89	$7,741.77	$1,037.65–$5,806.33	—	50%
Upper endoscopy (EGD) with biopsy CPT 43239 EGD AND BIOPSY	$441.60	$883.20	$264.25–$3,640.00	65% below	50%
Upper endoscopy (EGD) with biopsy CPT 43239 Egd Biopsy Single/Multiple	$2,246.70	$4,493.40	$512.85–$3,370.05	80% above	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 EGD AND BIOPSY	$441.60	$883.20	$264.25–$3,640.00	—	50%
Upper endoscopy (EGD) with biopsy inpatient CPT 43239 Egd Biopsy Single/Multiple	$2,246.70	$4,493.40	$512.85–$3,370.05	—	50%
Upper endoscopy (EGD) with injection into the lining CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,224.50	$2,448.99	$512.85–$2,277.28	12% below	50%
Upper endoscopy (EGD) with injection into the lining inpatient CPT 43236 UPPR GI SCOPE W/SUBMUC INJ	$1,224.50	$2,448.99	$512.85–$2,277.28	—	50%
Upper endoscopy (EGD) with polyp removal by snare CPT 43251 EGD REMOVE LESION SNARE	$1,724.84	$3,449.68	$1,037.65–$2,587.26	19% below	50%
Upper endoscopy (EGD) with polyp removal by snare inpatient CPT 43251 EGD REMOVE LESION SNARE	$1,724.84	$3,449.68	$1,037.65–$2,587.26	—	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire CPT 43248 EGD GUIDE WIRE INSERTION	$2,532.14	$5,064.28	$512.85–$3,798.21	72% above	50%
Upper endoscopy (EGD) with widening of the esophagus over a guide wire inpatient CPT 43248 EGD GUIDE WIRE INSERTION	$2,532.14	$5,064.28	$512.85–$3,798.21	—	50%
Upper endoscopy (EGD), diagnostic CPT 43235 UPPER GASTROINTESTIN ENDO	$289.55	$579.10	$213.69–$933.07	67% below	50%
Upper endoscopy (EGD), diagnostic CPT 43235 Egd Diagnostic Brush Wash	$2,227.74	$4,455.48	$512.85–$3,341.61	151% above	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 UPPER GASTROINTESTIN ENDO	$289.55	$579.10	$213.69–$933.07	—	50%
Upper endoscopy (EGD), diagnostic inpatient CPT 43235 Egd Diagnostic Brush Wash	$2,227.74	$4,455.48	$512.85–$3,341.61	—	50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHO	$2,996.90	$5,993.80	$2,211.71–$5,059.29	59% below	50%
Ureteroscopy with laser stone breaking (lithotripsy) CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$5,559.88	$11,119.76	$2,780.74–$8,339.82	25% below	50%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHO	$2,996.90	$5,993.80	$2,211.71–$5,059.29	—	50%
Ureteroscopy with laser stone breaking (lithotripsy) inpatient CPT 52353 CYSTOURETERO W/LITHOTRIPSY	$5,559.88	$11,119.76	$2,780.74–$8,339.82	—	50%
Ureteroscopy with laser stone breaking and stent placement CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$4,876.24	$9,752.48	$2,780.74–$7,314.36	51% below	50%
Ureteroscopy with laser stone breaking and stent placement inpatient CPT 52356 CYSTO/URETERO W/LITHOTRIPSY	$4,876.24	$9,752.48	$2,780.74–$7,314.36	—	50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 VASECTOMY	$1,390.00	$2,780.00	$1,025.82–$2,085.00	59% below	50%
Vasectomy, one or both sides, including follow-up semen testing CPT 55250 55250 VASECTOMY 284	$1,390.00	$2,780.00	$1,025.82–$2,085.00	59% below	50%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 VASECTOMY	$1,390.00	$2,780.00	$1,025.82–$2,085.00	—	50%
Vasectomy, one or both sides, including follow-up semen testing inpatient CPT 55250 55250 VASECTOMY 284	$1,390.00	$2,780.00	$1,025.82–$2,085.00	—	50%
Vein ablation, radiofrequency, first vein CPT 36475 RF VEN ABLA 1ST VSL WSL	$2,560.90	$5,121.80	$1,721.68–$3,841.35	32% below	50%
Vein ablation, radiofrequency, first vein inpatient CPT 36475 RF VEN ABLA 1ST VSL WSL	$2,560.90	$5,121.80	$1,721.68–$3,841.35	—	50%
Wart removal, up to 14 warts CPT 17110 DESTRY PLNTAR WARTS UP TO	$125.75	$251.50	$75.25–$197.75	38% below	50%
Wart removal, up to 14 warts CPT 17110 17110 DESTRY PLNTAR WARTS	$125.75	$251.50	$92.80–$197.75	38% below	50%
Wart removal, up to 14 warts inpatient CPT 17110 17110 DESTRY PLNTAR WARTS	$125.75	$251.50	$92.80–$197.75	—	50%
Wart removal, up to 14 warts inpatient CPT 17110 DESTRY PLNTAR WARTS UP TO	$125.75	$251.50	$75.25–$197.75	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDE SKIN & SUB	$251.80	$503.60	$185.83–$397.62	55% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 DEBRIDEMENT SKIN AND SUBC	$251.80	$503.60	$185.83–$397.62	55% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 11042 DEBRIDEMENT SKIN,&S	$251.80	$503.60	$185.83–$397.62	55% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Debridement; skin, and su	$251.80	$503.60	$185.83–$397.62	55% below	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDEMENT SKIN,&S	$251.80	$503.60	$185.83–$397.62	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 DEBRIDEMENT SKIN AND SUBC	$251.80	$503.60	$185.83–$397.62	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 11042 DEBRIDE SKIN & SUB	$251.80	$503.60	$185.83–$397.62	—	50%
Wound debridement, skin and tissue under it, first 20 sq cm inpatient CPT 11042 Debridement; skin, and su	$251.80	$503.60	$185.83–$397.62	—	50%

Doctor visits and therapy

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION PLASMA	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 ADMIN BLOOD COMPONE	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSION 280	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANS WERTZ 1 UNIT	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 PLATELET TRANSFUSIO	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION 1 UNIT	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 1 UNIT/WERTZ	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSION/WERT	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD COMPONENTS BM	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 1 UNIT	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 PLATELET TRANSFUSIO	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 ADMIN BLOOD COMPONE	$330.00	$660.00	$147.91–$495.00	56% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION 2 UNITS	$660.00	$1,320.00	$147.91–$990.00	12% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 2 UNITS	$660.00	$1,320.00	$147.91–$990.00	12% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 2 UNITS/WERTZ	$660.00	$1,320.00	$147.91–$990.00	12% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION 2 UNIT	$660.00	$1,320.00	$147.91–$990.00	12% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 2 UNIT/WERTZ	$660.00	$1,320.00	$147.91–$990.00	12% below	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 3 UNITS/WERTZ	$990.00	$1,980.00	$147.91–$1,485.00	32% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 3 UNIT/WERTZ	$990.00	$1,980.00	$147.91–$1,485.00	32% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION 3 UNITS	$990.00	$1,980.00	$147.91–$1,485.00	32% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 36430 TRANSFUSION 3 UNIT	$990.00	$1,980.00	$147.91–$1,485.00	32% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 TRANSFUSION 3 UNITS	$990.00	$1,980.00	$147.91–$1,485.00	32% above	50%
Blood transfusion (giving blood or blood components) CPT 36430 BLOOD TRANSFUSION SERVICE	$5,183.34	$10,366.67	$147.91–$7,775.00	589% above	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSION 280	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION PLASMA	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 1 UNIT	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD COMPONE	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSION/WERT	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 PLATELET TRANSFUSIO	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 ADMIN BLOOD COMPONENTS BM	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 PLATELET TRANSFUSIO	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANS WERTZ 1 UNIT	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION 1 UNIT	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 1 UNIT/WERTZ	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 ADMIN BLOOD COMPONE	$330.00	$660.00	$147.91–$495.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 2 UNITS	$660.00	$1,320.00	$147.91–$990.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 2 UNITS/WERTZ	$660.00	$1,320.00	$147.91–$990.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 2 UNIT/WERTZ	$660.00	$1,320.00	$147.91–$990.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION 2 UNIT	$660.00	$1,320.00	$147.91–$990.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION 2 UNITS	$660.00	$1,320.00	$147.91–$990.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 3 UNIT/WERTZ	$990.00	$1,980.00	$147.91–$1,485.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 3 UNITS/WERTZ	$990.00	$1,980.00	$147.91–$1,485.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION 3 UNITS	$990.00	$1,980.00	$147.91–$1,485.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 36430 TRANSFUSION 3 UNIT	$990.00	$1,980.00	$147.91–$1,485.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 TRANSFUSION 3 UNITS	$990.00	$1,980.00	$147.91–$1,485.00	—	50%
Blood transfusion (giving blood or blood components) inpatient CPT 36430 BLOOD TRANSFUSION SERVICE	$5,183.34	$10,366.67	$147.91–$7,775.00	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER (SUB	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TRTS INITIAL	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 S100B PROTEIN SERUM	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOS INHALER INIT	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER SUB	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TRTS SUBSEQ	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METER DOSE INHALER INT	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 IPPB (SUBSEQUENT)	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TREATMENTS SU	$33.70	$67.40	$24.87–$202.42	81% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHALATION THERAPY	$35.40	$70.80	$26.13–$202.42	80% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRT(NEBULIZER)	$35.40	$70.80	$26.13–$202.42	80% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION THERAPY	$35.40	$70.80	$26.13–$202.42	80% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 METERED DOSE INHALER (INI	$61.30	$122.60	$27.00–$202.42	65% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INTRAPULMONARY PERCUSSIVE	$61.30	$122.60	$27.00–$202.42	65% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY TREATMENTS IN	$61.30	$122.60	$27.00–$202.42	65% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHLTN TRTMNT (NEBULIZER,	$62.05	$124.10	$27.00–$202.42	64% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHAL TRETMNT (NEBULIZER,	$62.05	$124.10	$27.00–$202.42	64% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 94640 INHLTN TRTMT (NEBU	$67.20	$134.40	$27.00–$202.42	61% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TREATMENT(NEBU	$67.20	$134.40	$27.00–$202.42	61% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 INHALATION TRTMNT (NBLZR	$67.20	$134.40	$27.00–$202.42	61% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 RESPIRATORY THERAPY TRMT	$67.20	$134.40	$27.00–$202.42	61% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 5W NEBULIZER TREATMENT	$96.15	$192.30	$27.00–$202.42	45% below	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HANDHELD NEB TREATMENT	$235.85	$471.70	$27.00–$353.78	36% above	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 S100B PROTEIN SERUM	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TRTS INITIAL	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER (SUB	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TREATMENTS SU	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 IPPB (SUBSEQUENT)	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TRTS SUBSEQ	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOS INHALER INIT	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER SUB	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METER DOSE INHALER INT	$33.70	$67.40	$24.87–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 INHALATION THERAPY	$35.40	$70.80	$26.13–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRT(NEBULIZER)	$35.40	$70.80	$26.13–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION THERAPY	$35.40	$70.80	$26.13–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY TREATMENTS IN	$61.30	$122.60	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 METERED DOSE INHALER (INI	$61.30	$122.60	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INTRAPULMONARY PERCUSSIVE	$61.30	$122.60	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHAL TRETMNT (NEBULIZER,	$62.05	$124.10	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHLTN TRTMNT (NEBULIZER,	$62.05	$124.10	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 94640 INHLTN TRTMT (NEBU	$67.20	$134.40	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TREATMENT(NEBU	$67.20	$134.40	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 INHALATION TRTMNT (NBLZR	$67.20	$134.40	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 RESPIRATORY THERAPY TRMT	$67.20	$134.40	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 5W NEBULIZER TREATMENT	$96.15	$192.30	$27.00–$202.42	—	50%
Breathing treatment (nebulizer or inhaler) for airway obstruction inpatient CPT 94640 HANDHELD NEB TREATMENT	$235.85	$471.70	$27.00–$353.78	—	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SGN/IN	$294.07	$588.14	$181.43–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SGL INTL DRU	$294.07	$588.14	$181.43–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO INFU INIT UP	$294.07	$588.14	$181.43–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO IV INF SGL/INTL DRU	$294.07	$588.14	$181.43–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV INF SGN/IN	$294.07	$588.14	$175.97–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 96413 CHEMO IV INF INITAL	$294.07	$588.14	$175.97–$605.90	44% below	50%
Chemotherapy IV infusion, first hour CPT 96413 CHEMO INFUSION INIT UP TO	$294.07	$588.14	$181.43–$605.90	44% below	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SGL/INTL DRU	$294.07	$588.14	$181.43–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV INF INITAL	$294.07	$588.14	$175.97–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO INFU INIT UP	$294.07	$588.14	$181.43–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SGL INTL DRU	$294.07	$588.14	$181.43–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO INFUSION INIT UP TO	$294.07	$588.14	$181.43–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 CHEMO IV INF SGN/IN	$294.07	$588.14	$181.43–$605.90	—	50%
Chemotherapy IV infusion, first hour inpatient CPT 96413 96413 CHEMO IV INF SGN/IN	$294.07	$588.14	$175.97–$605.90	—	50%
EEG (brain wave test), awake and drowsy, routine CPT 95816 EEG-ROUTINE AWAKE/DROWSY	$566.24	$1,132.47	$170.34–$1,169.16	27% below	50%
EEG (brain wave test), awake and drowsy, routine inpatient CPT 95816 EEG-ROUTINE AWAKE/DROWSY	$566.24	$1,132.47	$170.34–$1,169.16	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACKING ONLY	$24.45	$48.90	$16.66–$59.12	81% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG TRACING ONLY	$40.95	$81.90	$16.66–$61.43	69% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG TRACING ONLY	$44.30	$88.60	$16.66–$66.45	66% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ELECTROCARDIOGRAM WITH TR	$44.30	$88.60	$16.66–$66.45	66% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 ECG WITH INTERPRETATION A	$44.30	$88.60	$16.66–$66.45	66% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Twelve Lead Electrocardio	$44.30	$88.60	$16.66–$66.45	66% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 93005 EKG TRACING ONLY	$55.70	$111.40	$16.66–$83.55	57% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 4WS EKG TRACING ONLY	$115.00	$230.00	$16.66–$172.50	12% below	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 EKG 12 LEAD TRACING	$291.80	$583.60	$16.66–$437.70	123% above	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACKING ONLY	$24.45	$48.90	$16.66–$59.12	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG TRACING ONLY	$40.95	$81.90	$16.66–$61.43	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG TRACING ONLY	$44.30	$88.60	$16.66–$66.45	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ECG WITH INTERPRETATION A	$44.30	$88.60	$16.66–$66.45	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 Twelve Lead Electrocardio	$44.30	$88.60	$16.66–$66.45	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 ELECTROCARDIOGRAM WITH TR	$44.30	$88.60	$16.66–$66.45	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 93005 EKG TRACING ONLY	$55.70	$111.40	$16.66–$83.55	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 4WS EKG TRACING ONLY	$115.00	$230.00	$16.66–$172.50	—	50%
Electrocardiogram (ECG/EKG), tracing only, the hospital charge inpatient CPT 93005 EKG 12 LEAD TRACING	$291.80	$583.60	$16.66–$437.70	—	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS ECHO W DOBUTAMINE	$552.80	$1,105.60	$132.64–$829.20	24% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 STRESS TEST-PHYSICIAN SUP	$552.80	$1,105.60	$132.64–$829.20	24% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIOVASCULAR STRESS TES	$552.80	$1,105.60	$132.64–$829.20	24% below	50%
Exercise stress test, tracing only, the hospital charge CPT 93017 CARDIO STRESS TRACE ONLY	$552.80	$1,105.60	$132.64–$829.20	24% below	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS TEST-PHYSICIAN SUP	$552.80	$1,105.60	$132.64–$829.20	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIO STRESS TRACE ONLY	$552.80	$1,105.60	$132.64–$829.20	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 CARDIOVASCULAR STRESS TES	$552.80	$1,105.60	$132.64–$829.20	—	50%
Exercise stress test, tracing only, the hospital charge inpatient CPT 93017 STRESS ECHO W DOBUTAMINE	$552.80	$1,105.60	$132.64–$829.20	—	50%
Family therapy with the patient, 50 minutes CPT 90847 FAM PSYCHOTH WITH PATIENT	$124.15	$248.30	$35.18–$186.23	6% below	50%
Family therapy with the patient, 50 minutes inpatient CPT 90847 FAM PSYCHOTH WITH PATIENT	$124.15	$248.30	$35.18–$186.23	—	50%
Family therapy without the patient, 50 minutes CPT 90846 FAM PSYCHOTH W/O PATIENT	$124.15	$248.30	$42.25–$186.23	16% below	50%
Family therapy without the patient, 50 minutes inpatient CPT 90846 FAM PSYCHOTH W/O PATIENT	$124.15	$248.30	$42.25–$186.23	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HOUR	$79.70	$159.40	$58.82–$209.68	69% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 INTRAV INF HYDRT IN 1 HR	$87.80	$175.60	$64.80–$209.68	66% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUS HYDRAT INT UP TO	$134.50	$269.00	$99.26–$209.68	48% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION. INIT, UP TO	$134.50	$269.00	$99.26–$209.68	48% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION, INIT UP TP	$147.90	$295.80	$109.15–$221.85	43% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION 1ST HR	$149.45	$298.90	$89.43–$224.17	43% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATN, INIT UP TO 1	$149.45	$298.90	$109.16–$224.17	43% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRATION 1ST HR	$164.30	$328.60	$109.16–$246.45	37% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV HYDRATION INITIAL UP T	$164.30	$328.60	$109.16–$246.45	37% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV HYDRAT INITIAL	$173.80	$347.60	$109.16–$260.70	33% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYDRATE IV INF INIT 30-60	$180.75	$361.50	$109.16–$271.13	31% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 IV INFUSION, HYDRATION, U	$180.75	$361.50	$109.16–$271.13	31% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360 IV INF HYDRATE	$180.75	$361.50	$108.16–$271.13	31% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 HYD IV INF INIT 31-60 MIN	$180.75	$361.50	$109.16–$271.13	31% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes CPT 96360 96360IVHYDRAT, INITIAL	$180.75	$361.50	$109.16–$271.13	31% below	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HOUR	$79.70	$159.40	$58.82–$209.68	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 INTRAV INF HYDRT IN 1 HR	$87.80	$175.60	$64.80–$209.68	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUS HYDRAT INT UP TO	$134.50	$269.00	$99.26–$209.68	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION. INIT, UP TO	$134.50	$269.00	$99.26–$209.68	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION, INIT UP TP	$147.90	$295.80	$109.15–$221.85	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATN, INIT UP TO 1	$149.45	$298.90	$109.16–$224.17	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION 1ST HR	$149.45	$298.90	$89.43–$224.17	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV HYDRATION INITIAL UP T	$164.30	$328.60	$109.16–$246.45	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV HYDRATION 1ST HR	$164.30	$328.60	$109.16–$246.45	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV HYDRAT INITIAL	$173.80	$347.60	$109.16–$260.70	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYDRATE IV INF INIT 30-60	$180.75	$361.50	$109.16–$271.13	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 HYD IV INF INIT 31-60 MIN	$180.75	$361.50	$109.16–$271.13	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 IV INFUSION, HYDRATION, U	$180.75	$361.50	$109.16–$271.13	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360 IV INF HYDRATE	$180.75	$361.50	$108.16–$271.13	—	50%
IV hydration (fluids through a vein), first 31 to 60 minutes inpatient CPT 96360 96360IVHYDRAT, INITIAL	$180.75	$361.50	$109.16–$271.13	—	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INIT UP	$113.50	$227.00	$83.76–$210.13	62% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG UP TO 1	$164.30	$328.60	$115.25–$246.45	45% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INFUS PROPHY DIAG UP T	$198.80	$397.60	$115.25–$298.20	34% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG, NON CHE	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG INT UP T	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER/DIAG IN	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INF THER DIAG INIT UP	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF THER/DIAG IN	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 96365 IV INF THER <=1HR	$200.80	$401.60	$115.25–$301.20	33% below	50%
IV infusion of a medicine, first hour CPT 96365 IV INFU,THR, PROP,DX INT	$242.95	$485.90	$115.25–$364.42	19% below	50%
IV infusion of a medicine, first hour CPT 96365 T,P,D IV INF INIT < 1 HR	$260.90	$521.80	$115.25–$391.35	13% below	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INIT UP	$113.50	$227.00	$83.76–$210.13	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG UP TO 1	$164.30	$328.60	$115.25–$246.45	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFUS PROPHY DIAG UP T	$198.80	$397.60	$115.25–$298.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INF THER <=1HR	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG IN	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER DIAG INIT UP	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 96365 IV INF THER/DIAG IN	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG, NON CHE	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INF THER/DIAG INT UP T	$200.80	$401.60	$115.25–$301.20	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 IV INFU,THR, PROP,DX INT	$242.95	$485.90	$115.25–$364.42	—	50%
IV infusion of a medicine, first hour inpatient CPT 96365 T,P,D IV INF INIT < 1 HR	$260.90	$521.80	$115.25–$391.35	—	50%
IV push of a medicine, first drug CPT 96374 96374 INJ,INTRAVEN NON-CE	$74.20	$148.40	$54.76–$209.68	60% below	50%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH, SINGLE/INT	$83.68	$167.35	$61.75–$209.68	55% below	50%
IV push of a medicine, first drug CPT 96374 96374 - IV INITIAL PUSH	$83.68	$167.35	$61.75–$209.68	55% below	50%
IV push of a medicine, first drug CPT 96374 IVPUSH, SGL/INITIAL SUBST	$135.85	$271.70	$100.26–$209.68	26% below	50%
IV push of a medicine, first drug CPT 96374 INJECTION INTRAVENOUS NON	$152.50	$305.00	$112.55–$228.75	17% below	50%
IV push of a medicine, first drug CPT 96374 96374 IV INITIAL PUSH	$152.50	$305.00	$112.55–$228.75	17% below	50%
IV push of a medicine, first drug CPT 96374 IVPUSH SINGLE INTIAL SUBS	$165.90	$331.80	$115.25–$248.85	10% below	50%
IV push of a medicine, first drug CPT 96374 IV PUSH,SINGLE/INIT SUBST	$165.90	$331.80	$115.25–$248.85	10% below	50%
IV push of a medicine, first drug CPT 96374 IVPUSH SNGL/INTL SUBSTANC	$165.90	$331.80	$115.25–$248.85	10% below	50%
IV push of a medicine, first drug CPT 96374 IV PUSH INITIAL (NON-CHEM	$165.90	$331.80	$115.25–$248.85	10% below	50%
IV push of a medicine, first drug CPT 96374 IVPUSH, SINGLE/INTL SUBS/	$167.70	$335.40	$115.25–$251.55	9% below	50%
IV push of a medicine, first drug CPT 96374 IV PUSH SNGL INTL SUBSDRG	$168.35	$336.70	$115.25–$252.52	9% below	50%
IV push of a medicine, first drug CPT 96374 INJ INTRAVENOUS NON	$176.75	$353.50	$115.25–$265.13	4% below	50%
IV push of a medicine, first drug CPT 96374 IV PUSH,SGL/INITIAL SUBST	$184.45	$368.90	$115.25–$276.67	at median	50%
IV push of a medicine, first drug CPT 96374 THERAPEUTIC PROPHYLACTIC/	$184.45	$368.90	$110.37–$276.67	at median	50%
IV push of a medicine, first drug CPT 96374 96374 IV PUSH INITIAL	$194.75	$389.50	$115.25–$292.13	5% above	50%
IV push of a medicine, first drug CPT 96374 96374 INJ INTRAVENOUS NON	$202.53	$405.05	$115.25–$303.79	10% above	50%
IV push of a medicine, first drug CPT 96374 96374 IVP INITIAL	$202.55	$405.10	$115.25–$303.83	10% above	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 INJ,INTRAVEN NON-CE	$74.20	$148.40	$54.76–$209.68	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH, SINGLE/INT	$83.68	$167.35	$61.75–$209.68	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 - IV INITIAL PUSH	$83.68	$167.35	$61.75–$209.68	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IVPUSH, SGL/INITIAL SUBST	$135.85	$271.70	$100.26–$209.68	—	50%
IV push of a medicine, first drug inpatient CPT 96374 INJECTION INTRAVENOUS NON	$152.50	$305.00	$112.55–$228.75	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV INITIAL PUSH	$152.50	$305.00	$112.55–$228.75	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH,SINGLE/INIT SUBST	$165.90	$331.80	$115.25–$248.85	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IVPUSH SNGL/INTL SUBSTANC	$165.90	$331.80	$115.25–$248.85	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH INITIAL (NON-CHEM	$165.90	$331.80	$115.25–$248.85	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IVPUSH SINGLE INTIAL SUBS	$165.90	$331.80	$115.25–$248.85	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IVPUSH, SINGLE/INTL SUBS/	$167.70	$335.40	$115.25–$251.55	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH SNGL INTL SUBSDRG	$168.35	$336.70	$115.25–$252.52	—	50%
IV push of a medicine, first drug inpatient CPT 96374 INJ INTRAVENOUS NON	$176.75	$353.50	$115.25–$265.13	—	50%
IV push of a medicine, first drug inpatient CPT 96374 IV PUSH,SGL/INITIAL SUBST	$184.45	$368.90	$115.25–$276.67	—	50%
IV push of a medicine, first drug inpatient CPT 96374 THERAPEUTIC PROPHYLACTIC/	$184.45	$368.90	$110.37–$276.67	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 IV PUSH INITIAL	$194.75	$389.50	$115.25–$292.13	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 INJ INTRAVENOUS NON	$202.53	$405.05	$115.25–$303.79	—	50%
IV push of a medicine, first drug inpatient CPT 96374 96374 IVP INITIAL	$202.55	$405.10	$115.25–$303.83	—	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUB Q NON CHEMO	$34.65	$69.30	$25.57–$70.83	62% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ THER/DIAG, NON CH	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUB Q NON CHEMO	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJECTION INTRAMUSCULAR/S	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ,THRPTIC/DIAG,NON	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ NON CHEMO	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM/SUBSQ INJECTION	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 THER PROPH DIAG INJ SC/IM	$40.80	$81.60	$30.11–$70.83	55% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IM SUB Q NON CHEMO	$55.70	$111.40	$33.83–$83.55	39% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372 IMSUBQ INJ NONCHEMO	$61.25	$122.50	$33.83–$91.88	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ THRPTC/DIAG NON C	$61.25	$122.50	$33.83–$91.88	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM/SUBQ INJECTION-NON CHE	$61.25	$122.50	$33.83–$187.00	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 96372IMSQ THERAP/DIAG NON	$61.25	$122.50	$33.83–$91.88	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ,THERAP/DIAG, NON	$61.25	$122.50	$33.83–$187.00	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 IM SUBQ THERAPEUTIC/DIAG	$61.25	$122.50	$33.83–$91.88	33% below	50%
Injection under the skin or into a muscle, for treatment or testing CPT 96372 INJ TX/PROPH/DX SQ/IM	$159.80	$319.60	$33.83–$239.70	76% above	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUB Q NON CHEMO	$34.65	$69.30	$25.57–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ,THRPTIC/DIAG,NON	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 THER PROPH DIAG INJ SC/IM	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUB Q NON CHEMO	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ NON CHEMO	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ THER/DIAG, NON CH	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM/SUBSQ INJECTION	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJECTION INTRAMUSCULAR/S	$40.80	$81.60	$30.11–$70.83	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IM SUB Q NON CHEMO	$55.70	$111.40	$33.83–$83.55	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372IMSQ THERAP/DIAG NON	$61.25	$122.50	$33.83–$91.88	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 96372 IMSUBQ INJ NONCHEMO	$61.25	$122.50	$33.83–$91.88	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ,THERAP/DIAG, NON	$61.25	$122.50	$33.83–$187.00	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ THRPTC/DIAG NON C	$61.25	$122.50	$33.83–$91.88	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM SUBQ THERAPEUTIC/DIAG	$61.25	$122.50	$33.83–$91.88	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 IM/SUBQ INJECTION-NON CHE	$61.25	$122.50	$33.83–$187.00	—	50%
Injection under the skin or into a muscle, for treatment or testing inpatient CPT 96372 INJ TX/PROPH/DX SQ/IM	$159.80	$319.60	$33.83–$239.70	—	50%
Nerve conduction study, 7 or 8 nerve studies CPT 95910 7-8 NERVE CONDUCT STUDIES	$164.45	$328.90	$121.36–$309.91	78% below	50%
Nerve conduction study, 7 or 8 nerve studies inpatient CPT 95910 7-8 NERVE CONDUCT STUDIES	$164.45	$328.90	$121.36–$309.91	—	50%
New patient office visit, about 60 minutes CPT 99205 OTPT OV NEW LEVEL 5	$269.00	$538.00	$198.52–$403.50	97% above	50%
New patient office visit, about 60 minutes inpatient CPT 99205 OTPT OV NEW LEVEL 5	$269.00	$538.00	$198.52–$403.50	—	50%
Occupational therapy evaluation, low complexity CPT 97165 OCCUP THER EVAL LOW COMPL	$181.20	$362.40	$133.73–$271.80	13% below	50%
Occupational therapy evaluation, low complexity CPT 97165 OT EVAL LOW COMPLEXITY	$181.20	$362.40	$133.73–$271.80	13% below	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OT EVAL LOW COMPLEXITY	$181.20	$362.40	$133.73–$271.80	—	50%
Occupational therapy evaluation, low complexity inpatient CPT 97165 OCCUP THER EVAL LOW COMPL	$181.20	$362.40	$133.73–$271.80	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT THERAPY EVAL HIGH COMP	$200.55	$401.10	$148.01–$300.83	15% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 PT EVAL HIGH COMPLEXITY	$200.55	$401.10	$148.01–$300.83	15% below	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT EVAL HIGH COMPLEXITY	$200.55	$401.10	$148.01–$300.83	—	50%
Physical therapy evaluation, high complexity (typically about 45 minutes) inpatient CPT 97163 PT THERAPY EVAL HIGH COMP	$200.55	$401.10	$148.01–$300.83	—	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 PT EVAL LOW COMPLEXITY	$181.20	$362.40	$133.73–$271.80	8% below	50%
Physical therapy evaluation, low complexity (typically about 20 minutes) inpatient CPT 97161 PT EVAL LOW COMPLEXITY	$181.20	$362.40	$133.73–$271.80	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT THERAPY EVAL MOD COMPL	$190.90	$381.80	$140.88–$286.35	15% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 PT EVAL MOD COMPLEXITY	$190.90	$381.80	$140.88–$286.35	15% below	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT EVAL MOD COMPLEXITY	$190.90	$381.80	$140.88–$286.35	—	50%
Physical therapy evaluation, moderate complexity (typically about 30 minutes) inpatient CPT 97162 PT THERAPY EVAL MOD COMPL	$190.90	$381.80	$140.88–$286.35	—	50%
Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Manual Therapy Ea 15 Min	$68.85	$137.70	$50.81–$103.27	29% below	50%
Physical therapy, hands-on manual therapy (15-minute unit) inpatient CPT 97140 Manual Therapy Ea 15 Min	$68.85	$137.70	$50.81–$103.27	—	50%
Psychotherapy for crisis, first 60 minutes CPT 90839 PSYTX CRISIS INITIAL 60 M	$98.25	$196.50	$72.51–$159.90	4% below	50%
Psychotherapy for crisis, first 60 minutes inpatient CPT 90839 PSYTX CRISIS INITIAL 60 M	$98.25	$196.50	$72.51–$159.90	—	50%
Psychotherapy session, 30 minutes CPT 90832 PSYTX PT & FAM 30 MINS	$56.00	$112.00	$41.33–$159.90	71% below	50%
Psychotherapy session, 30 minutes inpatient CPT 90832 PSYTX PT & FAM 30 MINS	$56.00	$112.00	$41.33–$159.90	—	50%
Psychotherapy session, 45 minutes CPT 90834 PSYTX PT & FAM 45 MINS	$74.45	$148.90	$54.94–$159.90	65% below	50%
Psychotherapy session, 45 minutes inpatient CPT 90834 PSYTX PT & FAM 45 MINS	$74.45	$148.90	$54.94–$159.90	—	50%
Psychotherapy session, 60 minutes CPT 90837 PSYTX PT AND FAM 60 MINS	$94.20	$188.40	$69.52–$159.90	59% below	50%
Psychotherapy session, 60 minutes inpatient CPT 90837 PSYTX PT AND FAM 60 MINS	$94.20	$188.40	$69.52–$159.90	—	50%
Quit-smoking counseling, 3 to 10 minutes CPT 99406 BEHAV CHNG SMOKING 3-10MN	$77.55	$155.10	$14.55–$116.32	89% above	50%
Quit-smoking counseling, 3 to 10 minutes inpatient CPT 99406 BEHAV CHNG SMOKING 3-10MN	$77.55	$155.10	$14.55–$116.32	—	50%
Specialist consultation, low complexity or 30+ minutes CPT 99243 OFFICE CONSULT LOW COMPLE	$356.00	$712.00	$262.73–$534.00	128% above	50%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 OFFICE CONSULT LOW COMPLE	$356.00	$712.00	$262.73–$534.00	—	50%
Speech and language evaluation CPT 92523 SPEECH SOUND LANG COMP	$167.20	$334.40	$123.39–$250.80	56% below	50%
Speech and language evaluation inpatient CPT 92523 SPEECH SOUND LANG COMP	$167.20	$334.40	$123.39–$250.80	—	50%
Speech therapy session, individual CPT 92507 SPEECH LANGUAGE PATHOLOGY	$66.45	$132.90	$49.04–$99.68	69% below	50%
Speech therapy session, individual inpatient CPT 92507 SPEECH LANGUAGE PATHOLOGY	$66.45	$132.90	$49.04–$99.68	—	50%
Spirometry (breathing test) CPT 94010 PEAK FLOW	$49.10	$98.20	$36.24–$155.71	76% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY W/FVC	$134.65	$269.30	$68.08–$201.98	35% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY/STANDARD FUNCT	$144.60	$289.20	$68.08–$216.90	30% below	50%
Spirometry (breathing test) CPT 94010 SPIROMETRY-BEDSIDE BO	$144.60	$289.20	$68.08–$216.90	30% below	50%
Spirometry (breathing test) inpatient CPT 94010 PEAK FLOW	$49.10	$98.20	$36.24–$155.71	—	50%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY W/FVC	$134.65	$269.30	$68.08–$201.98	—	50%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY/STANDARD FUNCT	$144.60	$289.20	$68.08–$216.90	—	50%
Spirometry (breathing test) inpatient CPT 94010 SPIROMETRY-BEDSIDE BO	$144.60	$289.20	$68.08–$216.90	—	50%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL PRE/PS	$225.65	$451.30	$102.13–$338.48	45% below	50%
Spirometry before and after a bronchodilator CPT 94060 BRONCHOSPASM EVAL SPIROME	$261.95	$523.90	$102.13–$392.92	36% below	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL PRE/PS	$225.65	$451.30	$102.13–$338.48	—	50%
Spirometry before and after a bronchodilator inpatient CPT 94060 BRONCHOSPASM EVAL SPIROME	$261.95	$523.90	$102.13–$392.92	—	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY, THER	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY,THER - ONE UNI	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY, THER	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THER ONE UNI	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 PHLEBOTOMY THERAPEUTIC	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLBOTOMY, THER-1UN	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) CPT 99195 99195 PHLEBOTOMY, THERAP	$157.35	$314.70	$70.51–$311.07	33% below	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THER ONE UNI	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY, THERAP	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY THERAPEUTIC	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY, THER	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLEBOTOMY, THER	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 99195 PHLBOTOMY, THER-1UN	$157.35	$314.70	$70.51–$311.07	—	50%
Therapeutic phlebotomy (removing blood as treatment) inpatient CPT 99195 PHLEBOTOMY,THER - ONE UNI	$157.35	$314.70	$70.51–$311.07	—	50%

Vaccines

Procedure	Cash price	List price	Insurers pay	vs Michigan	Off list
Hepatitis A vaccine, adult dose CPT 90632 90632 HEP A ADULT	$65.35	$130.70	$48.23–$258.14	45% below	50%
Hepatitis A vaccine, adult dose inpatient CPT 90632 90632 HEP A ADULT	$65.35	$130.70	$48.23–$258.14	—	50%
Hepatitis B vaccine, adult dose (3-dose schedule) CPT 90746 HEPATITIS B VACCINE (ADUL	$18.21	$36.42	$13.44–$222.62	78% below	50%
Hepatitis B vaccine, adult dose (3-dose schedule) inpatient CPT 90746 HEPATITIS B VACCINE (ADUL	$18.21	$36.42	$13.44–$222.62	—	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) CPT 90647 PEDVAXHIB VACCINE INJ 0.5	$19.44	$38.88	$14.35–$97.02	60% below	50%
Hib vaccine (Haemophilus influenzae type b), 3-dose schedule (PedvaxHIB) inpatient CPT 90647 PEDVAXHIB VACCINE INJ 0.5	$19.44	$38.88	$14.35–$97.02	—	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) CPT 90671 PNEUMOCOCCAL 15 CONJ VAC	$164.14	$328.29	$121.14–$741.83	77% below	50%
Pneumonia vaccine, 15-valent conjugate (Vaxneuvance) inpatient CPT 90671 PNEUMOCOCCAL 15 CONJ VAC	$164.14	$328.29	$121.14–$741.83	—	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) CPT 90677 PNEUMOCOCCAL-20CONJ .5ML	$188.63	$377.25	$139.21–$846.59	51% below	50%
Pneumonia vaccine, 20-valent conjugate (Prevnar 20) inpatient CPT 90677 PNEUMOCOCCAL-20CONJ .5ML	$188.63	$377.25	$139.21–$846.59	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMONIA VACC 23VALENT>	$41.12	$82.23	$30.34–$360.96	74% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PNEUMOCOCC 23 VAL PFS	$90.93	$181.86	$67.11–$360.96	43% below	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 PULM PNEUMOCOCCUS VACCINE	$362.55	$725.10	$267.56–$543.83	129% above	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMONIA VACC 23VALENT>	$41.12	$82.23	$30.34–$360.96	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PNEUMOCOCC 23 VAL PFS	$90.93	$181.86	$67.11–$360.96	—	50%
Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) inpatient CPT 90732 PULM PNEUMOCOCCUS VACCINE	$362.55	$725.10	$267.56–$543.83	—	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIO VACCINE - INACTIVE	$19.01	$38.02	$14.03–$137.90	70% below	50%
Polio vaccine, inactivated (IPV) CPT 90713 POLIOVIRUS-INACTIVE IPV	$36.10	$72.20	$26.64–$137.90	42% below	50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIO VACCINE - INACTIVE	$19.01	$38.02	$14.03–$137.90	—	50%
Polio vaccine, inactivated (IPV) inpatient CPT 90713 POLIOVIRUS-INACTIVE IPV	$36.10	$72.20	$26.64–$137.90	—	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older CPT 90715 BOOSTRIX TDAP VACCINE 7YS	$30.63	$61.26	$22.60–$150.30	58% below	50%
Tdap vaccine (tetanus, diphtheria and whooping cough), age 7 and older inpatient CPT 90715 BOOSTRIX TDAP VACCINE 7YS	$30.63	$61.26	$22.60–$150.30	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN SINGLE ADULT IMMUNI	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMIN,SINGLE ADULT IMMUNI	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 ADM SINGLE ADT IMMU	$43.32	$86.64	$25.92–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADMN PNMCCL VIRUS VACC-MC	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMM ADMIN SNGL/COMBO VAC	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471 IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 ADM. SINGLE ADULT IMMUNIZ	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 90471-IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNO ADMIN SINGLE	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 IMMUNIZATION ADMIN SINGLE	$43.32	$86.64	$31.97–$89.25	88% above	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN SINGLE	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADM. SINGLE ADULT IMMUNIZ	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 ADM SINGLE ADT IMMU	$43.32	$86.64	$25.92–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471-IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNO ADMIN SINGLE	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMN PNMCCL VIRUS VACC-MC	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN SINGLE ADULT IMMUNI	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 IMM ADMIN SNGL/COMBO VAC	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 90471 IMMUNIZATION ADMIN	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee (giving the shot), first vaccine of the visit inpatient CPT 90471 ADMIN,SINGLE ADULT IMMUNI	$43.32	$86.64	$31.97–$89.25	—	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EACH ADDL IMMUNIZTN	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUN ADM SUBCUTANE	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM SUBCUTANE	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZATION ADMIN EACH	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUNIZ ADMIN, EACH ADDL	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADMIN EA ADD'L	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN, EA ADDL ADULT IMMU	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADD ADULT IMMUNI	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADM. EA ADD'L ADULT IMMUN	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EACH ADDL ADULT IMM	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 ADMIN EA ADD'L ADULT IMMU	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 IMMUN ADMIN EA ADD	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 90472 ADM EA ADD'L ADT	$27.65	$55.30	$16.55–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMMUN ADM SUBCUTANEOUS EA	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit CPT 90472 IMM ADM EA ADDL VACCINE	$27.65	$55.30	$20.41–$56.97	41% above	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUN ADMIN EA ADD	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMM ADM EA ADDL VACCINE	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM SUBCUTANEOUS EA	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EACH ADDL IMMUNIZTN	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADD'L ADULT IMMU	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 IMMUN ADM SUBCUTANE	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZ ADMIN, EACH ADDL	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUN ADM SUBCUTANE	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 IMMUNIZATION ADMIN EACH	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 ADMIN EA ADD'L	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN, EA ADDL ADULT IMMU	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EA ADD ADULT IMMUNI	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 90472 ADM EA ADD'L ADT	$27.65	$55.30	$16.55–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADM. EA ADD'L ADULT IMMUN	$27.65	$55.30	$20.41–$56.97	—	50%
Vaccine administration fee, each additional vaccine at the same visit inpatient CPT 90472 ADMIN EACH ADDL ADULT IMM	$27.65	$55.30	$20.41–$56.97	—	50%

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://www.mclaren.org/Uploads/Public/Documents/corporate/ChargeMasterFile/2026/38-1613280_KarmanosCancerInstitute_standardcharges.csv